A beautiful smile is half the success of any business. So many people think and strive to give their teeth the most aesthetic appearance. The vast majority of us face tooth loss for one reason or another. Whether this happened as a result of caries, periodontal disease or due to trauma - the fact remains. The empty space in the dentition looks unaesthetic and further leads to the appearance of dental problems.
What is basal implantation?
One of the ways to correct the situation with the loss of the beauty of a smile is basal implantation. What it is, not everyone knows. This procedure has a number of contraindications. Therefore, before deciding on this method of implantation, you need to learn all about it.
This technique appeared in the West in the 60s of the XX century. The development and testing of this dental manipulation is associated with an American professor with Russian roots Leonid Linkov.
Since the advent of this method, a lot of controversy has arisen. Basal implantation, for and against which there are many opinions, is now widely used in dental practice. She has her supporters and opponents. In order to objectively judge this procedure, let's take a closer look at what constitutes a basal implantation method.
Features of this method
The main feature of this method is that the pin is installed by the dentist-surgeon in the basal (deep) bone layers. Their density is much higher than in the spongy part into which classical implants are implanted. That is why basal devices are longer.
The great advantage that basal implantation has (patient reviews confirm this) is the ability to install all implantable components in one step. The entire treatment period is no more than five days. For comparison: classic implants require from 2 to 6 months for the patient adaptation process. Only after this rehabilitation period does the doctor begin to install prostheses.
Despite the fact that this method has been successfully used for more than 50 years, experts speak about it ambiguously. Russian dentists express their opinion on this method as outdated and unacceptable for modern practice. Western experts, however, respond to basal implantation in a positive manner and prove this with brilliant results.
Therefore, the patient must decide for himself which method to choose for himself. To do this, you need to know what basal implantation is, for and against this method, indications and contraindications. Before making a decision, you need to listen to the recommendations of a competent doctor, pass all the necessary tests. Only in this case the selected method will not disappoint with its results. The ability to insert all teeth at the same time looks very attractive, but do not forget about the risks and complications.
Work stages
Basal dental implantation is conditionally divided into the following stages:
- Patient preparation, diagnosis.
- Modeling. Orientation to individual circumstances.
- Direct installation of basal implants.
- Prosthetics.
The first stage, which is a diagnosis, usually does not take much time.
In most cases, it takes no more than 2 days. For the dentist, the goal of this stage is to comprehensively examine the patient, assess the actual condition of the bone tissue and general position in the oral cavity. As a rule, X-ray and tomographic examinations are performed.
Also, at the preparatory stage, the doctor tells the patient in detail how basal implantation is performed. What is it, what could be the consequences - all this information must be agreed in advance.
The patient, in turn, must inform the doctor about past and existing diseases, about sensitivity to the drugs, and maximally answer all questions of interest to the specialist. It will also be necessary to donate blood for analysis. If all these points are observed, the success rate of treatment is close to 100%.
Stage One. Training
At the planning stage, the orthopedist and dentist surgeon jointly decide how basal implantation will be performed. What is it, these two specialists know best. Thanks to modern communication technologies, consultations can be made even by doctors living on different continents.
Stage Two. Modeling
The next step is the modeling phase. It is based on data obtained from diagnostic studies. After a detailed study of the patient’s bone tissue, the dentist selects implants that are ideal for a particular patient by individual indicators. Features of the location of the dentition are necessarily taken into account when drawing up the model of the jaw.
Stage Three. Implantation
At the next stage, basal dental implantation is performed directly. Dentists' feedback on the nuances of this stage allows us to conclude that the puncture method allows the least traumatic and without suturing to perform all necessary manipulations.
This method is ideal for patients suffering from significant loss of bone tissue and its atrophy.
Stage Four. Prosthetics
The final stage of basal implantation is prosthetics. From the moment of installation of the implanted pins, at least 2-3 days should pass. During this period, the primary load is formed. The prosthesis is made on the basis of casts taken from the patient's jaws. All installed implants are also imprinted quite clearly. The dental technician studies the spatial relationship of these elements and makes a suitable prosthesis in the dental laboratory. This is the aesthetic side of the moment, which is famous for basal implantation. The pros and cons of this procedure are based on its features. Here a lot depends on the professionalism of the dental surgeon. Basal implants differ from classical ones in that after their installation, correction is almost impossible. If the dentist surgeon installed it crookedly, then the dental technician will not be able to correct the situation.
Benefits
Modern basal dental implantation, reviews of which are positive, certainly has a lot of advantages:
- The number of visits to the clinic is minimized.
- There are few contraindications to this procedure.
- Possibility of use in smokers.
- 3-5 days after the installation of the implants, you can already chew your food yourself with prostheses.
- The implantation of structural elements is performed in one operation.
- Reasonable price of the service.
- This method is applicable even to patients with severe atrophy of the jawbone.
- Relatively fast bone healing thanks to a gentle technique.
- An implant can be placed in place of the extracted tooth immediately, until the hole has healed.
However, not every dentistry can offer this method of correcting the condition of teeth at the proper level. Basal implantation can be performed in a full-fledged clinic, where surgeons, orthopedists, and other specialized specialists work.
The key factor here is the professionalism of doctors and the high quality of the materials used. Unfortunately, today there are quite a lot of private dental offices with a low level of professionalism of employees and the dubious quality of the services provided. The purpose of cabinets of this level is to make a quick profit. Such basal implantation of patients has negative reviews, and this is well deserved. Agree, it’s quite attractive to get a decent amount in just a few days, and not in six months, as is the case with the classic version of implantable devices. However, the method of basal dental implants does not tolerate an amateurish approach and a hasty desire to get rich. Therefore, when choosing a dental clinic, be careful and carefully study the reviews about it.
disadvantages
Despite the fact that many have heard about such a concept as basal implantation, what it is, far from everyone knows thoroughly. Unfortunately, this high-tech way to achieve dental beauty has its drawbacks.
They are quite substantial and can alert any patient to dentistry.
Basal implantation, the disadvantages of which are associated with the human factor, can bring the patient frustration and great inconvenience if performed unprofessionally. Therefore, the following facts can be called disadvantages of this method:
- A rather large laboriousness of the process for specialists carrying out the implantation process. In addition, the inserted implant is no longer subject to correction, which creates difficulties in the work of doctors and inconvenience to the patient in the future.
- There is a rather high probability that, as a result, the formed row of teeth will look unaesthetically. A crookedly inserted implant becomes the basis for a further uneven prosthesis, which does not adhere well to the periodontal soft tissues and looks unnatural.
- In certain cases, damage to the bone and gums during implantation of the pins can be quite significant.
- There is a chance of rejection of the implant. In this case, a large decrease in bone tissue occurs. This phenomenon requires mandatory correction in the form of sinus lift. This event is reduced to the artificial growth of lost bone tissue in the jaw of the patient.
Human factor
The basal implantation method, like other surgical interventions, has its own indications and contraindications. All aspects of the patient's health must be taken into account by the dentist.
Only an experienced specialist is able to assess the acceptability of this method of prosthetics in each case.
The level of professionalism of the doctor is assessed in the ability of an individual approach to solving the problem.
Sometimes a doctor, despite the presence of contraindications, can take a chance and, contrary to common sense, perform a basal implantation on the patient. Failure and possible complications in this situation are the result of the lack of professionalism of the dentist. The basal implantation performed according to this principle deserves unflattering patient reviews, and it is deserved.
Who can do basal implantation?
Indications for this dental procedure are:
- The justified need is to restore the patient's ability to chew food in a short time.
- Restoration of damaged jaw bone and teeth is required (their number should be at least 3).
- The need to restore the aesthetic appearance of the oral cavity due to the complete absence of teeth.
- Serious periodontal disease.
- Decrease in bone on the upper or lower jaw (full or partial).
- The presence of contraindications to the sinus lift procedure.
- Smoking.
- Hypersensitivity to acrylic plastics.
Contraindications
However, in the presence of special circumstances, dentists do not recommend resorting to methods such as basal implantation. Contraindications to this procedure are absolute. These include:
- Alveolar ridge with a width of less than 5 mm.
- The patient has benign or malignant tumors.
- The need to restore one or two teeth.
- Circulatory system disease.
- Violation of the regenerative function of bone tissue.
- The presence of central nervous system disorders.
- Diseases of a chronic nature (insulin-dependent diabetes, tuberculosis and others).
Relative contraindications to the procedure of basal implantation can be:
- Pregnancy and lactation.
- Bisphosphate therapy.
- Decompensated diabetes mellitus.
- Neuroses and mental disorders.
- Arthritis in acute form.
Features of the work of doctors
It is worth noting that a specialist in maxillofacial surgery will never begin the implantation procedure if the oral cavity is not properly prepared. First, the patient will need to visit a dentist for the treatment of teeth to be restored.
You will also need to pay a visit to a doctor with a surgical profile in order to remove the roots and moving elements of the row.
Removal of teeth can be performed by the doctor himself, whose specialization is basal implantation. The reviews of the specialists themselves about this feature make us understand that implanting a pin in a fresh hole is much easier to produce.
Implant and Denture Care
Implants and prostheses installed on them need special daily care. Their service life directly depends on the quality of these procedures. However, for the implementation of this care does not require any special skills and knowledge. It will be enough to brush your teeth with a soft brush and toothpaste. It will also be useful to rinse the oral cavity with an antibacterial solution.
If the patient has difficulties in accessing certain areas (for example, between dentures) that cannot be reached with the usual hygiene products, then a specialized interdental brush or irrigator will come to the rescue. It is a device for eliminating plaque, food residues from teeth and direct massage of the gums using a water jet released under pressure.
It is mandatory to visit the dentist’s office twice a year to assess the integrity of the implants. If damage is detected, it is necessary to eliminate them in a timely manner. You must also follow these tips:
- Avoid injuries to the jaw and face.
- Maintain immunity.
- Timely diagnose the condition of the body and timely treat existing diseases. It has been proven that many ailments affect the condition of implants.
If you follow all these recommendations, you will enjoy the proper quality of life for many decades and delight others with a beautiful and healthy smile.