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Dental implants are a tooth replacement option made of a biocompatible material, titanium that involves placing a new "root" into the bone of your jaw. Once this surgically inserted titanium "root" has fused with your bone it can be used to support a crown, bridge, denture facial prosthesis or to act as an orthodontic anchor. Each implant features an artificial root, the post and a crown. Cared for properly, dental implants can last a lifetime.
Dental implants are a life changing solution to replace missing teeth. They restore your appearance, speech, nutrition, oral and general health as well as self-esteem.
At our Stomatologija i estetika dental office we pride ourselves on providing only the best quality dental products to our patients, so we offer our patients premium quality Straumann® components as one of the leading brands in the dental implant world.
Dental implants are are surgically placed into the jawbone where a single tooth or teeth are missing below the gums.
Implants are considered the gold standard for replacing missing teeth. There is no age restriction for dental implant surgery, but they are not recommended in case of certain diseases, such as advanced osteoporosis, uncontrolled diabetes, heart or kidney diseases, psychosys etc. In case of insufficient bone density or volume, it is possible to rebuild it before the implant placement.
Digital implant planning and guided implant surgery based on 3D radiographic data and the digitised intraoral surfaces provide valuable information and permit stringent backward planning to optimize the implantological and prosthetic result, improving the safety and efficiency of the surgical procedure and rendering the restorative outcome more predictable in terms of function, biology and aesthetics. Implant workflow is optimized with 3Shape Implant Studio®, an implant planning innovative software solution that translates into less invasive and more comfortable treatment experience for the patient. Guided surgery also extends to greater confidence, predictability, treatment precision and efficiency when handling complex cases.
Immediate dentures, immediate loading on the day of surgery.
In the first visit, an intraoral scanner captures optical impressions directly on the patient's jaws and X-ray imaging including dental CBCT are performed.
With the acquisition of cone beam computed topography imaging (CBCT)and intraoral scanning data, implant position is virtually planned and determined. Image data acquired in such way are used to create surgical template for implant placement. We use surgical guides, a 3D printed patient's specific medical device that is used for the accurate placement of the implant in the bone structure. It replicates the exact surfaces of the patient’s intraoral situation and assists the surgeon to perform the clinical application of drilling implants into the bone with optimal accuracy.
The third phase of the same visit is placement of temporary crown.
The entire process can be completed in as little as one day.
If you are missing a single tooth, one implant and a crown can replace it. A dental implant replaces both the lost natural tooth and its root. Because a dental implant will replace your tooth root, the bone is better preserved, which is the biggest advantage over other tooth replacement options.
The best possible option for your oral health and your general health would be to replace each tooth with a dental implant, since there is no need for your dentist to grind down healthy adjacent teeth.
Especially after the loss of several teeth, the jaw bone irreversibly changes, it begins to deteriorate and dissolve away immediately after extraction and continues forever unless an implant is placed. You may also experience a shift in your remaining teeth that naturally move toward the empty space, which affects the jaw sensory-motor system. So the main purpose of an implant is to restore strength, functionality, shape and size to a tooth, and to improve its appearance.
All-on-4® and All-on-6® are implant treatment concepts that provide toothless patients with a fixed full-arch prosthesis on the day of surgery. This means you can leave the dental office with a full set of aesthetic and functional teeth and return to leading a normal life.
All-on-4® treatment concept is a dental implant solution strategically designed for toothless jaws. With only four dental implants, the All-on-4® treatment concept can restore a complete jaw of missing teeth. A very elaborate way of placing implants at the back of the mouth also makes it a treatment option for patients whose jaw bone is severely reduced after years without teeth.
Your dentist can connect your implants to a temporary bridge on the day of surgery, within 24 hours.
All-on-6® dental implants procedure is used to replace the entire upper or lower set of teeth. This process allows the patient the option to replace all of their teeth with six natural-looking dental implants.
In certain cases, if a patient wants to increase the number of teeth on a dental bridge (and thus increase the masticatory surface), without compromising the implant stability due to excessive forces, the additional installation of two more implants in the posterior region is also possible.
There is no age limit for implant placement.
They are not recommended in the case of various diseases such as advanced osteporosis, uncontrolled diabetes and some serious chronic diseases of the heart, kidneys, psychoses, etc.
In case of insufficient bone mass, bone mass may be restored before implantation.
The cost of replacing teeth with implants depends largely on several factors, including the number of teeth we replace and the number of implants needed to support new teeth. Additional procedures may be required before the implants themselves are implanted to ensure the longevity of the prosthetic solution and implanted implants.
Usually, the surgical part is charged separately from the prosthetic part due to the large number of prosthetic possibilities that the patient can opt for.
After a thorough diagnostic examination, your dentist will recommend the treatment that is best for you.
The procedure is usually carried out in two steps.
It is less painful than you'd expect. Generally, implant placement is far less aggressive than tooth extraction. Implant placement is performed with the use of a local anaesthetic, so that the patient does not feel any pain during the procedure. Immediately after the procedure, the patient is free to go home. In the next two to three days the swelling goes down and only a slight feeling of discomfort remains. After that time, the oral mucosa heals.
For patients, it is most interesting that modern implantology increasingly provides quick solutions, which means that immediately after implantation, on the same day or in the next few days, depending on the size of the prosthetic work, the patient gets a fixed or mobile prosthetic replacement.
Today's technology allows us to compensate for bone loss, which occurs due to periodontal disease, after tooth extraction or inflammatory process.
If the bone mass is not sufficient for implant placement, it is necessary to start augmenting the bone, i.e. upgrading and creating the bone by transplanting your own bone or using artificial bone. This surgery is performed if there is no required width or height of the jawbone. The procedure can be performed in both jaws, if there are minimal bases of the patient's bone. Depending on the situation, sometimes implants are implanted at the same time when augmentation is performed, while in more difficult cases it is necessary to perform bone augmentation first, and implants are implanted only after the necessary healing time.
Guided Tissue Regeneration (GTR) and Guided Bone Regeneration (GBR) can successfully correct aesthetic and functional defects by creating a good implant bed or desirable situation for an optimal prosthetic solution.
GTR - guided tissue regeneration is a procedure by which the supporting structure of teeth, bone and dental meat are stimulated to grow, by placing a membrane in the place of failed structures. It prevents the gums from growing into the area where the bone should be, thus allowing the bones and connective tissue to grow back and better support the tooth
GBR - guided bone regeneration is a procedure that replaces lost bone before placing bridges or implants. It is done by placing an autologous or artificial bone at the site of the bone defect, which is then covered with a membrane. This increases the height and width of the tooth crest, thus enabling better aesthetics for further prosthetic solutions.
Elevation of the sinus floor is a surgical procedure that replaces the missing bone in the posterior area of the upper jaw, which often occurs due to a long-standing lack of teeth. Sometimes implants are implanted simultaneously with the procedure of sinus lift, while in more severe cases it is necessary to first perform the procedure of sinus lift, and the implants are implanted only after the necessary healing time, which is from 6 months to a year.
Implant quality has increased in the last 30 years. Today's implants bring success in 98% of cases.
Very rarely, if preparations have been made with care. Infections are possible in case of poor oral hygiene, immediately after the procedure or later. It is possible for the body to reject implants, which is a very rare occurrence. The success of the procedure is reduced by 10% in smokers, as a result of the toxic effects of nicotine and high temperature in the mouth during the healing phase, as well as tar deposition and insufficient oral hygiene. A phenomenon similar to periodontosis can also occur in implants, in which case we are talking about peri-implantitis, or inflammation of soft and hard tissues around the implant.
It is the patient's responsibility for the long-term success of implantoprosthetic therapy. Careful and precise oral hygiene is a priority because precipitated plaque creates limescale, which leads to inflammation and withdrawal of the gum and bone in which the implant stands, all leading to the exposure of the implant and in some cases to the loss of the implant.
Once or twice a year, you should be subjected to examination and X-ray. The dentist controls the implant and surrounding bone, soft tissue condition, oral hygiene, plaque and abrasion of the suprastructures. The patient gets the so-called Implant Passport, i.e. a booklet in which all data on surgical procedure, type of implant, upgrade and prosthetic work on implants are entered, dates of examinations, possible changes, etc.
Implants are used not only in the loss of one tooth, but also in combination with other teeth in order to support, carry suprastructures or crowns, bridges, prostheses, hybrid bridges as All-on-4. They are very successfully used in completely toothless jaws, where they can be bridge supports (4-6 implants). They can also serve as anchorages for complete prostheses (2-4 implants), so called semi-fixed works, which ensures their stability and enables the patient a pleasant and safe function.
The upgrade or abutment is a factory finished or individually made component of titanium or zirconia. With the screw it is attached to the implant located in the bone and serves as a support for the prosthesis suprastructure, i.e. crown, bridge, prosthesis.
The difference between crowns or bridges on screw-attached implants and those to be cemented is precisely in the method of attachment.
The crowns or bridges on screw are fixed with a screw and can be subsequently removed and, if necessary, repaired, removed and cleaned at the examinations, while in the case of works that are fixed by cementing after they are permanently cemented, this cannot be done.
Prosthetic suprastructures that are fixed with screws are more demanding for technical workmanship and therefore more expensive.
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