In which cases can dental implants be applied?
It should not be forgotten that our teeth are an organ that affects not only our chewing, but also our speech, appearance, and even our personal charisma.
Implants can be applied in cases of single tooth deficiency, multiple tooth deficiency, and total edentulism.
Who is eligible for implants?
- Having a normal wound healing capacity,
- Having good oral hygiene and a healthy bone structure that is sufficient or has the potential to be brought to a sufficient level,
- Implants can be applied to anyone who does not have systemic diseases (diabetes, advanced osteoporosis, etc.) that pose an obstacle to the placement of implants.
What are the advantages of implant application?
An implant is a robust, comfortable, and reliable application. Prostheses placed on implants create the most natural structure while replacing real teeth. During the process of completing missing teeth, healthy teeth are left untouched. The fact that our healthy teeth are not cut down for the purpose of making a prosthesis is, of course, a very significant advantage. Furthermore, implants have a much longer lifespan compared to other prosthetic options.
Particularly in our patients who have lost the chance to use fixed prostheses due to missing teeth, or in patients complaining that their total prostheses do not stay fixed in their mouths due to bone resorption, implant treatment will be the first alternative that comes to mind.
Indeed, human life expectancy, which is extending due to the development of living standards, has made many of us demand a certain level of living comfort in our advanced ages as well. Similarly, none of us would desire to use removable prostheses starting from a young age. This is precisely where implants offer us a great treatment alternative.
The effects of tooth loss are physiological as well as psychological. As a special application replacing the natural tooth, the implant also offers a definitive and healthy solution to the physiological and psychological problems caused by tooth loss or congenital missing teeth.
What is Oral Implantology?
Plates, screws, and nails made of titanium, which are placed for therapeutic purposes in place of lost teeth, have no side effects for the organism, and can function like a natural tooth after completing their integration with the bone tissue, are called implants.
The tooth made on the implant looks like your natural tooth and exhibits natural performance.
The implant is an application dating back as far as human history. In various periods of history, people have seen mounting pieces onto the jawbone to serve the function of teeth as a solution.
Today, the most commonly used metal as an implant material is titanium. Titanium is a metal with excellent tissue compatibility that has been safely used in many fields of medicine for centuries.
Shaped in the form of roots, cylinders, or screws, titanium is made ready for use as a dental implant after undergoing certain special processes (special design acid etching, laser roughening, etc.). These processes determine the quality of the implant.
As a result of tooth losses or traumas, physiologically occurring bone resorptions cause a decrease in the level and volume of the jawbone. This situation prevents the prosthesis to be applied from fully performing its function. As a result, problems in chewing and speaking occur.
What are our treatment goals?
- The elimination of all types of edentulism and missing functions with implants and implant-supported prostheses derived from them.
- The elimination of a single tooth loss without touching neighboring healthy teeth.
- The elimination of multiple tooth losses by making fixed bridges with the help of implants instead of removable prostheses.
- In cases of total edentulism, it is not possible to make fixed prostheses instead of removable prostheses (dentures).
- Can implants be applied at any age?
- Yes. Only, bone development must be completed in young people. This occurs up to ages 16-17 in girls and 18 in boys.
- There is no upper age limit for adults. It can be applied to people of any age whose general health condition is appropriate. Elderly people need dental implants more because they have lost more teeth and have resorptions in their jawbones.
Are all dental implants successful?
For the success of implants, good general health, meaning sufficient "healing potential", accurate diagnosis, and proper cleaning and maintenance of the implant are required. In addition, appropriate surgery and a suitable prosthesis must be performed by the physician. Furthermore, heavy smoking and/or excessive alcohol use will negatively affect success. Depending on the above factors,
What is the lifespan of implants?
The first patients have been successfully using their implants for more than thirty years. This duration depends on several variables such as general health status, daily care and cleaning of the implant. Still, as with any other medical intervention, in principle, while it is not possible to give a lifelong guarantee, implant success can range between 90-100%.
Situations where implant placement is not possible;
Implant placement may be contraindicated due to certain physical disorders or disabilities. These are:
- Advanced bone resorption
- Major heart conditions
- Blood clotting disorders
- Rheumatic diseases
- Extreme frailty and similar conditions
- In patients with diabetes; uncontrolled cases where diabetes is not regulated
- Unsuitable, insufficient, or anatomically risky bone structure in the jaw
- Patient's lack of predisposition to surgical procedures (excessive fear, anxiety)
- Patient's financial constraints (being an expensive procedure)
- Situations where the patient cannot fully maintain oral hygiene (oral cleanliness) after the implant.
What if the treatment fails?
The implant can be removed with a very simple procedure, and the site heals on its own.
Are implants rejected by the body?
Implants are mostly made of biocompatible materials called titanium. Since titanium is not a living substance, it does not trigger an antigen-antibody reaction as seen in heart and kidney transplantations. Therefore, a "tissue rejection" is out of the question.
Is there a risk of cancer?
In the world of medicine and dentistry, there is not a single example showing that dental implants cause cancer.
Are dental implants applied for cosmetic reasons?
The primary application area of dental implants is the elimination of missing teeth. Cosmetic improvements can also be achieved while replacing missing teeth.
Can a guarantee be given?
Scientific studies have shown that implant success varies between 90-100%. However, as with any medical intervention, it is not possible to give a guarantee for implants. Nevertheless, the necessary conditions to increase treatment success are brought together with utmost care in our clinic.
What are our main criteria determining our treatment success?
First of all, case selection, meaning establishing the correct indication, is the primary condition for treatment success.
- Correct prosthetic planning
- Suitability of clinical conditions (having the necessary surgical equipment and sterilization conditions ready)
- Demonstration of sufficient surgical skill
- Choosing implant brands whose clinical reliability has been proven over years and through a large number of cases.
- And maintaining the same care and skill during the fabrication of the superstructure (implant-supported prosthesis).
- These are our main criteria that keep our treatment success high.
Is an implant an expensive treatment?
Implant applications require a series of complex and long-term procedures. Therefore, they also require a higher expenditure than routine dental services. In a survey conducted with patients who completed their implant treatments, patients stated that they got their money's worth and would have the same procedure done again if necessary.
Will I experience any discomfort during and after the operation?
The operation can be performed under local anesthesia and sedation without feeling any pain or discomfort. General anesthesia can also be applied when necessary. After the operation, there may be mild pain or swelling, which can also be experienced after any tooth extraction. These can be easily relieved with painkillers and necessary precautions.
How long does the placement operation and completion of the prosthesis take?
The duration of the surgery can vary from half an hour to a few hours, depending on the number of implants to be placed and the patient's conditions. After the operation, a waiting period of about 3-6 months is required for the implant to fuse with the bone (osseointegration). Afterwards, prostheses are placed on these implants through a procedure lasting a few sessions.
Another option is active-surface implants, which can be applied by accepting a small cost difference. These new types of implants, which reduce the fusion (osseointegration) period to 2 weeks and thus allow for the fabrication of prostheses in much shorter periods, can also be preferred depending on our patients' time constraints.
In cases where certain favorable conditions can be met, prostheses can also be made without any waiting period.
Utilizing all the possibilities of contemporary dentistry, these prostheses are engineering marvels.
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