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Oral Surgery & Dental Implants - Daku Dental

Dental implants serve as support for prosthetic replacements in case of loss of one or more teeth. They are made of titanium, a biocompatible and particularly resistant material, and are implanted in the jawbone where they perform the function of the tooth root.
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Oral Surgery & Dental Implants - Daku Dental

Oral surgery

Pre-prosthetic surgery

In cases where the patient can not hold a fixed prosthesis in the mouth and seeks to make a removable prosthesis, the surgeon must assess the patient's need to perform preparatory surgery so that the removable prosthesis has maximum stability in the mouth.

The main preprosthetic interventions are the removal of excess soft tissue, left over from bone retraction, as a result of the long absence of teeth and torso, which are neoplasms of bone in the palate or inside of the lower jaw, which can prevent the prosthesis from coming down.

Removals of remaining teeth and roots

Oral surgery is the branch of dentistry that deals with surgical interventions in the oral cavity
The following are some of the most common interventions performed by a dentist specializing in oral surgery:
Tooth extraction is a routine intervention in oral surgery.

The most common surgery is the removal of mature teeth, the removal of worn-out (retained) teeth and also the removal of teeth to enable the straightening of teeth with orthodontic appliances and the placement of dentures. One of the most important interventions is also the removal of the remaining roots that can lead to bone infections and cysts.

Treatment of infections (abscesses)

In medical language it is called Drainage of abscesses
Abscesses are infections that come from the decay of teeth in severe degrees or from their stripping and movement. They spread to the gums with variations in size, (from a slight bulge in the area around the tooth to a bulge that appears on the outside), which can impede breathing.

This is accompanied by fever, persistent pain, mobility of the teeth and swelling of the lymph nodes of the neck. Surgical treatment is performed when the treatment of the tooth has not succeeded in eliminating the infection and consists of an intervention in the infected area and the disinfection of the infected space, depending on the case with antibiotics.

Dental Implants

What is dental implantology?

Implantology is the branch of dentistry that involves replacing missing teeth with artificial roots inserted into the bone.

Implants can replace single teeth (crown-on-implant), groups of teeth (crown-on-implant) or they can also act as a support for a prosthesis. Dental implantology today represents a predictable and reliable therapeutic solution over time, associated with a very high success rate

 

What is a dental implant made of?

Sot implantet më të përdorura në të gjithë botën janë bërë nga titan.
Titani është një metal bio-inert që në kontakt me kockën nuk jep asnjë reagim ?refuzimi? sepse nuk ka proteina dhe nuk shkakton asnjë reagim imunitar. Për më tepër, titani nuk shkakton as reagime nga trupat e huaj sepse është në gjendje të krijojë një lidhje të drejtpërdrejtë me indin kockor, të ashtuquajturin ?osseointegrim?

 

Dental implants consist of 3 parts:

  • Artificial root or screw: in reality, by implant we mean the screw inserted into the mandibular bone, which replaces the missing natural root. It can be of different lengths, depending on the anatomical needs of the patient. It can be made of titanium or zirconium.
  • A supporting structure: it is the element that connects the implant to the tooth crown. One part is fixed inside the gingiva and the other part comes out as a needle, on which the crown will be fixed.
  • The dental crown in porcelain is identical to the natural tooth, so much so that you will not find aesthetic differences.
Dental Implants

When should a dental implant be made?

Implantimi rekomandohet në mungesë të një ose më shumë dhëmbëve.

  • Në humbjen e një dhëmbi, sepse në këtë rast ai kryen një funksion mbrojtës ndaj dhëmbëve fqinjë të cilët përndryshe do të duhej të liroheshin.
  • Në mungesë të më shumë dhëmbëve, implanti dentar vepron si një mbështetje për urën.
  • Në rastet e humbjes totale të dhëmbëve, implanti dentar është pa dyshim zgjidhja më e mirë. Duke dashur të marrë një zgjidhje fikse, në këto raste vendosen gjashtë deri në tetë vida të cilat më pas shërbejnë si mbështetje për urën.

The other option is denture which is fixed on a rod which in turn is connected to two, three or four dental implants. This type of prosthesis is more durable than the usual prosthesis, but with the advantage that it can be removed to perform a more accurate oral hygiene.

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IMPLANT PLACEMENT IS DONE IN TWO PHASES

The first phase :
It is the surgical one where the implant is placed in the bone of the mouth. This happens through the small screw made of titanium which is placed in the place where the natural tooth is missing. As the bone heals it surrounds the implant becoming more firmly attached to it. The healing process can take 3-4 months depending on where the jaw is located.
Second phase:
is the prosthetic part.Once the implant is made one with the bone, a connecting part called the abutment is screwed into it. This connecting part is responsible for holding the porcelain tooth over the implant. To make the new tooth the dentist needs to take a measure and send it to the lab. In the end the porcelain tooth is fixed with a screw or by gluing on the abutment and you will have a tooth of your own just like the others. laboratory. At the end, the porcelain tooth is fixed with a screw or glue on the abutment and you will have a tooth of yours just like the others.

How long does a dental implant last?

By performing proper oral hygiene and visiting the dentist regularly to perform various checks and prevent any problems, dental implants can last a lifetime. Therefore, every patient should be aware of the fact that good maintenance of implants and the entire oral cavity plays a fundamental role in its duration.

Dental Implants

The information that the patient should know about Dental Implants

Every dentist is obliged to give the patient all the necessary information before starting the therapy. In this first phase of evaluation, the doctor will perform a complete check-up and consultation with the patient, after which the patient himself will decide whether to continue with the intervention.

Consultations with your doctor will include the following points:

  • Information on implant therapy and the real need for surgery
  • Type of intervention and possible contraindications
  • Consequences in case of giving up medication
  • Prosthetic solutions with implants
  • Therapeutic alternatives

In order to rule out any risk factors and complications, before proceeding with the operation, the doctor has the duty to perform various checks and radiographs to determine and evaluate the condition of the patient's jaw bone. In extreme cases, when the therapy is at risk due to the presence of multiple problems, the doctor will be forced to abandon the implant surgery. These factors are then explained to the patient in detail and can be of different types:

  • Limited pain (resulting from poor health or other medical conditions)
  • The onset of periodontal diseases (periodontitis)
  • Smoking (high number of cigarettes consumed per day)
  • Insufficient oral hygiene
  • Bone and chewing defects
  • Tendency to grind teeth
  • Some psychic pathologies
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The healing phase

The duration of the final recovery varies from patient to patient and can be completed in a few weeks, but in some cases it can take several months. However, after about a week the doctor checks the wound and removes the stitches and explains to the patient the steps of proper oral hygiene. If the position of the implant is visible in the mouth, during the healing period the patient receives a temporary prosthesis that is fixed thanks to simple removable prostheses. This is not necessary if the position of the implant in the mouth is not visible.

Stages of dental implantology

How do we place dental implants? Here is the procedure we perform to restore the smile of our patients with a dental implant:

  • Diagnosis: during the first free visit our medical team will perform in-depth diagnostic and instrumental tests to guarantee a personalized treatment plan based on your real clinical needs and in accordance with your aesthetic and functional expectations.
  • Intervention: in this second phase we proceed with inserting the implant into the bone. The operation is performed under local anesthesia.
  • Osseointegration: At this stage you have to wait a few months (3 to 6 months) until the dental implant integrates into the bone.
  • Final stage: at the end, the specialist will mount the superstructure on the implant, on which the dental crown will be fixed.

Advantages of dental implants

We mentioned that a dental implant allows the patient to gain an efficient masticatory function and a natural smile, both affected by the absence of one or more teeth.

Choosing dental implants instead of relying on bridges has several advantages:

  • Dental implants are aesthetically identical to natural teeth
  • They are fixed permanently and securely, without any type of glue.
  • They do not show problems for the adjacent teeth
  • They are an extremely durable solution if you perform proper oral hygiene on a daily basis.
  • implantology providing our patients with a 98% success rate (in the remote hypothesis of implant failure we perform a new intervention free of charge at our expense, reimbursing the flight expenses). Percentage that reaches 100% with computer-guided implantology, a painless technique without incisions that ensures maximum precision thanks to an advanced software that allows virtual 3D simulation of the intervention.
  • Stability: no chewing problems and no risk of artificial tooth mobility.

3D virtual simulation of dental implant intervention

Nowadays with modern and sophisticated software, our specialists can plan the entire procedure and you can place dental implants without pain.

Using 3D digital images, the specialist can perform the intervention with a guarantee of 100% success.

These images allow the dentist to visualize the position of the implants in order to place them with extreme precision in areas of high bone density, thus eliminating any errors.

How computer-guided implantology works

Dental implant placement with a computerized procedure offers 3 stages:

  1. A CT scan to produce a detailed 3D image of the bone structure of the jaw.
  2. By studying the image with a software, the specialist will evaluate the structure of the jaw and simulate the insertion of the implant and the prosthetic structure until the desired result is achieved.
  3. The simulation file will allow the production of a specific surgical mask that will be applied to the patient's mouth, a kind of guide that the specialist will use to insert the implant, exactly as he planned on the computer.

Virtual simulation is the most important aspect of this technique, so that dental implants can be placed painlessly on patients: it allows us to have every detail of the operation to be performed, avoiding any risk for you and obtaining a millimeter precision.

Benefits of computer-guided implantology:

  • More accurate, precise and less invasive interventions.
  • Faster intervention.
  • Reduction of intervention time.
  • Faster rehabilitation.
  • Elimination of mistakes.
  • Prevention of surgical risk.
  • Reduction of pain after surgery.
  • No stitches, no stitches, no swelling.

Immediate Loading Implantology & Benefits

Immediate loading implantology, as its name suggests, refers to a technique that allows crowns (teeth that replace natural teeth that have been lost) to be quickly attached to implants. Generally it takes about 72 hours.

The traditional dental implant involves restoring the teeth after a period ranging from 3 to 6 months: this procedure has the disadvantage of leaving the patient toothless or with a removable prosthesis in the meantime.

An alternative to this procedure is immediate-load implantology: new dental implants are inserted after a significantly shorter time and can be subjected to masticatory force without any problem. However, a wait of several days is necessary for the production of the fixed prosthesis.

If this technique is suitable for the patient, immediate loading dental implants have several advantages. The first is obviously a minimum waiting time to receive the restoration of missing teeth.

Moreover, with this technique the patient will only have to undergo one operation instead of two, and having new functional teeth on the same day is certainly a convenient choice.

The gums adapt better to the crown: since it is placed directly on the implant, the gums adapt and grow around it, making the implant look like a natural tooth.

Immediate loading implantology: (step by step procedures)

How is it possible to make a dental implant in one day? Now we will explain in detail all the stages of immediate load implantology.

The first step is a visit to the dentist: a consultation that will allow our specialist to know your dental and medical history, through a series of questions, where before choosing this type of technique, our specialist will accurately assess your situation and will decide whether you can benefit from it. Immediate loading implantology is an effective and functional technique, but it depends on the condition of your teeth.

Then there will be some diagnostic tests, such as X-rays, TAC scan, a picture of the inside of your mouth. The results of these analyzes will give the specialist a general and complete picture of your dental situation and will be able to make a model of your teeth.
Now begins the stages of immediate loading implantology: first we will do anesthesia, which can be local.
The specialist will place the implant in the jaw. It's a pretty fast pass. He will then bond the crown to the dental implant.

You may experience some pain when the effect of the anesthesia wears off, but the dentist will prescribe some pain relievers and ice packs to reduce the pain.

Delayed loading implantology

  1. Delayed-loading implantology, compared to immediate-loading dental implants, is a traditional technique that involves the placement of prosthetic crowns after a certain period of time from the insertion of the dental implant. Delayed implantology is chosen when the patient's bone requires more time to complete osseointegration. If the inserted implant is not yet stable and cannot withstand chewing pressure, then it is necessary to wait some time before assembling the prosthesis. The wait is generally between 3 and 4 months. After this time, a sufficient amount of bone has been created around the implant, which makes it stable. With mastication, bone formation will be complete. In implantology with delayed loading, there is no difference in the aesthetic appearance of the teeth nor in the functionality of the prosthesis compared to immediate loading, but it only requires longer healing times.

This type of implant requires two stages:

  1. Placing dental implants with titanium, closing the gingiva with sutures and placing a provisional prosthesis.
    Removal of points and insertion of the metal pin (base of the dental crown) after osseointegration and assembly of the final prosthesis.
  2. The only difference between the two techniques is that delayed loading implantology is always possible ? is it a traditional implantology? while immediate loading implantology does not.

The delayed loading implantology technique is therefore not better than the immediate loading technique, it is just a different technique to position the dental implants, but the result is the same.

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