Steps of dental implant placement
Steps of dental implant placement
There are many reasons for dental implants. Anyone who has lost one or more teeth for any reason can have dental implants if their jawbone is strong enough to support the implant.
Implant surgery, like any other surgery, can have complications or risks, but the chances of implant success are very high, and if you have chosen a good surgeon, you should not worry at all. In fact, the possibility of problems and complications in implant placement is rare.
What are the stages of dental implant implantation?
Several surgeries are required to implant a dental implant, so the dentist must perform a thorough examination. Examination is usually done with an x-ray of the teeth and molding to determine the exact position of the teeth and how they relate to each other.
The patient's general health status must also be determined. Some diseases and some medications can interfere with the healing process of tissues. Tell your dentist about any illness you have or any medications you are taking, even over-the-counter medications and herbs.
Also tell your dentist if you have an artificial limb implanted in your body, as it may be necessary to prescribe an antibiotic (pus dryer) to prevent infection before surgery.
The condition of the jawbone is then determined to decide the number of implant teeth. Several types of specialists, including dentists, oral surgeons, and periodontists, may be involved in this planning process. So do not expect this step to be done quickly. Ask a loved one to accompany you for surgery day because you can not drive yourself after the operation.
Implant placement surgery
In general, the process of dental implant placement is several steps. If the damaged tooth has not yet been extracted, this should be done first. If the jawbone is weak to support the implant, a bone graft should be performed. After the bone graft, you should wait several months for the bone to grow.
The implant can then be placed inside the jawbone. After implant placement, you should allow the jawbone to regenerate and grow for a while and weld to the implant. After a few months of the bone fusion process to the implant, the step of attaching the metal collar (healing cup), the abutment and finally the veneer or any other dental prosthesis to the implant arrives.
The most common type of dental implant is a root-shaped implant that acts as the root of a denture. In the first surgery, the screw-shaped titanium base of the implant is inserted into the jawbone. This is done using a plastic surgery guide prepared by a dentist or prosthetist. This surgical guide is placed exactly on the adjacent teeth and specifies the exact location of the implant.
From left to right: 1) make a hole in the bone and place the implant inside it, 2) cover the gums on the implant and wait for several months, 3) open the implant in the second surgery and install the abutment, 4) install the veneer.
After the implant is inserted into the hole made in the bone, a cap screw is fastened to seal the implant hole. If it is a two-stage implant, it covers the gums on the implant, and if it is a one-step implant, it does not cover the implant, but the piece of metal that is screwed on it protrudes from the gums so that the gums do not have to be cut again later. Eat and open.
After this surgery, if the implant is in the mandible, you have to wait four or five months for it to fully fuse with the bone, and if the implant is in the maxilla, you have to wait six or seven months. During this time, the bone grows and heals into the implant.
A second surgery is scheduled after the implant is attached to the jawbone and its secondary stability is secured. Prior to this surgery, the dentist first makes sure that the bone is fit for the implant by taking an x-ray. This surgery is much simpler than the initial operation.
The gum that covers the implant is cut to expose the head of the implant. A metal collar called a healing cap is then attached to the implant to guide the gum tissue into a weld just around the implant. This round metal collar prevents the gums from covering the implant. This metal collar stays in place for 10 to 14 days.
If you already have an unstable denture, your dentist may adjust it so you can use it during this time. After the gingival tissue is welded, the metal collar is removed and the abutment is screwed into the implant.
At this stage, the abutment is molded to make a dental veneer. Temporary dental veneers can be used at this time. The abutment is screwed into the implant using a special wrench and tightened completely so that it does not loosen later.
After that, a temporary cover is attached to the abutment. In some cases, the abutment and temporary cover can be installed immediately after opening on the implant in the second surgery, and no metal collar is required.
Remember that the second surgery is outpatient and very simple so do not worry. This operation is performed under local anesthesia.
Installing dental veneers
The temporary dental veneer stays on the implant for four to six weeks. Once the surrounding gums have completely healed and taken on a natural shape, a permanent veneer is installed. Temporary dentures are made of softer materials to absorb the pressures on the implant like a shock absorber, allowing the jawbone to become stronger and stronger.
Permanent dental veneers are made while you are using a temporary veneer. It takes two to three weeks to make a permanent cover. The cover that is installed on the implant may be fixed with special glue or screws. Each of these methods has advantages and disadvantages.
The adhesive-fixed denture is more beautiful and does not have a screw hole in it, but the denture can be more easily opened and removed if there is a problem around the implant or the need to access the implant.
Whatever type of denture you use, you will have a tooth at this stage and you can enjoy your implant tooth.