FAQ about dental implants

An implant is a prefabricated titanium root, which is placed on the site where there are no teeth. It replaces the natural tooth root.
1.-Dental scanner

Full-size, three-dimensional image of the patient’s mouth. We measure the lengths, volumes and densities to be able to choose exactly the size of the implant without damaging any anatomical and / or nervous structure. It is essential for a good diagnosis. In Crooke & Laguna we have the latest generation radiological equipment so that the patient does not have to move to another center for these diagnostic tests.

2- Intraoral and extraoral photographs to study the case in depth to be able to see the prosthetic space and measure the aesthetics that we must achieve.

3- Model records: for the study of prosthetic space

It’s a simple technique and not painful. Placing 1 or 2 implants is a shorter and less irritating procedure than a filling. However, in the case of patients who are very anxious or who are going to have a more complex rehabilitation, it is possible to have several sedation treatments  so that the patient is totally relaxed during the process.
Usually, the process takes between 30 and 45 minutes, although it depends on the extension of the area to be treated.
By performing the proper maintenance, both at home and in the dental clinic, implants can last forever. However, if a periodontitis or “pyorrhoea” occurs in the teeth, the implants may be affected by peri-implantitis, which can cause the implant to be lost.
It can happen for different reasons that we can classify in 3 groups:

A) Factors related to the surgical technique: bad technique, quality of implant, bone cooling..

B) Factors related to the prosthesis: quality of material , fit, occlusion.

C) Factors related to the patient: systemic diseases (diabetes, immunosuppression …), tobacco, and poor hygiene.

Anyone can has implants with the exception of those patients who suffer from severe illnesses that lead to a weak immune system, or patients who have been treated for more than 3 years with bisphosphonates (mainly used in patients with menopausal osteoporosis or other diseases ). In these cases it is necessary to carry out further tests.
Yes, once the treatment is finished, the patient will be able to eat with complete normality.
It depends, for a single implant 4-6 visits is enough. When it is a full mouth rehabilitation it may require more visits to adjust the function and aesthetics of the mouth perfectly.
To make a fixed bridge, the adjacent teeth must be carved or lowered to the missing tooth area. This, in addition to an unnecessary loss of enamel, poses a risk of damaging the patient’s nerve (and consequently having to perform a root canal). In cases where a large number of dental pieces have been lost, we only have two alternatives: removable prosthesis or implants.

Here, the advantage of implants is clear; in addition to having fixed prosthesis, we get a better masticatory function and a better aesthetic. It is important to point out that when we place implants we favour the maintenance of the bone, however, when we use bridges or removable prostheses that bone gets thinner with time.

Unit implant

When we are missing a single tooth the best option is always a dental implant as we maintain the bone, we do not touch the teeth adjacent to the edentulous area and it is easier to clean than a bridge.

implante dental unitario

 Dental implants 2 or 3 pieces

Depending on the area to be rehabilitated and the size of the implants, it will be necessary to place more or fewer implants. When there is enough bone two long implants are used to replace 3 missing teeth.

Thus, in the anterior (incisor and canine) areas, two implants can be used to rehabilitate three or four teeth, but in the posterior (molar) zones, being the zone of maximum mastication force, a greater number of implants are preferable (For example three implants for four teeth or three implants for three teeth), always taking into account the available length and bone volume.

puente implantes dentales

In areas where more than two pieces are missing, two or more implants may be used to replace more than three pieces.

Full arch & full mouth

This treatment consists of the placement of 6 to 10 implants, both for the upper and lower arches (ALL ON SIX / ALL ON SIX PLUS). In this way, the definitive prosthesis, when possible, will be done in sections to reduce tensions and improve the distribution of forces. This prosthesis will be performed:

By system (CAD / CAM) with an internal structure of titanium or zirconium. Coated by porcelain, which has the advantage of not dying with the passage of time, less wear of the prosthesis, greater aesthetics and greater biocompatibility.

In the long term, it is the most stable solution. After years of experience, this treatment has been chosen as the best one to replace teeth, after a 3D-scan analysis. It is amazing to see the transformation we can produce in just 60 minutes of surgery.

If we go a step further you are able to have the bridge fixed to the implants on the same day. (After full assessment).

Resin structure

This treatment consists of the placement of at least 6 implants on the upper arch and at least 4 on the lower arch (ALL ON FOUR / ALL ON FOUR PLUS)

The prosthesis is made with an internal structure of titanium and with resin teeth. The advantage it has, is that it needs fewer implants. It is more indicated in the mandible than in the upper jaw. As it has pink gum, it is reserved for cases in which the gum is not shown when smiling.

The treatment is recommended for patients who have lost all their teeth and have severe bone loss.

This consists of the placement of 2 implants in the jaw or 4 in the upper jaw that allow us to retain the denture.

This rehabilitation is recommended when there is a complete lack of bone, or when sinus lift cannot be carried out. It is also a solution for patients whose denture is loose and are looking for an affordable alternative. The over denture is supported by the gum and retained by an implant’s locator system.

The duration of this treatment is approximately 4 months for the upper jaw and 3 months for the lower jaw.

The patient will have teeth from the beginning of the treatment, if possible they will be fixed.

The treatment steps are divided into the following appointments

  1. Placement of implants and temporary teeth.
  2. Approximately 10 days later the sutures are removed and the temporary teeth are checked.
  3. It is necessary to wait a period of osseointegration of approximately 3 months . After that time, we check the implants and take prints to make a temporary fixed prosthesis.

This prosthesis, on the one hand serves to make a progressive loading of the implants and, on the other, to define the aesthetics we want to achieve in the definitive prosthesis (size, shape of teeth and colour). In addition, it is preserved as a “replacement” prosthesis if in the future some repairs need to be done.

  1. The definitive prosthesis will begin to be developed when we are sure that everything is going well. The performance of this prosthesis entails at least 2 tests to verify fit and final aesthetics and one more appointment to place the teeth.

Note: The time to complete the treatment will depend on the patient and the aesthetic needs.

After 6 months of placing the final prosthesis we will carry out a free revision, in which we will check occlusion and we will perform a clean if necessary.

After one year it is recommended another visit to check gums and prostheses, where the mouth will be thoroughly cleaned and x-rays will be taken to control the stability of the bone around the implants. These maintenance visits, for all dental implant patients, should be performed every 6 months to ensure the stability of the treatment and the early detection of possible problems.

Boneless implants

We consider short implants to be those equal to or less than 8mm. We place them in areas where there is a lack of bone. Its use is conditioned to the anatomy of the patient, when due to bone resorption, we cannot place implants of a regular size (10 mm or more). We can, therefore, avoid grafts and possible complications, mainly damage of sensitive anatomical structures (nerves, sinuses, etc. …).

Advantage:

  • Surgical technique of low morbidity
  • Rapid bone healing as with regular-sized implants.
  • It reduces the time and cost of treatment by avoiding bone grafts.

What are Zygomatic implants?

These implants are longer than usually used in the mouth (about 45-55 mm versus 10-15 mm in conventional ones) and are placed exactly like conventional implants but anchored a little higher, in the Zygomatic bone. It is usually a treatment that is used in patients who have lost or will lose all the teeth of the upper jaw.

When is it advisable to use zygomatic implants?

  • Severe bone resorption of the maxilla.
  • In patients who have not had teeth for many years.
  • Patients who have suffered aggressive periodontal disease.
  • To prevent bone grafts from other donor sites.
  • When recovery and treatment time is important.

There are two types of treatments:

A) Patient who still has some bone in the front of the maxillary bone: 4 implants are placed in the anterior maxillary area and 2 zygomatic implants in the posterior area.

B) Patient suffering total resorption of the maxilla superior: 4 zygomatic implants in the posterior area.

This intervention is done with local anesthesia and conscious sedation, with an attending anesthesiologist. The patient is awake and relaxed. A temporary fixed prosthesis is always anchored on the newly placed implants within 24 hours of surgery.

implantes cigomaticos

Computer dental implants- same day dental implants

Computer-guided implant surgery involves virtual planning before treatment. This is executed accurately in the patient’s mouth thanks to a surgical guide that tells us the position, angulation and depth of the implants as previously planned by the computer.

In some cases, having the position of the implants beforehand, we can also have the temporary prosthesis made for immediate loading of the implants. Thus, the patient takes the implants and the teeth in one day and in less than an hour.

Guided surgery is especially indicated for cases of total rehabilitation in patients who have already lost their teeth. It is also recommended in patients with alterations in clotting.

The diagnostic, planning and implementation functions allow us to fully control the treatment parameters. In this way, we can select the optimal implant position. The biomechanical, functional and aesthetic needs, as well as the quantity and quality of bone at the selected site are fully integrated into the decision making process.

It is the fastest and most effective system for performing dental implants. With this technique, performing implants is much quicker and easier for the patient, who does not have to suffer a long recovery. In just 24 hours you can already have a normal life without discomfort or scarring.

In just, an advantage when deciding on an intervention that only causes rejection in 2% of the implants placed.

Procedure:

The dentist examines the patient and makes impressions for study models and radiological guidance.
Test of the radiological guide and patient´s scan.
The implantologist virtually places the implants in the optimal position.
In our laboratory we create the temporary prosthesis that the patient is going to wear until the final teeth are made.
Placing implants and then the temporary prosthesis over the implants. There are no stiches needed.
Test measurements for final porcelain teeth.
If the patient has a limited mouth opening, or has infections near the work area or we need to increase soft or hard tissue, a gum craft may be necessary.

Bone Graft

In some cases, the bone available for implant placement is insufficient, either because it has been a long time since the loss of the teeth or because previous infections in the area have destroyed the bone. In such cases we resort to guided bone regeneration. To do this we resort to xeno grafts with collagen membranes that act as a barrier to allow bone regeneration, or to autografts, taking bone from other areas of the mouth. In this way you can recover part of the lost bone to allow the placement of dental implants.

In these cases the time required for the treatment is extended by a further 6 months compared to the conventional treatment period.

Tips on getting dental implants

It is essential that the professional who places dental implants is well trained in this speciality. An accurate three-dimensional placement of the implant is essential, as well as a good management of the bone and gums surrounding the dental implants for long-term stability. In addition, it is important that the implant brand is supported by scientific studies, pass the relevant controls, and have a properly treated surface to make easier the implant integration.

If there are problems with gingivitis or periodontitis (pyorrhea), the appropriate treatment must be performed prior to implant surgery to avoid bacteria diseases from the patient´s teeth transferring to dental implants.
The prosthesis that supports the implant must fit perfectly on the head of the implant, without grooves or spaces that favor the entrance of bacteria. Likewise, the materials chosen must be compatible with the implant, the gum and have a high polish to avoid contamination. Just as not all tailors sew the same, not all laboratory technicians produce the same dental anatomy. This influences not only the aesthetics achieved, but also the masticatory function and the long-term success.
Every patient having dental implants should keep regular check-ups and make periodic X-rays where we control:

  • Soft tissues are well maintained
  • There is no inflammation that could impair dental implants,
  • Check that bone levels are maintained, and If not, act as soon as possible with preventive measures.

It is important to know that for cleaning dental implants we need special instruments, which do not scratch the surface of the implant

If we have one dental implant is easy, is just important to use floss or interproximal brushes after brushing. In cases of rehabilitation is recommended to use a water pressure irrigator and special bridges silk.

Top quality suppliers

We use only top quality suppliers of dental implants like Nobel Biocare, with 10 year guarantee.