At Dr. Svetlana’s dental office, you can get dental implants in one place of a few, and all missing teeth on the lower or upper jaw.
Dental implants and prosthetics are performed by Dr. Svetlana, who has over 25 years of experience in implantology. She received the America’s Best Dentist Awards for 2019 and 2020, as well as for 2021 and 2022.
What is dental implantation?
It is an operation to restore a missing tooth, involving the insertion of:
- a dental implant, which replaces a tooth root and is screwed into the jawbone
- an abutment, which connects the artificial root to the crown
- a crown, which is screwed to the implant, recreating the lost crown part of the tooth
a tooth that cannot be treated (extraction is indicated)
missing one tooth
missing 2–4 teeth in a row
missing most of the teeth
complete adentia (absence of the entire row)
unwillingness to continue wearing removable partial or full prosthesis
Absolute (implantation is not possible)
blood clotting disorders (hemophilia, thrombophilia, etc.);
allergies to local anesthesia;
systemic connective tissue diseases (osteoporosis, rheumatism, scleroderma, etc.);
tuberculosis in the acute stage;
diseases of the oral mucosa (aphthous stomatitis, Behçet’s syndrome, lupus erythematosus, etc.);
Relative (the operation is postponed until the restriction is removed)
poor oral hygiene;
TMJ (temporomandibular joint) dysfunction;
tooth decay, pulpitis, periodontitis;
pronounced atrophy of bone tissue;
diabetes mellitus (compensated form);
chronic alcoholism, drug addiction (surgery is possible only in remission stage);
oncology (implantation is not performed during radio- and chemotherapy).
Single stage implantation
Immediately after the placement of an implant, it is loaded with a temporary crown: the patient restores the functionality and aesthetics of the tooth row in 1 day.
After the implant is placed, it is covered with a plug, then the gums are closed. The patient waits 3–6 months for the artificial root to acclimate in the bone. The plug is removed and replaced by a healing cap only at the end of the osseointegration period. It is removed after 14 days, then an abutment is placed, and later – a permanent crown.
The concept of total jaw prosthesis on 4 implants: two are placed in the frontal area around the front incisors and one in the lateral areas (they are screwed in at an angle of up to 45 degrees). The implants are loaded with a fixed bridge with 12 crowns on the same day.
If the patient has sufficient bone volume, the All-on-6 method – a modified version of the All-on-4 – can be used. The difference in the number of implants installed for fixed bridges is two in the anterior region of the jaw and two in the lateral regions.
What brands of implants do we use?
As a rule, for single restorations and rehabilitation of patients with edentulous jaws, we use Israeli MIS implants (today’s best systems in terms of price-to-quality ratio) and premium Swiss Nobel Biocare (on request).
Why MIS implants?
- High survival rate of up to 98%
According to the manufacturer’s official statistics, MIS implants are very rarely rejected, which is an exceptionally good indicator.
- Broad model range
It is possible to select the optimal model for each clinical case and get a well predictable result.
- B++ surface with increased hydrophilicity
Accelerates the process of osseointegration. The implant performs better when the bone volume is insufficient, when treating patients with diabetes or osteoporosis.
1. Initial consultation
The implantologist conducts the following in a comfortable environment:
- visual examination of the oral cavity – assesses the condition of oral hygiene (presence of plaque with calculus, gum inflammation, cavities, or other dental diseases);
- collection of anamnesis – clarifies the patient’s chronic diseases, previous surgical operations, medications taken at the moment, etc.;
- photometry – takes pictures of the patient with the mouth open and closed (this information is needed to select the shape of the crown or full prosthesis for the entire jaw);
- condylography – determining the parameters of jaw compression, evaluation of the temporomandibular joint (important for further bite correction with new teeth).
Introduces the patient to the identified dental conditions, discusses options for further implant treatment, and answers questions.
If the patient has a chronic condition, the implantologist will consult with the patient’s doctor!
2. Computed tomography
The clinic uses modern SCHICK DENTAL SENSORS. With minimal radiation exposure to the patient, the implantologist receives a 3D image of the jaw system, which provides them with detailed information about the condition of the jaw:
- bone volume (width, height);
- location of the roots of the teeth next to which the implant is to be placed;
- location of maxillary sinuses (for implants on the upper jaw) or mandibular nerve (for implants on the lower teeth).
3. 3D modeling of the operation
The doctor uploads the CT data to a special computer program. The software selects the location of the implant with a fraction of a millimeter accuracy – the human factor is minimized. Titanium root model is selected: length, diameter, thread design. The risk of damaging anatomically important formations during surgery is excluded. The shape of the future crown or full cover denture for 12 or 14 crowns is also modeled.
4. Preparation of a surgical template
To install the implant in a perfect projection, we order a surgical template on a professional 3D printer – a stencil in the form of a mouthpiece, which helps to screw in the implant with an accuracy of a fraction of a millimeter.
5. Sanitation of the oral cavity
Before screwing in an artificial root, the oral cavity must be sterilized – there must not be any source of infection that could lead to inflammation of the tissues around the implant and prevent its engraftment.
The following is carried out at this stage:
- professional hygiene – removal of plaque and calculus;
- treatment of diseased teeth;
- control of foci of mucosal inflammation;
- extraction of untreated teeth.
6. Bone grafting
If there is a lack of bone volume in the planned implant site, the implant is augmented using one of the following methods:
- Split of the alveolar crest. Indicated to increase the width of the bone. It is used in cases of insufficient bone width. An implant is placed at the same time as the surgery.
- Bone block grafting. Allows you to increase both the width and the height of the bone. A live bone block is implanted, which has its own serial number and is tested for syphilis, etc. Gives predictable results.
- Sinus lifting. It is performed to elevate the floor of the maxillary sinus up to 3 mm (closed) or up to 6 mm (open).
An implant is screwed into the jawbone under local anesthesia with absolutely no pain. The operation lasts up to 15 minutes.
After osseointegration of the titanium root, a permanent orthopedic structure is fabricated and fixed.
The advantages of implantation
The advantages of dental implants over removable prostheses include:
- Full restoration of the functionality of the dentition
A removable prosthesis restores chewing ability by only 30%, while a dental implant restores chewing ability by 100%. There are no restrictions in the diet, you can even eat solid foods.
- High aesthetics
Removable prostheses are visible while smiling. Can fall out at the most inopportune moment.
New teeth after implantation look just like your own. People around you won’t know that you have a crown or a bridge on implants.
- Stopping the bone atrophy
While wearing removable prosthesis, the bone does not receive a chewing load and begins to lose up to 2 mm per year. The bite is disturbed, wrinkles appear, the lips are sunken, and diction is impaired.
The implant replaces the root of the tooth, so the chewing load is transferred to the bone – it stops the atrophy.
- Easy care
Unlike removable prosthesis, implants are as easy to care for as your own teeth.
Why come to our clinic?
Frequently Asked Questions
They can last a lifetime if the implantologist made no mistakes during the placement of the titanium root and if the patient strictly followed the rules during the rehabilitation period.
No, you don’t have to worry about that. Before surgery, the patient is given an injection of local anesthesia, which eliminates pain during surgical manipulations.