Questions asked by patients before dental implant treatment
It’s ideal to have beautiful, healthy and functional teeth. Some patients are endowed by nature with beautiful, problem-free teeth. If these patients also care and are interested in oral hygiene, then the results are spectacular.
Not all of us are so lucky. Most of us don’t have that perfect set of teeth. That doesn’t mean we don’t want it!
The moment the teeth show various abnormalities, decay, or destruction it is time for the patient to see the dentist.
When we have lost one or more teeth, the best treatment solution is the insertion of dental implants, that is why the patient must be well informed, which is why all the questions the patient may have must be clarified by the implantologist.
First of all, to clarify the concept of dental implants, it is good to know that they are devices that are inserted into the thickness of the bone when teeth are lost and only the underlying hard tissue remains.
Dental implants are prosthetic parts made of titanium and are screw-shaped. Once inserted into the bone, they take a period of time to integrate so that the bone heals, fully, around the dental implant.
The dental crown, a prosthetic work that is visible in the oral cavity, will then be applied over it.
The implant or screw, as patients know it, will represent the root part and will only be visible on X-ray or CT scan.
These are some of the questions patients frequently ask before dental implant treatment:
Can I get implants?
Not all patients are suitable for this procedure.
For example, people who smoke are one category for whom implants are contraindicated because the healing process is delayed and implants may be lost prematurely.
Also, people with bone metastases or osteoporosis undergoing bisphosphonate treatment are absolute contraindications for both dental implant insertion and extractions or other surgical procedures because the bone is at high risk of not healing and remaining exposed.
In these cases, in severe situations, a large area of the jawbone is resected.
How is an implant cared for?
As long as there are sutures in the oral cavity, the patient will eat semi-solid food of suitable temperature.
Mouthwash rinses are also important to reduce the local bacterial gradient. Immediately after screw application, the patient may become swollen, in which case ice packs should be maintained. Once the implant is in place, it will be sanitized like a natural tooth but the patient should return for annual check-ups.
Before starting this treatment plan, it is very important that the patient mentions to the doctor any health problems they have, past or present medications taken, allergies had to different substances and any health problem, even if it seems trivial to the patient.
It will have the same care as natural teeth: brushing, flossing, air floss, oral shower and professional dental hygiene every 6 months.
How painful is the procedure?
Most people, who have gone through this experience, say that the discomfort is similar or even less than that of a tooth extraction.
How much does it hurt afterwards?
Moderate discomfort may occur after about 2-5 hours as the anesthesia begins to wear off. Discomfort can last up to 48 hours.
How much does a dental implant cost?
The dental implant insertion costs 2200 RON, this includes the operation itself and the following parts: the dental implant itself, the healing screw and the prosthetic bridge.
What does a dental implant consist of?
The components of a dental implant are:
– implant body
– the healing cap:
– the prosthetic bridge
– the healing pontic
– transfer key
– implant analogue or copy of the implant:
– fixation screw
Does health insurance cover the costs of a dental implant?
The National Health Insurance does not cover the costs of inserting a dental implant.
Is there an age restriction for a dental implant?
Dental implants can be placed in adults, aged is not the determining factor for this step, but the general state of health.
It does not matter what the patient’s age is, as long as the available bone tissues are sufficient in quantity and quality.
Elderly patients are concerned that they may not benefit from dental implants.
But in reality, tissue availability and general health is a much more important criterion than the patient’s age.
Here is the case of a patient who had his entire mouth restored with 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%.
If properly cared for (rigorous hygiene and regular visits to the dentist), implants can last between 10 and 30 years.
Will eating after the dental implant be normal?
After the insertion of the dental implant, the diet will be normal, without any restrictions. The same diet as with natural teeth.
What are the alternatives to dental implants?
Alternatives to dental implants fall into two categories:
– fixed (dental bridges)
– mobile (movable and removable dentures)
What tests are required before dental implants?
In order to prepare for dental implant, you need to present the clinic or dental office with the medical examination that will prove that you are a suitable patient for the implant.
This examination will show the result of the following tests:
Hemoleucogram
Blood glucose
Calcemia
Cholesterol
Bleeding times
Clotting times
Uric acid
Urea
VSH
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 lifespan between 10 and 30 years, depending on certain factors.
What is the guarantee?
Dental implants (titanium parts) are guaranteed by the manufacturer for their integrity for life.
Their stability, however, cannot be guaranteed. In other words, you have no guarantee for the success of the dental implant insertion operation.
The risks of such an operation are entirely the patient’s responsibility.
The surgical procedure to insert a dental implant is standard. The medical team takes all the necessary steps for the success of this operation.
Which is the best dental implant?
This discipline, implantology, is constantly evolving. New technologies and new types of implants appear year after year.
The best dental implant is the implant with the best chance of Osseo acceptance.
The implantologist will choose the implant according to certain parameters: bone supply (height, thickness, density), number of teeth to be protected, place of insertion (maxilla, mandible, anterior, posterior).
What is the newest dental implant in Bucharest?
Competition between dental implant companies is fierce.
Hundreds of new implants appear every year.
What is the cheapest dental implant in Bucharest?
As it happens in any economic branch, in the dental implant industry there are also well-known companies and some fewer known ones.
Usually those that are a “brand” are more expensive, the lesser-known ones are cheaper.
Note that dental implants come sterile, vacuum encapsulated, from the factory.
Information found willy-nilly on the internet, in dental implant forum searches or in various advertisements should be put through the filter of reason.
When it comes to dental implants, there are no shortcuts. Everything must be done by the book, with a sense of responsibility and with the highest quality materials. Moreover, the workmanship must be impeccable to guarantee the longevity of your implant.
With your health at stake, you do not want to take risks for the sake of apparent savings.
What are the dimensions of a dental implant?
The length of a dental implant is calculated 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 dimensions, which are used in exceptional circumstances.
How long does the recovery time after a dental implant last?
Recovery can take between 7 and 10 days after dental implant insertion.
Most of the time, swelling is insignificant.
In rare cases, where swelling after the dental implant is pronounced, anti-inflammatory medication and cold compresses are recommended.
Does pregnancy affect the implant?
The occurrence of pregnancy after the insertion of dental implants does not affect the bone healing process, the Osseo acceptance of dental implants.
Can two teeth be placed on one implant?
No, we cannot fit two or more teeth on one implant.
Can a molar be placed on two implants?
Molars usually have three roots.
A dental implant is the prosthesis of a single root.
The risk of losing dental implants when a molar is fitted on two dental implants is lower than when a single molar is fitted.
As the masticatory forces are spread over several roots, the chances of overloading, overstress, decrease.
Which is the best clinic?
When looking for a doctor, we should be guided by their reputation, not their paid advertisements.
What is a fiberglass implant?
There is no such thing as a fiberglass dental implant. Modern dental implants are made of titanium or zirconium. Fiberglass are the posts. More information about posts here.
Can I pay in instalments for my dental implant?
All dental services offered in our practice, including the insertion of the dental implant, can be paid by Advantage Card in 10 instalments.
Is it possible to do extraction and dental implant?
Yes, there are special implants, which can be inserted after the preparation of the alveolus, postextraction.
Do you do dental implants in one day?
No. Dental implants offered by us cannot be loaded in one day (dental crowns will be applied 3-6 months after insertion of implants).
How long after the extraction can I put dental implant?
At 3 months in the case of a mandibular extraction and 6 months in the case of a maxillary extraction.
Do you do dental implants in children?
No, children’s bones are growing and so are their teeth. Dental implant prosthesis in children, even if it is a permanent tooth, is in our opinion premature.
Temporary prosthetic solutions – acrylic crowns bonded to neighboring teeth – or even a removable or movable prosthesis will be found until the age of maturity (18-20 years), when prosthetics, with dental implants, is appropriate.
What kind of implants do you use?
We currently use Biotec manufactured in Frankfurt – Germany
At your request, we can use any of the implants listed below:
– Dental implant Alpha Bio,
– MIS dental implant,
– Megagen dental implant
– Dental implant Nobel-Biocare
– Norris dental implant
– Dental implant Nova
– Dental implant Straumann
– Dental implant Zimmer
– Dental implant KOS
How long does it take to heal?
– 3 months on the mandible, 6 months on the jaw,
– 10-14 days to fit the gingival healing screw.
What problems can I have with the implant?
If intraoperatively or postoperatively the hygiene and prophylaxis rules have not been respected, there is a risk of contamination of the wound, implicitly the appearance of periimplantitis which will cause the loss of the implant.
If the implant exerts pressure on the inferior alveolar nerve, or if it has severed it, the corner of the mouth will remain numb for a long period of time and there is a possibility that the sensitivity of the area may never be fully recovered.
If during the insertion of the dental implant the sinus membrane has been perforated and the surgical protocol for this situation has not been followed, there is a risk of loss of the dental implant and the occurrence of oro-nasal communication.
If the insertion of the dental implant has been done incorrectly and a vital neighboring tooth has been impacted by the milling, it may result in the loss of both the dental implant and the affected neighboring tooth.
How much does a dental implant cost in Romania?
– Dental implant insertion costs 2200 lei, +
– Opening the dental implant (after 3-6 months) 100 lei (this involves fitting healing screws) +
– The chosen dental crown:
– 700 lei – Full CrCo/ceramic crown (metal layer entirely covered with ceramic)
– 800 lei – Eco-Line Zirconium/Ceramic crown (zirconium layer covered with ceramic)
– 1000 lei – Zirconium crown/Multilayer ceramic (zirconium cap covered with several layers of Ivoclar ceramic)
– 1200 lei – Anatomic Zirconium Crown (anatomically milled zirconium with ceramic finish).
Payment can be made in 10 fixed instalments.
Which is better: implant or bridge?
The dental implant solution is superior to the dental bridge solution.
Due to the preservation of the integrity of the teeth adjacent to the edentulous gap, and the preservation of the bone volume in which the implant is inserted, by placing it under load.
For a clearer representation, please see the attached image, in which the prosthetic solutions, dental implant versus dental bridge, are explicitly illustrated.
How soon are the sutures removed?
After 7-10 days.
What are dental implants with hydroxyapatite?
Titanium dental implants are coated with a layer of hydroxyapatite for an increased Osseo acceptance rate.
Where do I find you, where do you place dental implants?
Our dental office is in Bucharest, sector 1, Luigi Cazzavilan Street nr. 35
