1. Who may be given implants?
In general implants may be implanted in all adults of good general health and who have a sufficient amount and quality of bone in the site of the planned implant:
- adults – a prerequisite for such treatment is the completion of the development and complete formation of jaw bones;
- generally healthy individuals – the general health condition is of significant importance, since past or current systematic diseases, such as unstable diabetes, tumours, blood disorders, osteoporosis, etc. negatively affect the osteointegration (implant fixation) process and wound healing;
- individuals with a sufficient amount and quality of bone – regular healthy bone tissue provides the base for the implant; thus, the success of the treatment depends on this to a significant extent. Atrophy of the alveolar process and insufficient space for the implant are significant problems, but not impossible to resolve; the most recent methods of pre-implantation surgery are helpful in such cases.
2.Is the implant placement painful?
The implant placement is performed under local anaesthesia; thus, it is painless. On the other hand, due to the delicacy and precision of the surgical technique, the discomfort of this procedure is similar to that associated with tooth extraction.
3. Can implants replace the natural teeth completely?
Implant-based restoration provides excellent aesthetic effects and efficiently restores the masticatory function. Note that implant-based restoration is definitely the optimal solution, as only it may ensure a permanent effect of the treatment and comfort of use, and only it is able to replace the natural dentition completely.
4. What complications may occur after the procedure?
Usually, under favourable condition of both general health and oral cavity, the appropriately performed procedure poses no risk to the patient. Commonly after the implantation procedure a slight transient pain and swelling of the soft tissues may occur. Patients take an antibiotic for a few days after the procedure to prevent more serious complications.
5. What is the durability of the implant?
The implant itself is indestructible; however, as it is implanted in the living body, foreign body reaction depends to some extent on the condition of the body. If after the implantation, some general factors, such as diseases or addictions occur, they may affect the result of the treatment. On the other hand, the prosthetic portion, which is usually covered by the guarantee, may wear, which requires periodical replacement of certain elements (e.g. the porcelain parts).
6. Is oral hygiene important?
Oral hygiene is of greatest importance for the success of the implantation treatment. The patient’s duty is to maintain exemplary oral hygiene, to allow the implants to perform their role for a long time. Such a task requires self-discipline and strict co-operation with the dentist, which begins just after the procedure – the patient is not allowed to eat anything for two hours and is recommended to avoid hot meals for the whole day. Smoking should be avoided for at least for 48 hours after the procedure and it is important that meals promoting the build-up of dental plaque should also be avoided. As any debris accumulating around the implant may lead to infection and, in extreme cases, to rejection of the implant, the patient should start gentle tooth brushing as soon as possible. Using a disinfecting mouthwash 2-3 times a day would improve oral care. This is just the beginning; it is of great importance that such regular oral hygiene be maintained for the whole period of the implant-based restoration. The regular application of professional tooth cleaning, usually during the check-up, is also recommended.
7. How may smoking affect implant treatment?
Smoking compromises the tissues’ regeneration capabilities, and thus significantly reduces the chance for acceptance and long-term maintenance of the implant; in fact, it may cause a four-fold increase in the risk of implant rejection. Smoking also contributes to the build-up of deposits on teeth and prosthetic restoration, which are more difficult to remove.