Placing a dental implant
At our Centre for Implantology and Cosmetic Dentistry, a procedure of placing a dental implant in ideal osseous conditions is an easy and predictable procedure. After an analysis of 3D CT scans, an implantologist chooses appropriate diameter and length of the dental
implant. He/She evaluates also volume of the bone bed for the implant, as well as distance and presence of significant anatomical structures, such as inferior alveolar nerve, maxillary sinus, or nasal cavity. This is a very important stage prior to placing a dental implant, which should be conducted by a properly trained person, who has experience and knowledge. At our Clinic all procedures of this kind are supervised and conducted by dr. Marek Markiewicz, who is an expert in implantology.
Before placing a dental implant, an appropriate prosthetic solution allowing for restoring missing teeth and achieving the final result, which is always a beautiful smile and comfort, is planned. Such a plan is necessary prior to prosthetic reconstruction and supports procedures at every stage in accordance with the assumed digital smile design.
Unfortunately, in many cases digital analysis of prosthetic concept and CT diagnostics indicate the need for considerable bone augmentation in a patient. It is most commonly connected to significant bone atrophy after a tooth has been removed. Without proper stimulation, osseous tissue undergoes resorption. Thus, bone augmentation procedures are necessary.
After 3 months, the site that underwent bone augmentation is examined in terms of possible resorped osseous material. On the basis of CBCT measurements, the following are picked: a diameter, length, and target angle of the dental implant, which is introduced into the bone bed according to accepted surgical procedures.
Most patients are interested in possible complications after placing implants. At our Clinic we can boast a small percentage of dental implant rejections. Having in mind comfort of realizing the treatment and peace of our patients, we issue warranties for denal implants.
However, it should be remembered that even the best dental implants are placed in a living osseous tissue and an organism that undergoes various processes and sometimes major changes progressing with age. It is associated with natural atrophic processes, but it also may be a result of poor hygiene, systemic diseases, and other bad habits of patients.
In cases of peri-implantitis at the integrated and burdened with prosthetic reconstruction implant:
Depending on the soft tissue condition and presence or absence of bone loss, proper conservative and/or surgical treatment should be implemented. If there exists only an inflammation of soft tissue without osseous tissue loss, then conservative treatment is used. However, in case of osseous tissue loss, explantation (removal of the implant) occurs and bone re-augmentation is necessary, according to the accepted procedures. Thus, in case an implant is lost or explanted due to peri-implantitis, additional surgical procedures are necessary:
- Removal of inflammatory and granulomatous tissues;
- Another procedure for bone augmentation – after at least 8 weeks;
- Another procedure for placing a new implant – after about 3-6 months.