Dental implant surgery and the most important conditions that must be met!

Dental implants, dental implants are one of the most advanced and sophisticated modern operations, and it is one of the distinctive operations that will add many developments to the field of dentistry as a whole. In the following article we will get to know together the best possible ways to complete this implantation and how to implant and stabilize it. and many other details that we will get to know, so follow us.

What is dental implant surgery?

Losing a tooth, molar, or even more than one is a difficult stage that has unfavorable consequences. It is necessary for the attending physician to determine the causes that led to tooth loss, and from here the dental implant surgery was discussed, which gives an ideal and satisfactory result in many cases.

Dental implant surgery is known as one of the modern methods that aim to compensate for lost teeth, whether due to fracture or decay, by implanting new metallic implants in place of damaged tissues that closely resemble natural teeth in shape and performance.

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When do we resort to bone grafting before implantation?

Before we get to know the conditions that make the doctor have to place bone before implantation, let us first get to know the steps of the implant process and the stages it goes through, which are as follows in order:

• Safe removal of damaged or broken teeth
• Resorting to placing artificial bone before implantation if necessary
• Placing the implant in the jaw bones
• Waiting for osseointegration and wound healing to occur
• Placing the implant cover known as the Abutment
• Installing the upper external part or crown

After the doctor’s examination and taking appropriate x-rays to see the bones well, and evaluating the condition of the tooth and its position in relation to the nerve canal if it is lower and in relation to the sinuses if it is upper. In some cases, CT scans may be required to help the doctor assess the quality and quantity of bones present in the implant area.

The amount of bone is determined according to each case. Some may need a little that the doctor places during the implant procedure, while others may need a large amount so the doctor waits for some time until bone growth is complete, then completes the implant. For more information about Korean dental implants click here.

Dental implant requirements

There are some reasons that drive a person to undergo dental implant surgery, including:

• If the person has one or more missing teeth
• If the person is unable to wear dentures
• If the patient refuses to wear dentures
• When a person has a problem with speech or talking caused by tooth loss.

There are some conditions that must be met in the person undergoing the implant in order to complete the dental implant operation, including:

• Make sure that there are no diseases that hinder the healing of the gums and wound healing or prevent it from having surgery, such as immune deficiency diseases or radiation therapy for cancer patients.
• The patient should not already be taking certain medications that inhibit and delay bone healing.
• It is necessary that the person undergoing the implant has sufficient bone in the jaw to secure the implanted part and support it. He must be able and willing to undergo jaw bone grafting if necessary. There are some cases in which the doctor is forced to graft bones, such as if the jawbone is not thick enough or perhaps very soft.

In addition to the above points, the person undergoing the implantation must inform their doctor about any medical condition they are going through and all supplements and medications they are taking, and inform him of previous surgeries they have undergone, including previous dental implants, if any. In this case, the treating physician may prescribe certain types of antibiotics to protect him from infection and inflammation.

Diabetic patient and dental implants: Diabetes patients are among those at high risk of dental implant failure, and many doctors may refrain from performing the procedure for them at all. This is because they have great difficulty in wound healing compared to healthy individuals, and therefore it is difficult for their gums and bones to heal. By the same token, a patient with osteoporosis should not undergo dental implants as the two do not go together in the same person, due to the difficulty of bone healing and fragility.

Smoking and dental implants: Heavy smokers who consume more than ten cigarettes a day are not qualified at all to undergo dental implants, and are at high risk of implant failure, similarly with alcoholics, cancer patients, heart patients, high blood pressure patients and cancer patients who have undergone radiation therapy in the head or neck area.

How long do dental implants last?

Dental implants are relatively long-lasting successful operations compared to other alternatives, ranging from 15 years and above with no maximum limit. The titanium implant may fall out due to some problems or reasons later, at which point it is possible to re-implant if the first implant encountered problems.

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Dental implant steps

Dental implantation involves many steps that the doctor performs in order, as follows:

Step One

• The treating physician examines the area where the implant will be placed and may take some photographic images of the place and take measurements of the mouth in order to make a mold that mimics the real jaw. This is in addition to taking x-ray films for the tooth or teeth to be implanted.
• Your treating doctor will ask you to have a type of x-ray called a panoramic x-ray so that he can see the bones well through it, and evaluate the condition of the tooth and its position in relation to the nerve canal if it is lower and in relation to the sinuses if it is upper.
• Some cases may require CT scans to help the doctor assess bone quality and quantity in the implant area.

Step Two

• The doctor removes the damaged or broken tooth, and in some cases it is just remnants of the tooth or root that must be disposed of after making sure the patient is ready for the implant and setting the appropriate plan for him.
• The patient is anesthetized with local anesthesia so that he does not feel any pain in all steps from extraction until installation. The doctor may also use some sedatives if necessary.
• The doctor makes an incision in the gums through which he can expose the bones and reach the deep part of it in order to place the titanium implant into the bone using special tools and drills. Then a healing cap is placed over the implant. This cap provides support and assistance for the gums and bone tissues to integrate with the implant, as it also protects the top of the implant from accumulation of tartar and food residues on it.
• The doctor closes the implant site using some medical sutures, and it is best to wait for a period until osseointegration occurs between the implant and the bones so that it is a strong support for the final structure.
• The period that the patient and doctor should wait ranges from two to six months, depending on bone quality. Temporary artificial teeth can be designed during this period to compensate for the teeth that were extracted for cosmetic purposes. It is necessary at this time not to expose the implant to any great pressure or force until complete healing and complete integration of the surrounding tissues with it.

Step Three

• Follow-up of the patient with the attending physician is extremely important in order to ensure that there is no infection at the implant site and to ensure that the healing process is going well and optimally.
• The doctor tests the implant after the healing period in order to make sure that the operation was successful and that it is stable in its place and able to withstand the force of chewing.
• Then the doctor completes the prosthetic process by attaching an upper part to the implant and designing the appropriate structure for it, whether it is a crown or bridge.

What are the risks of dental implants?

After the widespread prevalence of dental implants, many people wonder if they have harms or what are the risks resulting from this surgery and its side effects? The answer to these questions is that of course, like any surgery, it has some side effects and complications that we must pay attention to. This is evident in the relationship of dental implants to the sinuses, and their close association with them, as most patients with dental implants, especially in the upper jaw, face problems related to the sinuses. The risks of dental implant surgery include:

• Bleeding, swelling, fever and elevated body temperature
• Facing problems in the sinuses, especially if the implant was done in the upper jaw
• Nerve damage where the nerve may be accidentally damaged during implant surgery
• Bacterial infection and thus inflammation at the implant site
• The surrounding teeth may be damaged
• Implant failure may occur as a result of the body rejecting the support that was installed and lack of blood supply to it due to rejection by the immune system that does not provide protection from contamination. To learn more about the risks of dental implants click here.

When does the dental implant wound heal?

Dental implantation is done in three stages and may take between three to six months for the patient to fully recover. The patient should be sure to visit the dentist every six months for follow-up and to inform him of any changes that occurred with him. It is important to eat soft and easy to chew foods until the wound heals completely and the tissues surrounding the implant integrate with it.

What are the best types of dental implants?

After the widespread prevalence of dental implants to a great extent, people seek to know the best type of them. In order to determine this, it should be known that there are four main factors that have a major role in evaluating the situation and controlling it, including:

• The technique used, which includes two types: traditional dental implants, immediate dental implants
• The type of implant used according to the manufacturing material, implants are basically made of two materials: titanium and zirconia
• The composition of the implant, as implant types differ according to the method of assembling the implant into the jaw bones, and it includes three main types: submerged implants, non-submerged implants, implant supported bridges
• Additional procedures performed during implantation for reinforcement, including bone augmentation, sinus lift, ridge expansion.

What is the appropriate age for dental implants?

The appropriate age to perform dental implants starts from the age of 18 when the bony growth of the jaws is completed. It is best not to perform dental implants before this age due to jaw growth that is affected by the placement of implants or prostheses. The same goes for people over 75 years of age or suffering from certain health conditions and diseases.

How do I know if the dental implant was successful?

The normal success rate of dental implants ranges between 95% to 100% and depends on the surgeon’s view of the case and selection. The operation may fail with a rate ranging between 8% to 10% shortly after or perhaps after several months.

The most important things that indicate the success of a dental implant are that the gums are free of any disease and are in good condition, that the patient does not have a problem chewing with the implanted tooth, but things are going well with him, not feeling pain in the implant area and the tooth does not move or get loose from its place.

Instructions and advice after dental implants

One of the most important things to learn about is post-dental implant procedures, which are not a source of pain at all as they are performed under anesthesia, and the patient can resume their normal life immediately after the operation.

The natural dental implant procedure takes between half an hour in most cases up to 3 hours depending on the number of teeth being implanted. If the body rejects the implant and it comes out of the patient’s body, it is replaced with another without any problems.

Dental implantation may be done in one stage or multiple stages, both of which may make the patient feel uncomfortable due to side effects that appear after the operation, including:

• Swelling of the gums and face
• Bruising of the skin and gums
• Pain at the implant site
• Slight bleeding

If the swelling and pain increase, the patient should return to the attending physician to prescribe painkillers and anti-inflammatory drugs with some antibiotics to avoid infection and inflammation. It is necessary for the patient to follow up after each stage of dental implantation with the doctor to ensure that things are going well. The person will need to eat soft foods until the implant site heals completely. In most cases, the doctor resorts to using sutures that dissolve on their own, but if not, he will follow up with the doctor to determine when to remove them.

The person who has undergone the implantation should follow some instructions that help maintain the health of the implanted teeth, including: maintaining the mouth and gums clean, cleaning the natural and implanted teeth by cleaning them from the corners and angles, avoiding habits that harm the teeth and avoiding chewing hard things like ice and hard candy which may harm the natural teeth and break the crown of the implanted tooth, and finally avoiding chewing tobacco and caffeine products and taking appropriate medications for this matter.

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