Everything in this world is not eternal, and the constituent parts of the body are also subject to aging and deterioration. And first of all it concerns human teeth. They can become worthless at a fairly young age. And if an elderly person can sometimes come to terms with gaps between his teeth, then it is very inconvenient for young healthy people to show an inferior row of teeth. When the teeth are not in order, the person is embarrassed to once again open his mouth. He is forced to control himself every second, which negatively affects his psyche.
For a very long time, humanity has learned to correct this trouble with the help of dental prosthetics. But technological progress continues to evolve, and traditional tooth replacement has already been replaced by a more modern method - dental implantation. Which implants are best placed and what is their advantage? When implanting to install a missing tooth, you do not need to spoil two standing next to each other. This innovative technology has taken root in modern society, despite its high cost. Implants have a more natural look and are very durable. In addition, if necessary, their replacement does not have to use adjacent teeth. Nowadays, a lot of people choose this type of prosthetics, but they would really like to know which dental implants are better and what to choose in this or that case?
What is an implant?
Too many people today have certain defects with their teeth. There are many reasons for this, and each of them has its own, but the results are the same for everyone and they consist in the need to install strong and beautiful implants instead of damaged teeth. What are they and what dental implants are better to put? Now we will talk about this in detail. By definition, an implant is an artificial tooth mounted on the site of an absent native. The implant consists of three components:
- Durable dental root made of titanium, which is implanted in the jaw bone.
- An abutment is an intermediate part between the root and the crown. This is the periosteal element, where the entire structure of the dental crown is attached.
- The crown is the immediate visible participant in the dentition.
The root is implanted in the bone forever, and the other two elements can be replaced as necessary.
Implant Its pros and cons
The implantation method was first tested half a century ago in Sweden and has since gained high popularity. In implantology there are undoubted and obvious advantages, and they are as follows:
- durability;
- strength and reliability of the implant being implanted;
- lack of dependence on adjacent teeth during installation and operation;
- indistinguishability;
- ability to perform all basic functions - chewing, biting;
- prevention of deformation of the jawbone and oval of the face.
Along with these advantages, there are some disadvantages, but they come down mainly to the high cost of the procedure.
Some people, knowing the convenience of this method of prosthetics, are still in no hurry to go to the dentist, because they assume that this procedure is very painful. I would like to dispel these vain fears and inform such people that there are no nerve receptors in the jawbone and all unpleasant sensations fall on the gums. During implantation into the bone of a foreign body, the soft tissue of the gum is incised, but the entire operation is performed under the influence of high-quality anesthesia, and the patient does not feel pain. Particularly anxious patients can be given general anesthesia, and then they will not feel anything at all.
Features of implant placement
In order for the operation to proceed safely and painlessly, ask yourself in advance in which dentistry it is better to place implants. Of course, it is better to choose those where such operations have long been not uncommon and specialists have extensive practical experience in this direction. You can ask friends or read reviews. In addition, when you come to the dentistry for a consultation, ask how many successful implant settings have already been made.
The whole process is carried out in stages and takes about an hour. After cutting the gum, the dentist makes a hole in the bone with a drill, where the titanium root will be implanted. Having screwed the titanium screw into the bone, it is temporarily closed with a plug and placed on the gingival suture. At this point, the first stage of the operation is completed, and the patient rests for one to three weeks, until his soft tissues heal. After the incision is healed, the sutures are removed, and the patient awaits the engraftment of the titanium root for several months. When the root has taken root, the gum is cut again, the stub is removed and the gum former is inserted to give it the desired shape. The shaper must be worn for about two weeks, after which a cast is made and a crown is made of the same shape and size as the shaper. The abutment and crown are mounted on the pin, and this completes the implantation process.
Types of Implants
Before thinking about which implant is better to put, in reviews it is advised to get acquainted with all types. There are several varieties, and all of them differ in appearance and strength, and they also have different installation technologies:
- Root-shaped - used mainly for chewing teeth. This is a threaded titanium screw cylinder. They can be installed if there is enough bone. If there is not enough bone material, an artificial extension (sinus lift) is done or another type of pin is installed.
- Lamellar - it can be deepened into the jaw bone as much as possible, and this gives greater strength to the false tooth.
- Combined implant - create from the previous two, it has a complex shape, and it can be used for various tooth defects.
- Superbiostal - quite fragile, is installed under the gum, between the periosteum and bone. After installation, it becomes durable and reliable.
- Endodontic stabilized - has an excellent reputation among specialists, does not injure the mucous membrane and is as reliable as possible. Using this implant, you can lengthen and strengthen the root of an established tooth.
- Intra mucosal - implants in bone tissue to stabilize established prostheses.
In order to understand which dental implants are better to put, in the reviews, people are advised to consult their dentist. The doctor will choose the best option based on the complexity of the case.
Implants for anterior teeth
Frontal anterior teeth are our facade. Therefore, they are in the area of special attention of dentists. The front teeth should be impeccable and completely indistinguishable from their natural counterparts. It is very important to understand which implants are best placed on the front teeth in order to provide the patient with aesthetic and physical comfort and convenience. Each tooth has its own nature. And prosthetics should maximize the ability of artificial to perform their functions no worse than natural.
In particular, a bite function is a characteristic feature of the anterior tooth, which should guarantee the selected implant. So which dental implants are best placed in the smile zone so that they are durable and beautiful? Materials for artificial root and abutment should be well biocompatible in order to eliminate the risk of rejection of the implanted root. A fairly small amount of bone tissue involves the installation of an implant with a thin long root that can reliably hold the artificial tooth at the installation site.
To ensure the strength of the structure, a special small thread is used in the upper part of the prosthesis, and a larger thread in the lower part. Since the upper and lower front teeth have a different structure, implants with a short root are installed in the lower jaw, and with a longer root in the upper jaw.
Basal implantation on the front teeth
Answering the question of many patients: "Which implant is best placed in the smile zone?" - this option can be offered. This method allows you to attach the artificial root directly to the basal layer, which cannot be destroyed by inflammation.
In addition, basal implants have a large selection of intraosseous structures. This greatly facilitates the search for a suitable design for a particular front tooth. Basal implants are installed very quickly - in 1-2 days, which minimizes unpleasant moments from a long absence of a tooth.
Manufacturers
And one more important point - which firm implants is better to put? According to experts, the best implants are made in Switzerland, Germany, Israel and Japan. These are premium implants made of high quality materials, having a very high degree of survival, but also the corresponding cost. If the patient's financial capabilities are limited, it is quite possible to choose an excellent option at an average cost, the quality of which is quite good and does not cause complaints or inconvenience. The most expensive implants are made in Switzerland and in the joint production of Switzerland-USA. Their cost may exceed 1000 US dollars (approximately 67 thousand rubles). Germany and Sweden supply implants a little cheaper - 900-1000 dollars (60-67 thousand rubles), the price for products from Israel and South Korea is even lower - 650-700 dollars (43.5-47 thousand rubles). Russian-made products cost only 190 dollars (12 thousand rubles).
Chewing implants
Since we have already answered the question of which implant is best placed on the front ones, we should also consider prosthetics of the chewing row of teeth. Is it necessary to put such expensive implants on chewing teeth, if they are practically invisible? Is it not better to save on the method of prosthetics, providing only the performance of functions, but not beauty? And if you can’t do without it, then which implants are best placed on chewing teeth?
Of course, alternative prosthetics can be dispensed with, but will it be reasonable in the long run? Indeed, chewing teeth to fully perform their functions must be strong enough and strong to withstand heavy loads. Other methods of prosthetics are unlikely to be able to provide your teeth with longer work in the conditions of considerable loads that the molars take upon themselves. Modern implant models, deeply and firmly implanted into the jawbone using a titanium root, can withstand very high loads and remain as strong and strong for a sufficiently long period of time.
Making it easier for patients to decide which implants to put on chewing teeth, manufacturers today offer a lot of options with different materials for the manufacture of pins, methods for processing and coating them, the size and shape of the crown and shaft itself. All these studies give the products different characteristics that allow you to choose the most effective version of the implant in each case.
Given the importance of the functions that chewing teeth perform, and the powerful workload that they share daily, experts suggest approaching the restoration of the molar with all responsibility and seriousness and installing a basal implant. Basal technology is more modern and reliable. With this method, the implant is firmly fixed in the bone tissue, and the process of osseointegration itself is much faster. For experienced dentists, there is no doubt about which tooth implant is best placed in the chewing row - this is definitely basal. They install it under the influence of compression, because in this case a closer contact of the bone tissue and the implant is achieved.
Since osseointegration occurs rather quickly, the patient the next day can give a load on the teeth, and after a week - already completely akin to them and not feel any discomfort. Basal implants will be used everywhere in the future, because they not only look like relatives, but can reliably perform the functions assigned to the chewing group of teeth.
Useful tips from specialists
When replacing missing teeth with implants, the dentist needs to pay attention to some important points:
- The maxillary sinuses are located in close proximity to the upper chewing teeth, and in this case, an appropriate procedure is required - sinus lift. Its implementation involves lifting one wall and implanting in it additional bone material, which is necessary for the strength of the implant to be installed. The specialist who will do this should have high qualifications and sufficient experience in practical work.
- When implanting lower molars or premolars, which are distinguished by the simplicity of their location and are quite easy to replace, plastic surgery should be performed if bone tissue is insufficient for reliable complete fixation of the pin.
- Choosing materials with an implantability of 98-99% for implants - everything else will completely depend on the skill and professional skills of the implant surgeon. The best material is metal-free ceramic, which does not oxidize and does not change the color of soft tissues.
Conclusion
The information provided in this article allows patients to understand what a dental implant is and what are its advantages. You also got the opportunity to find out what role implants play in human life and how to choose them for individual cases. In addition, the article provides useful advice from specialists.