TOOTH REPLACEMENT - WITH IMPLANTS

Implant placement

Nowadays, for those who are missing teeth, regardless if they are missing one, several, or all, tooth implants present a modern and esthetic solution. We can replace one tooth, regardless, if it's missing due to an accident, for hereditary reasons, or even if it had to be extracted due to caries. In these cases, a bridge is the conventional solution, but to avoid preparing an intact adjacent tooth, implants are the best option. The replacement of more than one tooth is indicated, if tooth loss results from gingival recession or the extraction of carious teeth. In this case, we have to install several, independent implants, which serve as abutments for the future bridge. In case of edentoulism, we still install several independent implants in the jawbone, which serve as the base for the prosthetic replacement. The result is structurally more stable, more esthetic, and in every aspect superior in quality to conventional dentures.

After tooth extraction, the surgical area has to ossify, which takes approximately 6-8 months; only after this time can we install implants. The implants can be connected to the patients natural tooth, or to another implant. Implants can only be performed on patients 16 years or older, because development of the jawbones has to be completed.

Preparation for surgery

The surgery is always preceded by a dental examination, digital x-ray, and consultation. Here we record the existing status of the teeth, and based on this we make a treatment plan. To determine the precise location of the implant, a panoramic x-ray, which allows for a more comprehensive view of the mandible and maxilla, is necessary. In every case, we take a study model of both jaw bones. The model allows us to plan implant placement and final restoration.We give a detailed treatment plan presentation to the patient, which includes discussing potential complications, as well as the possible esthetic outcome.

The surgery

We highly recommend eating before surgery, because after the injection of the anesthetic, eating is not allowed for 3-4 hours, or until the anesthetic wears off. We perform the procedure in local anesthesia, which implies infiltration of the surgical area with 2% Lidocaine. The dentist reflects the full thickness flap from the bone, and by using a special bur, establishes the depth and alignes the axis of the implant recipient site. Into this recipient site, the dentist screws in a titanium-based implant, which can be viewed as the root of the new tooth. We close the surgical wound with sutures. The screw placed in the bone will take 4-6 months to heal. During this time, the space between the titanium screw and the surrounding bone undergoes ossification, embedding the implant into the bone. The screw cannot be loaded during the healing phase. That's why a provisional bridge or denture can be made during this time. The second operation takes place when the screw is firmly embedded in the jawbone. Next, we expose the screw from underneath the gum tissue and place a small head on it, which elevates it above the gum. We call this a healing cap. The gum will heal for 2-3 days, then the last phase of treatment takes place, which does not require surgery. During this phase we attach an abutment, which serves as the foundation for the future bridge. Following this and the impression, the dental technician will construct the appropriate restoration in multiple phases.

Possible complications

According to statistics, the implants have a 95-99% success rate. Possible complications are extremely rare. Due to certain ossification problems, some implants might not bond properly with the bone.As with every oral surgery, certain complications can occur; the patient can expect swelling, sensitivity and pain. The success of the implants depend largely on how the patient maintains the screw edges at the gingival margin. If the bone of the implant becomes infected and inflamed, the implant may become loose, or even fall out.

Postoperative care

The day after surgery, the wound should be washed with a soft toothbrush. The patient can rinse with Chlorhexamed 2-3 times a day. Compresses are forbidden. Applying an ice pack to the exterior of the face 5-6 times a day is allowed. Minor bleeding might occur for a couple of hours following the procedure. If necessary, medication for pain-relief is recommended. Antibiotics should only be taken when instructed by the dentist. Sutures will be removed 5-7 days following surgery. In case of any problems, please call your dentist immediately.

Fees

180.000 HUF / each + final restoration > Euro
Charge for examination and consultation: 4.000 HUF > Euro

Appointments: Monday - Friday, 8 am - 8 pm.
Telephone: + (36 1) 266 7766