Teeth loss is a far greater problem than mere aesthetics, and it undoubtedly affects the overall quality of life, especially if those are front teeth.

 

Besides the fact that it disrupts the entire masticatory system, and can eventually cause pain, people who lost their teeth may face an entire spectrum of mental and emotional problems.

On the other hand, partial dentures and bridges have some disadvantages which make them less appealing, and the present-day dental medicine can offer an almost ideal solution in the form of dental implants.

In layman`s terms, the natural tooth is composed of a root which is embedded in the jaw bone, and the part which is visible to us – tooth crown. With tooth loss, both of these need to be replaced, and dental implants represent tooth root replacements.
In addition to being an almost perfect visual replica of the lost tooth, the functionality of dental implant is nearly impeccable. These are sophisticated screws made of biocompatible material, namely titanium, which are implanted in the jaw bone imitating thus the root of the new tooth. It is followed by placing ceramic crowns which provide the patient with the premium aesthetic solution and functionality.

The term biocompatible material refers to materials which are not perceived as foreign objects by the human body, but it accepts them and they easily coalesce with the jaw bone.

Implantology specialist from our TIM DENT – Miličić Polyclinic have placed over 20,000 implants by using state-of-the-art technology and only the best implant systems – Nobel Biocare, Astra Tech and Implant Direct.

In the event of a single tooth loss, we place only one implant, but if the patient has lost several teeth, then the implants will serve as bridge supports, or, if the patient is completely toothless, as denture support. The dentist will propose the best solution depending on the specific case.

One tooth implant

If only one tooth is missing, we place a single implant onto which we place the suprastructure and new ceramic crown after the coalescing period.

Bridge and dentures on implants

If the patient is missing two or more teeth, we propose the placement of a certain number of implants which will serve as bridge support. Depending on the number of missing teeth and the bone structure in the jaw, the dentist will propose an optimum number and the position of implants, so that the final product would satisfy all aesthetic and functional needs of the patient. After the coalescing period, which is individual for each patient, and lasts from 3 to 6 months on average, the dentist will place the suprastructure and take an impression based on which he/she will make the bridge crown.

Immediate load

Due to the constant perfecting of implants and implantology as a branch of dentistry, TIM DENT – Miličić Dental Polyclinic offers its patients the most recent global concept of immediate load on implants. Owing to the premium implant systems we use, we are able to place an acrylic crown immediately upon the placement of the implant, which will enable functional and aesthetic rehabilitation. After several months, when the process of implant osseointegration has been completed and the soft tissue formed around the provisional crown, the provisional crowns are replaced by entirely ceramic or composite crowns using the All-on-4 method, or ceramic crowns by using the All-on-6 method.

 

 

EXAMPLE OF OUR WORK

A female patient was toothless in the upper jaw, and was utterly displeased with her condition and the fact that she should wear complete upper denture. She wanted a fixed prosthetic replacement. Hence, we placed six implants in the upper jaw on which we built a metal-ceramic bridge (Figure 1).

Healing abutments for shaping gums (Figure 2).

Metal structure model (Figure 3).

Metal-ceramic bridge placed on six dental implants in the upper jaw (Figures 4 and 5).

 

IMPLANT PLACEMENT – DESCRIPTION OF THE PROCEDURE

As in most dental procedures, planning an implant placement procedure at TIM DENT – Miličić Dental Polyclinic starts with a detailed examination and diagnostics by the most state-of-the-art devices on the market. Based on x-ray and CT scans, the implantology specialist can assess the condition of the bone and thus plan the future procedure, while introducing the patient with all of its phases and the expected recovery period.

If a tooth is still in the position where the implant should be placed, it is extracted, and the implant placed in its position. If the tooth is missing, the implant can be immediately placed.

The bone is drilled at the location determined by the implantology specialist, and a sophisticated titanium screw is placed into it. Depending on whether one or more teeth need to be replaced, or if the patient is completely toothless, the necessary number of screws is placed in only one appointment, if the circumstances allow it.

After the screws have been placed, the patient undergoes a period of recovery which may last from three to six months. Even though the implant coalesces with the bone during that period, if the implant has the necessary stability after placement, provisional crowns or bridges may be placed immediately, so that the patient is not toothless during recovery.

After the implant coalesces with the bone, it opens up and the gums around it form to become suitable for dental replacement. After the gums coalesce, a suprastructure is placed onto the implant, followed by ceramic crown, denture or bridge, which provides functional and aesthetic solution.

In the one-week period following the procedure, the dentist`s recommendation is that the patient should maintain oral hygiene by using soft toothbrushes in order to ensure proper wound healing.

 

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Suitable candidates for implant placement

Although every person who lost at least one tooth may be a potential candidate for implant placement, there are still requirements that need to be met. The dentist decides on the possibility of implant placement after a thorough examination of the patient, including x-ray scan analysis. It shows whether there is sufficient bone for dental implant placement, and it enables exact positioning of implant placement. Furthermore, the dentist evaluates the patient`s habits, such as smoking, because nicotine and increased oral cavity temperature cause slower and harder healing of tissue. Proper oral hygiene is imperative, and the patient`s age is no obstacle to the procedure.

In addition to health issues, other obstacles to implant placement which may complicate wound healing include the lack of bone, i.e. the height of bone crest, unfavourable bone structure or sinus position. With technological advancement, said problems can be resolved by bone grafting or a procedure called sinus lift, which increases the percentage of suitable candidates.

Precautions

The main cause of unsuccessful implantology treatment is improper oral hygiene, which may cause inflection on the implant and adjacent tissue. In extremely rare cases, if the patient`s body is susceptible to inflammatory processes, the bone may reject the dental implant. In that case, the dentist begins with inflammatory process treatment, and if that fails, the dentist approaches implant extraction, and, after the recovery period, starts with a new implantology treatment.

 

 

 

 

 

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