Tooth Implants are a popular and useful tool available to modern society. Thanks to continuing research, there are several options available to patients wishing to receive an implant.
It is important to find a trustworthy dentist to do this procedure. An implant not only consists in knowing how to do it, but also on being able to decipher the needs of each patient’s case, and which kind of procedure is most appropriate in each case.
Before even beginning the surgical procedure, there are several questions an experienced dentist will ask himself, such as which technique to use, and whether there is enough bone or whether some type of augmentation procedure is necessary. Dentists must also analyze the complexity of the case in order to come up with an appropriate price for each procedure.
Here, we take a closer look at several of these popular procedures, and how various complications may suddenly arise.
Most tooth implants occur either at a dentist´s office or less commonly, at a hospital. Local anesthesia is often used for simple cases, while sedation through nitrous oxide and oral or intravenous sedation is used for more complicated instances.
Other procedures, such as bone augmentation, may be performed at the same time as an implant, or during a different occasion.
A bone augmentation is a procedure for patients who do not have enough natural bone in the area for a tooth implant placement. This procedure consists in adding bone below the sinus, and it is also known as sinus augmentation.
For patients who have undergone bone augmentation or other similar procedures, an appropriate tooth implant produced by Cortex Dental is one called the Saturn. This is meant for soft or regenerated bone D4/D5 and is often recommended for cases of sinus elevation.
The most common type of tooth implant is known as the staged surgical procedure. The first step in this procedure is to surgically bury an implant in order to replace the tooth root. The dental implant is placed underneath the gum and among the bone in order to protect the implant from force while its healing.
A tooth implant, also known as a fixture, is placed subgingivally into the bone. The implant also has a healing or cover screw. This kind of healing screw is temporary and only placed during two-stage surgeries in order to cover the opening of the implant.
Once the healing period ends, the implant must be surgically exposed, which is achieved by removing some of the overlying gum.
Afterwards, the surgeon must check the tooth implant for successful integration. This is a crucial stage in the procedure, since an implant with no osseointegration is a failed implant. Once this has been verified, the surgeon connects a post that penetrates through the gum and into the mouth. This post is called the abutment.
Abutments are either stock-manufactured or custom-molded by the dentist and a laboratory. There are several different types of abutments utilized depending on the needs of each case. Cortex Dental has five main types of abutments: healing abutments, titanium abutments, temporary abutments, castable abutments, and zirconia abutments.
There are two main types of abutments. Stock abutments have been recently introduced into the market in order to make implant restoration more efficient and less costly. These are great when appropriate, but they are not good for all procedures.
For more delicate procedures in which stock abutments cannot establish proper margin definition, anti-rotation, or develop the necessary emergence profile, custom cast abutments are required.
The gum heals around the abutment and forms a cuff through which the dentist now has access to the implant while preparing the final stage of placing the prosthetic tooth.
Another option is to place the abutment at the same time as the implant. This still required adequate healing time in order for the bone to osseointegrate.
In the case of a regular procedure; the Classix implant manufactured by Cortex is adequate for dense bones and for both shorter and longer procedures.
A different kind of tooth implant surgery is known as a one-stage surgery, and this type includes immediate loading.
During a one-stage surgery, a non-submerged one-piece implant with a metal collar that protrudes through the gum is placed while the bone is healing around it.
The protruding mental collar is also called the healing abutment, or the cuff. It is placed on top of the uncovered implant.
During this procedure, immediate connection of a temporary healing abutment to a 2-piece implant protrudes through the gum. This is very similar to a one-piece implant.
Both types of implants have similar success rates, above 90%.
Choosing an adequate and experienced dentist is the most important decision if a patient wishes to have a successful procedure. A knowledgeable dentist will take care of all the details, so the patient doesn’t have to.