IMPLANTOLOGY — THE WAY TO FIRM TEETH

Nothing has changed the possibilities of modern dentistry in recent years as much as dental implants. Screw-like aids made of titanium serve as artificial tooth roots. They enable firm, new teeth in almost all cases. A crown supplements the implant to form the new artificial tooth.

How can teeth be implanted?

Navigated, minimally invasive implantology: with high-tech and experience to gently inserted and sustainable dental implants

Den­tal implants can be ima­gi­ned as arti­fi­cial tooth roots that are inser­ted direct­ly into the eden­tu­lous jaw­bo­ne. Modern implants con­sist of three parts: the implant body ancho­red in the bone, the neck part (abut­ment) and the crown atta­ched to it.

S tooth ANKYLOS a S tooth ANKYLOS b S tooth ANKYLOS c S tooth ANKYLOS d

In order to suc­cess­ful­ly insert an implant, a num­ber of con­di­ti­ons must be met: On the one hand, it must be sur­roun­ded by vital bone tis­sue and be able to grow in, on the other hand, it must per­ma­nent­ly with­stand the stres­ses during chewing.

After a cer­tain healing peri­od (3–4 mon­ths), the implant should have grown firm­ly in the bone and thus gai­ned maxi­mum sta­bi­li­ty under chewing load. This sta­te is cal­led osseointegration.

Implants must meet spe­cial requi­re­ments for bio­com­pa­ti­bi­li­ty, loading capa­ci­ty and osseo­in­te­gra­ti­on. In our prac­ti­ce, we only use mate­ri­als that per­fect­ly meet the­se requi­re­ments, name­ly tita­ni­um and cer­a­mics (zir­co­ni­um oxi­de ceramics).

Implants also improve the quality of life for prosthesis wearers. You gain security and a carefree laugh becomes a matter of course. Watch the following videos:

<video id=“sampleMovie” title=“SynMedico Video” pos­ter=” https://infoskopdata.de/files/iPad/HP/Vorschaubild.jpg” preload=“none” controls=“controls” width=“600” height=“300”><!– [et_pb_line_break_holder] –><source src=“https://infoskopdata.de/files/iPad/HP/Praxis-am-Kureck/Implantate-Einzelzahn.mp4” type=“video/mp4; codecs=“avc1.42E01E, mp4a.40.2”” /> </video><!– [et_pb_line_break_holder] –><a name=“implant”></a>
<video id=“sampleMovie” title=“SynMedico Video” pos­ter=” https://infoskopdata.de/files/iPad/HP/Vorschaubild.jpg” preload=“none” controls=“controls” width=“600” height=“300”><!– [et_pb_line_break_holder] –><source src=“https://infoskopdata.de/files/iPad/HP/Praxis-am-Kureck/Geistlich_Biomaterials.mp4” type=“video/mp4; codecs=“avc1.42E01E, mp4a.40.2”” /> </video><!– [et_pb_line_break_holder] –>The video shows how an implant is also pos­si­ble with a tooth that has been mis­sing for a long time due to bone augmentation.

Preliminary Anamnesis

We begin with a com­pre­hen­si­ve ana­mne­sis. We pay par­ti­cu­lar atten­ti­on to the patient’s medi­ca­ti­on and known pre­vious ill­nes­ses. This is fol­lo­wed by an exami­na­ti­on of the mucous mem­bra­ne, the den­tal situa­ti­on and the area to be implan­ted. X‑rays sup­ple­ment this exami­na­ti­on and pro­vi­de infor­ma­ti­on about the jaw bone and the neigh­bo­ring struc­tures to be con­si­de­red (such as ner­ves or maxil­la­ry sinus). Final­ly, an impres­si­on (or a 3D scan) of the affec­ted jaw regi­on is made and the fur­ther pro­ce­du­re is discussed.

Implant Planning

In the Pra­xis am Kureck, each implant is plan­ned in gre­at detail on the com­pu­ter, inclu­ding size and posi­ti­on. We also check whe­ther enough jaw bone is avail­ab­le or whe­ther addi­tio­nal bone needs to be built up.

3D plan­ning allows a more pre­cise assess­ment and thus com­pre­hen­si­ve pro­tec­tion of sen­si­ti­ve are­as of the jaw (e.g. ner­ve pathways and maxil­la­ry sinus). Any bone aug­men­ta­ti­on that may be necessa­ry may be avoided becau­se the exis­ting bone is bet­ter uti­li­zed. The 3D plan­ning thus offers the pati­ent maxi­mum safe­ty and pro­vi­des a very pre­cise implant positioning.

This is how 3D planning works:

  • Indi­vi­du­al x‑ray images of the jaw are taken with a three-dimen­sio­nal X‑ray scanner.
  • The­se indi­vi­du­al images are com­bi­ned by a com­pu­ter pro­gram to form a com­ple­te image. The jaw can then be seen on the moni­tor as a 3D image.
  • Using spe­cial plan­ning soft­ware, the implant is now inser­ted vir­tual­ly on the com­pu­ter and a three-dimen­sio­nal tem­pla­te is pro­du­ced on a 3D printer.

Inserting the implant

The pre­vious inten­si­ve plan­ning signi­fi­cant­ly shor­tens the actu­al ope­ra­ting time. The inser­ti­on is nor­mal­ly a small, uncom­pli­ca­ted sur­gi­cal pro­ce­du­re per­for­med under local anesthe­sia. If necessa­ry, the bone is built up with bone sub­sti­tu­te mate­ri­al or the patient’s own bone or the maxil­la­ry sinus is lifted with a mini­mal­ly inva­si­ve procedure.

Major pro­ce­du­res can also be per­for­med under gene­ral ana­es­the­sia (by our ana­es­the­tist) or under slight nitrous oxi­de sedation.

<video id=“sampleMovie” title=“SynMedico Video” pos­ter=” https://infoskopdata.de/files/iPad/HP/Vorschaubild.jpg” preload=“none” controls=“controls” width=“600” height=“300”><!– [et_pb_line_break_holder] –><source src=“https://infoskopdata.de/files/iPad/HP/Praxis-am-Kureck/Implantat_lat_MIMI_zweiteilig.mp4” type=“video/mp4; codecs=“avc1.42E01E, mp4a.40.2”” /> </video><!– [et_pb_line_break_holder] –>In spe­cial cases, two-part implants are also possible.

New teeth also need care!

by Dr. Marc Juni­or and Nata­lie Bender

Nor­mal­ly the­re is no dif­fe­rence bet­ween an implant and a natu­ral tooth. But you can see it under the micro­scope: on the gums!

In a real tooth, the gums are firm­ly bond­ed to the tooth sur­face and seal the root against bac­te­ria. The­se important fibres are mis­sing in an implant. Sin­ce no fib­re ten­si­ons from the gums can grow tog­e­ther with the implant and the crown, the gums are not as clo­se to the implant crown as with a natu­ral tooth.

That is why implant pati­ents must pay spe­cial atten­ti­on to this inter­face bet­ween implant and gums. Regu­lar clea­ning is necessa­ry to pre­vent inflamma­ti­on, which in the worst case can even lead to bone resorp­ti­on around the implant.

“Peri-implan­ti­tis” is the sci­en­ti­fic term for this inflamma­to­ry dise­a­se. The ins­idious thing about it is that it remains unde­tec­ted for a long time becau­se the pain is mis­sing. As a rule, it only begins when con­si­derable dama­ge has alrea­dy occur­red. In the worst case, loss of the implant is the result.

And now the good news: recent stu­dies show that the risk can be redu­ced by more than half if you take regu­lar con­trol and pro­phy­la­xis appointments.

The prac­ti­ce at the Kureck in Wies­ba­den offers you a well-trai­ned pro­phy­la­xis team that pro­fes­sio­nal­ly cleans and keeps your teeth in shape.

Use this oppor­tu­ni­ty to enjoy your teeth for a long time to come! Just give us a call! (0611–990370) We are the­re for you almost every day for 14 hours from Mon­day to Saturday!

Your den­tists at the Pra­xis am Kureck,

Source: Cos­ta, F.O., Taken­a­ka-Mar­ti­nez, S., Cota, L.O. M., Fer­rei­ra, S. D., Sil­va, G. L. M., & Cos­ta, J. E. (2012). Peri-implant dise­a­se in sub­jects with and without pre­ven­ti­ve main­ten­an­ce: a 5‑year fol­low-up. Jour­nal of cli­ni­cal peri­odon­to­lo­gy, 39(2), 173–181.