a Little history
the" Pioneer " of modern dental implantology is the Swedish scientist Branemark (P.-I. Branemark). After numerous experiments on animals, in 1965, the first intraosseous implant in the form of a tooth root was put to a person for two-stage application.
in the course of many years of research in 1978, one of the fundamental discoveries of implantology was made: in the bone bed, which is prepared atraumatic and exactly corresponds to the shape of the installed titanium structure, there is a strong "fusion" of the metal surface with the bone. Branemark and colleagues fully appreciated the significance of the phenomenon they called "osseointegration", which opened a new era in the history of dental implantation.< p>in 1981, Branemark summarized the results of a 15-year study in which 90% of implants functioned during the entire follow-up period. According to L. Linkow, dentistry has reached a "Golden age" and for this medical specialty, the discovery of osseointegration in its significance is quite comparable to the discovery of local anesthesia in 1902. < p>in our country, implantology has become an officially recognized branch of dentistry since 1986. During this time, there is strong evidence that dental implantation is a reliable and predictable method of treatment, which is becoming more widely used in the practice of dentists every year.
Advantages of implantation< / h3>
after tooth extraction, the jawbones decrease significantly in volume over time (atrophy). During the first year, 25% of the bone tissue is lost in the area of the removed tooth, and in the next 2-3 years, the bone tissue is reduced by 50% of the original volume. After the implants are installed, the loss of bone tissue stops.
During implantation, healthy natural teeth are not dissected.
If you are missing one or more teeth, it is possible to eliminate the defect of the dentition using a fixed prosthesis. But to install it, the dentist must sharpen the adjacent teeth under the crowns and remove the nerves (pulp) from them. The more teeth are missing, the more teeth will have to be sharpened. For example, if you are missing one tooth, then you need to sharpen two adjacent teeth for a bridge. Unfortunately, the service life of crowned teeth is much shorter than that of healthy ones. Hygienic care of teeth United by a bridge is much more difficult. The use of implants allows you to keep your natural teeth intact.
The use of implants for the loss of lateral teeth allows you to make a permanent prosthesis.
When the chewing teeth are removed, it is impossible to restore the defect of the dentition with a bridge prosthesis, since there are no teeth on which the fixed prosthesis should rest. If you make a non-removable prosthesis with a one-way support, the teeth that it will rely on will be overloaded and will eventually become loose. Usually in this situation, a removable prosthesis is made. Using a removable prosthesis is inconvenient, in addition, the bone tissue under it quickly atrophies. Implantation allows you to install additional supports and make a permanent structure of the prosthesis with such a defect.
implants have a longer service Life than crowns and bridges.
the results of prosthetics with traditional bridges and crowns are not so good. It has long been scientifically proven that 75% of crowns and/or bridges that rely on "their" teeth successfully pass the five-year mark. After this period, 25% of the prostheses need to be replaced. Practice shows that some teeth that served as a support for fixed prostheses have to be removed.< p>Statistics on the success of prosthetics on implants are more encouraging. More than 90% of prosthetics on implants successfully function within 10 years. Manufacturers give the service life of implants "for life". And on toothless jaws, the implant's life span exceeds 35 years.
Treatment planning and diagnostics are the basis of success!
it is necessary to Consult an orthopedic doctor about the possible use of implant treatment, since the final result: the type of construction, the number of implants required is the authority of an orthopedic doctor. When the doctor and the patient have reached an understanding of the scope of work to be done, the implantologist is invited to an extended consultation. During the consultation, x-rays are necessary to assess the volume of bone tissue. Most often, orthopantomography (optg) is used for diagnostics, which allows you to get an image of the upper and lower dental rows and neighboring anatomical formations.
but the image obtained using this method is flat, and is not always informative. The most reliable method of x-ray examination is computed tomography (CT), which shows the volume of bone tissue in the jaws in three projections. With its help, implants are precisely planned to be installed. Only with the help of these preoperative diagnostic procedures can it be determined whether the quantitative and qualitative bone tissue of the jaw is sufficient for implantation.< / p>
if there is a shortage of bone tissue, bone regeneration is shown using your own bone or using artificial bone material. Also, preoperative diagnostic measures include the production of plaster models and surgical templates, which are currently widely used.
Indications and contraindications for implantation are established on the basis of a General medical history and examination (blood tests, etc.), assessment of the patient's psychoemotional state and dental status.
After determining the indications, the first thing to do is to exclude the presence of contraindications. If you have any serious systemic diseases, you must have a written opinion from Your doctor (cardiologist, endocrinologist, etc.).< / p>
only high-quality planning of the operation allows you to achieve long-term and highly aesthetic results. In the clinic "SNK DENTISTRY" we guarantee highly qualified assistance in prosthetics on implants of different systems and the choice of the best type of prosthesis for this clinical case. Your dental health is in our competence.
Indications and contraindications
Indications and contraindications for implantation are determined by the implantologist on the basis of a General medical history and examination (blood test, etc.), assessment of the patient's psychoemotional state and dental status.
Indications for dental implantation are:< p>the Absence of a single tooth, when implantation will prevent the preparation of teeth located next to the defect. < p>the Absence of several teeth, when using implantation, it is possible to carry out permanent prosthetics, avoiding the preparation of limiting teeth with a defect in the dentition and removable prosthetics with a terminal defect in the dentition.< / p> < p>Complete absence of teeth, when implantation can be used to perform permanent prosthetics or provide a more reliable fixation of complete removable dentures.
After determining the indications, the first thing to do is to exclude the presence of contraindications. If you have any serious systemic diseases, you must have a written opinion from Your doctor (cardiologist, endocrinologist, etc.).< / p> < p>Contraindications are local and General, temporary and permanent, absolute and relative.
there Are a number of diseases in which dental implantation, like any other planned operation, is contraindicated:
< li>Chronic diseases in the decompensation stage.
< li>Diseases of the blood and hematopoietic organs.
< li>HIV and other seropositive infections.
- Osteopathy (pathology of bone tissue). < li>Diseases that negatively affect the metabolism of bone tissue.
- Diseases of the Central nervous system (mental diseases). < li>Diseases in which the body's resistance to infections is significantly reduced.
- Malignant neoplasms of various organs and systems. < li>Systemic connective tissue diseases.
there Are also diseases, physiological conditions and functional conditions in which only for a certain period of time, the performance of any operation can harm the patient's health, or the current state of the body will not allow to achieve positive results in surgical treatment:
< li>Acute inflammatory diseases or acute viral infections.
- Exacerbation of chronic diseases.
- Recent heart attack or stroke. < li>Pregnancy and lactation. < li>Treatment with drugs that reduce tissue regeneration (hormone therapy, chemotherapy, etc.).< / li>
- Drug addiction.
- State after irradiation.
Choosing an implant system< / h3>
today there are more than 300 types of dental implants in the world. The implant surgeon should advise you to choose the implant system that is best suited to the patient for dental replacement in each case. Of course, cost plays an important role in choosing implants.< h3>Sequence and treatment options with dental implants. < p>Implantation is usually performed under local anesthesia and is well tolerated by patients. If necessary, it is preceded by special medical preparation, which helps You better tolerate the intervention. Implantation is carried out under conditions of complete sterility and the use of modern equipment. Following the doctor's postoperative recommendations will help you avoid complications.
two-Step (classic) method:
The first stage (surgical):
the Implant is placed in the bone. It takes a certain amount of time for it to take root. On the upper jaw, it is on average from 2 to 6 months, which depends on the chosen implantological system and on the bone density. At this stage, the implant is located under the gum. During the osseointegration of the implant, the missing tooth or teeth can be replaced with a temporary prosthesis.
The second stage (surgical):
After the implant is implanted in the bone, it is opened and a gum shaper is installed around it, around which the gum is formed for two weeks. At this stage, if necessary, gingival plasty is performed to create a dense and beautiful gum around the implant and the future crown.< h4>Orthopedic stage:
the gum Shaper is removed, placed in the implant, the impression modules are obtained, and the laboratory stage of manufacturing the structure based on implants begins. After the end of prosthetics, you will be sure to explain how to care for the prosthesis and implants, make a schedule of visits and set a date for the next examination.< / p>
the Presented course of treatment is a classic and is one of the possible options. During the consultation, the dentist implantologist will advise you on the best treatment option specifically for Your case.
fixed or removable prostheses are installed on implants. Non-removable prostheses include crowns, bridges and so-called conditionally removable prostheses, which the patient can not remove on their own, but if necessary, the dentist removes them and installs them again.< h3>crowns on implants
to replace one missing tooth, you must install an implant and make a crown for it. In some cases, this can be done immediately after tooth extraction, and if there are necessary conditions, the temporary crown is fixed immediately. If the removal was carried out a long time ago, then due to the reduction in the size of the bone, it is often necessary to increase the volume of bone tissue and gum plastic.
Bridges on implants
If several teeth are missing, then a bridge-like prosthesis is made based on implants. The amount required for normal functioning of prosthetic implants depends on the number of missing teeth, the quality of the bone, prosthesis design, size of implants etc. The General rule of manufacturing a permanent prosthesis in the absence of teeth is to install at least 6-8 implants per jaw. On the upper jaw, the number of implants should be greater due to the fact that the bone tissue is less dense than on the lower one.< h3>Removable prostheses on implants < p>the Removable prosthesis on implants is much smaller and more convenient than the traditional one: it does not cover the palate, does not interfere with the tongue, and is securely fixed. When using such a prosthesis, the appearance and speech of a patient with complete loss of teeth improves. To fix a removable prosthesis, it is enough to install two implants in a toothless jaw. In this case, the implants serve to stabilize the prosthesis. If the number of implants increases to four, then a beam is placed on these implants, and a prosthesis is placed on top. In this case, the prosthesis, in addition to a more reliable fixation, has a much smaller size than the traditional removable one.
"SNK DENTISTRY" is a Modern Scientific Qualified Dentistry at the clinic on Timiryazevskaya. We are a team of specialists who have been working together for many years, first at the Moscow Dental University, where we became doctors and researchers. Then there was the defense of dissertations with the awarding of a scientific degree. Many years of our work history are associated with teaching students, residents and postgraduates at the University of scientific and practical knowledge and skills obtained by us for many years of work in practical dentistry, as well as acquired thanks to our teachers - Scientists with a capital letter, great professionals and virtuosos of domestic dentistry V. N. Kopeikin, I. Yu.Lebedenko, L. S. Persin, S. V. Dyakova.
for more than twenty years of experience, our patients have already brought us their children, and many of them their grandchildren!
We are proud of our unique team of doctors and nurses. We are proud of our patients, we are proud of our work and we are ready to share with You our skills, buildings, the most modern approaches and protocols in treatment in each specialty and we continue to learn and improve to be the best Doctors for You.< p>Doctors of the clinic "SNK DENTISTRY" are ready to provide a full range of high-quality dental services. Our specialists actively use modern CAD-CAM technologies, the latest methods and algorithms for the treatment of dental diseases. Complex clinical situations are solved at consultations, in a team of doctors of different specializations. Attractive prices make our services available to a wide range of patients.< / p>
Your dental health is in our competence! Chief doctor Pustovaya E. P.< / p>
|Planning for implant treatment||Production of a soft surgical template using a vacuum former||5000 rubles|
|Manufacturing a rigid surgical template from colorless plastic||6000 rubles|
|Production of a three-dimensional virtual computer model of the jaw||4000 rubles|
|Production of a rigid surgical template from plastic based on three-dimensional modeling with titanium guide bushings for up to 3 implants||7000 rubles|
|Production of a rigid surgical template from plastic based on three-dimensional modeling with titanium guide bushings over 3 implants||9000 rubles|
|Production of an individual abutment based on alloys of base metals (without the cost of ashless workpiece)||3000 rubles|
|Production of an individual abutment from zirconium oxide (without the cost of a glued blank)||6000 rubles|
|Temporary crown made of plastic on the implant (milled CAD | CAM)||4000 rubles|
|MIS implant installation, Israel||40,000 rub.|
|Installation of the implant system STRAUMANN, Switzerland||50,000 rub.|
|Use of a dental mini implant for temporary or permanent fixation of the prosthesis or orthodontic treatment||10,000 rubles|
|Implant Removal||5000 rubles|
|Implant revision||8000 rub.|
|II surgical stage of implantation|
|Installation of the gingiva former using a mucotome or through an incision above the implant under conditions of a sufficient volume of the stationary mucous membrane||3000 rubles|
|Installation of the gingiva former with simultaneous restoration of the volume of the motionless mucous membrane with a split flap||4000 rubles|
|Installation of a gingiva former with simultaneous restoration of the volume of the fixed mucous membrane using a free connective tissue graft||5000 rubles|
|Installation of the healing abutment with the simultaneous restoration of the gingival papillae by turning the flap on the leg||5000 rubles|
|Installation of the gingiva former with simultaneous restoration of the volume of the motionless mucous membrane with an apically displaced trapezoidal flap||4000 rubles|
|Taking a connective tissue free transplant||6000 rubles|
|Insufficient bone volume|
|Bone grafting of I complexity category||50,000 rubles|
|Bone grafting of the II category of complexity||100,000 rubles|
|Bone grafting of the III complexity category||150 000 rub.|