Aesthetic Dental Implantology

When the implants are placed in the front sector, a smile reconstruction demands a more complex technique, since the placement of the implants and the management of the bone and the soft tissues require a high degree of accuracy. The treatment using these implants lasts longer, and frequently bone or gum grafts are required in order to achieve a perfect result.

When an excellent aesthetic result is sought, 3 key aspects must be taken into account: the implant position, the porcelain crown production and the gum shape.

There are many different implant models and manufacturers. Thus, the professionals of the field must possess extensive knowledge in this regard and the ability to apply the appropriate criteria in order to achieve a good result. This can make the difference between a bad result, an acceptable outcome or a brilliant job.

In most cases, the treatment involving dental implants in the aesthetic or front sector of the mouth must not be conducted by inexpert hands, since the outcome could fall short of expectations.

In Ortoperio Clinic more than 50% of used implants are placed on areas demanding high aesthetics, and that is why we have extensive experience in cosmetic implantology.

Why implants?

They offer greater comfort.

They enable you to eat more easily.

They improve the aesthetics.

They help improve the speech.

Implant or conventional bridge?

Using implants avoids the deterioration of the healthy teeth adjacent to the edentulous area.

As a result, the restoration will be more conservative and cosmetic.

Which are the vital conditions for the success of an implant treatment?

The implant must be completely surrounded by bone tissue, encircled by soft healthy tissues, with a correct masticatory function and an optimal aesthetic appearance. To that aim it is essential:

To make a correct diagnosis of the amount and type of existing bone tissue and ensuring the health of the gum and adjacent teeth (it is important to verify that there is no current infection).

To plan a correct implant placement, taking into account the height and thickness of the available bone tissue.

To plan the appearance and function of the crown which will be placed on the implant, considering the occlusion (bite) as well as the size, position, shape and colour that must be given to the future crown.

A surgical technique refined and performed with correct clinical and scientific judgement.

The surgeon’s training and experience is a crucial factor, especially in cases where there is little bone tissue or the implant is placed in the aesthetic area.

The quality of the implants.

There are many sorts of implants, and many of them do not guarantee scientifically verified mid-term and long-term results.

In Ortoperio Clinic we work with the exclusive Astra Tech Dentsply brand, as their implants are among the most highly regarded by the international scientific literature.

Correct performance of the implant placement intervention.

Correct maintenance: hygiene and regular reviews.

Is there any assurance covering the implant treatment?

Implants correctly placed and with a proportional size to the burden they must support (the larger the size, the safer) last a lifetime. In Ortoperio Clinic we are confident that our treatments comply with high quality standards, and thus we offer a 5 year guarantee. Please check the conditions.

 

I have heard that zirconium implants are now being used. What are their advantages over titanium implants?

Zirconium is an excellent material in the dental field, as it is of maximum biocompatibility (the same as titanium) and it allows for creating prostheses with unbeatable aesthetics. The fact is that its use in the surgical field of dentistry is very recent and minor.

It can be argued that as an implant, that is, inside the bone, it does not add any advantage over titanium. It is the professional’s choice. However, zirconium abutments are another thing.

The abutment is the internal union between the implant and the crown (the visible part). Using a zirconium abutment is interesting in aesthetic areas because, even if it is placed on the inside and it can not be directly seen, its white colour optimizes the aesthetics of the final outcome.

Can implants entail risks for the patient?

Perhaps the most significant risk is the loss of sensitivity in the lower lip area when, during the intervention, the mental nerve is touched or cut off. Such sensitivity loss can be temporary or permanent.

Hence, the professional must be particularly careful when performing surgery in this area, as the nerve must not be touched with too long an implant, but a very short implant not resisting the burden it must bear is of no use either.

On the other hand, it is essential that the implants are correctly placed from the beginning, given that once they undergo the osseointegration they unite to the bone. Should it be necessary to extract them, we would lose a lot of bone tissue, and that would make restoration much more complicated and the outcome would not be the same whatsoever.

Implant-supported prosthesis or removable prosthesis?

Implants eliminate the discomforts brought about by the use of a removable prosthesis, which moves and damages the oral mucosa.

Under which circumstances implants are contra-indicated?

There are few cases in which implants are absolutely contra-indicated, these being serious illnesses altering the bone metabolism, specific infections, malignant tumours affecting the bone, or high doses of radiotherapy.

What is the price of dental implants?

If you want an assessment of your personal case, please do not hesitate to contact us and we will inform you without commitments.

What are the immediately loaded implants?

Those above-mentioned, in which the prosthesis is placed on the same day as the surgery is performed.

What type of prosthesis can be attached to implants?

Basically, there are two types of implant-supported prosthetic rehabilitation: the ceramic fixed prosthesis, which provides us with the highest level of aesthetics, comfort and functionality, and the resin-made removable prosthesis, which represents a cheaper alternative given that the treatment is less sophisticated.

Am I a suitable candidate for implants?

Any individual who has lost one or more teeth is a suitable candidate for dental implants. Sometimes older people worry that their age may be a barrier to full enjoyment of the fruits of dental implants. However, health is a more determining factor than age. That is, if the patient is healthy he will fulfil the requirements for receiving dental implants.

Can implants be used for patients of all ages?

Implants can be used for young people once their development is completed, usually after the age of 16 for women and 18 for men. Implants are never contra-indicated for adults on the basis of age.

Can implants and teeth be placed on the same day?

It is only advisable to do so in very specific and favourable cases. Even then, the quality of the prosthesis offered in these cases is largely affected by the time factor. In such situations, we offer provisional teeth made of resin, which afterwards will be replaced by the final ceramic teeth for best cosmetic results.

Ceramic treatments can not be performed on that day. Prostheses made of resin are pre-designed, not custom-made.

When facing less favourable cases, it is convenient to temporarily replace the missing tooth by other means until the prosthesis can be placed on the implant.

Can implants be placed without surgery?

In order to place implants without surgery we carry out procedures involving “blind” computer-guided surgery. These procedures use a template prepared beforehand upon which the implants will be adapted, so that we can place them without cutting the gum nor needing stitches. Even if the operation seems easier, a minimum variation of the position of the template in the mouth could give rise to serious complications, and therefore it is not a risk-free system.

The major weakness of these systems is that a skilled surgeon does not need them, while those surgery professionals less experienced might find themselves overwhelmed by their complexity.

On the other hand, speaking of minimally invasive surgery as opposed to conventional surgery is very debatable, given that in any surgical procedure we attempt to minimize as possible the intervention in order to achieve the intended therapeutic purpose with fewer discomforts and undesired effects for the patient.

Nevertheless, in some cases the conditions are so favourable that the computer-guided operation stands out as an excellent choice.

The key lies in making an accurate diagnosis in order to plan the type of intervention more convenient in each case.

Is the outcome of implants aesthetic?

Implants correctly placed guarantee in most cases an outcome much more aesthetic than the original teeth of the patient. The patient must be aware that not only he will obtain a healthy mouth, but also an aesthetic smile. Those must be his demands.

Are dental implants successful?

According to documented scientific research, implants have proven a success rate of more than 96%.

Is the implant placement painful?

Contrary to what it might seem, in many cases the postoperative annoyances and discomfort are less intense than in other minor dental interventions. A correctly placed implant must not hurt. Solely the wound in the gum during the cicatrization can cause pain.

An scrupulous hygiene is essential to prevent gum super-infections. Usually antibiotics are prescribed for safety. Often, swelling occurs the first days after major interventions, such as maxillary sinus lifts or grafts, even though it is not painful and it does not keep the patient from his or her normal life.

Is there a chance of the implant being rejected?

The fact that implants are not rejected by the organism is of great importance– only the process of osseointegration can be unsuccessful (the failure rate for inserted implants is of 2%).

The surgeon’s expertise comes into play at this stage, even though certainly some cases are more challenging than others. When an implant fails, a new one should and must be placed in its stead.

Implant or conventional bridge?

Using implants avoids the deterioration of the healthy teeth adjacent to the edentulous area.

As a result, the restoration will be more conservative and cosmetic.

What is a dental implant?

A dental implant is a small titanium attachment element which replaces the root of a missing natural tooth. It can be placed both in the maxilla (upper jaw) and mandible (lower jaw) in order to replace one single tooth or multiple pieces. Implant-supported teeth seem, work and feel like natural teeth.

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Dra. Gema Olmos
Aesthetic Dental Implantology 0
  • Aesthetics
    • Aesthetic Dental Implantology
    • Invisible Orthodontics
    • Implant-supported crowns
    • Teeth whitening
    • Porcelain veneers
    • Composite veneers
    • Aesthetic correction of the periodontal disease consequences