Dental implantation - how to inexpensively and reliably restore aesthetics and full functions. Placement of dental implants Where to place an implant

Should I put in a dental implant? Many patients find dental implants to be a lengthy and painful procedure. Although in reality the installation takes no more than 20 minutes, and the operation itself is almost the same in complexity as other dental procedures.

The installation procedure is comfortable and painless due to potent local anesthetics (Lidocaine, Ultracaine preparations). In cases where several implants need to be placed at once, it is advisable to use general anesthesia as anesthesia.

How a dental implant is placed

Implantation includes surgical and orthopedic stages. The essence of the operation is that an artificial tooth root is implanted into the jaw bone tissue. It has the shape of a threaded screw and consists of a titanium alloy that is absolutely biocompatible with the tissues of the oral cavity.

Such a root serves as a reliable support for an artificial crown and can serve for life (or at least 15 years). In addition, a dental implant does not need to be constantly removed and put on, unlike dentures.

Installation steps

Preparatory stage

At this stage, the dentist examines the patient's health status and draws up a detailed action plan. Includes the following procedures:

• examination of the oral cavity, assessment of possible contraindications;
• hardware diagnostics to determine the height of bone tissue (panoramic image or computed tomography);
• sanitation of the oral cavity (ultrasonic cleaning of enamel, treatment of carious foci and inflammation of the mucosa);
• in the presence of chronic ailments - consultation with specialized doctors.

Keep in mind that in case of bone tissue atrophy, which often occurs with a long absence of a "native" tooth, it is necessary to carry out a sinus lift. This is a bone build-up for reliable shrinkage of the implant.

Surgical stage

This is the introduction of a titanium implant, which is carried out as follows:

1. The doctor makes an incision in the mucosa for better access to the jaw bone.
2. With the help of a special drill, a bed is created where the implant is screwed.
3. A plug is placed on top and the gum is sutured.

Installation time - 15-20 minutes. After the procedure, you need to wait 3-6 months, during which time the implant is completely fused with the jaw bone tissue. This is the so-called osseointegration period.

Abutment installation

After the engraftment of the implant, an abutment is installed (the connecting link between the implant and the prosthesis). The procedure includes the following steps:

1. Mucosal incision to open the implant.
2. The gingiva former is a special design that helps to correct the correct contour of the gingival margin for a better fit of the crown.
3. Removal of the gingiva former (after 1-2 days) and fixation of the abutment.

Prosthetics

The final stage is the installation of the crown on the implant:

• first impressions of the teeth are taken;
• based on these casts, a plaster model of the jaw is made in a dental laboratory;
• a dental technician makes an individual crown (ceramic or metal-ceramic);
• After 1-2 weeks, your crown will be ready, the dentist will fix it on the abutment, it will take about 10 minutes.

Photos "before" and "after" the installation of the implant

Implant placement immediately after tooth extraction

You can put a full-fledged dental implant (along with a crown) immediately after tooth extraction. This is called one-stage (single-stage) implantation. In what cases is this method applied?

The main indications are a sufficient thickness of the jawbone (at least 1 cm), as well as the absence of any diseases of the oral cavity. Even in the presence of caries or tartar, the doctor will not be able to perform an immediate implantation, since the risk of various complications is high.

How many implants to put in the complete absence of teeth? As a rule, only 3-4 units are enough to fix a full-fledged bridge structure (the entire dentition). This method is called "All-on-4".

The prosthesis is fixed with a ball-shaped lock. A special round nozzle (lock element) is installed on the top of the implant. And on the body of the prosthesis is the second part of the lock, which sits on this nozzle. Thus the lock is closed.

All-on-4 method for complete absence of teeth

Installation of "turnkey" implants

Turnkey dental implantation is a set of procedures that have a single cost. That is, the doctor names the entire amount, which already includes the implant itself, the crown and other elements, as well as consumables, the work of the implantologist, anesthesia and diagnostics.

This means that you do not have to pay extra for additional procedures, if any are required. Installation of implants "turnkey" means an all-inclusive package of services. This is a convenient option that allows you to save on implantation and insure yourself against unexpected expenses.

What to do after implant placement

After the implant is placed, there is pain, swelling of the gums and slight bleeding. Symptoms usually go away in 2-3 days. An increase in temperature to 37 degrees is also considered the norm.

However, you should immediately consult a doctor if the temperature rises or the pain increases.

Proper care reduces the risk of complications:

• in the first 3 days after installation, you should eat soft food at room temperature;
• within 2 weeks it is necessary to give up alcoholic beverages, it is advisable not to smoke;
• limit any physical activity;
• on the recommendation of a doctor, rinse your mouth with antiseptic solutions, you may also be prescribed a course of antibiotics.

During the year after implantation, it is necessary to visit the dentist every 3-4 months. The doctor will be able to control the degree of root engraftment, as well as prevent the most unpleasant complication - implant rejection.

Prices

The cost of the service depends on the method of installation, brand of implant and crown material:

• economy option (MIS implant (Israel), ceramic-metal crown) - from 23,000 rubles;
• business option (Nobel implant (USA), ceramic-metal crown) - about 40,000 rubles;
• premium option (ankylos implant (Germany), zirconia crown) – from 55,000 rubles.

Installation of dental implants is a more advanced method compared to traditional prosthetics. You get a complete replacement of the lost tooth along with the root and upper part.

However, this service is very expensive, so it is up to you to decide whether to install an implant or not.

More detailed information about prices, as well as dental implantation clinics can be found on our website. To do this, use the convenient search system.

Although the procedure of dental implantation has become widespread in Russia, many myths remain around it. So, what is a turnkey implant installation, where to place implants in Moscow, how much does it cost to insert a dental implant and how long does this procedure take?

Implantation is the most advanced method of restoring teeth in their complete absence or significant destruction. Dental implants are implanted into the bone of the jaw and used as a foundation for crowns, bridges or removable dentures. In fact, implants perform the function of a tooth root.

Prices for the installation of implants

Orthodontic implant surgery 7671 P

Implant specialists

Andrey Albertovich Pastyan

1994-1999 - Ukrainian Medical Dental Academy (UMSA).

1999-2000 - Clinical internship: Dr. Flussenger's clinic in Friedrichshafen.

2000-2001 - Clinical internship at the UMA of postgraduate education. Shupyk, Kiev "Chair of the ChLH".

Types of dental implants

There are several types of implants, which fundamentally differ in design, functional features, methods of implantation:

• root-shaped (screw);
• plate;
• intramucosal;
• subperiosteal;
• endodontic,
• orthodontic, or mini-implants;
• combined

The most widely used screw implants, which in their form repeat the dental roots.

Naturally, different types of implants and prices are different.

How the implant is placed

The most important stage of classical prosthetics of teeth on root implants is the installation of a direct root-shaped implant. The durability of the patient's use of the denture will depend on how technically the entire procedure is performed, and on the subsequent engraftment of the implant.

The steps for installing dental implants are as follows:

• Stage 1.

  Planning. An orthopedic dentist examines the patient's X-ray examination, conducts a visual examination of the oral cavity and assesses the density of the jawbone.

• Stage 2.

  Preparing the jaw for implantation. The dentist cuts the mucous membrane and separates the gum, exposing the jaw bone.

• Stage 3.

  drilling. To form the required length of place for the implant, the doctor performs drilling with a thin drill. He then widens the hole and shapes the implant site in the shape required for the particular implant. Then, to create a thread that matches the thread on the implant, the doctor uses taps.

• Stage 4.

  Implant placement. Using a special device, the doctor screws the implant into the implantation bed, and places a plug on the abutment site.

• Stage 5.

  suturing. All incisions made by the doctor are tightly sutured over the implant with conventional surgical interrupted sutures.

On the Internet, you can find numerous photos and videos that show all the actions of a doctor when performing implantation.

Video about the installation of dental implants

Indications and contraindications for dental implants

Dental implant placement is necessary when even one tooth is missing! After all, the remaining teeth are displaced, food is constantly collected in the enlarged interdental gaps - all this leads to the emergence of various dental diseases.

It is believed that placing dental implants is not as traumatic and difficult as removing a wisdom tooth. But the installation of dental implants is a surgical intervention, so it has some contraindications. When is implantation completely prohibited, and when are certain precautions needed?

Absolute contraindications for installation:

• Age under 18
• Blood diseases, in particular, a violation of its coagulability (only in the acute phase)
• Diseases of the central nervous system (mental illness) (only in the acute phase)
• Systemic connective tissue diseases (only in the acute phase)
• Malignant tumors
• Tuberculosis and its complications
• Myocardial infarction in the acute phase

Relative contraindications to inserting a dental implant are:

• pregnancy;
• age restrictions (the procedure is not performed for young people under 22 years old);
• diseases of the jaw joints;
• atrophy or bone defects;
• inflammatory processes in the oral cavity;
• pathological bite;
• poor oral hygiene;
• alcoholism, smoking, drug addiction.

Photos with examples of implant placement

Why choose us?

When choosing dentistry, you need to pay attention to such key points:

1. The doctor's qualifications must be confirmed by valid certificates in specialization in surgical dentistry or maxillofacial surgery. It is also desirable to have experience in implantology.
2. The procedure for installing a turnkey dental implant requires modern dental equipment.

Our Center for Aesthetic Dentistry fully complies with the above requirements, as it is focused on people who are accustomed to professional service at the highest level. We guarantee:

• accurate diagnosis;
• safety and painlessness of treatment;
• excellent aesthetic result.

The high quality of work of our dentists is fully confirmed by the reviews of our patients.

You can see the cost of installing dental implants on our website. Our price for this service is one of the lowest in Moscow (and this is due to the high quality of its performance), so almost all of our clients can afford to put an implant.

Perhaps you will be interested

Patient feedback after implant placement All reviews Leave feedback

When the question of dental implants arose

I chose a clinic for a long time and tuned in to visit an implantologist. I saw an advertisement on the Internet and signed up for the CEC. Fell into the hands of superprofessional Pastyan A.A. I recommend to everyone!

I write in hot pursuit

It has been 4 hours since I inserted the dental implant in the upper jaw. Everything went painlessly. For those who are interested in how implants are inserted and whether it hurts, I want to answer that it doesn’t hurt at all. Of course, the next days will be the most decisive, but I believe that everything will be fine.

Irinochka Borisovna and Andrey Albertovich, you are the best!!!

Irinochka Borisovna and Andrey Albertovich, you are the best!!! Thank you for your kind attention and professionalism. The results of your work have been pleasing for several years now. Now she and all her friends - only to you!!

I want to put dental implants on the upper jaw, I have no teeth there at all. Is it possible, what will be the cost and how long will the procedure take?

Yes it is possible. The price of treatment and its duration will depend on the condition of the bone tissue, on the complexity of prosthetics. You can always get a detailed consultation in our clinic.

Can implants be placed immediately after tooth extraction?

If the extraction of the tooth occurred due to inflammation, then it is impossible to carry out implantation immediately. After all, the bone tissue for implantation must be healthy. In any other situation, you can insert the implant immediately in place of the extracted tooth.

Every person burns with the desire to have a Hollywood smile. However, today you can get lost in the multitude of services and offers from different dental hospitals. Which of them employ reliable professionals? How much does dental implantation cost in Moscow? The ranking of clinics based on patient reviews will help us understand these issues.

Rating of clinics in Moscow

What is the reputation of dentistry? As a rule, it is developed from the quality of the services provided, their volume, friendliness and courtesy of the staff, and even the interior of the premises. But the following ranking presents the best dental clinics in Moscow, selected only on the basis of a single criterion - the quality of implantation in 2015. These include:

1. MVK Beauty Line Hospital located at: st. Nikolskaya, d. No. 10. Here, implantation costs from $ 405.
2. German Center for Implantology, located on the T. Shevchenko embankment, d. No. ½. Here, dental prosthetics cost from $610.
3. Dentistry "Doctor Liman" located on st. 3rd Tverskaya-Yamskaya, 58/5. Here you can do the operation for 400 dollars and more.
4. Esthetic Classic Dent Hospital, located at: st. Sadovo-Chernogryazskaya, 36. In this clinic, the same service costs from $880.
5. Boston Institute of Aesthetic Treatment, located on Michurinsky Prospekt, d. No. 7, building 1. Here implantation can be done for $750.
6. Baby Smile Clinic, located on st. Novoslobodskaya, d. No. 67/69. Here, dental prosthetics cost from $675.
7. Dentblanc Hospital, located on Michurinsky Prospekt, 5. The same service here costs from $520.
8. Dentistry Potyaev Orthodontics, located on st. Palikha, d. No. 10/9. The same operation can be performed here for $710.
9. Clinic "Orthodontist-Elite" located on st. Usacheva, d. No. 19-a, building 2. The same operation here costs from $390
10. Dentistry ZUUB located at: st. Lipetskaya, d. No. 36/20. Here, dental prosthetics cost from $410 and up.

Options

• service cost;
• convenience of the location of the clinic;
• material quality;
• popularity of the hospital;
• the reputation of the doctors working in it.

These points are important when performing a difficult operation - implantation, which requires skill and experience.

Dentures

And now let's find out what it is in Moscow (rating of materials). The price of an implant is the sum of the cost of the gingiva former and the abutment. Today, each dental clinic is able to offer its customers several types of dentures at different prices: Israeli, German, Japanese, South Korean, American and Swiss. How not to make a mistake in choosing and is it possible to save on such things? Let's take a closer look at this unique product.

The very first in the ranking of prostheses are ultra-modern premium implants, the cost of which is quite high. These are Staumann (Switzerland), Nobel Biocare (Israel) and Astra Tech (Sweden), the price of which ranges from $470 to $750.

The next category contains cheaper, but at the same time quite high-quality implantable materials from young foreign manufacturers. These are Bio Horizons (USA), Biomet and Bicon, the cost of which ranges from $340 to $470.

This is followed by budget products presented by foreign masters who strive to make first-class dentistry accessible to everyone. These are Implantium (South Korea), Alpha Bio, MIS (Israel), Ards, which cost from 165 to 340 dollars.

The cheapest are Russian, Ukrainian and Belarusian implants, the price of which ranges from 110 to 200 dollars.

Clinic "Ladent"

Many are interested in how dental implantation is carried out in Moscow. The rating of clinics studies a small number of patients. Therefore, we will talk about the Ladent hospital, which is known to many.

The doctors of this dental clinic use Nobel Guide technology, thanks to which dental prosthetics are almost imperceptible. Such express implantation of materials is sometimes called instantaneous.

Almost all dental implants use this progressive technology. Patients say that with the help of an extraordinary computer program, doctors plan the entire scenario of the upcoming operation in advance. Clients claim that the information is sent to the Swedish corporation Nobel Biocare, where specialists make a personal surgical template, and in a couple of days the sample is delivered to the dental center. Then the doctor appoints a day for the installation of new teeth. In fact, everything happens in accordance with real mathematical calculations and according to a proven scheme.

Patients love that this system saves them from the tedium of sitting in the dental chair. They say that ten dentures are installed in the Ladent clinic in just forty minutes.

Inspection cost

The rating is great. How much does the first visit to the doctor in these establishments cost? Let's find out on the example of the Ladent hospital already known to us. Patients say that in it the primary examination consists of the following procedures:

• Examination of the state of the oral cavity.
• Detailed consultation of any specialist (or group of doctors).
• Treatment planning.
• Determining the amount of financial expenses.

Clients say that the initial examination in this hospital costs 2,200 rubles, which is an acceptable price for them.

Preparation and rules

Why is dental implantation in Moscow good? The rating of clinics in this city says a lot. Patients who have used the services of the best dental centers in the capital of Russia say that in order for the procedure to be successful, they had to undergo a comprehensive examination to detect contraindications and take a blood test.

Indeed, one of the most important aspects of success is strict adherence to technology. All dental implantation clinics in Moscow adhere to international regulations in the process of work. In addition, they have various certificates and licenses.

Many patients are concerned about the survival of implants. Modern methods of treatment and diagnostics allow, even in the most difficult cases, to ensure 100% success of the operation and the absence of negative consequences for the client.

Survey

So, we have studied the rating of Moscow dental clinics. And how are examinations carried out in these hospitals? When it comes to the study of a defect in the dentition, complex removal or implant treatment, simple panoramic images do not contribute to obtaining all the necessary diagnostic information. That is why the doctors of the leading Moscow dental hospitals use a CT scanner.

As a result of the examination with the help of this device, they receive a digital three-dimensional drawing with the possibility of layer-by-layer detailed study.

Compiling a rating of the best clinics in Moscow for dental implantation, we found that most of these institutions use a 64-layer CT scanner created by General Electric Healthcare Corporation (USA). The latest advances in medical equipment ensure minimal X-ray exposure to the human body with the most accurate testing.

Confirmation

Indications for computer testing:

• Making a plan for a difficult removal. Description of the location of impacted teeth.
• The study of the severity and nature of periodontal disease.
• Detection of defects in the dental system.
• Planning of implant treatment. Bone analysis.

Nobel Biocare

Nowadays, many people need dental implants. In Moscow, only a few patients choose clinics by rating. Most of them pay attention to the products of the famous company Nobel Biocare, which provides its customers with an official guarantee. This company makes Procera, implants and so on. Patients claim that after the treatment, the doctor gave them a special nominal Nobel Biocare guarantee card with a unique code and a protective hologram.

This company is an international holding headquartered in Zurich (Switzerland). Its products are known in 94 countries, factories are located in the USA, Japan and Europe. The originality of each implant is certified by a unique item number and a special certificate.

Swedish scientist

The founder of the famous corporation Nobel Biocare is the Swedish professor Per-Ingvar Brånemark. In 1953, he discovered the effect of osseointegration, which allows titanium, from which implants are made, to fuse with bone tissue. His creation has the longest history in the world, has been installed for almost 50 years and is characterized by the highest quality.

MVK Beauty Line

Agree, it is very convenient to choose a dental hospital if there is a rating of Moscow clinics for dental implantation. What reviews are written, for example, about the MVK Beauty Line center? Patients say that it is very convenient to get to this hospital from any part of the city, as it is located in the very center of Moscow - on Nikolskaya. They say that the reception here is a real relaxation area with a large TV, comfortable chairs and interesting magazines. They claim that they were treated individually not only in treatment, but also in the payment process, as well as in the schedule of visits to a specialist. And they also say that this clinic guarantees complete safety, that they trust her with their health.

Clients are satisfied with the attentive and friendly staff of this hospital. They sincerely thank the doctors working in it.

German Center for Implantology

And what other clinics for dental implantation receive positive results? Patients really like the German Center for Implantology. They claim that only the most advanced technologies are used in this hospital. They say that they were previously afraid to treat their teeth, but as soon as they visited this center once, their attitude to dentistry changed forever.

Clients note that this hospital uses advanced equipment: digital equipment of the German company Sirona - a radiovisiograph and an orthopantomograph, with the help of which doctors receive clear panoramic images. Patients say that thanks to cutting-edge 3D computer technology, doctors plan treatment and simulate its outcome in the most difficult cases, eliminating the likelihood of any complications.

Many people have been treated in this center for more than two years: they carry out preventive cleaning of their teeth, prosthetics and get rid of caries. They claim that the place is incredibly clean, and the staff does an excellent job. Many say that only after they got new teeth in this institution did they feel healthy and happy people. Clients thank the staff of this clinic for their excellent work, correct attitude and individual approach.

"Orthodontist-Elite"

Of course, before treatment, you need to study the rating of Moscow dental clinics. According to the patients' opinions, the Orthodont-Elite hospital is in the ninth place in this list. Those who used the services of this institution say that the specialists working in it provide first-rate assistance in a variety of situations. All types of dental treatment, prosthetics are carried out here, implants are installed, bite is corrected not only for adults, but also for children.

Many clients claim that it was in this clinic that they met competent service and a friendly attitude. They invite other people here for treatment. Some patients are delighted with the highly professional work of the doctors of this hospital. They liked the cleanliness and order in the rooms, attentive staff. They sincerely thank the doctors who returned them a bright snow-white smile.

We hope that with the help of our article, you will be able to choose the best clinic for implantation.

Dental implantation is a popular procedure offered by all the best Russian dental clinics. The main thing in this difficult matter is to choose high-quality implants that meet all the requirements. There are good domestic and foreign manufacturers, they are constantly improving their products so that implantation is available to a larger number of patients. Let's try to figure out which dental implants are better and make a rating of clinics where implants can be placed safely, profitably and reliably.

Comparison of some models is impossible, since they have a different design, and each of them is good in its own way, but you can still find disadvantages and advantages in a general sense.

Implant rating - the most expensive

1. Nobel Biocare dental systems - from 40 thousand rubles, this is a premium class system, the manufacturer gives a lifetime warranty on implants. Such companies not only produce products, but also offer modern technologies for implantation and treatment of patients. Moscow clinics, which top the rating, offer products from a Swiss manufacturer;
2. Astra Tech dental implants - from 35 thousand rubles, are made in Sweden, they are also given a lifetime guarantee, they are not inferior in quality to Swiss systems;
3. Bicon dental implants - the cost varies from 30 to 45 thousand rubles, they are placed most often. They are the most popular among the expensive ones;
4. BioHorizons - price from 25 thousand, produced in the USA, popular among the best clinics in Russia;
5. Implantium - are made in Korea, have a low cost, but are not inferior in quality. These implants are quite popular among good dental clinics around the world;
6. Russian and Belarusian dental implants cost from 9 thousand rubles, and they close the rating as the most budgetary implants. They are of high quality, dentists like to work with them, and they are no less popular than expensive models.

All manufacturers produce high-quality goods, the difference is in manufacturing technology, materials and brand.

Implant rating - budget

The most budget options for implantation are Russian, Ukrainian and Belarusian models. The range of implants is not large, the cost is minimal, they are not included in the rating of the best.

Such dental implants can be of different types - root-shaped, intramucosal, lamellar, subperiosteal, combined. Each dental implant has indications, and before installation, you should familiarize yourself with the quality criteria of systems from different manufacturers.

Dental pins consist of the implant itself, which is implanted into the bone, the crown and the abutment. The abutment is a transitional part that connects the pin in the bone to the prosthesis.

Quality criteria:

• biocompatibility of the material - titanium is considered the best;
• hypoallergenicity - with a tendency to allergies, zirconium pins are suitable;
• lack of impurities - mixing materials leads to a decrease in the service life of the system, breakdowns, long engraftment;
• the presence of zirconium dioxide - the material is added to expensive models.

In terms of compliance with all quality criteria, the USA and Europe can be put in the first place - these are the best manufacturers.

Rating of dental implant clinics

Most dental clinics in Moscow offer implantation services using various methods. Today, implantation is possible in one visit with a one-time load, as well as bone tissue growth, restoration of the dentition in a child and the elderly with a minimal risk of complications. Consider some of the most popular non-state clinics.

List of implantation clinics in Moscow:

1. SM-Clinic is a network of clinics with branches throughout Moscow, where you can get dental treatment;
2. StomArtStudio Leonardo - a dental clinic where you can install an implant from 20,000 rubles;
3. DentaLux-M is a clinic providing implantation and prosthetics services. You can install dental implants from 25,000 rubles;
4. Smile Denta - a clinic where dental implants are placed from 50,000 rubles;
5. Medical Clinic - dentistry, where you can restore a tooth from 15,000 rubles.

You can also highlight DiaMed, Lanri Clinic, German Implant Center, Dr. Levin, Dentaljaz and Meliora Dent.

When and how are implants placed?

In the best clinics in Moscow and other cities, it is possible to install the pin in several ways. The fastest option is express implantation or intramucosal. Already on the first day after tooth extraction, the doctor places a pin through the puncture of the gums and immediately prepares a temporary crown. The most reliable option, when there are contraindications and insufficient bone tissue, is a sinus lift followed by implantation.

Dental implants can be placed in the following ways:

• intramucosal method - used for better fixation of the orthopedic structure;
• intraosseous method - a pin of complex design is fixed, it is used more often to restore the anterior group of teeth;
• subperiosteal method - used in case of insufficient bone height with severe atrophy;
• intraosseous method - used to fix cylindrical, lamellar and conical systems, for this an incision is made in the gums and periosteum;
• intradental-intraosseous method - is indicated to eliminate the mobility of organs when a pin is fixed in the root.

There is a one-stage and two-stage procedure for restoring a tooth by installing a pin. In the first case, the load on the pin is given already on the first day. The two-stage technique involves waiting until the implant takes root.

All stages of dental implant installation are as safe and painless as possible for the patient if the operation is carried out in a good dental clinic using high-quality equipment and modern materials. This type of prosthetics consists in restoring not only the crown, but also the root of the tooth., which helps the entire jaw system to function normally. By resorting to implantation, you can save the jaw bone from atrophic changes without injuring the remaining healthy teeth.

How implants are made, their structure

Implant or implant (in English -implant) is a pin shaped like a tooth root. It is made of a medical metal alloy and is placed in the jawbone. Then an abutment is installed on the prosthesis, and a crown is placed on it, which can be changed without removing the implant.

Before prosthetics, the dentist evaluates the feasibility of installing an implant, taking into account the physiological characteristics of the patient's body, his state of health.

You can learn more about how implants are made from the video:

Indications and contraindications

The classic indications for implantation are:

• terminal defects of the dentition;
• complete and incomplete absence of teeth;
• intolerance to removable dentures due to allergies or gag reflex;
• a defect in functional occlusion (jaw closure) after tooth extraction or improper dental treatment.

Absolute contraindications include:

• tumors (if implants are inserted, they will begin to grow);
• increased tone of masticatory muscles;
• blood clotting disorder;
• pathologies of the nervous system and mental disorders;
• childhood;
• immunodeficiencies;
• diabetes mellitus (especially uncompensated type);
• tuberculosis;
• osteoporosis;
• some forms of stomatitis;
• allergy to anesthesia;
• chronic forms of diseases of various internal organs;
• rheumatism.

Relative contraindications for dental implant surgery:

• pregnancy at all stages;
• breastfeeding period;
• pathological bite;
• bruxism;
• poor oral hygiene;
• carious cavities (the prosthesis is inserted only after complete treatment of caries);
• mucosal inflammation;
• cachexia;
• pathology of the temporomandibular joint;
• smoking.

The patient must inform the doctor about all existing chronic diseases in order to exclude the possibility of complications.

How dental implants are placed

How many implants are needed depends on the number of dental units that need to be restored. If one tooth is missing, one implant is placed. If two or three molars are missing, then two or three prostheses are placed respectively. It is not advisable to limit yourself to one implant, since it may not withstand the increased load during chewing. In the case of complete adentia, the number of prostheses is determined by the doctor, depending on the expected interdental distance.

Types of implantation:

• Intraosseous installation of dental implants is characterized by the introduction of the prosthesis into the bone tissue. This technology is the most popular and in demand all over the world, because it has the fewest possible complications. The dental implant is placed directly into the bone bed.
• Basal implantation is indicated for bone deficiency and the absence of several consecutive teeth. Using this technique, implants are installed if it is impossible to build up bone tissue. But it is dangerous with possible side effects and complications. In addition, constructions made according to the basal type are not very reliable, therefore, the basal installation of dentures occupies a modest place in modern implantology.
• Intramucosal technology is most often used in removable prosthetics for convenient and reliable fixation of the false jaw. In this case, the implant is inserted directly into the gum.

Dental implants can be divided into three types:

1. One-stage implantation allows you to place an artificial root and crown in one visit to the dentist.
2. A two-stage installation is done in 2 times:
   • At the first stage, a metal pin is implanted into the jaw.
   • At the second visit, a crown is placed.

1. Mini-implantation is used to imitate premolars or in narrow parts of the jaw and is characterized by the installation of small prostheses.

Installation of a dental implant: stages and timing

The standard procedure for installing a dental implant is carried out in several stages. Their duration depends on many factors, including the state of health of the patient and the level of techniques used.

Preparatory stage

Installation of a dental implant is a serious surgical procedure for implanting a foreign body into the jaw, so the doctor who performs the operation must be sure that the patient is ready for the procedure.

Prosthetics is a stress for the body, which activates diseases that were previously in a vegetative state. Before the operation, the dentist must make sure not only that the implant will take root, but also that the patient's body can withstand this load, so the process of dental implantation begins with a basic diagnosis. To do this, the following procedures are carried out in a planned manner:

• visual examination of the mouth;
• examination by a cardiologist, allergist, neurologist and endocrinologist (the need and sequence of visits to doctors is determined by the therapist);
• delivery of tests;
• ENT examination (if you need to install an implant in the upper dentition);
• sanitation of the oral cavity;
• hardware research;
• bone augmentation.

Testing

As part of dental implantation, a number of important studies are done, these include a general blood test with additional parameters:

1. Coagulogram or blood coagulation test - determination of the level of fibrinogen, prothrombin and thrombin time.
2. Determination of the level of glucose in the blood.
3. Biochemistry or the study of blood composition for:
   • amylase;
   • total and direct bilirubin;
   • cholesterol;
   • transaminases;
   • electrolytes;
   • total protein;
   • alkaline phosphatase;
   • urea;
   • creatinine;
4. HIV and hepatitis testing.
5. Aticardiolipin test for syphilis.

You will also need to pass a general analysis of urine, and if there are pathologies of the gastrointestinal tract, an analysis of feces. In the absence of chronic diseases, testing will take little time.

Hardware research

The following types of examinations are necessary to determine the anatomical structure of the jaw, the quality of bone tissue and its pathologies:

• Radiography. Allows you to take a detailed high-quality picture of the studied part of the jaw, due to which the state of the bone tissue and existing roots can be traced.
• Orthopantomogram. Gives a detailed view of the quality of the bone and possible pathologies due to the three-dimensional panoramic image.
• CT scan. Helps to obtain a three-dimensional picture of the bone, which allows you to determine the structure and density of the jawbone.

Without these examinations, not a single implantation of teeth takes place, since when implanting a prosthesis into a bone, there is a high risk of hurting nerves and important blood vessels, and panoramic images help to avoid such problems. This rule applies to all forms of prosthetics.

Bone augmentation

Dental implants are placed only if there is sufficient bone tissue. If, as a result of hardware studies, it is found that the volume of the jawbone is not enough for high-quality prosthetics, then in the absence of contraindications, bone tissue grafting is performed. Various methods are used for this:

• Guided regeneration. It is characterized by an increase in bone volume due to the implantation of natural or artificial material.
• Bone block grafting. It is carried out during bone resorption, within its framework, tissue is taken from another part of the body and transplanted into the jaw.
• Sinus lifting. Elevation of the mucous membrane of the lower part of the maxillary sinuses, due to which the volume of the upper jaw increases.

Bone augmentation

Dental implantation does not occur immediately after bone augmentation, but several months after the completion of the dental operation.

Surgical stage

After complete preparation of the oral cavity, the operation itself takes place. The process of installing a dental implant does not take long. The time interval depends on the quality of the diagnostic work performed, the complexity of the technique used and the physiological features of the structure of the patient's jaw apparatus. A standard dental implant is placed in about 90 minutes.– as long as a regular dental appointment lasts.

Surgical intervention begins with a patchwork incision and exfoliation of the gingival and periosteal tissue, as a result, an area of ​​\u200b\u200bthe bone is exposed. A milling mark is installed on it to form an artificial root bed. Then, in this place, the doctor drills a thin channel along the length of the implant. After reaching the desired depth, the channel is expanded using special drills.

After obtaining the required width, a thread is made in the canal that matches the thread of the prosthesis. Due to it, dental implants are installed. That is, they are simply screwed into the resulting hole, after which they are closed with a screw-in plug. Then the mucous and periosteal tissue is placed on the implant and sutured with simple sutures adopted in surgery.

Postoperative period

Dental implants are placed quickly, but their engraftment takes a long time. During the first 5 days, swelling and soreness may be observed, then unpleasant symptoms should disappear. In the postoperative period, stressful situations, physical exertion, visiting saunas and baths, as well as chewing on the side of the wound surface should be avoided. It is necessary to treat the oral cavity with antiseptic preparations and do everything possible so that the implant takes root. Otherwise, the material will be rejected.

Signs of rejection

Signs that the implant has not taken root:

• redness of the gums;
• swelling at the site of the prosthesis;
• severe pain in the jaw (does not go away even after taking strong painkillers);
• mobility of neighboring teeth;
• temperature rise.

If you experience any unpleasant symptoms, you should immediately contact your dentist.

Stage of gum formation

To form a natural contour of gum tissue, instead of the existing screw plug, a special screw titanium cylinder is installed, which is called a gum shaper. Its installation takes place 3-6 months after the introduction of the pin.

Within 15 days after the shaper is placed, a natural gingival fold will form around the implant, which plays a key role in holding the artificial root.

Abutment installation stage

The abutment is the intermediate part of the implant that connects the root to the crown. It is inserted instead of the gum shaper after the formation of a mucous roller around the future artificial tooth. The procedure lasts not a few hours, but only 15-20 minutes.

Stage of prosthetics

After the dental implant has healed, an artificial crown is placed. First, casts will be taken from the jaws so that the prostheses made have the desired shape, do not interfere with the patient's bite and help restore chewing function. Then the resulting crown is placed on the abutment using an adhesive material.

Stage of rehabilitation

After all stages of dental implantation, the rehabilitation period begins. Its term depends on the method of the dental procedure and the physiological characteristics of the body. During this period you must:

• gently and thoroughly clean the oral cavity;
• use aseptic rinse aids;
• visit the dentist regularly (at least once a month);
• reduce the amount of solid food you eat.

The joint work of the dentist and the patient at all stages of the installation of a dental implant guarantees a good engraftment of the dental prosthesis and a complete restoration of the chewing function.