As dental caries cause gingival problems and tooth loss, replacing missing teeth is a necessity in dentistry treatment methods.
Restorations imitating the crown part have been made for hundreds of years to replace the missing tooth. However, the tooth was located in the jawbone with two parts, the crown and the root. “The roots have the task of supporting the jawbone and transmitting the pressure of the crown to the jawbone. Once the roots are gone, melting in the jawbone can never be prevented.”
While we are chewing, the food we eat puts pressure on our teeth and sends an impulse (stimulus) to the brain. This is the reason why those who wear full palate dentures with no teeth say “I didn’t enjoy what I ate” many times. Because this impulse cannot be transmitted with palatal prostheses.
The cutting of the lateral teeth in the construction of prostheses and bridges and the formation of gingival problems in the underlying teeth as a result of the aging of these restorations led the researchers to implants that completely imitate the original dental system as crowns and roots, independent of the lateral teeth.
BRANEMARK et al invented these artificial roots when they saw the bone acceptance of titanium in mouse experiments.
Implants have come a long way in time, both in their designs and in their varieties according to the region used. Today, the success of an implant made under ideal conditions is 99%.
IMPLANT STRUCTURE
The implant consists of two parts like a real tooth. Crown part = root part of crown tooth = implant. The grooved structure of the implant is for a massage effect on the jawbone and for holding onto a wider surface.
IN WHICH AREAS IS THE IMPLANT USED?
The implant is used in the absence of a single tooth, as well as in the absence of more than one tooth.
SINGLE TEETH MISSING
Implants can be applied immediately after tooth loss. It is especially important to apply it immediately after the loss of the anterior teeth, in terms of both the protection of the gingiva and the absence of any collapse in the bone tissue.
MORE THAN MORE TEETH MISSING
In the loss of all unilateral molars, patients generally need to use removable prostheses. For this reason, implants give our patients the chance to use fixed prosthesis again.
In jaws with a lot of bone loss, the jawbone can be intervened and added bone. SINUD LIFTING is performed when the sinus hangs down in the upper jaw. It may be necessary to wait 2-3 months after the bone placement, as these procedures are performed in the session where the implants are placed. After this waiting, the implants are placed in the jawbone.
FULL EDENTS
When your teeth are completely lost, bone loss occurs over time, especially in the lower jaw. Teeth are organs that feed the jawbone. When the teeth are pulled, the jaw bone loses its support and the pressure of the teeth on the jawbone during chewing increases blood circulation in the bones with a massage effect.
IN THE LOSS OF TEETH, THE JAW BONE SHELLS ALSO!
For this reason, the prosthesis becomes abundant over time in those who use palatal (total) prostheses. FOOD CONTINUOUSLY ESCAPE UNDER THE PROSTHESIS. Eating a bagel or a fig is a pain. Because its grains or kernels can escape under the prosthesis and hurt quite a lot.
In the lower jaw, the tongue constantly displaces the prosthesis. Blows and wounds are really boring. For this reason, 2-4 implants placed on the lower jaw prevent the lower prosthesis from moving and food getting under it.
If there is a problem in the upper teeth in completely edentulous patients, 2-4 implants are applied there.
In case the jawbone is suitable, the person gets completely fixed prostheses with 8 implants in the upper jaw and 6 implants in the lower jaw. Being fully geared again improves patients’ quality of life considerably.
WHO IS IMPLANT APPLIED TO?
In individuals over the age of 18. (If there is tooth loss before the age of 18; even if there is loss of anterior tooth, it is expected that bone development will be completed by attaching placeholders.)
· In people with suitable bone structure and good systemic condition.
Those who consume less than 14 cigarettes. (For those over 14, it can be applied to those who are warned and approved.)
IS THE IMPLANT APPLIED TO THOSE WHO HAVE BONE REMOVAL?
Implants are particularly recommended for those with osteoporosis. Because the grooved structure of the implants, the pressure on the bone while chewing food increases blood circulation by massaging the bone. It is recommended for people with osteoporosis to do sports. Implants also do this massage with the pressure they make on the bone. In other words, implants are recommended for those with osteoporosis.
CAN I MAKE IMPLANTS FOR HEART, SUGAR, TENSION PATIENTS?
In the past, there was a belief that these patients could not be implanted. Now, in people with these diseases, a doctor’s consultation can be obtained, necessary examinations can be made and implants can be applied.
It is very important for diabetics to have sugar under control. An individual whose diabetes is under control and who maintains oral hygiene is no different from an individual with normal systemic health.
DOES IMPLANT SAVE MONEY IN THE LONG TERM?
If the implant is placed in the jawbone under ideal conditions and well cared for and controlled by our patient, it can be used for many years. Therefore, if the repeatedly renewed restoration costs are calculated, yes IMPLANT SAVES MONEY TO THE PERSON. When it comes to the loss of other teeth, the prosthesis on the implant used in the absence of a single tooth is replaced, and the connection is established with the newly inserted implants and used in the restructuring. In this context, IMPLANT SAVE MONEY. Let me quote a speaker I heard at a congress. If you are going on a long road, which car would you choose?
® MURAT
® FERRARI. The implant provides you comfort.
HOW LONG DOES THE IMPLANT LAST?
If the implant is well cared for and checked regularly, it can be used for 5-15 years. There are implants in the mouth that last for 20-25 years.
HOW SHOULD IMPLANTS BE MAINTAINED?
Since the neck diameters of the implants are narrower than the normal teeth, especially in the posterior group teeth, the situation of food leakage is quite high. For this reason, dental floss and interface brush should be used in addition to normal tooth brushing. It is recommended to use a waterpick in mouths with more than one implant.
WHAT IS DONE IN IMPLANT CONTROLS?
In implant control, the relationship of the tooth with the upper tooth is examined. At the same time, the amount of bone around the implant is controlled by x-ray control. Hygienic checks are made.
The first control is done after 3 months, the other controls are done every 6 months. At this point, we have implant patient follow-up cards. Appointment times are written on these cards. PLEASE DO NOT neglect your CONTROL APPOINTMENTS.
– How is the implant manufactured?
– Preparation before implant treatment
– The effect of smoking on the success of the implant
– Aesthetics in implant treatment
HOW IS IMPLANT APPLIED?
PEAK: Before deciding on the implant, the cause of tooth loss should be investigated. Because the cause of tooth loss affects the life of the implant.
In an individual with excessive gingival problems, gingival problems should be eliminated and a good oral care should be done. The person should also be given full hygiene training.
X-RAY EXAMINATION: X-ray film is taken for the amount of bone and the examination of that area for the placement of the implant bone. X-ray film showing all the teeth, which we call panoramic film, is sufficient for the necessary measurements. (In general)
However, in applications where the bone is thin, loss of all teeth and compensation of loss are desired, CTs are taken that give a 3-dimensional view of the jawbone.
In these 3D images, it is possible to place the implants virtually in the computer environment. (Note give link) This method is the most advanced diagnostic method accepted in the world.
PLANNING: Planning is done with X-rays and, where necessary, with CTs. These plans are definitely shared with our patients. How many implants will be inserted, how long recovery will be expected, and as a result, what kind of prosthesis will be made is discussed and the date of implant placement is determined.
PREMEDICATION: Necessary medications are given before implant surgery. Before the operation (1 hour), a pain reliever other than aspirin is taken, and the patient comes to the office with a full stomach.
STERILIZATION: Before the implant is placed, the room where the implant will be placed is sterilized with special ultraviolet light. The seat in which the person will sit, the person and the instruments are covered with disposable sterile covers. This image may be frightening, but placing the implant in a sterile environment is necessary for your health. Your dentist and assistant wear sterile gowns, sterile gloves, hygiene is extremely important.
The mouth is disinfected.
ANESTHESIA: The anesthesia technique and solution used during filling or shooting are used. Just like when filling.
PLACING THE IMPLANT
While we are filling, “WE CUT THE WORLD’S HARDEST TISSUE, THAT IS ENAMEL. THE JAW BONE IS VERY SOFT NEAR THE ENAMEL. WE MAKE SOCKS WHILE FILLING IN THE ENAMEL. THE SOCKET IS OPENED WHEN IMPLANT. The socket is shaped according to the implant diameter and length. IMPLANT IS PLACED INTO THE HOLDER. The fact that the implant is in the form of a screw creates a belief that the implant is screwed or driven into the jawbone. At the end of the implant surgery, the patient develops a great surprise. Because the person does not feel pressure, pain or discomfort when the implant is placed in the socket.
AFTER IMPLANT SURGERY
Necessary antibiotics and painkillers are recommended. The person is sent off with ice application and recommendation paper. OZONE application, which contributes greatly to wound healing, is applied both in the session where the implant is applied and the next day. After a week, the stitches are removed.
OSTEOINTEGRATION: It is the phase of filling between the implant threads with bone. It is expected for 2-6 months at the discretion of the physician.
PROSTHESIS STAGE: When the implant is fully attached to the bone, the prosthetic phase is started. Prostheses are made according to prior planning.
OZONETHERAPY: Many microorganisms that cause disease in the body live in an oxygen-free environment. (aneorap) O3, which has a stronger structure than O2, has a rather lethal feature for a microorganism living in an oxygen-free environment.
O3 also enables faster wound healing. Deterioration of blood vessels prevents hyperemia.
It has analgesic and edema solving properties with its negative effect on the enzymes that cause pain. With these plus features, ozonotherapy has also entered the dentistry sector.
HOW TO USE OZONETHERAPY IN THE MOUTH
– In the treatment of aphthae and herpes. Aphthae are very painful lesions. Ozone facilitates the healing of aphthae with its pain reliever and wound healing properties. As you know, herpes are pathologies caused by HERPES SIMPLEX. The negative effect of O3 on the virus facilitates the healing of herpes.
IN GINGAL INFLAMMATIONS: The effect of anaerobic microorganisms is inevitable in the formation of gingival inflammation. Therefore, in addition to gingival treatment, O3 to be applied to the gingival pocket kills the microorganism.
AFTER IMPLANT SURGERY
O3 is very beneficial with its positive effects on wound healing, whether implant surgery is by removing flaps with or without extraction. Since it prevents the formation of edema, it minimizes post-operative swelling. In addition, if ozone is applied to the serum physiology and given to the patient as a mouthwash, it will also be beneficial for wound healing.
It is used for disinfection before tüsürscaleont applications and under filling in CHILDREN’S TEETH. The cleaning of the decayed tooth is unfortunately done by mechanical cleaning. Ozone has no painless, painless caries removal effect. Mechanical cleaning does not cause pain to the child when necessary precautions are taken.
Ozone therapy has caries-preventing properties, as it kills caries-causing microorganisms when ozone is applied to the incipient caries.
In the disinfection of the abscessed tooth in CHILDREN, in the treatment of the tooth with gargyle.
AFTER EXTRACTION When applied to the extraction cavity, it cleans the extraction cavity from microorganisms. Wound healing is much faster due to its wound healing properties.
In CHANNEL TREATMENT, in cleaning the canal in microorganisms.
Other methods help in eliminating bad breath due to its lethal effect on microorganisms that cause putrefaction.
It helps to reduce the swelling in case the face is swollen DUE TO APSE.
IN CONTROL OF IMPLANTS, disinfection with ozone helps to prevent periimplantitis.
In the treatment of PERIIMPLANTITIS, periimplantitis that occurs around the lower two implants, which is applied to support the lower total prostheses, is quite resistant. Ozone is very helpful in the treatment of this area.
OZONERAPI, which is one of the alternative treatment methods, has almost no side effects. For this reason, it is used with peace of mind as an auxiliary treatment in dentistry.
