Dental implants and Surgery at asonreir clínic Chiclana
Implants are metallic elements which are surgically placed in the jaws under the gums, restoring the missing teeth. The implant fuses with the jawbone, providing a stable support for the artificial teeth. An advantage of this procedure is that it does not involve the wear of the adjacent teeth.
The quality of the implant used is essential in order to reduce the index of failure.
At asonreir we use the best implants on the market: Straumann and BTI
Dr. Lander Iriarte
Bachelor´s degree in Dentistry at Universidad Alfonso X of Madrid [Spain]. Master´s degree in Oral Surgery, Master´s degree in Advanced Oral Surgery, Master´s degree in Dental Science and Master´s degree in Prosthetic Dentistry, University of Seville.
Frequently asked questions
A good way to explain what an implant is would be to compare it with a natural tooth. A tooth is made up of two parts, the crown, which is the part of the tooth seen in the mouth, and the root, which is a non-visible part attached to the bone.
So when an implant is placed, this would act as the root of a natural tooth, and the visible part, an artificial ceramic crown, would be screwed or cemented onto the implant.
When you lose a tooth and, above all, when you have several missing teeth, the occlusion or bite change slowly. These changes are generally unnoticed until they prevent us from eating as we did before.
These abnormalities consist in an overload on the remaining teeth, reducing the survival of these teeth. Besides, the teeth adjacent to the missing teeth tend to lean towards the empty space therefore causing these occlusion changes.
Implant treatments are performed under local anesthesia, reason why you will not feel pain during surgery.
Occasionally, it is normal that you feel (mild) pain during the postoperative period, which is usually bearable and relieved by a simple painkiller. Our experience tells us that the placement of an implant is not more painful than other treatments such as the root canal treatment or a tooth extraction.
No, it would be more correct to affirm that they can last forever. Once the implant is osseointegrated, in few cases patient can suffer from peri-implantitis, with a progressive loss of the surrounding bone.
Titanium is a totally biocompatible material, reason why the body recognizes it as its own. What can happen is that some problem occurs during the implant osseointegration (a failure in the implant-bone fusion). If this happens (less than 5% of the cases), it does not mean that your body normally rejects implants. A new implant can be placed again in the same position after a period of time, without a new failure in the osseointegration.
The more complex the case is, the higher the risk of this happening. If this happens, at our clinic we commit to always placing another implant and this would be totally free of charge.
The number of dental implants is determined by the study of the case. For this reason, models of your mouth will be taken, along with images and x-rays, and other additional tests will be performed for an oral implantology study.
It will depend on the number of missing teeth, the size of the implant to be placed, and the type of prosthesis that you want to wear, fixed or removable (overdenture).
As a general rule, a totally edentulous patient (without any teeth) who wants to use a removable overdenture, will need only 2 implants for the lower jawbone and 4 for the upper jawbone. On the contrary, if patient wants a fixed prosthesis, he or she will normally need 6 implants for every jawbones.
In the case of partially edentulous patients, this means patients with just some missing teeth, they will not need an implant for each missing tooth. For example, if you have three or four consecutive missing teeth, 2 implants at each end could be enough, provided that the available bone volume makes this possible.
Nowadays, there are a lot of implant surgery techniques if you have no enough bone. Thanks to the improvement in implant surfaces, success of short implants has been demonstrated. If this was not enough, we can turn to bone regeneration techniques with synthetic bone, autologous bone (collected from the patient him/herself), maxillary sinus lift procedures…
It is a bone regeneration technique performed when there is little amount of bone in the area of the upper molars. It consists in filling in an empty cavity containing air, known as maxillary sinus, with bone. This cavity is located below the malar region (cheekbones).
Practically, all cases are completed in three or four months after the implant surgery. Anyway, a temporary fixed prosthesis could be placed on the same day of surgery, if the case allows it. This is known as “immediate load implants or same day teeth”.
When immediate load implants cannot be performed, a removable prosthesis could be placed, so that you will never leave our clinic without teeth.
There are two techniques to place an implant: open flap or flapless. The first one is the conventional procedure (and the most usual) followed to place a dental implant. An incision is made in the gum and then, the gum tissue is folded back in the form of a flap. The second technique is performed without folding the gum back (”without surgery”).
If after the oral implantology study we have a patient with enough amount of bone, flapless dental implant placement could be performed. However, if the case is not that easy and bone regeneration is required, open flap implant surgery must be performed.
It consists in placing the implants and a fixed prosthesis on the same day of surgery. It is necessary to take into account that it cannot always be performed. It can only be performed in specific favorable cases.
When immediante load implants are offered, the prosthesis that we will place is temporary (a resin prosthesis), as the ceramic prosthesis must not be placed with very little time. After several months, when implants are integrated and the tissues have healed, the resin prosthesis will be replaced by a permanent ceramic prosthesis with a maximum esthetic result.
In those cases in which it is not possible to perform the immediate load implant, we will provide you with other prosthesis options so that you never leave our clinic without teeth.
Basically, there are two types of prostheses: ceramic fixed prostheses and resin removable prostheses. The second ones can be taken off and put on and require a fewer number of implants. This is the reason why they are cheaper.
The main difference is that with conventional dental bridges the adjacent teeth are worn down, so implants are a more conservative treatment and, thus more esthetic.
Anyway we will inform you personally about what option we consider to be the best in your case since, although we normally recommend dental implants, on some occasions we recommend conventional dental bridges.
In this case and whenever possible, we recommend prostheses fixed to dental implants. All are advantages:
– It is more comfortable as it will not move or fall out of the mouth when you talk.
– Unsightly metallic anchors will not be seen.
– You won´t feel a sensation of fullness in the palate or the rest of the mouth.
– You won´t have to use denture adhesive.