At Zamora Dental Centre we offer you the most effective and up-to-date implant treatments.
3D CT TREATMENT PLANNING
With the 3D CBCT system we evaluate the amount of bone available in height and width, as well as its quality. This allows us to select the most appropriate or carry out regenerative techniques in cases where the quantity of bone is insufficient.
A single implant occurs when only one tooth needs replacing, either through loss (knocked out, tooth decay, root fracture, as a result of a cystic process etc.) or through agenesia (it never existed).
In some cases, the absence of pieces is generalised or total. For this reason, we can replace significant dental stretches using two or more implants (a supported implant bridge). If all the maxillary teeth are missing, we can replace them with five or six implants.
When it´s imposible to conserve a tooth (because of a fracture, tooth decay etc), we can plan the extraction of the affected tooth and the simultaneous insertion of an implant avoiding, or minimising, the bone reabsorption that might occur after extraction.
Nowadays, regenerative procedures are available capable of forming bone whrere before there was none. Therefore, if a patient needs implants for a reconstruction yet lacks sufficient existing bone, we can "generate" it and then proceed with fixing the implant.
LIFTING MAXILLARY SINUS
This surgical technique permits augmentation of the upper maxillary bone with the aim of creating an adequate bone base to introduce osteointegrated implants in those cases where the existing bone quality doesn´t permit it. During this phase, space is generated by lifting the sinus floor to subsequently introduce a biocompatible material which transforms the bone. After some months have passed, the implants can be fitted.
DENTURES OVER IMPLANTS
Traditionally, when a patient loses all of their teeth, they opt fo a prosthesis or a full set of dentures. These cause irritation because of the prosthesis moving, creating comfort and stability problems. Thanks to the implants, the level comfort is significantly increased for a complete denture, reducing any movement.
On some occasions implants, like teeth, might be affected by bacterial infection originating from the loss of bone around the implants (periimplantitis) or from mucal infection surrounding the implant (peri implant mucositis). Nowadays, because of the enormous number of implants being fitted, and because they might receive little or no dental care, this situation appears more frequently and requires treatment.
By a biological process known as Osteointegration, in witch the body establishes a direct connection between the bone and the surface of the implant.
When osteointegration has taken place, the implant stays firmly stuck to the bone and can support a prothesis which will deal with all the functional and aesthetic requirements as if it were a normal healthy tooth.
1. When one has to replace teeth with similar or even greater stability than the natural teeth lost, avoid using adjacent teeth. Rehabilitate the mouth functionally and aesthetically with quality and precision.
2. When one needs to find an anchor for mobile dental prostheses to contribute the necessary stability for comfort and security, as if they were fixed
3. When one has to keep maxillary bone function and not lose volume as a result of reabsorption thus avoiding tissue deterioration along with the facial ageing characteristics of creases and wrinkles.
4. When it is necessary to use anchors for other treatments such as orthodontics and which would sometimes not be possible to carry out in another way.
The loss of a natural tooth can be dealt with using a dental implant without needing to grind the healthy adjacent; however, this grinding is inevitable if one opts a bridge supported on the teeth.
One top of the implant, a single or independent crown is fitted, which can be cemented or fixed to the implant using a small invisible screw. Consequently, the natural appearance, the chewing action and speech are totally restored without having to use adjacent teeth as supports.
When one has lost severval teeth, yet the gap is relatively small, they can be replaced using a fixed prothesis called a bridge, which can be supported on ones naural teeth. If one wants to avoid grinding the teeth, it is advisable to introduce various implants in the gap and support the bridge on top of them.
Nowadays, implants are the best option; teeth do not need grinding to support the prosthesis thus the teeth are not overloaded and the bone and soft tissue volume is maintained.
Oral rehabilitation for a person who´s lost all of their teeth can be carried out using a full prosthesis; nonetheless, this presents certain drawbacks:
1. Loss of stability, adjustability and retention which might cause unwanted movement, difficulty in chewing and insecurity.
2. Slow but continuous reabsorption of the maxillary alveolar bone.
3. Sores where rubbing occurs.
4. Loss of taste and alterations in food flavours.
5. In some people it may provoke nausea.
By fitting a number of dental implants, one can have a stable prosthesis with increased comfort and security. One can have a fixed prosthesis (removed only by the dentist) or removable dentures (that patients can take out themselves) ensuring considerable stability when in place.
In most cases the procedure is carried out under a local anaesthetic, in the same way as many other dental treatments -one only senses the noise of the instruments and a slight pressure sensation-. Afterwards, there may be some inflammantion and bruising in the affected area. These phenomena are not a problem at all and are the normal tissue repair reflexes following an intervention.
Our implantology team will recommend the best way to carry out the treatment and help you to avoid any discomfort after the implants have been fitted.
This all depends on the cause of the tooth loss. In the case of infection, it is advisable to wait until the bone tissue has normalised, so that treatment success is assured. If there is no infection, the implants can be fitted during the same session.
1. Infections: any patient who has insufficient oral hygiene and, above all those who suffer periodontral disease run a greater risk of suffering bacterial infection around the implants.
2. Load exerted on the implants: often, any force applied on the implants can interfere with the normal integration process between the implant and the bone.
3. Smoking: smokers run a higher risk of complications due to the noxious substances in tobacco which affect the normal osteointegration process. Most complications occurring during dental implant treatment are in this group of patients.
Although in most cases the implants carried out follow the procedure described above, occasionally cases arise in which the quality or quantity of either the bone or the gum requires techniques especially directed at remedying the problems.
These procedures, based on using grafts, try to increase the quantity and quality of the patient´s gums in the intervention area to make implants possible.
Implant-based treatments have proven themselves to be very secure. Such a level of security is based on the existence of certain exhaustive control and maintenance protocols.
Establishing adequate vigilance and careful periodic maintenance is necessary to avoid both bacterial infection and any possible maladjustments of the prosthesis caused by wear and tear and the passage of time.
Maintenance checks aim to control the treatment results over time by detecting any undesired situations that might occur early and rectifying them.