Diagnostic procedures with sanitation of the oral cavity
Thorough diagnostics starts the procedure allowing for making the most important assumptions for prosthetic restoration. The procedure must be preceded by evaluation of patient’s osseous conditions and hygiene of the oral cavity. Diagnostics includes:
- CT scans of osseous tissue in places of planned implant restoration;
- Intraoral scan of the prosthetic base – digital version;
- Intraoral and extraoral photos, so-called photo portfolio;
- Fabrication of diagnostic cast models at Perfect Dental Lab;
- Performance of neuromuscular deprogramming in order to establish CR (centric relation in temporomandibular joints). Only a comprehensible diagnostic approach allows for proper analysis of condition and quality of the osseous tissue and provides information on density, height and width of the bone, what in turn guarantees precise planning of the implantation procedure.
This step included also sanitation of the oral cavity in order to exclude odontogenic inflammatory foci, which exclude realization of further steps (defined below) aiming at implant prosthetic reconstruction.
Realization of the steps defined above influences the success of the entire process greatly. Lack of proper diagnostics and treatment plan may lead to disadvantageous post’s position in relation to the assumed prosthetic concept.
Step 2 Possible bone augmentation
Optimal implant position is often impossible to trach without additional osseous tissue augmentation when there are considerable bone deficits. At Perfect Dental Clinic we can boast a recently introduced original procedure for bone raugmentation. After the method is implemented, stimulation and support for tissue development is possible. The solution involves stem cells used to reconstruct osseous tissue of the oral cavity, and simultaneously correct congenital and acquired defects, as well as obtain a result in the form of a complete osseous tissue of the highest quality and complete biocompatibility with patient’s organism. Learn more
Dental implant placement and implant-retained tooth restoration:
The last step is implant placement, which involves the following:
1] Placement of a dental implant;
2] Laboratory fabrication of a prosthetic reconstruction screwed to implants;
3]Fixing the fabricated prosthetic reconstruction screwed to implants in a patient’s mouth.
Depending on the test results at the diagnostic stage, placing a dental implant may be done simultaneously with bone augmentation, or in cases of considerable bone loss, as a separate surgical procedure in about 3 months after the bone augmentation.
Having administered anaesthesia, a mucoperiosteal flap is revealed minimally. Using special implant templates, osteotomy of ossous tissue is performed that becomes a dental implant bed. Drill holes in the osseous tissue will be done with the use of special, high-quality, sterile implant equipment, including burs from dedicated surgical sets and implant kits.
A dental implant will be placed in the bone area according to established implantology procedures.
After the period of implant osseointegration that lasts 3 months, a digital impression will be taken, which will aid fabrication of the final prosthetic work. Performed prosthetic reconstruction will be evaluated, after having been screwed to patient’s implant, with regard to passive adherence, tightness, and aesthetics. After the patient’s acceptance, an implantologist will tighten the prosthetic screws with about 30Ncm using dedicated implant prosthetic tools. Mounting slots of the prosthetic work will be properly accommodated and closed with composite material or ceramic crown posts.