DENTAL IMPLANT IMPLANTATION – INFORMATION ABOUT DENTAL IMPLANT PLACEMENT

Essential information about dental implant implantation

What are the basics of dental implant implantation? What are they, and what should you expect?  -  The necessary preparations, condition assessment and treatment plan - The importance of pre-implantation examinations, X-rays and CT examinations  -  Anesthesia solutions for painless implant implantation  -  Dental implant implantation steps for a one-phase implant  -  Surgical phase of one-phase implant implantation  -  Healing after dental implant implantation and loading capacity  -  Making dental restorations and fixing them on implants  -   Aftercare after dental implant implantation -  The need for regular control examinations  -   Lifestyle and dietary advice for the long-term preservation of implants -  Questions and misconceptions about dental implants

What are the basics of dental implant implantation? What are they, and what should you expect?

Those who need dental implants may have already heard of dental implant implantation or, in other words, dental implant treatment. The dental implant, an artificial tooth root, represents one of the most significant breakthroughs in modern dentistry, which provides the opportunity to replace missing teeth excellently, both functionally and aesthetically.

Implants are usually made of titanium or other biocompatible materials that do not cause a reaction in the body and can fuse with bone tissue. It is a process called ossification. That ensures a stable and durable fixation of the implants, which is vital for the long-term service life of the restorations.

The process of implanting a dental implant

• Thorough examination of the oral cavity. The dentist performs the necessary assessments, including X-rays and 3D CT scans, to evaluate the bone and oral cavity conditions.
• Individual treatment plan. Since each patient has unique needs and abilities, specific needs must be considered during planning.
• Local anesthesia, implant placement. Proper anesthesia minimizes pain and discomfort during implant placement surgery. It is important to note that in the case of oral rehabilitation dentures, dental implantation occurs under general anesthesia in our institution.
• Recovery time is required after surgery. Healing time consists of two parts: primary and secondary. The first takes about a week; the second takes 4-6 months. We will talk about this later in our article.

The necessary preparations, condition assessment, and treatment plan

When a patient needs dental implant-based tooth replacement, the first step is a detailed health assessment. In doing so, we examine and evaluate, among other things, the following:

• Condition of teeth.
• Gum health.
• Bone density and bone volume are significant for stable fixation of the implant.
• General health, including chronic diseases and medication use, may affect healing.

These tests require various diagnostic tools and methods

• Panoramic X-ray or CBCT (Cone Beam Computed Tomography) gives a detailed picture of the teeth and jaw.
• Oral examination assesses the gums' health and possible cavities or other problems.

Considering the information received, we prepare a detailed individual treatment plan, which includes the following main elements

• Duration of treatment.
• The necessary preparatory interventions include treatment of decayed teeth, tartar removal, and removal of a tooth or teeth.
• The exact method of implantation, given that different types of implants and procedures have different benefits and risks.

We consider it essential to thoroughly inform our patients, as the success of the treatment also depends on their conscious decisions. After informing the patient, the next step is to arrange the date of the specific intervention and start the treatment.

The importance of pre-implantation examinations, X-rays, and CT examinations

Before implant placement, we perform thorough diagnostic tests to ensure optimal results. X-rays and CT scans are essential in this process because they give an accurate picture of the structure and condition of the oral cavity. The purpose of these tests is to get to know the following:

• Bone quality and quantity. It is important because there must be sufficient, high-quality bone tissue for the implant to be stably fixed in the tooth or jawbone.
• Bone density. Healthy bone with the appropriate density ensures the most secure fixation of implants.
• Location of nerves and other anatomical structures. It is essential to avoid injuries and pain.
• The presence of possible inflammations or diseases in the tooth or jawbone. Factors influencing the success of the procedure.

An X-ray is a quick and less thorough method of assessing the condition that provides essential information. In contrast, cone beam computed tomography (CBCT), more commonly known as CT scan, provides a detailed, three-dimensional image, which is an excellent help for precise planning.

By analysing the X-ray and CT images, we adapt the implantation plan to achieve successful healing and long-term stability with the greatest possible chance. These tests also help predict if possible bone replacement or other preparatory procedures need to be performed. Ensure that the treating doctor has the necessary diagnostic tools because this can be of decisive importance for the success of the implantation.

Anesthesia solutions for painless implant placement

As dentists, we know that pain is one of the patients' most significant concerns. We pay particular attention to anesthetic solutions when implanting dental implants. Our goal is to make the intervention completely painless. We use the following solutions for pain relief:

• Local anesthesia. We use this pain relief when we deal with one or several implants. In all cases, we use the latest generation of highly effective local anesthetics, which quickly and effectively block sensory nerves.
• Sedation. In some cases, for example, when we have to remove several teeth from the oral cavity, we use a sedative tablet or an intravenous (IV) injection so that the patient is in a pleasant half-asleep state during the procedure.
• General anesthesia, anesthesia. We use this type of pain relief almost exclusively during oral rehabilitation. Oral rehabilitation can apply to the upper, lower, or jawbones. During general anesthesia, the patient is unconscious and does not feel anything from the intervention, which is 100% free of pain and discomfort.
• Special anesthesia techniques. Namely, the so-called 'computer-assisted anesthesia enables controlled and precise dosing. Laboratory and EKG tests are required before general anesthesia.

Before the intervention, all patients undergo a thorough anamnesis. During this, we talk about the anxiety due to the intervention, previous anesthesia experiences, and medical history so that we can provide the most suitable solution for our patient. We know that with proper preparation and accurate selection of the type of anesthesia, dental implant implantation will be a painless procedure for all patients.

Dental implant placement steps in the case of a one-phase implant

Planning dental implantation requires precision and great care. In short, we will tell you the steps involved in dental implant implantation.

• Consultation and planning. First, we thoroughly examine the oral cavity based on X-rays and possible CT scans. Based on the examination results, we prepare the implant placement plan.
• Preparatory treatments as needed. In some cases, gum treatment, tooth extraction, or bone replacement may be necessary to meet the conditions required for implantation.
• Dental implant implantation. This step is possible under local anesthesia or general anesthesia, depending on how much you feel the need. In the case of oral rehabilitation, we constantly implant under general anesthesia. The cost of anesthesia is included in the implant implantation package price.
• Recovery period. After inserting the implant, there is a specific healing period divided into two parts. The first is the approximately one-week primary healing period following implant placement, during which the tissue damage caused by the dental implant heals and scars. The other is the secondary healing time, in other words, the ossification time, which takes a few months, six months at most. During this time, the implant ossifies, i.e., integrates with the bone tissue.
• Making and fixing the final dental prosthesis. Finally, according to the current needs, we prepare and install the final dental restoration, which can be a bridge or a complete set of teeth.

We pay a lot of attention to these steps so that the dental implant implantation is smooth and successful, guaranteeing the aesthetic and functional excellence of the result.

One-phase dental implant implantation surgical phase

The surgical phase of dental implant implantation is a critical step in the process. In this phase, we implant the one-phase implants. The preparation of the implant site and its insertion require a high level of precision and care, as the success of implant-based dental restoration largely depends on this.

Steps of implant placement (in the one of a single-phase implant)

• Analytical tests. We perform a condition assessment, including X-rays and/or CT scans, to get an accurate picture of the teeth and jawbone's amount, density, and topography.
• We are anesthetizing the area. We use local anesthesia so that the patient does not feel pain during the procedure. (Oral rehabilitation takes place under general anesthesia)
• Bone drilling. With the help of special drills, we prepare the place of the implant in the jawbone by drilling through the gums, considering the condition and structure of the bone.
• Implant placement. We screw the implant into the prepared hole, which in the meantime, cuts a thread into the bone, thereby promoting perfect fixation and stability.

Our tasks include informing the patient about the feelings during the surgical phase and what to do after the operation and recovery. By continuously monitoring the days following the operation, we ensure that the implant is integrated correctly and that the healing process proceeds smoothly.

Healing and load-bearing capacity after dental implant implantation

For each patient, it is crucial to consider the healing time of the implants, which depends on the number of implants placed, the general health of the individual, and additional treatments such as alveolar bone building. In addition, the healing time can be affected by the patient's smoking habits and general oral hygiene.

The recovery time and load capacity

• Primary healing time. During the primary healing period, the healing of tissue damage, scarring, and swelling occurs during the dental implant implantation surgery. It usually takes a week or so.
• Secondary healing time. Secondary healing time is the ossification of the implant, the fusion with the bone tissue. It is a biological process that usually takes four to six months. That period is critical for successful integration.
• Temporary load capacity. In the case of one-phase implant-based oral rehabilitation, the temporary bearing capacity means that the long-term temporary denture is attachable to the implants immediately after the dental implantation. That is a huge advantage, as the patient thus receives a set of teeth that works perfectly in all respects for the secondary healing and ossification period.
• Final load capacity. The final load capacity means that the implants and the dental prosthesis attached can be fully loaded. At this point, we are sure that the implants are firmly fixed in the bone tissue.

Evaluating the appropriate load capacity is an essential part of dental implant treatment. If too much load is placed on the implanted implants before complete ossification, it can cause a disturbance in the process. That can lead to later complications and even the loss of the implant. It is essential to check the ossification process and correctly determine the final load capacity.

Making dental restorations and attaching them to the implants

The step after successful dental implant implantation and ossification is the preparation of the dental prosthesis and its fixation on the implants. That can be a single tooth, a few teeth, or a complete set of teeth on the lower, upper, or both jawbones. First, the dental technician prepares the restoration. The finished work must fit precisely and be aesthetically pleasing.

• The first step is selecting the replacement material, which depends on the patient's needs, considering allergies and other health factors. The most commonly used materials include porcelain, zirconium oxide, and various metal alloys.
• The denture is most often attached to the implant with screws. Screw fixation allows the replacement that it is removable at any time.
• When fixing the dental prosthesis, it is essential to distribute the appropriate forces so the implant won't overload and the prosthesis functions stably in the long term.
• Before the end of the treatment, a control is also carried out, where we ensure that the fixation was done correctly and that there are no complications.

Careful planning and consideration of the patient's unique characteristics are essential to make the process as smooth as possible. As experts, we strive to use the highest quality and safest procedures when making and fixing our dental prostheses.

After-care after dental implant placement

Dental implant implantation is a complex process that does not end with a surgical intervention. To ensure successful integration and long-term functionality, after-care after implantation is essential, which consists of several steps.

• First, in the first few hours after the operation, we must focus on stopping bleeding and minimizing inflammation. To do this, we can apply ice and avoid physical exertion.
• In the second step following the intervention, we prescribe antibiotic treatment and, if necessary, painkillers to the patients to prevent possible infections and reduce discomfort.
• Maintaining oral hygiene is critical in the third stage. Proper oral care, using a soft-bristled toothbrush and rinsing with a mild saline solution, promotes wound healing and reduces the risk of infection.
• Fourthly, in the long term, we draw attention to the importance of regular control examinations, during which we can review the healing process, check the condition of the implants, and provide our patients with advice during the primary healing time.

We consider all these to ensure the long-term successful functioning of dental implants after implantation. The followed after-care protocol significantly contributes to prolonging the implants' life and the patient's satisfaction.

The need for regular control testing

Recognising the cornerstone of the success of dental implant implantation, we pay special attention to preventing complications. Patients must maintain thorough hygiene practices in the postoperative period to avoid possible infection and inflammation, which can negatively affect the implants.

• Above all, we recommend regularly gargling with antibacterial mouthwash, thus reducing the risk of the growth of harmful bacteria.
• After oral surgery, patients need to avoid hard foods, smoking, and drinking alcohol, as these make healing more difficult.
• Regular and thorough tooth brushing is crucial, but use techniques that do not irritate the wound and, at the same time, allow the affected area to be cleaned appropriately.
• In addition to applying appropriate hygiene protocols, it is essential to participate in regular inspections. Specialist medical check-ups are necessary to monitor the healing process and enable early intervention should a complication arise.
• This periodic examination is an integral part of extending the implant's life.
• During the controls, we carefully check the condition of the tissues around the implant and possible bone integration problems.

Based on this, we emphasise that regular medical examinations and strict hygiene procedures are essential for long-term longevity. We assure our patients that, in this way, we maximise the success of the intervention and contribute to long-term oral health.

Lifestyle and dietary advice for the long-term preservation of implants

To enjoy your dental implant-based denture in the long term, it is vital to develop a suitable lifestyle and eating habits, as these directly affect the lifespan of your implants. We recommend to follow particular lifestyle and eating habits for the long-term preservation of dental implants:

• Regular oral care. Brush your teeth twice daily with fluoride-free toothpaste, and use natural mouthwash and dental floss. Use a toothbrush with solid or medium-strong bristles and clean the teeth and the gums surrounding them. Rubbing the gums removes harmful bacteria and supports the blood supply to the tissues.
• Avoid tough foods. As much as possible, we protect our dental implant-based dentures from powerful bites; for example, do not try to crack hazelnuts or walnuts with them. That doesn't mean you can't eat crunchy foods.
• Beware of sticky foods. At the beginning of the ossification period, be careful not to eat sugary, sticky foods like caramel.
• Reduce smoking. Smoking slows wound healing and increases the risk of inflammation around the implant, so it is advisable to minimize or stop smoking, especially during the initial healing period.
• Limit alcohol consumption. Drinking alcohol can also negatively affect the healing process, so it is worth drinking in moderation, especially during the primary healing period.
• A balanced diet. A diet rich in vitamins and minerals improves general health and contributes to adequately healing the implant site.

Pay special attention to your diet in the first weeks after dental implant surgery: choose soft foods, such as yogurt, milkshakes, and soups, and avoid hot or overly spicy foods. During the first few months, be careful not to put pressure directly on the implants, such as chewing gum or using a straw.

By consistently paying attention and following the advice above, we can ensure that our dental implants remain functional and aesthetic in the long term.

Questions and misconceptions about dental implants

While considering implant-based dentures, many questions and misconceptions may arise. At the end of our article, we mention the most frequently occurring ones.

• Myth: Dental implant implantation is very painful. Most people are surprised at how little discomfort the procedure involves. Local anesthesia helps to avoid pain, and although some discomfort may occur after surgery, it is primarily manageable with pain relievers.
• Question: How long does an implant last? A correctly placed and cared-for dental implant can be a lifelong solution. Of course, the patient's oral care habits and general health also play an essential role in the implant's lifespan.
• Myth: Implants are only suitable for older people. Dental implants are usable at any age, provided the patient has sufficient bone density and bone volume and is in good general health.
• Question: How safe are dental implants? Modern dental implants are incredibly safe; in most cases, they integrate into the bone tissue without complications. The successful implantation rate is around 98%, and possible complications are usually easy to treat.

The main topic of our article is dental implant implantation and everything else we thought was necessary to say about it. Of course, even in such a relatively long article, discussing the topic in detail is impossible—the above answers only the most frequently asked questions. If you have any questions that this article did not answer satisfactorily, please contact us, and we will give you a personal answer.

 In our Articles section, you can find more information about dental implantation with one-phase implants and dentures with implants. If you have an opinion about this article, let us know in the comment section below. If you have any questions, please contact us, or ask iliDent AI Virtual Assistant.
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