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Biological Concepts on Bisphosphonate Treated Patients in the Context of Increasing Patient Life Quality and the Need for Oral Surgical Procedures

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Dental implantologyWhat are dental implants like?

Dental implants are structures, made of aloplastic (artificial) material, mostly titanium. They replace natural dental roots in the bone and when the abutments are attached to them, they support crowns, bridges or dentures. Treatment with intra-osseous implants is the current method for recovery of the chewing effectiveness and aesthetics in cases of partial or complete edentulism. Dental implants can improve your life style as a whole by:
• Preventing from further bone loss.
When you lose a tooth, there are no more physical forces that influence the bone and it starts to resorb. Bone loss continues and can change your smile. The teeth, surrounding the gap, grow crookedly and increase additionally the gaps and the bad appearance. The traditional way of replacing missing tooth is a bridge, fixed with cement – this successfully substitutes the crown, but not the root of the tooth. The consequences are further bone loss. Dental implant is the only variant for replacing both the crown and the root of the tooth. The implant acts as a natural tooth root and transmits the chewing forces to the bone and preserves it healthy.
• Enabling natural biting and chewing.
There is no moving, sliding or clattering at dentures supported by implants. There is no change of speaking, that is typical for the conventional dentures, and you may bite and chew naturally.
• Allowing you to enjoy the food again.
Your gustatory sensations are getting better.
• Helping you to preserve your natural teeth healthy.
The implant provides sufficient support for the crown and there is no need to prepare the adjacent teeth.
• Enabling your natural way of talking.
• Helping you feel more attractive.
• Giving you a permanent solution of the missing teeth problem.
• Helping you to enjoy your life fully.


What is the implant treatment like?

It is a common effort between you, your implantologist, implantological assistant and dental technician, specialized in dental implantology. Current implantology is prosthetic guided and this is well proven fact. It means that we need to know what exactly prosthetic restoration (crown, bridge, removable denture) will be fabricated after the osseointegration of the implant, in order to define the correct place for the implant. We use the so-called “surgical guide” for that purpose – it is also a prototype of the final restoration.

First visit:
Right after the consultation, depending on your state and the chosen type of the implant treatment, your implantologist takes an impression of your teeth and jawbones for surgical guide’s fabrication. The guide shows the right position for implants’ placement. At bigger implant cases (totally edentulous jawbones) and lack of bone, the surgical guide may determine the 3D position of the implant.

Second visit:
The surgical guide is adjusted in the mouth and an orthopantomogram is taken; in most of the cases a CT is also made. Using the information from the X-rays your implantologist may prepare your treatment plan.

Third visit:
This is a very important visit, because the treatment plan will be presented to you and clarified in details. You’ll have the opportunity to get an idea about the nature of the manipulations and to understand what your obligations at the healing period and afterwards are. And last but not least – the exact financial plan in the beginning of the treatment is a sign of professionalism, giving mutual trust.

Fourth visit:
The Great Russian general Stoletov said: “It is hard in studies, but easy in battle.” The meaning of this phrase, looked through the prism of the implant treatment, is that the professionally carried out preparation takes more time than the implant’s placement itself. And this guarantees durability of the implant treatment.
This is the implant’s placement visit. It takes between 20 minutes and 2-3 hours, depending on the method of placement and the number of the implants.

Fifth visit:
It is a control examination with control orthopantomogram (after the implants’ placement).

Sixth visit:
Removing the sutures.


How is the implant placed?

First of all, the implant, which is conical or cylindrical screw, is placed in your jawbone. In the next 2 up to 6 months(depends on the clinical case) the implant joins the bone (osseointegration) and forms the basis for your future false tooth. We need often a second stage procedure for uncovering the implant and attaching the abutment.

This little stump, called abutment, finishes the basis for your new tooth. Your gums will heal for several weeks after this procedure. There are implant systems, which don’t require second stage. They use implants with factory attached abutments. Your implantologist will give you an advice about that which system is for your case. At the end your implantologist will fix a crown, fabricated especially for you, to the abutment .You’ll feel soon the restored ability to chew, talk and smile calmly. Dental implants are looking and feeling so natural and you will forget that you have ever lost a tooth.


Is the procedure comparatively painless?

Yes! Many patients tell that tooth extraction is much more traumatic experience than implant’s placement. Procedure is accomplished in the dental office under local anaesthesia and it is absolutely painless. There is rarely a slight pain when the anaesthesia is over.


Can our body reject the implant?

Implant’s reception from the body is physiologically grounded and regular process called osseointegration.
The rates of the contemporary implant systems are 95-98% for upper jaw and 91-95% for lower jaw. That’s of course, only for the cases when modern implant system, suiting the current requirements and world standards, is used and the implantologist is well-trained. Contemporary implants are usually well-received from the body. Furthermore, titanium induces new bone formation and thus slows up the physiological and pathological atrophy of the jawbones.


Can we place a temporary tooth during the treatment?

Yes! In most of the cases a temporary tooth will replaced the missing crown until the implant is integrated in the bone. Your implantologist will advise you for the most suitable restoration in your case.


Will I be able to eat normally during the treatment period?

Yes! In most of the cases you may eat whatever you want. It is possible to be asked not to chew on the area of implant’s placement for a short time after the operation, but afterwards you’ll eat as usual.


Are there any age limits for placing an implant?

No. It is possible to receive an implant at every age, if you don’t suffer from endocrine or malignant disease, suppressing the immune system, or any other disease which is contra-indication for surgery.


How much do we pay for an implant?

Since every patient has different needs and priorities, so there are different types of implant treatment and prices respectively. Your implantologist will offer you a price according to the treatment you need. There are several factors that can influence the treatment’s price:
• The number of implants you need
• The type of the replaced teeth
• The necessity of additional procedures
It is important to consider the short- and long-term price, when you decide to replace a tooth. Treatment with dental implants may cost you much in the beginning, but it is more effective in the future.