Holder of Postgraduate Degree (Aspirantura) in Orthodontics awarded in the Russian Federation, attended advanced training courses in Malaysia and Spain. Actively participates in conferences and is an author of scientific works.
Completed Candidate's dissertation in Medicine. Has teaching experience at the General Dentistry Department of Moscow State University of Medicine and Dentistry. Prize winner of scientific conferences.
Dental implantation is the installation of a special screw (implant) in the place where a tooth is missing followed by prosthetics based on it. In the classical sense, implantation means only the screw (implant) installation stage; the subsequent procedures for installing an artificial tooth are called implant prosthetics.
Various types of crowns can be placed on the installed implants:
full prosthetics of all teeth of the jaw (for example, using the “all-on-four” technology), etc.
Why it is necessary to do the implantation on time
In addition to the obvious reasons for all people to do implantation – aesthetics, visual appeal, which gives confidence and helps both in personal life and in work, there are also very important medical consequences of the teeth absence, about which few patients know:
In the place of the tooth absence, there is a gradual loss of bone tissue. Thus, if you delay with implantation, you will inevitably have to perform procedures to increase the volume of bone tissue (bone grafting), which are not only expensive, but also lengthen the implantation process by about 3 months.
Antagonist teeth (i.e., the teeth of the other jaw in contact with the tooth that was removed) gradually move to where there is no tooth, deteriorate until they are completely lost.
The adjacent teeth are gradually shifted to free space. For normal prosthetics in the future, partial installation of braces may be required.
When dental implantation is needed
Dental implantation, or rather prosthetics on implants, is performed in the complete absence of a tooth and root. In the case of the presence of the root part of a tooth without a crown part (for example, as a result of a tooth fracture), it is not always necessary to install an implant, since the crown can be installed based on the preserved roots.
Contraindications for implantation
Contraindications are divided into absolute (in which implantation is usually not performed) and relative, in which complications are possible during implantation, and it is carried out at the discretion of the physician.
Absolute contraindications include:
general contraindications for surgery, anesthesia intolerance;
systemic diseases of the connective tissue (because after implantation, the engraftment process takes place), osteoporosis.
There are also temporary reasons to postpone implantation: pregnancy, acute diseases.
Implantation methods and types of implants
The most common methods of implantation:
Classical implantation – when the implant is installed after a certain time (up to 3 months) after the tooth extraction;
Simultaneous implantation is the installation of the implant immediately after the tooth extraction.
Types of implants:
Premium class – such brands as AstraTech, NobelBiocare, Straumann can be attributed to them.
Middle class – they are many more, for example, Dentium, Mis, Ankylos, Xive, Bicon (usually these are manufacturers from Europe, Israel and South Korea)
Economy class – Russian, Israeli and others: now, there are many new manufacturers, including those that open offices in Europe and pretend to be famous western brands.
In our work, we essentially do not use economy class implants, since their survival is unpredictable and there is no guarantee of their long service.
Procedure, stages of dental implantation
Diagnostics, planning, preparation
The implant surgeon conducts a detailed consultation, learns about the presence of chronic diseases.
In addition to consulting a surgeon-implantologist, the consultation of an orthopedist is obligatory.
The patient does computed tomography (CT) of the jaw.
The orthopedist and the surgeon implantologist drawn up a treatment plan.
In case of insufficiency of the bone tissue volume, an operation is performed to increase the bone tissue: sinus lift procedure or other types of bone grafting.
After bone grafting, it is necessary to wait 2-3 months before the implantation procedure. At this time, it is possible to install a temporary crown.
Directly implant installation is the so-called first surgical stage: the doctor installs the screw in the place where the tooth is absence.
The process of osseointegration (implant engraftment) occurs 2-3 months (in case of installation on the upper jaw, the period may be longer).
At the moment determined by the surgeon, instead of the screw-plug, the healing cap, which forms the correct gingival shape, is installed.
This stage in the classical understanding of implantation does not apply to the installation of an implant (and is not included in the cost of implantation), but is a logical continuation of the implant installation, and, in fact, the main purpose of implantation is the restoration of the dental curve.
The healing cap unscrews from the implant and a standard or individual (manufactured specifically for the patient) abutment is installed in its place. Abutment is the base on which the prosthesis will be installed.
The patient selected prosthesis is made individually and installed on the abutment: it can be metal-ceramic and metal-free crowns,
All manipulations that may cause discomfort are performed under local anesthesia, therefore, the treatment process is completely painless and invisible to the patient.
Timing of implantation
Diagnostics, planning, preparation – from several days to 3 months (if necessary, increasing the volume of bone tissue).
Surgical stage – from several days (with simultaneous implantation) to 3 months.
Orthopedic stage (prosthetics on an installed implant) – 2-3 weeks.
Thus, the entire implantation process can take from several days (with the temporary crown installation) to 6-7 months. At the same time, in the absence of appropriate conditions, it is strongly recommended not to speed up the process.
How to choose a dental clinic?
Everything is constantly changing in medicine, therefore it is impossible to treat without hight quality and continuous education
In consequence of low qualification:
ComplicationsTeeth destruction as a result of high loadsJoint diseasesShort term crowns lifeNecessity of more expansive retreatment
Annually visit many advanced training courses, including international onesAlways practice complex treatment and use all modern technologies
Хорошая диагностика – залог качественного леченияНедобросовестные клиники пытаются экономить на всем
Один из лучших по детализации трехмерный рентген Sirona, микроскоп Carl Zeiss и много другого самого современного оборудованияИспользуем только лучшее: от бахил и перчаток, до имплантов, коронок и брекетов
Основной критерий — адекватность предоставляемым услугам
Многие предлагают услуги низкого качества по высоким ценамДекларируются цены не соответствующие действительности, а настоящая цена сообщается уже в процессе лечения
Премиум качество по средним ценам
Цены на сайте соответствуют прайсуНа консультации пациент получает комплексный план лечения с полным пониманием стоимостиВозможна беспроцентная рассрочка и поэтапная оплата
Лениградский проспект, дом 66, г. Москва 3 минуты пешком от Аэропорт Следующий дом после института МАДИ (из центра)