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Posted By Hawthorn East Dental on 19/07/2019

How to choose Dental implants?

How to choose Dental implants?

You need to install artificial tooth on your mount in many situations of life. But when undertaking this procedure, you must know all the necessary thing about it. Let's discuss it in the article.

Many patients are afraid of the possible painfulness of the procedure of Dental implants  a foreign body in the bone, but in fact, you should not be afraid. The fact is that in this type of tissue there are no nerve receptors, that is, the bones cannot hurt.

 Any unpleasant and unusual sensations are localized in the gum since it is necessary to incise the soft tissues covering it to expose the bone. But such manipulations, of course, are carried out only under anesthesia. The entire process of installing the pin takes about 1 hour and includes the following steps:

Incision gums.

Formation of a hole in the bone using a special drill, in shape and size fully corresponding to the selected artificial root. Screw the titanium screw and close it with a temporary plug in place of the abutment.

Stitches on the gums.

After 1 to 3 weeks, the soft tissue heals and the doctor removes the stitches. In the next few months, the new root takes root. After this stage is completed, the gum is again cut, the specialist removes the cap and installs the shaper - a special element designed to give the gum the desired shape. The former completely repeats the shape and size of the future crown. Wearing it takes about 1 to 2 weeks. Then you need to make a cast and make the crown itself. She and the abutment are fixed on the pin - and the tooth is ready.

Types of implants

Several types of implants differ in strength, appearance, and installation technology:

Root.
Installed, as a rule, on chewing teeth. They are a cylinder with a base in the form of a titanium screw, covered with thread. A feature of root-like implants is that they can be installed only with a large amount of bone tissue. If it is not enough, the specialist conducts artificial bone build-up (“sinus lifting” procedure) or decides to install a pin of another type.

Plastinochnye. 
Used in cases where the root implant is not possible to install. They can be maximally deepened into the jaw bone, which guarantees the high strength of the artificial tooth.

Combined. 
This is a symbiosis of the two types described. Such implants have a complex shape and can be used in cases of various defects of teeth.

Superbiostal. 
They are rather fragile mechanisms designed to be installed under the gum tissue, but, taking their place between the bone and the periosteum, they turn into a reliable element.

Endodontic stabilized.
It enjoys a good reputation among specialists because it ensures maximum reliability and reduces the chance of injury to the oral mucosa. This type of implants allows, if necessary, to strengthen or lengthen the root of the tooth being restored.

Intra mucous. This type is characterized in that it does not require implantation into the bone tissue. Intra mucous implants are necessary to stabilize dentures.

Shape, size and other nuances

It is logical to assume that the artificial tooth root will resemble a natural one. But in fact, a common option is a cone-shaped model that allows you to evenly distribute the load. Also, the Dental implants  of this form most quickly take root. The second most popular shape is cylindrical.

=> The size of the implant is selected taking into account the following features:

=> The volume and mass of bone tissue at the place of installation of the pin;

=> Distance between teeth;

=> The presence of curvature of the dentition;

=>  Individual characteristics of the jaw.

=> The crown part of the construction is threaded - this ensures the support of soft tissues due to the sufficient volume of inert tissue around the prosthesis, and also does not allow the implant to shine through the gum tissue.

Lifetime

If the installation was done by an experienced technician, and the patient follows all the care recommendations, the artificial tooth will not cause problems for many years. The example of the first patient of Ingvar Brånemark confirms this: the inserted teeth served him until the end of his days. Since the dentition is subject to enormous stress every day, implants, like natural teeth, are subject to wear. Therefore, you should carefully monitor oral hygiene; carry out daily and professional cleaning of teeth, and in time to change broken crowns.

Selection of tooth implants

The selection of dental implants is a joint decision of the doctor and the patient in each case. General recommendations do not exist. Each patient has an individual clinical picture. Age, the general condition of the body and dentition, the need to restore the front or back teeth, one or more, the requirements for aesthetics, budget and duration of treatment - all this significantly affects which implants to put.

To orient you in a variety of models, consider the difference between dental implants.

1. Size

Depending on the volume of bone tissue and the size of the interdental space, the diameter and length are selected. For the teeth of the posterior group, more massive implants are required to cope with the chewing load. If you decide which Dental implants to choose for the front row (where it is important to perform the restoration as soon as possible due to the aesthetic factor), pay attention to the mini-implants.

The design feature - pre-installed abutment - allows you to restore the tooth by the method of express implantation in one visit. Installation of implants of small diameter is made by puncture without cutting the gums, thus reducing the invasiveness of the operation.

2. Form and design

The classical form of implants is conical and cylindrical, corresponding to the natural shape of the tooth. This design is installed in the jaw bone vertically, repeating the position of the root of a natural tooth. A sufficient amount of bone tissue is required for fixing. There is also another form - disk (lamellar). A specific method of fixing the structure allows you to install the implant even in a place with a small amount of bone tissue without the use of bone plastics.

It is the disk form that the basal implants have. The system of this design is used in the basal implantation recommended for patients with severe atrophy of bone tissue, for example, in the complete absence of teeth. Again installation basal implants possible in the absence of at least three teeth in a row, since the design requires sufficient space in the bone.

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