The patient’s expectations regarding the treatment’s prosthetic and cosmetic effects are a significant factor in the entire implant treatment.Achieving optimal implant treatment results often requires additional procedures, such as bone or soft tissue reconstruction, or even orthodontic treatment. An initial conversation with the patient allows to dispel any doubts and answer any questions the patient might have about the treatment procedure. An approximate treatment duration and cost are also discussed. During the consultation, the doctor also informs the patient about any potential risk, warranties and the responsibilities of both the doctor and the patient.
The entire treatment follows well-established procedures.
It allows to gather information on the patient’s needs and expectations, as well as general health condition (with particular attention to diseases of the heart, lungs, liver and thyroid, possible diabetes, osteoporosis or coagulation disorders). Also important is the information on the patient’s oral hygiene practices, as perfect oral hygiene significantly contributes to the success of the treatment.
During this essential part of the diagnostic process, which involves in particular a thorough examination of the site of the planned implant, the doctor evaluates:
- soft tissues – status of the mucous membrane (thickness, colour, mobility);
- dentition – caries, mobility;
- periodontium – bleeding, gum pockets;
- state of occlusion;
- toothless areas – width and height of alveolar processes;
- oral hygiene – dental plaque, tartar and sediment;
From among all available imaging techniques that are helpful in implantology, we constantly rely on panoramic X-rays, which allow us to assess the conditions for the planned implant placement procedure:
- the amount and condition of the bone which will serve as the base for the implant –a point of departure for planning the treatment;
- the state of the teeth adjacent to the gap;
- the size and location of anatomical structures that may hinder the procedure (bottom of the maxillary sinus, nasal cavity, nerve canals).
Computer tomography (CT) is used mostly in case of extensive procedures or if the amount of bone is very small and the highest precision is necessary.
PLANNING THE TREATMENT
After gathering and analysing the necessary details, the implant surgeon provides the patient with the information about treatment solutions available in the given case. It is also the right time to dispel any doubts, acquaint oneself with the treatment plan and make a decision regarding the treatment.
CONSENT FOR THE PROCEDURE
Before starting the procedure, the patient receives a consent form for signing. It constitutes an agreement between the doctor and the patient that not only enables the procedure, but also confirms that the patient is fully aware of the procedure, as well as his or her responsibilities.
IMPLANT PLACEMENT PROCEDURE
After performing all the necessary examinations and discussing the details of the procedure, the implantation procedure, i.e. placing the implant begins.
The procedure consists in drilling holes in precisely specified points in the bone, where dental implants are subsequently screwed in and then covered with the gum tissue in order to speed up healing. Depending on the number of implants, the procedure takes from half an hour to two hours. Screwing one or several dental implants into a well-formed bone is a painless procedure, as it is performed under standard local anaesthesia, and patients can continue their daily activities.
Depending on the clinical circumstances, two options of implant treatment procedure are available. In case of a one-stage procedure, the dental implants are placed in their location and fitted with temporary abutments. In case of a two-stage procedure, the implants are placed in their location, covered with gum tissue and then left to heal. Abutments are fixed after a certain amount of time. In both cases, a temporary denture is provided, and the healing process begins. It lasts up to three months in case of the mandible and up to six months in case of the jaw.
UNCOVERING THE IMPLANT
After the healing period ends, the doctor uncovers the upper part of the implant in order to insert a cover screw, which extends the implant up to the gum edge.It is the most awaited moment, as the mucous tissue is then healed and natural gum contouring achieved. Subsequent visits will result in the desired effect of a beautiful smile.
FITTING THE PROSTHETIC RESTORATION
After the cover screw gives shape to the gum around it, which lasts around 3-4 weeks, the prosthetic reconstruction of teeth on the implants can begin. The prosthetist will take a dental impression, and the prosthetic technician will prepare a tooth crown, a bridge or a denture with fasteners. After the prosthetic restoration is ready, it is fastened to the dental implants (read more ->implant-based prosthetics). During the obligatory follow-up visits, the dentist will evaluate the functional and aesthetic result of the treatment.
There is virtually no discernible difference between your natural and new teeth.
The dentist will sometimes decide to insert the implant immediately after extraction, which shortens treatment duration and has a beneficial effect on bone tissue and gums around the implant. This is particularly important in the externally visible part of the oral cavity.The dentist makes the decision on a case by case basis.