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Implantology, as a part of dentistry, i.e combination of the prosthodontics and periodontal surgery, had begun its development more than 50 years ago, while the implants with the present shape and characteristics have been incorporated into the people’s body/jawbone from 1965. when prof.dr. P.I.Branemark had inserted first implants surgically. Dental implantology and implantoprosthetics are the fastest and most quality developing branch of the dentistry and medicine generally in the last 10 years.
Dental implants are the permanent way for you to replace your missing teeth. Research and documentation show long-lasting results, and hundreds of thousands of people are now enjoying their new looks and their ability to laugh, speak and eat with confidence!
Don’t be afraid to show your teeth!
Are the complications possible in the implantoprosthetic therapy? Complications are possible to occur, but in the hands of a skilled dentist, it is pretty rare. However, a small percentage of the implants can be rejected. The solution is to place a new one. Infections are possible rarely, but mostly because of the inadequate maintenance. Heavy smokers have 10% less chances for the successful outcome of the treatment. After the prosthetic part is finished, a fracture of the crown, bridge or prosthesis may occur, but it is repairable. Fractures of the implant are the rarest complication, maybe the most serious, but only because it takes some time to reconstruct the new implant and new prosthesis. Why doesn’t my dentist do implants? Implantology is a very specific branch of dentistry. A dentist must be educated and skilled to do surgical or prosthetical part of implantoprosthetic treatment, or even both. This education takes time. Furthermore, dentist must be equipped with sophisticated instruments, devices and surgical and prosthetical components, which can cost a lot. How long will the treatment take? Treatment time will vary depending on your unique situation. Traditional protocol requires one- or two-staged procedure, waiting 3-6 months after the implantation for the osseointegration, and then producing of the crown, bridge or prosthesis, therefore in some cases it may be necessary to wait a longer time period before finishing the restoration in order to obtain an optimal result. Nowadays it is often possible to get well functioning and esthetic looking teeth within a few days, or even in a few hours! With the initial examination, the surgery, post surgery check-up, the prosthetic work and one recall, it normally takes about 6-8 visits until the treatment is completed. For our patients from abroad we always try to avoid many traveling and flights, and very often offer and perform Immediate Function Concept, including Nobel Guide surgery. What is Immediate Function™? Immediate Function™ is a core concept of Beautiful Teeth Now™. Historically, implants have been associated with a time consuming surgical procedure. New solutions have revolutionised this, by allowing you to get beautiful, natural looking teeth, from the very moment they are placed. Nobel Biocare has made implant treatment easy. The benefits of Immediate Function™ are shortened treatment time, better clinical efficiency and fewer traumas for you – it is now possible to go from suffering from tooth loss to having functional and esthetic teeth in one treatment session. Immediate Function™ is for every clinician comfortable with implant treatment. But as for any treatment modality there are different skill levels required for different situations. Today several clinics have adopted this rewarding concept and treat 80-90% of their patients with Immediate Function™, to the benefit for the patient and the clinic. One of those is our clinic .
All-on-4 for edentulous jaws is a treatment procedure that uses tilting posterior implants. This facilitates an optimal support for an acrylic bridge that can be fabricated and functioning within just a few hours after surgery. All-on-4 is based on Nobel Biocare's pioneering Immediate Function™ capability. Traditional All-On-4 procedure is performed through the usual surgical technique which includes incision and flap elevation. All-on-4 can now also be performed using NobelGuide™.
Fast, esthetically and functionally very effective solution for your problem is an implant inserted on the place where you already miss the tooth or placed immediately after the extraction. Using appropriate implants and prosthetic components in just 2-3 hours you can have your tooth extracted, an implant inserted, temporary abutment and a temporary crown placed. This temporary crown will satisfy the esthetics and function until the final restoration is placed on the same implant. http://www.nobelbiocare.com/global/en/newPatientInformation/SingleMissing/singleToothMissing.htm The Teeth-in-an-Hour™ protocol is a unique solution made possible by the Procera® System. A custom fabricated precision drill guide and a pre-manufactured prosthesis, based on CT images and virtual planning, can be made before surgery. The major decisions of the treatment are made during the planning. The execution of the implant placement that follows is performed with minimal surgical intervention. The result is that the patient leaves the chair with teeth in place after a short and non-traumatic surgery with a minimum of post-operative reactions. This new modality provides enhanced patient satisfaction and simplifies the work of the treatment team. NobelGuide™ is a revolutionary treatment planning and surgical implementation system enabling the dentist to transfer extraoral planning into the mouth with unrivaled accuracy and ease. With NobelGuide™ the placing of the implant, abutment and restorative crown or bridge is simultaneous. It is applicable to any patient indication, by using either conventional modeling or computer aided - 3D design – NobelGuide™ shows the dentist the exact position and depth of the implants before surgery. This information enables Nobel Biocare or the lab to produce a surgical template which guides the flapless procedure from start to a completely successful placement. Practically, this means beautiful teeth for you, our patient, in just one visit.
With Nobel Guide™ you can make your nightmares disappear and your dreams come true. · Maximun comfort Based on flapless surgery, reducing pain and swelling · Immediate cost saving Built on Immediate Function™, reducing costly time off from working life - Fast Treatment Combination of Immediate Function™ and a pre-made, temporary or final, prosthetic solution ready at time of surgery radically shortens treatment time. Applying a final prosthetic solution means real "Teeth-in-an-Hour". - Long and short term esthetics Complete range of prosthetic possibilities based on Nobelesthetics™. Conventional Approach vs. Nobel Guide Approach
Should any grafting procedure be necessary, whether it is bone regeneration or a soft tissue graft, in that case it is advisable to do a two-stage procedure, not to load the implants immediately. Edentulous jaws A very common handicap Edentulous both jaws – 6-10% of total population ( unofficial data 30%!)
Potential No.of patients (000’s) USA 33 % > 65 yrs 12,000 Japan 20 % > 65 yrs 4,000 UK (one jaw) 30 % > 55 yrs 3,800 Germany 25 % > 65 yrs 3,000 Sweden 13 % > 65 yrs 200 Switzerland 25 % > 65 yrs 100
Regular dentures vs. implant supported overdentures
2. All-On-4 3. Teeth In An Hour – Nobel Guide™
Mini Implants Since the FDA approved mini implants as a long term method of denture stabilization, mini implants have become increasingly popular among dentists and patients as well.. They are also used for supporting crowns in situations in which there is not enough room for a standard implant. Mini implants are 1.8 – 2.0 – 2.5 mm in diameter and usually come in 4-5 lengths. The length chosen by the surgeon is determined by the amount of bone available to retain the implant, as well as an assessment of the density of the bone. Mini implants allow immediate loading. This means that the patient walks out of the office on the day of surgery with a lower denture which is not only solidly stable, but can be used to eat immediately. Mini implants can often (not always) be placed in the lower jaw without cutting an incision in the gums. In other words, they can often be placed right through the gums directly into the underlying bone. The old lower denture (very often the upper as well) can then be retrofitted over the newly placed implants, and the patient can use the denture immediately without waiting for the three to six months necessary for a standard implant to integrate. Furthermore, because the implants are about the size of a standard wooden toothpick (they are made out of a titanium alloy), patients who have been told that there is not enough bone to accommodate standard implants can generally be fitted with minis. The entire procedure (placing the implants and retrofitting the old denture so that it is supported by the newly placed minis) takes about 90 minutes. It is generally painless, and produces very minimal post operative discomfort.
To keep in mind! Bruxism is the medical term for grinding, gnashing or clenching your teeth. This condition affects both kids and adults. Some people with bruxism unconsciously clench their teeth together during the day, often when they feel anxious or tense. Most kids who have bruxism — and some adults with the condition — grind or gnash their teeth during sleep, usually in the early part of the night. This is called sleep bruxism. In most cases, bruxism is mild and may not even require treatment. However, it can be frequent and violent and can lead to jaw disorders, headaches, damaged teeth and other problems. Unfortunately, people with sleep bruxism usually aren't aware of the habit, so they aren't diagnosed with the condition until complications occur. That's why it's important to know the signs and symptoms of bruxism and to seek regular dental care. Bruxism and an implant treatment usually do not go together; moreover bruxism is sometimes an absolute contraindication for the implantoprosthetic treatment, especially for the Immediate Function! Eventually, a nightguard can help. It is a specially designed piece of plastic that perfectly fits your lower and upper teeth preventing the teeth come together. http://www.austindental.com/more/bruxism.shtm
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