Dental implants can be considered a real salvation for a modern person. Most patients, before being in the doctor’s chair, pre-determine the choice of prosthetics method. Some prefer to install bridges, other patients opt for dental implants. According to reviews, the latter almost always exceed the expected results. But still, before proceeding to prosthetics, you need to learn something about the varieties of these designs. Potential harm and contraindications to dental implants are also worth considering, and reviews will help to understand whether the procedure for installing them is really painful.
What is the difference between a bridge and an implant
Both that and another is an artificially made construction, allowing to compensate for the loss of one or several teeth, to prevent malocclusion, chewing function and changes in facial features. Regardless of the type of prosthesis, it can be installed only after a quality rehabilitation of the oral cavity.
An implant is a kind of substitute for a natural tooth, which is a system of a base and a ceramic crown, outwardly no different from a natural tooth surface. A titanium rod (pin) is implanted in the jaw bone. For the manufacture of the implant, the metal used is thoroughly cleaned of impurities, which minimizes the probability of rejection of a foreign body.
Unlike implants, bridges are surface frames. Such prostheses are fixed with the participation of neighboring teeth performing a supporting function. Before prosthetics, they are necessarily grinded, and then castle fragments are attached. In this case, replacing the bridge with more than three teeth next to each other in a row is undesirable - this will lead to an overload of the prosthetic structure and the jaw itself.
Thus, the differences are in the design features and the principles of their fastening. Bridges are fixed between two supporting teeth, which can be either healthy adjacent teeth or implanted metal elements. The implant is inserted directly into the bone. A crown is put on the pin inserted into the bone cavity.
Why choose implants more often
Domestic and foreign dental clinics consider the introduction of a dental implant a priority. According to reviews, the bridge is much cheaper for patients, but its installation is less effective in eliminating problems of the dentition. Here's the thing:
- To implant a pin, it is not necessary to grind adjacent teeth. Unlike a bridge, the preparation of support elements is inevitable. In the course of the manipulation , teeth are often not complete without tooth removal, which could remain healthy and whole for many more years.
- An inserted implant guarantees maximum tightness between the crown and gum. In the case of the bridge, this cannot be said: the remains of chewed food fall into small cracks with all the ensuing consequences due to the multiplication of bacteria.
- Unlike the bridge, the implant does not allow thinning and resorption of the jawbone, protects against displacement and deformation of adjacent teeth. The consequences of resorption of hard tissue are not detected immediately, but only after years. This is a senile mouth and thin lips.
In addition, dental implants, according to reviews, do not bear any harm even over a long period of use and take root well. According to statistics, titanium pin rejection is observed in only 2% of patients. Artificial teeth do not change the bite and give an excellent aesthetic result, completely solving the problem of the absence of one or more teeth. The implant design itself is strong and reliable, but does not interfere with the installation of removable dentures.
The disadvantages of implanting a pin
However, not in all cases it is possible to implant an implant, therefore, sometimes the only option of prosthetics that seems possible is a bridge prosthesis. This can be explained as follows:
- Firstly, unlike the installation of a bridge, implant prosthetics is a more protracted and complicated procedure. The implantation of the pin is carried out in stages, and, as a rule, from the start of treatment to the Hollywood smile of the patient, at least six months pass.
- Secondly, there are many specific medical contraindications to implanting a pin into the bone that cannot be ignored.
- Thirdly, dental implants, according to reviews, are a very expensive dental product, so not everyone can afford to install such a design.
How long is the implantation period?
In order to objectively answer this question, it is necessary to refer to the responses of those who put dental implants. According to patients, the duration of prosthetics differs in each case, but with successful implantation, the whole process takes about six months.
The first stage is the surgical implantation of a pin. Such a dental operation lasts for 40-60 minutes. The procedure is the introduction of an artificial tooth root into a previously prepared bone bed. After carrying out this manipulation, it takes 2-3 months for engraftment. At this stage, the pin is not yet able to withstand the usual chewing load, since it still does not have time to anatomically connect to body tissues.
Experts believe that the process of osseointegration (engraftment of the titanium structure in the porous bone cavity) is completed after 1-1.5 years, but despite this, in most clinics, in the absence of complications for the patient, permanent dentures are fixed after several months. If you believe the reviews, the installation of a tooth implant on the lower jaw requires a longer wait.
Who is recommended to install an artificial tooth
Implantation is suitable for everyone who does not have serious contraindications and needs to correct dentition defects. An implant can be inserted not only in case of a single tooth absence in the lower or upper jaw, but also with 2-3 lost teeth. It doesn’t matter if the holes are scattered or next to each other.
With the complete absence of teeth on the jaw, implantation of literally two pins will create a support for the bridge prosthesis. Functional occlusion can serve as an indication for the installation of implants - pain when closing the jaws. In the case of individual bridge intolerance, a pin and ceramic crown design is the only alternative.
How is the implant implantation procedure
The implantation of a pin into a bone is a complete dental operation, during which a titanium element is screwed into the jaw, resembling a screw in appearance. He will subsequently perform the functions of a lost tooth root.
To access the bone tissue, the gum is cut with a scalpel. All manipulations are performed under local anesthetization, and in the presence of strict indications, surgery is performed under general anesthesia. In this case, it is imperative to make sure that the patient is not allergic to the anesthetic. If you believe the reviews, then many patients are afraid to insert a tooth implant under local anesthesia. It seems to them that the procedure brings severe pain, and a simple pain medication can not cope with it. How does the pin actually get implanted, is it really so painful? We will provide feedback on dental implants and their installation in the next section of the article.
After the pin is successfully implanted, proceed to the second stage - the installation of a permanent prosthesis. By the way, it can be not only a ceramic crown, but also a removable bridge, clasp prosthesis. Manipulation of the installation of a permanent prosthesis is also associated with mucosal damage, but thanks to modern diagnostic methods, anesthetics and technologies, the risk of complications is minimized.
Reviews: is it painful to put dental implants?
This is the most popular question that worries a patient who needs to install a pin and a permanent crown. At the same time, it is impossible to answer it unequivocally: on the one hand, due to anesthesia, no pain during the operation occurs, but on the other hand, one cannot remain silent about the discomfort that is inevitable in the postoperative period.
Judging by the reviews, it is completely painless to insert dental implants. Many patients believe that surgical removal of their own tooth causes more suffering than screwing a titanium screw into the jawbone. This can be explained by the fact that at the moment of pulling the tooth out of the bone, the pulp ruptures - a bundle of blood vessels and nerve endings. The bone itself does not have any receptors and does not have sensitivity, so the introduction of a pin brings only a little discomfort from strong pressure. Anesthesia is only necessary for a painless gum incision. At first glance, implantation of a pin seems to be a terrible and traumatic procedure, but even tooth extraction is carried by the body much harder.
Discomfort and pain occur after the anesthetic stops acting. This reaction of the body to tissue injury is quite natural. In reviews of dental implants, patients also write about the appearance of swelling, redness, swelling in the area where the pin was inserted. Such symptoms can occur over the next three days after surgery. It is impossible to avoid pain and swelling after implantation, since the operation cannot be carried out without injuring the tissue.
For the recovery period, the doctor will also prescribe painkillers and anti-inflammatory drugs. In some cases, antibacterial agents are prescribed, but if you believe the reviews about dental implants, the harm that antibiotics can do is often much more serious than the consequences and discomfort of installing the pin.
Urgently to the doctor!
Normally, pain and swelling gradually subside after 2-3 days. If this does not happen, the gum still hurts, the swelling does not get smaller and new symptoms appear (bad breath, bleeding gums, pulsation in the area of the implantation of the pin), you should definitely visit a doctor. Such manifestations often indicate infection in the wound.
It is not necessary to delay a visit to the implantologist if the pin began to stagger, while the patient has a high body temperature, chills, weakness - this is a direct signal of rejection of the prosthetic structure, which threatens with its loss. In addition to the material losses that the patient will have to incur in order to re-insert the tooth implant, fortunately, reviews rarely write about serious complications. To minimize damage to the wallet and health, it is important to contact the clinic as soon as possible.
The dangerous consequences of poor implantation
Implantation of an artificial tooth is the same surgical operation as any other, and therefore the complications that may arise after it are very characteristic. In some cases, problems after implant placement appear in those patients who have not been properly examined or have hidden information about contraindications for surgery from the doctor. Deterioration can develop against the background of bleeding and divergence of sutures. When installing a pin on the upper jaw, perforation of the maxillary sinus (maxillary sinus) or nerve damage can occur, which can lead to paralysis of the organs of the oral cavity.
About contraindications
When deciding to install a prosthetic structure in the form of a screw-in pin and a surface crown, you first need to think about the potential harm of dental implants and contraindications. In the reviews, absolutely all patients talk about what experts do not allow for surgery if the oral cavity is not sanitized enough. Implantation of a pin in the presence of foci of infection can lead to the development of jaw osteomyelitis. That is why caries, periodontal disease, stomatitis, gingivitis and other diseases of the oral cavity are relative contraindications. Dental implants, according to reviews, are placed only after cure from these ailments.
In addition to the relative prohibitions on implanting a pin, there are absolute ones. In no case is it allowed to install an artificial tooth for people suffering from:
- type 1 diabetes mellitus and insulin dependence;
- bruxism against the background of hypertonicity of the masticatory muscles;
- oncological disease, since the implantation procedure can lead to the growth of a cancerous tumor or the formation of metastases;
- cardiovascular disorders, poor blood coagulation;
- tuberculosis
- HIV or congenital immunodeficiency;
- mental disorder;
- pathology of connective tissue.
Varieties of implants
If we again turn to patients' reviews about dental implants, there will be a lot of questions about the choice of design. Despite the fact that the principle of operation of the prosthetic design is the same, the specific type of artificial tooth is not always suitable for installation in a particular area of the jaw. Absolutely any pin is immersed to the desired bone depth and remains motionless there, due to which the chewing function is not impaired - this is beyond doubt. But which dental implants are better?
The reviews are unlikely to say this objectively. Firstly, the choice of implants is a strictly individual matter. Some patients have to restore the anterior dentition using combined schemes involving the use of bridges, while others have to place single implants on chewing teeth. In reviews, people share their personal experiences, but they are not able to name the best prosthetic structures. To choose a suitable implant, you must first consult a doctor.
It is interesting that the history of the installation of dentures has been traced since ancient times. Then, during the reign of the pharaohs, representatives of the wealthy class tore their teeth from their slaves and set them for themselves, fixing them with gold or silver. Current implants are attached more securely using innovative materials and technologies. Every year there are more and more varieties of implants:
- Root - the design looks exactly the same as a natural tooth, it happens in a cylindrical and helical form. In the first case, the implants are made with a porous structure, due to which the pin is held in the bone and quickly acclimates to it. Screw structures similar to construction screws are screwed into the jaw thanks to the thread.
- Intra mucosal - intended for those who wear removable dentures on the upper jaw due to atrophy of the alveolar ridge. Here, one part of the product enters the gums, and the second is attached to a removable structure.
- Endodontic is a pin that is screwed into the middle of the patient's loosening tooth.
- Endoosal - an implant of small size, which is not reliable and durable, is used only to restore the front teeth. Ideal for patients with thin bone tissue. The process of installing an endo-axial implant is laborious and complex.
- Subperiostal is one of the most complex dental systems, both in manufacture and in installation. Unlike other types of dental implants, according to reviews, it is the most unpopular. It is used mainly in the complete absence of natural teeth on the jaw. The main feature is the lack of need for drilling the bone before installation.
- Mini-implant - serves as an element of a combined prosthesis. It is implanted into the tissue in order to create support for fixing the remaining elements of the system.
Another classification allows us to divide implants by manufacturing country. The greatest demand today are:
- Korean
- Israeli
- German
- Swiss.
How not to make a mistake with the choice
It is not possible to find out which dental implants are better in reviews, since each patient refers exclusively to his own experience. To make the right choice, it is necessary to take into account all priority and important criteria. It is worth stopping at the option that will receive more "pluses" in its piggy bank. Of particular importance is:
- The rate of survival. It is impossible to exclude 100% rejection in any of the cases, since it depends a lot on the product material, the features of the pin shell, and the structure of its coating.
- Warranty period. Quality implants do not require replacement and are installed for life. But in some cases, the manufacturer may limit the life of the artificial tooth, depending on the microdesign, material of the product and the nuances of joining its components.
- The aesthetic side. The appearance of the implant is an important detail, since you have to live with it, it is desirable that the new tooth completely suit its owner.
- Easy to install. When implanting elementary structures, tissues, as a rule, are less injured, and the patient recovers faster.
- Cost.The dentist will instruct you on how to put dental implants. The recall of the doctor will help to make the right decision: the doctor will advise the best option, expressed in the desired ratio of quality, price and practicality.
Korean designs for prosthetics
Products of Korean manufacturers of dental implants are one of the most popular in the world, despite the fact that they appeared on the market relatively recently. The Dentium brand is especially popular - Russian dentists increasingly prefer to work with it. In the reviews of Korean dental implants, doctors argue the demand for these products with the following advantages:
- excellent product quality;
- reasonable prices for the population with any level of income;
- a huge selection of classic implants of different sizes, shapes.
Korean manufacturers have representative offices in many Russian cities to provide advice to implantologists. Dental units are equipped with a double thread, which facilitates the installation process and engraftment. The structure of the internal part of the pin resembles the roots of natural teeth - this ensures the necessary fixation of dental implants.
What are the reviews for these Korean prosthetics systems? Mostly positive. Patients confirm that the company fulfills all guaranteed obligations: in cases when the implant does not take root, a free person is replaced by another.
Israeli prosthetics materials
Implants from Israel have been in demand for a very long time. The quality of the products is confirmed by many years of application experience and numerous reviews both among professionals and among patients. Companies involved in the production of dental implants produce all the elements of the prosthetic system necessary for installation from organic materials.
Unlike Korean, Israeli implants in some cases are installed immediately after the extraction of a diseased tooth. MIS, Alpha BIO, ARDS are manufacturers who have excellently recommended their products and sell them in Europe, Asia, the CIS at a relatively inexpensive price. When choosing Israeli implants, there is no doubt in their quality, because it is no accident that the medicine of this country is considered one of the best in the world.
Implants of European manufacturers
The durability and high performance of European products is not given to anyone to question. To a certain extent, this also applies to dental implants. The most popular are German and Swiss brands (Denti System, Xive Dentsply Friadent, Ankylos, Nobel Biocare). All of them offer a wide range of modifications to dental prosthetic systems.
Swiss Nobel Biocare implants demonstrate maximum survival rates, besides, these products can be installed even in cases where implants of other manufacturers cannot be used (for example, with insufficient bone tissue). The unique surface of the Nobel pins is one of the innovations of the Swiss. The surface coating of the prosthesis absorbs blood proteins, thereby achieving similarity with the natural tissue of the tooth root. The company is also famous for its ceramics - it is not subject to oxidation and does not enter into chemical reactions with substances of the oral cavity. Moreover, it is the Swiss implants that are considered the most expensive today.
The cost of installing dental implants in Moscow, reviews of clinics
In the capital, there are about two thousand dental centers. Among the institutions are not only large network clinics, but also private rooms. Everyone decides for himself whom to prefer when choosing - a prestigious institution with unprecedented prices or a budget clinic.
A significant role in making decisions is played by the feedback of patients who have gone through all stages of dental implants in Moscow clinics. According to most users, the following institutions are the most popular and reliable:
- "German implantology center." The undoubted metropolitan leader according to the results of repeatedly conducted surveys. Qualified doctors periodically undergo an increase in their certification in dental clinics in the USA, Europe, and Israel. The implant installation cost starts from 30 thousand rubles, implantologist consultation - from 1500 rubles.
- Esthetic Classic Dent. One of the few dental medical institutions specializing exclusively in prosthetics. The quality of the services provided by the doctors of this clinic can be met with a lot of flattering reviews, but Muscovites consider the excessively high prices to be an absolute minus. On average, implantation here costs 35-60 thousand rubles.
- "Ilatan." Network clinics that are appreciated by residents of the capital for their convenient location, in particular the walking distance to metro stations. “Ilatan” has won the trust of customers. An additional advantage, many call the provision of dental services not only for adults, but also for children. The implant installation price starts from 25 thousand rubles.