Dental Implants: Presentation of every step of execution and related costs
Dr. Dan Aristide
First Step: The insertion of the dental implant
It costs 480 β¬, if the patient chooses BIOTEC dental implant.
It costs 600 β¬ if the patient chooses BREDENT dental implant.
The cost for this step includes:
the surgery
the implant post
the cover screw
the healing screw
the abutment.
Second step: The opening of the implant: It will cost 50 β¬/implant.
It should take place after the oseointegration is completed
It should take place:
three months after inserting the implant in the lower jaw
six months after inserting the implant in the upper jaw
The cost for this step includes:
the intervention
the placement of the healing screw
Third step: Insertion of the prosthetic abutment and itβs adaptation.
It should take place 1-2 weeks after second step
This step will cost 50β¬/implant.
Fourth and last step: Insertion of the crown.
We use four types of crowns
Metal-ceramic crown: metal cape covered by ceramics: 160 β¬ Zirconium-ceramic crown (Eco-Line): zirconium cape covered by one layer of Ivoclar ceramic: 200 β¬
Zirconium-ceramic crown (Multilayer): zirconium cape covered by more layers of Ivoclar ceramic which will make the crown more aesthetic: 240 β¬
After the intervention is fully completed, the patient should know:
Annual check-up: every year the implants and the crowns must be checked because if some problems will occur, it will be easier to find and treat them. The price for annual check-up is 100 RON
Note:
Our prosthetic crowns are made by CAD-CAM technology with high class materials. CAD-CAM is the most modern technology in the digital dentistry era. Practically, a machine is doing all the hard work for making dental crowns. All the process is controlled by a doctor or a dental technician who will make sure that every step for fabrication of the crown works in good conditions. The chances of failure are very low compared to the crowns made before the apparition of CAD-CAM technology.
Dental implant recommendations:
What does a perfect dental implant mean? Details:
Dental implant is a dental modern technique that will restore the functionality of the dento-maxillary apparatus. It is a minimally invasive technique and it protects the other teeth from being used as abutments for dental bridges. In the end, it is a technique that will restore the smile and will increase the confidence of every patient.
Dental implants are a basic element in a mechanism of restoring teeth.
In order for the final result to be flawless, we pay special attention feom the beginning. Once inserted, dental implants become an important part of the masticatory system.
Dental implants in Bucharest
Everything to know about dental implants
Adding a dental implant is a surgical intervention in which an artificial root is inserted into the dental arch, in the form of a titanium piece.
Dentist phobia should not prevent the patient from choosing the best and optimal solution for restoring teeth. Every patient should know that anesthesia removes any kind of pain or embarrassment. The patient can cooperate with the doctor during surgery. The recovery after the surgery is pretty fast and the post-implant disturbance is similar to that caused by a dental extraction. In absolute sterile condition, professionalism, competence, thoroughness and if the patient respects post-operative indications, the success is guaranteed!
A correct treatment plan, in the case of total edentulous prosthetics (missing all teeth) or edentulous gaps (several missing teeth), must take into account, first of all, the possibility of dental implants due to the superior prognosis of oral rehabilitation compared to the considered therapeutic methods classics. (dental bridges or dentures)
If they are correctly thought out and applied, the percentage of success with prosthetics with dental implants is very high, specialist statistics rate the success rate at 95%-98%
The major advantages of a dental implant
The adjacent teeth, situated near the edentulous gap keeps their integrity.
The bone volume is preserved according to the principle “the function creates the organ” and it is stimulated by putting the implant under load. The masticatory forces are thus transmitted, through this dental implant, directly to the jaw bone.
The sensation of masticatory force is stronger than that given by the natural tooth, a detail which should not be abused because the dental implant is like an ankylosed tooth, while the natural tooth has an elastic damping system which make him move slowly. (periodontal ligaments)
The feeling of a natural tooth. The transmission of masticatory forces directly to the bone gives a sensation of “ownness”, superior to that given by a prosthetic work using two or more teeth as abutments for a dental bridge. And it is less invasive for teeth.
It is believed that if a patient is healthy enough to have a tooth extracted, then a dental implant can be inserted.
Dental implants in Bucharest
Contraindications of dental implants
Insufficient bone supply: the height and thickness of the available bone, as well as the little space between the teeth bordering the edentulous gap. These contraindications can be removed if the patient accepts the orthodontic treatment and the additional steps of the surgery: sinus lift and bone addition.
Pathological formations (cysts, tumors, granulation tissue) present in the areas in which the prosthesis by dental implant is desired.
Administration of certain types of drug treatments (anticoagulants, cytostatics, bisphosphonates, etc.)
Even in these cases, dental implant insertion, with a high success rate, is possible if the appropriate steps are taken:
In the case of insufficient bone supply, the height and thickness of the bone can be brought to the desired dimensions by adding bone, for the dental implant.
In the case of pathological formations, the dental implant insertion will be done after their removal.
In the case of various pharmaceutical treatments, the surgery will be done after finishing the treatment.
The risk factors that can lead to the loss of a dental implant
There are 3 risk factors:
Bruxism
Smoking
Poor hygiene.
If you are in one of the situations listed above, we can certainly find a solution to increase the success rate of dental implant prosthesis and to maintain the result over time. We will carefully analyze your health condition and find the right treatment.
Age is not an impediment to benefit from a dental implant, but the general health of the patient is taken into account.
This intervention takes about an hour or longer if several dental implants are inserted.
After 7 days, when the sutures are removed, the oral mucosa looks like it did before the surgery (the dental implants are not visible).
After the bone is fully healed (between 3 and 6 months) the gingivaform (healing abutment) is attached for 7-14 days.
Attaching the prosthetic abutment and prosthetics through crowns, bridges or prostheses require 3-4 sessions and last between 7 and 14 days. More details: dental implant risks and success rate
Pre and post operative medical indications
They aim to:
– reduce healing times and wound sensitivity,
β increasing the success rate of the intervention and the comfort felt by the patient.
Preoperative: It is indicated that with 7-10 days before the surgical intervention the patient should clean the oral cavity (scaling, brushing, airflow) and use mouthwash with chlorhexidine 0.12%, without alcohol.
This protocol ensures a clean operating field, poor in pathogenic germs, optimal parameters for any type of surgical intervention.
Postoperative:
Rinse the mouth with 0.12% chlorhexidine mouthwash, without alcohol.
Gently clean your teeth and gums with a soft toothbrush. Do not touch the sutures, if you have stitches. Eliminate dairy products, alcohol, hot foods, hard foods from your diet.
Do not smoke during the healing period!
For any kind of pain or disturbance, the patient should take anti-inflammatories. For edema, apply cold to the inflamed area.
Do not sleep on the inflamed side (heat increases inflammation).
Follow the medication prescribed by the implantologist.
Questions&Answers
How painful is the intervention?
Most patients who have gone through this experience say that the dis
comfort is similar or even less than the pain caused by a tooth extraction.
How bad does it hurt after?
The patient can feel a moderate discomfort which
Β may occur after the intervention for 2-5 hours as the effect of anesthesia begins to wear off. The discomfort can last up to 48 hours.
How much does a dental implant cost?
The insertion of the dental implant costs 2400 RON for BIOTEC implants and 3000 RON for BREDENT implants and this includes the actual operation and the following parts: the dental implant, the healing screw and the prosthetic abutment.
What components does a dental implant have?
The components of a dental implant are:
β the body of the implant
β healing cap:
β the prosthetic abutment
β healing abutment
β the transfer key
β the analog implant or the copy of the implant:
β the fixing screw
How patients should take care of their teeth after inserting a dental implant?
Dental implants need the same care as natural teeth: brushing, dental floss, air floss, oral shower and professional dental hygiene every 6 months.
Does health insurance cover the costs generated by a dental implant?
No, The National Health Center does not cover the costs generated by the insertion of dental implants.
Is there an age limit for inserting dental implants?
Yes, dental implants should be inserted only after the bone development is completed. So, they are not recommended for children. Apart of this fact, there is no age limit for choosing a dental implant. However, patients must know that over the years, the bones of the jaws will physiologically begin to resorb and the insertion of the implants will be accompanied by a possible sinus lift and bone addition. To see if there is enough bone for dental implants to be inserted, every patient should make a CBCT x-ray which measures the bone density.
Next, we are presenting you the case of a patient whose entire mouth was replaced by a dental implant at the age of 78.
What is the success rate of dental implants?
Expert statistics place the success rate between 95% and 98%.
How long does the implant last?
If the patient takes care of them properly and comes for a check-up every 6 months, they can last between 10 and 30 years.
Will the diet be affected after inserting dental implants?
No, the diet will not be affected by dental implants. It will be normal, without any restrictions.
What are the alternatives to dental implants?
Alternatives to dental implants are divided into two categories:
β fixed (dental bridges)
β mobile (mobile and movable prostheses)
What medical analyzes are necessary before the surgery?
To prepare for a dental implant, every patient should present to the clinic or dental office the medical examination that will prove that he is a suitable for the implant surgery.
This exam will present the result of the following analyses:
Blood count;
Glucose;
Serum calcium;
Cholesterol;
Bleeding times;
Coagulation times;
Uric acid;
Urea;
Erythrocyte sedimentation rate;
How long does dental implant surgery take?
The insertion of a dental implant takes between 20 minutes and 1 hour.
After osseointegration (3-6 months after insertion) implants can have a life of between 10 and 30 years, depending on some certain factors.
What warranty does dental implant have?
Dental implants (titanium parts) are guaranteed regarding their integrity by the manufacturer for life.
However, their stability cannot be guaranteed. In other words, the patient has no guarantee for the success of the dental implant insertion operation.
The risks generated by such an operation rest entirely with the patient.
The surgical procedure for inserting a dental implant is standard. The medical team undertakes all the steps necessary for the success of this operation.
What is the best dental implant?
The discipline of implantology is in continuous evolution. New technologies and new types of implants appear every year.
The best dental implant is the implant with the highest chance of osseointegration.
The implantologist will choose the place where the insertion will be made (upper jaw, lower jaw, anterior, posterior) and the number of implants that should be inserted depending on certain parameters: the bone supply (height, thickness, density), the number of prosthetic teeth and the length of the edentulous gap.
What is the newest dental implant in Bucharest?
Competition among dental implant companies is increasing every year. Hundreds of new implants appear annually.
What is the cheapest dental implant in Bucharest?
As it happens in every economic branch, in the dental implant industry there are well-known companies and some less well-known companies. The price depends on the brand.
Remember that dental implants come sterile and vacuum-encapsulated from the factory.
When it comes to dental implants, there are no shortcuts. Everything must be done according to the book with a sense of responsibility and with the best quality materials. The execution must be flawless to guarantee the longevity of your implant.
Taking into account the state of your health, it is not desirable to take risks for the sake of apparent economy.
What are the dimensions of a dental implant?
The length of a dental implant is measured in millimeters from the top of the collar to the tip of the implant.
Typical lengths are 8mm, 10mm, 11.5mm, 13mm and 16mm.
The width of a dental implant is measured by the diameter of the platform, also in millimeters.
Typical thicknesses are 3.75mm, 4.2mm, 5mm and 6mm.
There are also dental implants, with atypical sizes, which are used in exceptional circumstances.
How long does the recovery take after the insertion of a dental implant?
Recovery can last between 7 and 10 days after dental implant insertion. Most of the time, the edema is insignificant, but in rare cases, the edema after the dental implant is pronounced and it is recommended for the patient to take anti-inflammatory drugs and use cold compresses on that zone.
Does pregnancy affect the implant?
The appearance of a pregnancy after the insertion of dental implants does not affect the process of bone healing and the osseointegration of dental implants.
Can two teeth be placed on one implant?
No, we cannot replace two or more missing teeth on a single implant.
Can one crown be placed on two implants?
Yes, because natural molars usually have three roots and a dental implant replaces only one root. It depends on the case if it is recommended to use one or two dental implants for one molar. For example, if the masticatory forces are very strong, the recommendation is to use two implants for one tooth. In this case the distribution of forces will be more balanced and less harmful for the bone and implant.
Which is the best clinic?
When looking for a doctor, we should be guided by their reputation, not by their paid advertisements.
What is a fiberglass implant?
There is no fiberglass dental implant. Modern dental implants are made of titanium or zirconium. Dental pivots are made with fiberglass. More information about pivots can be found here. ( LINK CATRE PIVOTI)
Can a dental implant be paid in installments?
All dental services offered in our office, including the insertion of the dental implant, can be paid for with Card Avantaj, in 10 installments.
Can tooth extraction and dental implant be done immediately after?
Yes, there are special implants that can be inserted after preparation of the alveolus, post-extraction.
Are you doing a dental implant in one day?
No. The dental implants we offer in our office cannot be loaded with crowns in one day because the bone needs to heal and the dental implant needs to osseointegrate. (dental crowns will be applied 3-6 months after the implants are inserted). In this way, the risk of failure considerably decreases.
How long after the extraction of a tooth can a patient insert a dental implant?
After 6 months if the extraction is done at the upper jaw, respectively 3 months if the extraction is done at the lower jaw.
Are dental implants recommended for children?
No, children’s bones are growing and so are their teeth. Dental implant prosthetics for children is premature even if it is a permanent tooth.
The doctors will find a temporary prosthetic solution- an acrylic crown glued to the neighboring teeth – or even a mobile or mobilizable prosthesis, until the age of maturity (18-20 years), when it is recommended to insert dental implant.
What kind of implants does our office use?
We currently use BIOTEC and BREDENT. Both are made in Germany.
At your request, we can use any of the implants listed below:
β Alpha Bio dental implant;
β MIS dental implant;
β Megagen dental implant;
β Nobel-Biocare dental implant;
β Norris dental implant;
β Nova dental implant;
β Straumann dental implant;
βImplantium dental implant;
β Zimmer dental implant;
β KOS dental implant;
How long does it take for a patient to heal before next step?
3 months for lower jaw, 6 months for the upper jaw.
10-14 days after fitting the gingival healing screw (gingivaform).
What kind of problems can a patient have after the surgery?
If intraoperative or postoperative hygiene and prophylaxis norms are not respected, there is a risk of wound contamination which will lead to the appearance of peri-implantitis which will cause the loss of the implant.
If the implant is in contact, compresses or sections the alveolar nerve, the corner of the mouth will remain numb for a long time and there is a possibility that the sensitivity in that area may never be fully recovered.
If during the insertion of the dental implant the sinus membrane is perforated and the surgical protocol for this situation is not followed, there is a risk of appearing an oro-sinusal communication.
If the insertion of the dental implant is done incorrectly and a vital tooth is touched, it can lead to the loss of both the dental implant and the affected tooth.
What if dental implants are placed with different angulation? Is it possible?
Dental implants replace the roots of teeth. Just as the roots of the teeth do not have a straight angulation into the bone, dental implants are not usually set straight either – they follow the bone supply remaining bone which will be used as a support for the implant).
Before doing the prosthetic crown, the patient will go through a stage of adapting the prosthetic abutments. The abutments have different angulations so the clinician will adapt them to obtain a perfect parallelism.
How much does a dental implant cost in our office?
Dental implant insertion costs 480 β¬;
Opening the dental implant (after 3-6 months) will cost 40 β¬ (this involves the adjustment of healing screws)
Adaptation of prosthetic abutments will cost 40 β¬ ( 10 days after the adjustment of healing screws)
We use 4 types of dental crowns:
160 β¬ β Total physiognomic CrCo/ceramic crown (metal cap completely covered by ceramic).
200 β¬ β Eco-Line Zirconium/Ceramic crown (zirconium cap covered with ceramic).
240 β¬ β Zirconium Crown/Multilayer Ceramic (zirconium cap covered by several layers of Ivoclar ceramic).
Payment can be made in 10 fixed installments with CardAvantaj.
Dental implants in Bucharest
Which treatment is better: dental implant or dental bridge?
Dental implants are a better choice than dental bridges because in this way the teeth keep their integrity and they are not going to be used as abutments. Inserting an implant will slow up the physiological resorption of the bone and itβs less invasive than every other treatment.
For a clearer representation, please follow the adjacent sheet in which dental implant versus dental bridge are explicitly illustrated.
When are the suture threads removed?
After 7-10 days.
Do you place dental implants for all teeth?
In order to be able to put all the teeth through a dental implant, a single implant is not enough, several implants will be needed. Most people have without the wisdom teeth, 28 teeth.
Ideally, we should replace one implant for each tooth, but for economic reasons dental work can be carried out on fewer implants on the principle of dental bridges.
The required number of implants is determined on a case-by-case basis depending on the particularities of the respective cases.
In the end, will it look like a normal tooth?
The implant crown can be cemented directly on the prosthetic abutment (the intermediate piece between the implant and the crown) or can be screwed directly into the implant. In the end, regardless of the type of crown chosen, the desired aesthetic will be fulfilled. The new teeth will look just like the natural ones or even more beautiful!
What advantages do I have if I choose a screw-on implant crown or a cemented one?
In the case of the one directly cemented on the implant:
the aesthetic is better because there is no access hole at its level.
defective cement removal after fixation increases the risk of peri-implantitis.
sometimes requires a larger vertical space to have sufficient height of the prosthetic abutment.
In the case of the screwed one:
the biggest plus is represented by the accessibility of the implant at any time after fixation, so that the doctor can properly clean the implant (procedure is done in the dental office)
We encounter a lower resistance of the ceramics at the level of the access road.
It is a good solution for small teeth without much space.
What is hydroxyapatite dental implant?
Titanium dental implants are coated with a layer of hydroxyapatite for an increased rate of osseointegration.
Will we receive receipt and tax invoice, certificate of authenticity / brand for implants and warranty certificate for fixed prosthesis, respectively implants?
At the beginning, the patient will receive an informed consent form, through which he will be informed of various general information about what the dental treatments entail.
Once this document is signed, we proceed to the next step which involves the actual consultation. It costs 100 RON and it includes the anamnesis and clinical investigations.
If the patient needs a radiological investigation, he will be charged separately depending on the type of X-ray needed (OPG or CBCT).
After the consultation, the patient will receive in writing the diagnosis and a treatment plan that will include the exact costs, execution time, work stages and alternative treatment plans.
After each session, the patient will pay the cost of the treatments performed and he will receive a tax receipt and an invoice detailing the work performed by clinicians.
In the case of dental implants – they come encapsulated in a vacuum in which there will be a sticker that includes a series and a barcode.
The warranty, which in is provided by the manufacturer refers to the integrity of the implants.
Dental clinicians cannot guarantee the medical act. The warranty offered by doctors is a deceptive commercial strategy and it is against the law. See the Dentist’s Code of Ethics Decision no. 15/2010, published in the Official Gazette, Part I no. 408 of June 18, 2010, Chapter II, art. 18.
Where can I find you?
Our dental office is in Bucharest, sector 1, str. Luigi Cazzavilan no. 35.
For appointments we are happy to be at your disposal from Monday to Saturday from 8.00 to 20.00 on the following numbers:
