What is a dental implant?
A dental implant is an artificial root which is screwed into the jawbone to replace a missing tooth and consists of 3 different elements:
- The implant itself which is fixed into the jawbone
- The pillar which is between the implant and the dental crown
- The dental crown to replace the visible part of the missing tooth
The implant is made of a hard metal called titanium. This material is fully compatible, which means no allergic reaction is expected and it has the feature to be linked to the living bone in a natural way.
The dental implant is the best solution to replace one or more teeth as it's esthetical, comfortable and has the functionality of an original tooth. It also provides a reliable and safe solution long term.
Advantages of a dental implant
A dental implant feels completely like a natural tooth and helps to get rid of fixation.
Removable denture-related pain and general inconvenience are eliminated. Missing teeth are replaced in a fixed way avoiding the risk of losing or shifting the removable denture.
An implant gives you back the original/full chewing functionality helping in digestion of meal as well. Comparing to a denture (prostheses), an implant frees up the gum (not covered) and it also makes feeling possible again.
- Made of a biologically compatible material called titanium therefore no allergic reaction should be expected.
- Provides a good hygiene as no dental deposit and decayed tooth can be grown/developed.
- Stops the bone from being lost and keeps the face in its original shape.
- Long term solution (more than 10 years) while the conventional bridge has to be replaced in an average of 8 years.
- On a long term it is cheaper than the conventional crown and bridge.
- Its reliability is well known for more than 35 years, the success rate is over 98%.
Inserting a dental implant consists of 3 steps and requires 2 trips to Hungary.
1. Pre-implantation medical consultation
(First trip takes 4-5 days)
The first visit to the Clinic starts with a medical consultation before the implantation itself with our professional dentists who will examine you and carry out an x-ray in order to:
- Confirm that the patient’s general condition will not inhibit inserting the dental implants.
- Examine the quality and thickness of the jawbone to confirm that there is no need for osteoplastic (bone replacement) to insert the dental implants.
- Check the quality of the gum and clean the oral cavity (treat potential inflammation and remove dental deposit) if necessary.
As a result of these examinations the doctor makes a diagnosis and prepares a personal treatment plan. If the patient accepts the proposed treatment plan, the treatment can be started.
2. Insertion of the dental implant and the temporary insertion of the clamp
(Step two on the first visit)
A dental implant insertion is a simple and quick surgery which isn’t any more complicated than a tooth removal. A dental implantation with local anaesthetic takes approx. 15-30 minutes (a general anaesthetic can also be requested by the patient). During this treatment the doctor lances the gum and drills a hole in the jawbone in order to insert the dental implant. There are 2 options available.
Option one: The implant is covered with the gum and it helps the dental implant to be built in an airtight environment. It takes around 3-4 months and a micro surgery is needed to open the gum and free up the implant in order to have the dental cap put on.
Option two: The implant is not fully covered, there is no need for a second surgery to free up the head of the implant and a temporary cap can be put on the implant on the same or the following day. This is called an immediate implant and it is possible if the doctor thinks the bone is in a proper shape for this kind of treatment and the patient also accepts the instructions about careful chewing.
This is the final step of this phase of the treatment.
3. Insertion of the pillars, preparation and insertion of the final crown
(Second trip takes 3-5 days)
If the implant is covered during the first visit a small surgery is needed and the gum is cut by laser to free up the implant. This step takes only a few minutes and doesn’t cause any pain due to the local anaesthetic. In case the top of the implant is not covered by the gum the doctor can immediately put the pillar and the crown on the implant. The next step is to proof the teeth and based on the result the final crown will be prepared.
During the last visit to the clinic the doctor will put the final crown onto the pillar. It can cause some pain to the gum but it doesn’t last more than a few seconds.
The immediate implant procedure is done by inserting the implant into the socket immediately or shortly (in few weeks) after the extraction. This treatment is called: immediate implantation. This technology can be usually used one out of two cases mainly for teeth from the front and only possible if the bone is solid enough and there is no inflammation in the gum. The immediate implantation has many advantages:
- The length and the cost of the treatment is lower (1 anesthesiologist for 2 surgery actions)
- An esthetical solution, in most of the cases, as the implant can be inserted instantly into the space of the removed tooth
- An increase in the stability of the implant as the bone and the implant can be linked better together
- A decrease in the disappearance of the jawbone
A tooth removal can feel like a surgery and difficult to manage mentally. For the client it can feel like a failure as one or more of their teeth will be missing. As far as it is concerned a dental implantation is a positive intervention as it's rebuilding the tooth. An implant can really be a happy moment for the client and it can help to remove issues about tooth removal effectively.
For more information about a dental implant click on "Frequently Asked Questions".
Replacement of one tooth
1. Dental bridge
Classical dental bridge is a conventional solution to replace a missing tooth. This is a fixed solution, esthetic, functional and easy to put in. However, a dental bridge has two main disadvantages:
- The two teeth nearest to the missing one have to be polished to use them as the pillars of the bridge, regardless of whether they are in a good condition or not.
- Where the missing tooth is the bone will be drawn back after a while.
2. Dental implant
A dental implant is the most appropriate solution to avoid the problems mentioned above. The teeth nearby should not be defaced as the crown is inserted onto an artificial root and pillar.
As the implant is built into the bone it stimulates the bone itself in a natural way. Last but not least, the dental implant is the best solution, thanks to modern ceramic crowns, which feel and look like a real tooth.
Replacement of more teeth
Partial, removable denture
A removable bridge could be a conventional solution to replace more than one missing teeth next to each other. This is a partial removable denture made of acrylic resin which rests on the gum and the remaining teeth are supported by a metal hook. The part being reproduced is made of resin, whilst the artificial teeth are made of ceramic.
On the other hand this solution may cause inconveniences:
- The size and instability could create discomfort.
- It can limit chewing functions.
- It has to be cleaned after every meal.
Fixed bridge on 2 implants
It's the perfect solution to eliminate all discomfort caused by removable dentures, In addition, the fixed bridge also ensures the aesthetics and functionality of natural teeth. This treatment consists of the implementation of 2 dental implants which are used as pillars of the ceramic crown. This solution avoids the insertion of an implant for every tooth, even if one of them is missing.
Thus, providing stability and resistance, giving back the ability to eat anything you want. The greatest advantage of this procedure is that the jawbone is flexible.
In some cases, when the jawbone is in a very bad shape and cannot be reproduced, the removable dentures may be the best solution.
Full set of teeth replacement
In case the full set of teeth are missing, it is possible to avoid using a removable denture that can cause many inconveniences:
- Less attractive appearance.
- Non-fixed denture laying on the gum that does not look nice.
- Continuous pain due to ongoing pressure on the gum.
- Tastes are different due to the covered gum.
- Less chewing and speaking.
- Periodical adjustments are needed due to the loss of bone.
Thanks to the modern implantology there is a fix and long term solution for those ones who has lost all their teeth. It is also possible to fix the removable denture on dental implants but there are other solutions too:
1. Removable denture on 2 or 3 dental implants
This solution can help to fix the removable denture better and to decrease instability. It can increase the chewing capacity and also helps the recovery of the wound due to the moving denture. This treatment can also help to avoid the bone being disappeared in order to improve the appearance of the teeth on a long term.
2. Fixed denture on 5-6 dental implants
This method means absolute stability and as the implants completely release the pressure from the gum it should hold only the denture itself. The shape of the denture increases the hygiene as you can brush your teeth just like your original ones. The denture can be removed only by a professional dentist.
3. Fixed dental bridge on 8-12 dental implants
All the dental crowns are fixed on separate implants. From an esthetical and comfortability perspective this solution gives you the most natural feeling like having your original teeth. It helps to avoid all the discomfort feelings that are caused by a denture and also helps to prevent the loss of the bone in your jawbone. However, this is the most expensive solution due to the higher number of dental implants.
A general good health and adequate jawbone is key to ensure the implantations are carried out without any risk. In case of illnesses or the quality of the jawbone is not being appropriate there is a need for a special treatment that is called bone grafting, before the actual dental implantation. This is necessary for 10-15% of the patients.
The bone immediately starts receding if a lost tooth is not replaced. It is because of the missing root: The bone is not stimulated by any pressure so after some time it starts receding.
Why has the bone recessed?
This process is the strongest in the first 3 months and slows down afterwards however it can be recessed back up to 6-7 mm with 3 main consequences:
- Dental implantation cannot be done (without bone grafting) in the absence of the sufficient thickness of the jawbone. The implant would not be stable enough.
- A result of additional tooth loss (the tooth above the lost one is hanging and not supported by another tooth below).
- It could even cause a slumped mandible.
This kind of treatment is done by local anaesthetic and it helps to fill the hole in of the missing bone. Bio-Oss is a safe, effective bone graft material and looks very similar to human bone. It is highly successful in forming the new bone.
Once the material is inserted into the hole the body starts recreating the bone until the material is taken up. As soon as the sufficient thickness of the bone is regenerated, the obstacle is removed from dental implantation.
In case there is more than one missing tooth, the bone may need to be regenerated for the whole missing part. In this case a small area of the back part of the jawbone could be used. If there is a bigger bone needed, it could be replaced with a piece of the pelvic or the tibia. The small bone is fixed by screw and there is a 4 month healing period before it can be removed and the implantation process can be started.
There are some potential inconveniences as a result of bone grafting:
- This supplementary surgical intervention further prolongs the length of the treatment
- There is a slight chance that the body will reject the new bone
- Higher cost
- The face can be temporarily swollen and coloured
- Pain can be releaved by painkillers
Bone grafting – Sinus lift
One of the advantages of implantation is that after a tooth loss it prevents the massive bone loss. After 6 months of the tooth loss, the bone structure can recede up to 30-50%.
Placing an implant requires at least 3-4cm bone thickness. The upper jaw bone anatomically builds down quicker than the lower jaw; therefore in most cases it is needed to do a sinus lift before the implant can be placed in. To fill up your sinus we open a small window in it by cutting up your gum. We can fill up the sinus with your own bone, which we get from the back part of your mouth (area behind the wisdom tooth). Or we can fill it up with syntactical material which absorbs and replaces it with bone. (This is at least a 6 month long procedure). In our clinic we use Swiss, German and American bone graft materials: Geistlich Bio-Oss, Bio Guide, Cerasorb, Tutodent.
Over time teeth continuously lose their whiteness and brightness. Coffee, tea, red wine, smoking and plaque all accelerate discolouring of the teeth. While the removal of plaque and teeth polishing effectively reduces discolourment on the surface, whitening tooth enamel requires clinical treatment. Tooth enamel could be discoloured due to many different reasons: filing, antibiotics early childhood or the teeth aging. Bleaching is a solution based on hydrogen-peroxid. The gel, with the help of the ZOOM light, impacts the dental enamel and helps the teeth to regain the original colours. An effective and long lasting bleaching can be performed only by a professional dentist as the material has such high concentrate. Once the gel is put on the teeth it should be put under the special lamp for 3 slots of 15 minutes.
Before the actual treatment it is necessary to have a status check and plaque should also be removed to ensure the treatment can directly impact the tooth enamel.
The ZOOM whitening key advantages:
- Pain and risk free
- One treatment is sufficient
- Immediate visible result
- Could last up to 4-5 years (in case of proper hygiene treatment)
The treatment cannot be done if:
- Under the age of 16
- Pregnant or breastfeeding
- There is squeamish gum
- The client is under orthodontics
- Allergic to materials used during the whitening process (list some key material)
- Gingivitis (inflammation in the gum) or parodontal diseases is present
- The tooth with a filing is in bad condition
Bleaching at home
The following additional homemade treatments can further increase the efficiency of the tooth whitening and can even make the teeth whiter by 2-3 tones. When you leave the clinic you will receive a package of tools (gel and the tool itself) to prevent scrunch. The gel has to be put in for 2 hours per night for 10 days (your dentist will describe all the details in advance). This process has to be repeated in 6-12 months for 1-2 days. As a result your teeth will be whiter than ever before. For more information about bleaching visit the FAQ.
Removal of plaque and teeth polishing
During the procedure all plaque is removed from the surface of the teeth and from the gaps between the teeth. Plaque cannot be removed by toothbrush. Therefore, it is important to have our teeth cleaned by our dentist frequently.
Plaque removal is a pain free treatment and lasts only appr. 15-30 minutes depending on the quantity of the plaques on the teeth. The treatment is completed with a teeth polishing procedure which returns back the original colour and the natural brightness of the teeth. If the plaque is not removed, it is possible that inflammation occurs which can cause bleeding and pain. Furthermore, in case of periodontal disorder even the tooth can be lost.
Root canal treatment
The root canal treatment is necessary when the caries is too deep, or if the enamel cracking reaches the cavity of the pulp. This means that due to the contamination of nerves in the tissue and the blood vessels, an abscess forms that causes severe pain.
This disease can be detected with dental radiographic.
Local anaesthesia is used during a root canal treatment in the following manner:
Even if a tooth has received root canal treatment, it is important to preserve it, as tooth extraction is a potential risk of loss the rest of them as well.
In most cases root canal treatment can be omitted, however it is possible that all attempts fail and the tooth is required to be removed.
Tooth on pin and the root pin
This intervention is required if a tooth is heavily damaged by decay or a fracture on the tooth.
In the case where the roots can be salvaged, the tooth is root canal treated and an artificial stub rebuilding is done, which serves as the base of the crown. If the tooth has already undergone a root canal treatment this procedure does not require anaesthesia (because there are no nerves). The treatment requires one or two visits to the clinic.
- If one visit is sufficient then a pin is inserted into the root. This pin is also filled with a resin filling material in order to rebuild the tooth.
- If two interventions are needed, then a root pin is used (inlay-core). This is a piece of metal, which is fitted into the root canal and a treated tooth with dental cement; the dental crown is put onto it. This type of solution requires two interventions, because the root pin preparation requires lab prints. The dentist will decide what method needs to be applied after the consultation.