With the use of titanium, a tissue-compatible material in dentistry, tooth deficiency and dentures are about to become history. With hundreds of brands and ease of application, the chance of success of the constantly talked about implants is rightly the first question that comes to mind. Let’s take a quick look at this process to see that the answer to this question is multi-component.
First of all, treatment planning is the most important factor affecting success. Firstly, a good preliminary information is obtained from the patient. The procedure is directly related to bone healing. Factors affecting recovery also affect implant success. Systemic diseases, diabetes, liver disorders, radiotherapy, chemotherapy, drug use that will affect bone formation and nutrition, smoking habits and teeth grinding are among the most important precautions to be taken. In some of these, additional measures are taken, and in cases where there is a question mark about bone healing, various tests are performed to determine whether recovery is sufficient for treatment. In addition, bone thickness is measured three dimensionally with imaging methods such as tomography and the length, width, location of the implant is planned and applied in detail.
There are a wide variety of implant options. The shape, thickness, neck, number, position, and whether or not the implant contains a screw are determined according to the load to be carried by the prosthesis in the mouth, angle of forces, bone quality and anatomical formations. For success, biomechanical adaptation must be at a high level. In addition, aesthetic planning and chewing function of the prosthesis and the relationship between the upper and lower jaws are among the things to be considered in planning.
Long and wide implants are preferred to the extent that all these components allow, but short implants are applied when there is not enough bone tissue. If appropriate, bone tissue is thickened with bone grafts. In this case, the prosthesis with the biomechanical support of the implant should be carefully evaluated.
Our implants should be long enough and in the right number to support the prosthesis. For example, if the tooth is longer than the implant, the chance of success decreases because the implant will be overloaded. If more than one fixed tooth is placed on a single implant, future forces can cause bone loss. Implants can be compromised as there will be a difference in flexibility in bridging the natural teeth with the implant or in the connection of implants of different brands. The direction of the force coming to the implant should be planned in such a way that it does not cause bone dissolution in the neck area. Adequate time should be allowed for the healthy attachment of the implant to bone tissue. Although it varies from person to person and in each case, it is recommended to wait two months in the lower jaw and three months in the upper jaw.
The implant gives you back the lost tooth root. If you have lost your back teeth and you don’t have teeth at the end of your jaw, you don’t even have a chance of bridging, and your non-implant solution is a prosthesis you can put on and remove. In case of implant application, you have the chance to use a fixed prosthesis. If you have no teeth in your mouth, you can have a fixed prosthesis with seven or eight implants in one jaw. You can also improve the quality of your prosthesis and life with several implants that support the removable prosthesis in toothless mouths with excessive bone thinning. In recent years, with the increasing variety of implants and the entry of high-quality brands into the market has become economically advantageous.
We will examine other factors such as our saliva structure and oral care which play a role in the caries mechanism in another article. Stay healthy and happy.
The implant can be applied at any age after the necessary evaluations. Implant application sometimes takes as short as a tooth extraction. Postoperative pain is minimized by precautionary measures. In the unlikely event that the implant is not holding, it can be reapplied if there is no systemic problem.
Postoperative care is one of the factors that affect the chances of success. Smoking, frequency, and immediate use after operation affect recovery. Oral care is as important for the health of implants as it is for normal teeth. Implant applications provide people with long-term and comfortable use with regular maintenance and routine controls.
With the quick reflection of developing technical and material knowledge in the field of dentistry, going to the dentist is no longer a fearful dream. Together with their doctors, people can choose the most appropriate option for their bodies and easily undergo treatment.