Dental implantology: what you need to know

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The dental implant consists of an artificial structure, often multi-component, used for insertion into the bone tissue of the jaw, in order to replace lost dental units. These pieces inserted into the jawbone are prepared for osseointegration, so that they function as the roots of the teeth on which to later place artificial dental crowns that are specially designed to replace the missing dental unit. In other words, dental implants replace the roots of the missing teeth, allowing the subsequent restoration of the dentition.

 

In some cases, there may be limitations to placing the implants. Normally this occurs due to lack of height in the jawbone. In these cases, complementary interventions will be used, such as the maxillary sinus elevation technique.

 

Obviously an implant must be done by a solvent and experienced professional. The dentist will be in charge of analyzing the patient's condition and defining the type of implant to be made. The process to obtain correctly placed and integrated dental implants can be long, since it will depend on many factors and it will be necessary to make a pursuit to verify that the osseointegration is given of correct form. For that reason it is advisable to look for a good professional. 

 

If you don't have a dentist you trust, or you think your dentist doesn't have enough experience for this complicated task, we recommend you do an internet search indicating your area. For example, if you are looking for a Zaragoza dental clinic (clínica dental Zaragoza, in spanish) you can see in the Google results which Zaragoza dentists appear, and be guided by the comments of the patients to choose the best Zaragoza dentist (mejor dentista Zaragoza) for you. This is just an example of how to choose the right professional in the city you are in. Remember that in your search it is important to put the name of your city if you don't want to end up visiting pages of dentists who may have their practice thousands of miles away from your home. If you are clear that what you need are implants, Implant Dental in Zaragoza (implante dental Zaragoza) is another option that you should consider, to ensure that you get the best specialist in this field of oral health.

 

As for the materials used in dental implantology and in dentistry in general, those that offer the best results are titanium alloy implants . Typically, the intraosseous part of the implant is made of commercially pure VT1-0 titanium (class 4). Due to its better mechanical properties, VT6 Ti-6Al-4V (titanium-aluminum-vanadium alloy, class 5) is also widely used.

 

Dental implants are also made of zirconium dioxide. Such implants have a cosmetic advantage, since there is no dark transmission through the mucous membrane, sometimes manifested when using implants made of titanium and alloys. However, zirconia achieves osseointegration with a lower success rate than titanium. In view of this, zirconia implants are not commonly used.

 

Research is being conducted to find new biocompatible materials. In particular, clinical trials are underway on a titanium-zirconium alloy (trade name "Roxolid"), designed specifically for dental implantation.

 

Nanostructured titanium is considered a promising material for dental implants. Due to a significant decrease in the average size of the crystalline grains, its strength becomes comparable to the strength of the VT6 alloy, making it possible to produce implants of a smaller size. It was found that nano-titanium provides better osseointegration compared to coarse-grained titanium.

 

As far as the requirements to perform an implant are concerned, it must be understood that the desired result in dentistry is the restoration of the function and aesthetics of the entire dento-maxillary system. A dental implant in this context can only be a stage in the overall process, being a support for the final restoration. The implant must be functional for the patient and convenient for the dentist at the installation stage. This is facilitated by a well thought out surgical set of cutters and screwdrivers; and a logical sequential protocol for the preparation of the osteotomy (bone bed). The presence of different implant shapes allows the implantologist to choose the optimal design according to the bone conditions. For example, in porous cancellous bone, a cone-shaped implant with an "aggressive" self-tapping thread is more suitable, whereas achieving adequate stabilization with a cylindrical implant with a fine thread pitch would be a difficult task.

 

The implant should be adequate during the installation stage, integrate successfully, not cause any oppression during osseointegration, and if possible, enhance it. During this process, a high degree of hygiene and impeccable sterilization is of course required.

In this way it will be possible to give the patient maximum guarantees for the long-term preservation of the properties of the implants. However, it must be taken into account that the success of the procedure depends not only on the materials, but also on the experience of the doctor who installs the implants, since 80% of the failures occur due to the low qualification of the specialist. For this reason, we again insist on the need to find the best professional in your area.

 

To find out if dental implantology is indicated in your case, here are some tips. However, always leave it to the professional to have the last word, and follow their recommendations.

 

With the loss of one or more teeth, the bone tissue in this area becomes thinner over time, due to the absence of a chewing load, which leads to the deformation of the maxillofacial system. The presence of the implant provides an adequate load on the jawbone, similar to the natural root of the tooth, therefore there is no thinning of the bone tissue. People who have lost one or more teeth as a result of various injuries, diseases or cavities are good candidates for dental implants. Older people can also undergo the implant procedure, since the determining factor in its implementation is more likely to be their health status than age. The question of whether dental implantation is possible is decided by a dentist after a thorough medical examination of each individual patient and a detailed examination of the condition of their teeth.

 

The benefits of implantation are many. The aesthetics of your smile are restored, as well as perfect teeth. Important physiological functions are restored, preventing the negative effects of missing teeth. In addition, the installation of the implant allows you to restore a lost tooth without damaging healthy adjacent teeth, create an additional support and install a fixed prosthesis, create a support to improve the fixation of a removable denture and even to prevent senile dementia and prolong life, since the pressure of chewing through native teeth or implants prevents the somatic aging processes of the body.

 

There are, of course, contraindications, but they only occur in about 10% of the population . These contraindications are only relative and are mainly determined by the severity of the disease. However, it is not recommended to install implants for very young patients or, on the contrary, too old, as well as for those who smoke or drink too much alcohol.

 

Of particular importance is the level of oral hygiene. Implantation cannot be carried out without cleaning the oral cavity, which implies that all the teeth must be cured; since any focus of infection in the body may cause the implantologist to decide not to do the job, due to the high probability of subsequent rejection of the implanted implant. 

In any case, following all the advice of a good dentist, who will inform you of all the options available and with scrupulous hygiene, the implants will usually last you a lifetime, so it will be an investment in health and quality of life in the long term. 







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