Dental implant treatment is a relatively expensive, laborious and long process compared to other treatments. However, as in other veneer treatments, the teeth around the gap are not thinned, etc., and there is no tooth loss. It can be applied in mouths that do not comply with treatments such as dental implant crown bridges and prostheses, or as an alternative to these treatments.

Dental implants 

In the presence of missing teeth in the mouth, it is a method applied to fill the tooth cavity, thus gaining the functions of eating, drinking, speaking and giving an aesthetic appearance. A titanium or zirconium screw is placed in the jawbone with a tooth gap. At the end of the healing period, a prosthetic tooth is attached to the screw.

Dental implant treatment is a relatively expensive, laborious and long process compared to other treatments. However, as in other veneer treatments, the teeth around the gap are not thinned, etc., and there is no tooth loss. It can be applied in mouths that do not comply with treatments such as dental implant crown bridges and prostheses, or as an alternative to these treatments.

In the dental implant application, since the tooth is attached to the screw placed on the jawbone, there are no problems that can be seen in other treatments such as slippage, noise, and bone damage.

What are the types of dental implants?

Dental implants are of two types according to the material used. The classic ones are those made of titanium material. Recently, it has been used in ceramic implants using zirconium.

The quality and price of the implant vary according to the purity of the titanium used in titanium implants. There are implant options in different sizes depending on the patient’s jaw structure, bone thickness, and the place of use of the implant. The dentist will recommend you the most suitable size and material dental implant.

Implants consist of screw, screw cap and tooth. The screw is first placed in the patient’s mouth, and healing and bone compatibility is expected for at least 3 months for the lower jaw and 6 months for the upper jaw. Afterwards, the screw cap and finally the prosthetic tooth are attached.

Zirconium implants are preferred especially in narrow jaws because of their durability.

Orthodontic mini implants are also used to support the gums.

Who is dental implant applied to? 

  • In the absence of one or more teeth,
  • Fixation of removable dentures (implant supported fixed bridge, implant supported overdenture etc.),
  • In some orthodontic treatments, mini implants are used to provide anchorage,
  • It is used to attach facial prostheses to the jawbone in facial cancer,
  • In those who have sufficient jawbone tissue,
  • Those who do not use tobacco and tobacco products at all or smoke less,
  • In those who have enough time for treatment,
  • Those with healthy oral tissues

What is the success level of dental implant? 

The success of the dental implant depends on the bone tissue applied, the quality of the material used, the skill of the practitioner as well as the oral care habits of the patient. Dental implants are largely successful. Successful implants can be used for an average of 10-15 years.

What are the risks that can be encountered during and after dental implant application? 

Dental implant application is one of the serious surgical operations of dentistry. Risk is very rare when good planning is done before implementation. However, risks may arise due to poorly planned, inappropriate materials used, applications made by unqualified persons, inappropriate oral care habits of the patient, and the use of tobacco and tobacco products. Most of these problems can be treated, but some may require further surgical intervention.

Possible risks after dental implant application are:

  • Bleeding that may occur immediately after dental implant application, nerve damage (pain, numbness or tingling in your natural teeth, gums, lips or jaw), vessel damage, injury to surrounding tissues, risk of opening into sinus cavities,
  • Infection that may occur within the first six months after the application, bone incompatibility of the screw,

What is done during the preparation phase of dental implant application? 

It is performed by dentists (oral and maxillofacial surgeons) who are experts in the field of dental implants. The type of material used also affects treatment planning. For this reason, it is expected that the dentist who will apply the treatment should have an education regarding this material. If needed, support can be obtained from other branches of dentistry (periodontology, etc.) or from other medical specialties (ENT, etc.).

The dentist first undergoes a comprehensive dental examination of the patient for whom dental implants are considered. It is checked whether the patient has tooth and gum disease and whether there is an infection. A detailed history of the patient is taken. The drugs you use (especially those at risk of bleeding disorders), your diseases (diabetes mellitus, hypertension, heart disease, etc.), the presence of orthopedic implants (antibiotic treatment may be required before dental implant application) are questioned.

Due to the risk of osteoporosis, care should be taken in implant application in long-term steroid-containing drug users.

Heavy smokers and those with poor oral care pose a serious risk for implants. Due to the risks of infection, bleeding disorder and bone incompatibility of the implant, different treatment options may be tried in these people.

A detailed x-ray is requested from the patient. In addition to panoramic and periapical x-rays, dental tomography can be taken. The thickness of the jawbone, nerve passages, the distance to the sinus cavities, the presence of impacted teeth, etc., and tooth structure are examined.

The dentist makes a treatment plan based on the anamnesis, examination and X-ray findings. How many implants will be made and which materials will be used are decided together with the patient. Implant treatment is an expensive and troublesome treatment. Patient consent is important before, during and after treatment.

How is a dental implant inserted? 

The patient whose dental implant is planned will undergo an important operation in the mouth. Since the process is painful, a good anesthesia application is required. The patient should be explained in detail before and after the application.

Implant application can be inserted immediately after tooth extraction, or it is a more common method to be inserted after waiting a few weeks for wound healing.

The classical steps of the surgical procedure are:

Opening the soft tissue : An incision is made in the gum on the bone to place the dental implant and then create a support tissue around it. The two edges of the tissue are separated and the bone is exposed. The bone is now ready to be drilled and placed in the implant.

High-speed drilling: The exposed bone structure is drilled with a suitable and precise drill at a high-set speed. A pilot channel is created. It is important to take measurements in order to open the opened channel at the pre-set place.

Drilling at low speed: The pilot channel opened at high speed is enlarged with larger drills. In this way, a channel suitable for the width and length of the implant to be placed is prepared. It is necessary to ensure that the procedure is carried out carefully, does not damage the bone tissue due to overheating, etc.

Placement of the implant: The implant screw is placed in the canal prepared in appropriate width and length, accompanied by guides. The screw is tightened so as not to damage the bone structure.

Tissue adaptation : The gingival tissue, which was previously opened and separated, is placed around the inserted and tightened screw. The gum tissue is closed with sutures to embed the implant in this tissue until it heals and adapts to the bone tissue.

After this stage, screw and bone compatibility will begin. The jawbone grows towards the surface of the implant and fuses with it. This process, which takes 3 months in the lower jaw bones and 6 months in the upper jaw bones, will create a solid infrastructure for the new tooth.

Until this time has passed, the crown of the implant is not placed. If this period has expired and it is believed that bone compatibility is achieved, the crown is placed and then the prosthetic tooth prepared by taking the appropriate dimensions for the mouth structure is attached. Fixed, removable or combined models can be selected for tooth selection.

Is bone graft necessary before dental implant? 

There is no need for bone grafting in patients with suitable jaw structure and bone thickness. Implant application in patients with thin and soft jawbones may cause undesirable results such as nerve damage or sinus injury. Therefore, pre-implant bone grafting can be applied to these patients.

Bone graft can be in the form of using the bone structure taken from a part of the body as a material, or it can be in the form of applying a synthetic bone graft.

Bone grafting can be applied before the implant and the development of the bone structure can be monitored for a few months. In some cases where bone thickness is a minor problem, bone graft and implant application can be performed together.

Many different techniques have been developed for bone graft application. The most commonly used are:

  • Sinus removal
  • Horizontal alveolar augmentation
  • Vertical alveolar augmentation

In cases where gingival recession or gingival thickness is too low, soft tissue reconstruction can be performed if needed.

Your dentist will inform you about whether a bone graft is needed and the time of application of the bone graft.

What kind of problems can I experience right after the implant procedure? 

Implant application is a major surgical procedure. As with any surgical procedure, after the effect of anesthesia wears off, pain at the site of the procedure, swelling of the gums and face, bruising of the gums and bleeding may occur after the implant application. Cold compress application is very effective in eliminating these complaints. Analgesics can be used for pain. In some cases, your dentist may start antibiotic treatment.

It is necessary to stay away from smoking for a few days after the implant. Smoking can delay wound healing, bone compatibility of the implant, and be a source of infection due to the chemicals it contains.

It is necessary to stay away from hot and cold, solid and hard foods for a few days after the implant application.

Contact your dentist if swelling, discomfort, or any other problem worsens in the days after surgery.