Dental implants you can rely on!
Safe tooth substitute for a new lifestyle:
In order to close the gaps created by the absence of teeth as best as possible, tooth substitutes in form of dental implants are ideal. They are the means of choice to replace lost teeth due to accidents, tooth decay, periodontitis or otherwise. A dental implant is placed directly in the bone of the upper or lower jaw. It is the foundation on which the appropriate dentures are fixed. The artificial tooth used in this way fits perfectly into the existing rows of teeth. The bothersome tooth gap thus disappears. Dental implants are at least as stable as natural teeth and sometimes also serve as a supporting « root » for bridges or prostheses.
For whom are implants useful for?
Dental implants are solid artificial teeth that replace missing teeth. They are firmly inserted into the jawbone using a screw thread and fit seamlessly into the existing dentition. This gives them decisive advantages over dentures or bridge constructions that are not fixed in the jaw, in which healthy teeth have to be prepared and used for support.
Basically, a dental implant makes sense for everyone who has lost one, several or even all teeth. It also makes sense to use it on patients with prostheses, which can be transformed through the use of implants in more fixed and stable solutions. Other possible uses can be found for large tooth gaps or greatly shortened rows of teeth.
What are dental implants made of? How are they being used?
A dental implant consists of an artificial tooth root, which looks like a screw or a thread and is screwed into the jawbone by the dentist, and a visible artificial tooth crown (superstructure) made of metal ceramic / all-ceramic or zirconium, which is connected to the artificial tooth root by an internal thread or, more modern - and what we mainly use - a conical connection.
The base of the implant -the artificial root - is first inserted into the patient's jaw like a screw. A small local anaesthetic is usually enough to make the whole procedure painless. This is followed by a healing and integration phase in which the bone grows firmly around the implant. This usually lasts 2 months in the lower jaw and 2 to a maximum of 4 months in the upper jaw. Then the new “tooth” can be fitted with the appropriate crown and is ready to be used. The tooth crown or the superstructure is the visible part of the denture and fits seamlessly into the existing dentition, both in terms of feel, shape and colour.
For the screw, we use either tissue-compatible pure titanium or particularly high-quality ceramic screws. Both titanium and ceramic are biocompatible and are usually accepted by the body without any problems and without causing allergic or other rejection reactions. Titanium has been used in orthopedics for decades. Zirconium ceramic implants are more recent developments. Here, the bone grows directly on the surface of the screw without an intermediate layer, which is also known as osseointegration. Basically, we use implants from Champions and Patent, which offer very high-quality materials and innovative and patient-friendly processes.
Advantage of several implants:: If several implants are placed at the same time, especially in the edentulous jaw, these can even be put under pressure immediately! (See below: Procedure in case of loss of several or all teeth).
See a direct comparison between a dental implant system made of conventional titanium screws with attachment and a modern Patent™ system made of all-ceramic. The ceramic dental implant on the right would also look natural if the gums receded later on with age and has fully proven itself as a modern method for dentures.
Procedure for single tooth loss
If you have lost a single tooth, then implanting is the better choice because it protects neighbouring teeth. A single tooth implant is placed in the space of the lost tooth root and remains unloaded under the mucous membrane for several weeks during the healing phase. During this time you can wear temporary dentures that are fixed or removable, if you so wish.
In the non-surgical variant, on the other hand, the lost tooth would have to be replaced by a fixed bridge, which would place unnecessary strain on the neighbouring teeth and could lead to consequential damage such as secondary caries or root canal treatment. An implant circumvents this bridge problem and should best be used 6-8 weeks after tooth loss or if possible directly as an immediate implantation.
One speaks of an immediate implant if a tooth has to be extracted and the tooth is then immediately replaced by a suitable implant. The implantation can only take place at the same time as the extraction (tooth extraction) if the tooth shows no inflammation and the bone is in good condition. This prevents the tissue from shrinking and saves the patient an additional intervention.
Procedure for loss of several or all teeth
In the case of several missing teeth or a toothless jaw, implants can be used as additional holding elements and of course also for a fixed, secure restoration. Complications in full dentures such as in the event of poor grip, reduced chewing performance, bone loss or wrinkling, implants enable prostheses to stay firmly in place and thus also prevent local bone loss. The chewing performance is massively improved and the bite height persists longer, which also counteracts the formation of wrinkles in the corners of the mouth.
Implants mean solid teeth and that change both your chewing performance and your appearance. They give you back part of your youth and are therefore of invaluable worth!
Dental implants in connection with push buttons or other anchoring systems provide a stable, secure footing and give a new quality to life. The number of implants required depends on the size of the bridge or prosthesis and also whether the lower jaw or the upper jaw is affected. Our philosophy here is safety combined with ease of care, both essential for a long lifespan of the implants and the overdentures.
In plain language, this means the following:
- For a fixed restoration, the minimum number of implants required must be 8 in the upper jaw and 6 in the lower jaw.
- For a removable restoration (= implant-supported prosthesis) there are 6 in the upper jaw and 4 in the lower jaw.
- In our practice, we are committed to uncompromising quality and durability, which is why I insist on the necessary amount of implants.
Here you can see the process using a computer simulation for the lower jaw:
Innovative procedures - the way of our dental office:
Implants are a central part of dental care. Therefore, they do not have to be complicated or particularly expensive. That is why I use both, techniques and implants in my practice, which enable me to offer you simple and affordable solutions.
MIMI ° techniques (minimally invasive methodology of implantation).
MIMI®-Flapless - is a surgical technique that has been tried and tested for 30 years now. Further down is a comparison between conventional technology and MIMI®®-flapless.
The MIMI®flapless procedure simplifies procedures for dental personnel and is increasingly important for you, the patient, because this procedure is bloodless, without cuts, gum flap formation and without sutures. We use this method whenever possible!
With the help of various sub-techniques, we are also able, in most cases, to build up bones without having to undergo complex operations.
Conventional implantation procedure (KIV):
Jaw bone augmentation – Why and when?
If the jawbone has receded due to a long period of non-use - for example, if a tooth gap or the edentulous jaw is not or only insufficiently supplied with dentures for a long time - the height or width of the bone is no longer sufficient for immediate implantation. In this case, the bone mass must first be enlarged again so that the implant finds a hold immediately after placement, and so the bone has better conditions to grow around it.
Height is usually a problem in the upper jaw, since the sinus, air filled as it is, grows bigger in the "empty" bone after tooth loss (through air pressure). In this case, a so-called sinus floor elevation is usually necessary. This means that the bone floor of the sinus is lifted (= elevation). In very advanced cases (bones under 3mm high), this more complex method is necessary. We transfer these cases to a specialist. We can solve all other cases ourselves using the so-called MIMI °-V process (internal sinus lift). The mucosa lining of the sinus is lifted through the drill hole of the implant so that the implant has space upwards. New bone then fills this space or a bone substitute can be also filled in.
Width is gained by shifting the lateral bone boundaries to the left and right and practically creating a hollow space in the middle in which new bone is formed over a period of time with the help of the implants. This is the so called MIMI-II process.
In both cases, new bone is being created, with or without bone replacement material! If necessary, we use an artificial material made of calcium or, if still available, the best bone substitute material that our body has to offer: our own tooth! The material is obtained by crushing your cleaned and dried tooth in a mill and then applying it where it is needed to stabilize the bone. This process is very inexpensive and you also know exactly where the material comes from!
Here's a short animation about the Smart Grinder::
This procedure is very important if you do not want to lose bone in the first place, but cannot implant immediately: after tooth extraction. You feel the wound with the crushed tooth and the bone stays where you need it.
A final, elegant but not very easy method to preserve the very thin outer alveolar bone, especially in the front of the maxilla, is to preserve part of the tooth. This is a somewhat more complex method, the meaning and application of which, if necessary, will be discussed with you prior to surgery.
Success and Failure
Dental implants today have an excellent good long-term prognosis: Over 95-98% of dental implants placed by experienced dentists, still do their job after more than ten years. This quota speaks for itself. An implant is intended as a lifelong tooth substitute.
In a few cases, failures can still occur, in which implants can also be lost or the implant bed can become inflamed (peri-implantitis). Poor oral hygiene, heavy smoking, autoimmune diseases or pronounced bone loss of the jawbone are particularly risk factors for implant loss. Bone overload or bacterial infections are also reasons for implant loss.
Regular checks at the dentist and conscientious daily oral hygiene are still the best prerequisites for the long-term success of implant treatment.
The costs of dental implants
Tooth loss and the resulting tooth gap are convenient for nobody. Therefore, everyone should have the opportunity to compensate for this tooth loss with a stable and inexpensive dental implant. We strive to offer you cheap dental implants that are of high quality but remain affordable. To do this, we make our way of working extremely efficient and always focus on the latest developments.
As a guideline you can assume 1000, - per screw for a simple implantation (= without bone building methods and materials). In addition, there are the costs for X-rays and then the overdenture (or crown). This is individual from case to case and will be discussed with you during advice and planning.
Ceramic implants are more expensive due to the particularly high quality material and the more difficult technology and cost around 1600, - / implant.