Implants
The loss of even a single tooth is not indifferent to the body. Any lack of tooth needs a replenishment as soon as possible, which can be achieved through the use of implants. Leaving a blank space after the tooth is a serious mistake. That is because our teeth, together with the surrounding tissue, form coherent set of stomatognathic and any deficiencies within it cause disturbance: in the arc between the arches, the apparatus keeping the tooth in the bone, the temporomandibular joint and muscular-nervous system.
The teeth, which are devoided of antagonists teeth, move vertically seeking contact with opposing teeth (Godon symptom), and the teeth adjacent to the missing teeth move and incline in the direction of the gap. We observe the phenomenon of apparent closing the gap after the lost teeth as a result of the movement of the remaining teeth, which thus lose lateral support in the existing areas of contact. As a result of vertical movements, there is also loss of contact between the teeth of the opposite dental arch, which disturbed the morphological and functional balance of the whole stomatognathic system.
Shortages which are caused by the loss of one or more teeth may be supplemented by a permanent implant or a bridge, or a denture, but it is already a moving supplement, which are taken out of the mouth, and it is not always accepted by patients.
Implants or in other words dental implants are artificial abutment elements introduced into the tissues of the jaw in order to reconstruct the lost teeth. An implant is not implanted tooth, but pillar that looks like a threaded bolt on which you can put a crown or other prosthetic.
The material to perform implants are titanium or pure titanium, less often zirconium. The size and shape of the implant are dictated anatomical conditions which occur after the loss of teeth. It is important that the screwed implant was surrounded by the proper quantity and quality of bone tissue, which results in a good stabilization of the implant in the bone (its good anchorage) It is crucial to achieve a success of the treatment. In cases of small bone resource we perform regeneration treatments using the patient’s own bone (autologous) or a bane substitute.
There is a large variety in shape of the intra-osseous implant according to the selected system (cylindrical, helical, conical, threaded or smooth). Apart from the shape of the implants they differ from each other in length and width. The length of the bone introduced into the bone ranges from 7 to 20 mm, and the diameter at the widest part from 3 to 7mm.
In order to better connect the implant with the bone their surfaces are additionally treated with fatty infiltrated with particles of sand and sapphire, coated with titanium plasma or hydroxyapatite, to increase microporosity, and thereby osseointegration surface, the connection to the bone.
Implants inside the bone can be placed: immediately after tooth extraction (immediate implantation), during the bone healing period, i.e. from 1 to 12 weeks after the extraction (delayed immediate implant placement), or after healing of the alveolar bone, i.e. after six months from the extraction (late implantation ). The method of treatment is prescribed by a doctor, taking into account the conditions of bone, esthetic, restorative body and others.
The implants can be immediately provided with prosthetic filling (immediate loading), usually temporary filling, or load after the merger of the implant with the bone (after 3-6 months).
Nowadays there is no mention of the experimental phase – present implantation technique is so refined that the carefully planned and well executed surgery w can count on 100% success. The percentage of success is slightly better in the lower jaw than in the upper jaw due to differences in the structure and quality of the bone.
- Regenerative capacity of the body
- The degree of resistance to surgical trauma and infectious complications
- Operation of occlusal loads - hence the deferral of prosthetic reconstruction.
Occasionally this may lead to early rejection. It is most commonly seen in just two weeks after the procedure. There is no threat to the patient. After a while, after healing of inflammation, re-implantation can be performed.
Positive integration with the bone tissue after 3 years is maintained at 98%, and after 10 years the failure rate is approximately 5%.
80% success rate of the maintenance of the implant depends on the patient himself (mainly from an adequate regime of oral hygiene and regular teeth checks.
Implant treatment is divided into two stages:
- Part of the surgical
- Part of the prosthetic.
| Before treatment | After treatment |
Implants - pricelist
| Consultation | 150 zł |
| Putting on implant | 4400-4800 zł |
| Porcelain crown (on Cr-Co alloy) + titanium connector | 2000 zł |
| Porcelain crown on zirconium with titanium connector | 2500 zł |
| Prosthesis based on two implants | 10000 zł |
| Prosthesis based on 4 implants | 17000 zł |
| Porcelain bridge (6 implants) | 30000 zł |
| Porcelain bridge (8 implants) | 35000 zł |
| Sinus elevation (price with biomaterial)) closed method | 2000 zł |
| Sinus elevation (price with biomaterial) open method | 4000 zł |
| Putting on healing bolts | 500 zł |
| Bone reconstruction (price with biomaterial) | 1500 zł |
| Connective tissue graft | 500 - 1000 zł |
| Bone block graft | 2500 - 4000 zł |