Oral Implants

Tooth Implants explained
Tooth Implants explained
Implants and Dental
Implant Treatments

Dental Implants – aesthetic,
permanent and immediate solutions

Implants are the modern, natural and comfortable solution in cases of tooth loss – whether to treat the loss of one tooth, a number of teeth, or even the entire set of teeth. Implants provide a feeling and look that is as close as possible to that of natural teeth. Our clinic has experience treating thousands of patients using implants, since 1990, and long-term follow-up indicates the great success of rehabilitation with implants.

What are implants?

Implants are essentially artificial roots that are implanted into the jawbone instead of the teeth that were lost. An implant is a metal screw, a titanium alloy, which is fastened to the bone, thus creating a solid basis for attaching the crowns. The implants restore the patient’s mastication abilities and give the mouth a natural look.

How many implants are needed?

1. When one tooth is missing – is the best solution implants or bridges?

1.1 Bridges – With a bridge, at least three crowns are connected. The bridge is reinforced by teeth that support it on either side of the gap, which must be in good condition. The advantages are that this is a permanent rehabilitation, aesthetically pleasing, quick and simple – most dentists can feasibly perform this procedure.
The disadvantages are that in order to create the bridge, at least two of the adjacent teeth must be prepared (ground). Sometimes, preliminary treatments must be performed on the supporting teeth – root canal treatments and core placement (and what if the tooth is “healthy”?). If the teeth are themselves in need of crowns, the issue is less serious.

1.2 Implants - When one tooth is missing, a single implant may be inserted, with a crown that is supported by this implant. This solution is much more preferable than a bridge supported by adjacent teeth.
There are many advantages of implants: independent rehabilitation that does not depend on adjacent teeth and added support with mastication for the other teeth. In many cases, it is possible to do an immediate rehabilitation at the time of the extraction – in other words, extraction, implantation, and rehabilitation with a temporary crown, all in one visit! This option also entails minimal discomfort for the patient and is a quick, comfortable, aesthetic solution.

Read more about Single Implant

2. When multiple teeth are missing – is the best solution a bridge, partial removable dentures or implants?

2.1 Bridge – The principle is similar to a situation in which one tooth is missing. A larger number of supporting teeth are needed as the number of missing teeth increases. The location and state of the supporting teeth is critically important. Very good teeth on the left side of the mouth cannot contribute to the stability of a bridge that is needed to replace missing teeth on the right side of the mouth.

2.2 Removable partial denture (dental prosthesis) – Dentures are usually made of hard acrylic (also possible to make them out of soft polymer), and fill in the missing teeth. There are many types of dentures, since this is an effective solution that has been used for many years. The dentures can be supported by existing teeth or be combined with crowns. The dentures can serve as a temporary solution when rehabilitation with implants is being performed.
The advantages are that this option is quick, simple, cheap and can be easily maintained.
The disadvantages are that this is a removable rehabilitation method, usually not very aesthetically pleasing, less comfortable, and masticatory force is less powerful than with a bridge or implants.

2.3 Implants – The insertion of implants can be done by placing implants in the spaces where teeth are missing and reconstructing on top of them. They can be inserted as independent teeth, a combination of a few implants to create a bridge, or a combination of natural teeth and implants to create a wider bridge. The advantages of implants are the same as listed above in regards to a single tooth implant.

Read more about Multiple Implants

3. When all of the teeth on one or both jaws are missing – should a mobile rehabilitation – full or permanent dentures (dental prosthesis) – implants – or a combination be used?

Rehabilitation of a toothless mouth is undoubtedly one of the biggest challenges in dentistry. A rehabilitation that is permanent and comfortable is the greatest challenge of all. Like “eyes” for the blind or “legs” instead of a wheelchair, medicine is advancing ceaselessly, prolonging and improving quality of life. The field of dentistry has taken upon itself the challenge of improving human life – giving people the ability to smile unashamedly, to chew, returning self-confidence, and bringing the face and jaws back to their natural state (before the teeth were lost).

Read more about Complete Jaw

3.1 Removable Rehabilitation

Oral rehabilitation can be performed using implants and filling in the missing teeth with dentures (usually made of acrylic), which are not affixed to the mouth and can be removed and cleaned. The dentures have been in use for hundreds of years, and because they are easy to use and inexpensive, they are the most commonly used solution.
In addition, removable rehabilitation is the only temporary, and sometimes the only permanent, solution for systematically complicated patients who are systematically imbalanced, suffering from diseases such as diabetes, cancerous growths and hormonal imbalance.

3.2 Removable Rehabilitation Supported by Implants – Combination

The rehabilitation is usually based upon 2-6 implants that support a beam that connects between them and upon which the dentures rest.
Over the past 15 years, this has become one of the treatments most recommended by dentists because of the ability to obtain a good, stable hold for the prosthesis in a relatively short period of time, using minimal surgical intervention. It is also fit for use in patients suffering from chronic diseases and with the elderly population. They are easy to clean and maintain, moderate surgical skills are needed to perform the procedure, and the success rates are high. The obvious disadvantage is that the end product is a removable rehabilitation and technological advancement has caused the final cost to rise.

3.3 Permanent Rehabilitation of Implants – What are the available options, and for whom are they appropriate?

Permanent rehabilitation (which cannot be removed by the patient) entails completion and reconstruction of most of the functions lost to a toothless mouth, such as speech, mastication, phonetics and mimicry. Very high surgical and rehabilitative skills are needed, as well as the best technology and broad clinical experience. The rehabilitations are expensive and cannot be performed “cheaply.” Any compromise on the price will directly influence and decide the final results. The most advanced medical knowledge and skills, the highest quality materials and many years of experience cost money!
The rehabilitation is based on using implants whose number and location is decided according to the specific case of rehabilitation.

3.3.1 Ceramic Bridge Supported by 6-10 implants

If the quality and quantity of jawbone is sufficient, a “bridge” of 12-14 teeth can be stabilized on 6-10 implants that mimic a natural, healthy jaw. Usually, rehabilitated teeth look nicer than the natural teeth. The aesthetic adjustment is done by the dentist and the patient, starting with the choice of teeth structure, the shade and transparency of the teeth, length of the teeth, matching the teeth to the gums, and more. The advantages are that the results are aesthetically pleasing and the treatment provides the best functionality. This is the closest thing to natural teeth. The recovery period is very short. The only disadvantage is the relatively high cost.

3.3.2 Implants Using the “All on 4-6” Method

This method of implantation is based on fixing a number of 4-6 implants in a very precise location to create a three dimensional trapezoid force that enables the attachment of bolted dentures or a bolted bridge containing 12 teeth. Very careful planning is required, broad surgical experience, and the rehabilitation must be performed very exactly so that implants and rehabilitation can be done on the same day.
As a rule, this method is meant for jaws that are lacking all of their teeth (for patients with complete dentures or in which all of the teeth must be extracted). Sometimes, if only one side of the jaw is missing teeth, this method can be used only on that side.
The number of implants is determined according to the size of the jaw and the mastication capabilities, the quality and quantity of jawbone, in order to equally distribute the pressure between many points.
Essentially, implants inserted using the “All on 4-6” method are a combination of a ceramic bridge on implants and dentures – they are aesthetically pleasing and strong like a bridge, flexible and easy to maintain like dentures, and intermediately priced.

Read more about All on 4-6 implants

The Benefits of Implants using the “All on 4-6” Method

The advantages of this type of implantation are many: Minimal incisions are made in the gums, which shortens the recuperation time, the treatment time, and significantly lessens the discomfort following the treatment. The method allows for immediate use of the implants – within a few hours, a toothless patient can chew.
These implants fit a modern lifestyle- for people who have difficulty coming to dental treatments that take years, and for people who refuse to be toothless even for a short period of time.
These implants can usually be inserted at the same time as the corroded teeth are being extracted – in other words, extraction, implantation, and returning to a functioning mouth in just one day! TEETH IN A DAY.
The price – the reduction in procedures allows for a lowered price without compromising on quality.

The Disadvantage of Implants Using the “All on 4-6” Method:

Not suitable for every patient (due to health issues).
Implants require the highest level of knowledge and skills, careful planning and precise laboratory and clinical work, which takes a long time.
All of the dentists need to work at the same clinic – during the first weeks, the rehabilitation must be delicately balanced – dentists who come to the clinic once every two weeks or once a month, or work in other dental clinics altogether, will not succeed in optimally attaining this balance, which can cause partial or complete failure of the rehabilitation, and mutual accusations, while the patient is “stuck” in the middle of his/her implant treatment.
Sufficient quantity and quality of initial bone is needed (sometimes, it is possible to graft new bone for the implants inserted using this method).

Implants and Grafting New Bone – GBR, GTR

If there is not enough initial bone, or its quality is low, it is possible to graft new bone, including adding height to the bone, width to the bone, and performing a sinus lift.
The disadvantages are that this is costly, the lengthy procedure requires a higher number of treatments, discomfort lasts for a few months, and the length of the entire treatment can reach 12-16 months.
The advantages are that at the end of the procedure, the patient has a basis upon which a permanent bridge can be placed. The teeth look aesthetically pleasing and are strong for a long time.
Our clinic specializes in inserting implants using the “All on 4-6” method, professionally and at the highest quality. The broad experience that our clinic has amassed allows for rehabilitation on the same day that the implants are inserted.

How long do the implants last?

Clinical studies have shown that teeth rehabilitated with dental implants last over 25 years. Careful oral hygiene and regular visits to the dentist, as with natural teeth, will prolong the duration of the implants.
The success rate of implants worldwide is between 95-99% during the first five years after the implantation.
Our clinic has a success rate of approximately 97% during the first 15 years following the implantation.
Our clinic is 100% responsible for all rehabilitation for a period of 8 years!

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