Question - Answer


Dental implants are tooth root-like materials made of titanium, which are placed in the jawbone to restore the lost aesthetics and function in the missing tooth area.

It is a surgical procedure performed in a single session with local / regional anesthesia applied in the routine of dentistry. After applying local anesthesia to the missing tooth area, the gingiva (flap) is lifted and the implant slot is opened in the bone, and the appropriate implant is placed in the slot and the area is closed. After the fusion period of the implant with the bone (which varies between 3-6 months on average) is completed, the implant is opened and a special gingival-shaping cap is attached, and after the gingiva is shaped, a fixed prosthesis is attached to the implant by taking measurements for the prosthesis.

In general, there is no harm in applying implant treatment to anyone who does not have systemic health problems. However, for people with systemic health problems, implant treatment can be performed by consulting the patient's doktor. Due to osteoporosis or oncological treatment, implant treatment may not be appropriate if certain drugs such as I.V or oral bis-phosphonates, antiangiogenic drugs or denosumab are used. 
In children who have not completed jaw development, implant treatment can be performed after an average age of 18-20, after waiting until the jaw development is completed.

In implant treatment, there is usually a waiting period of 3 to 6 months after implant placement. This period is defined as the recovery period. During this period, bone formation between the screw threads of the implant and the implant and bone are mechanically locked. After that, prosthetic installations can be made by opening the implant.

In some special cases, early installations can be done following implant treatment. There are a few important criteria. If these criteria are met, installations can be done immediately or a few days after the implant is placed.

In cases where there are one or more missing teeth, implant treatment is the best solution to avoid any action on the healthy teeth next to the gap.

If there is a decrease in prosthetic retention in individuals using a total prosthesis, if the prosthesis moves during chewing and talking, 2 or more implants are made to ensure that the prostheses are more stable in the mouth during chewing and talking.

In cases where the loss of the rearmost molars is unilateral or bilateral, fixed prosthetic rehabilitation can be performed with implant treatment instead of removable partial dentures to restore tooth deficiencies and function. In this way, it is ensured that both the patient's self-confidence increases and the function is better. Individuals with a nauseous reflex cannot tolerate the introduction of a large denture in the mouth (especially one that completely covers the upper palate). In this case, prosthetic rehabilitation, which will be fixed with implant treatment, will be the best solution because it will only be located in areas where the patients have their own teeth and will be fixed.

All on four treatment is a term used for prostheses made on four implants. It is a treatment option that is applied by making a total of 4 implants, 2 inclined in the posterior region and 2 parallel in the anterior region, generally in cases where the jaw bones are not suitable for implantation. An important advantage here is that if the jawbones are suitable, that is if the implants have sufficient torque values, the prostheses can be made at an early stage within the week after the implant application. In this way, the patient who is toothless immediately after the implants are made can get their teeth back within a week.

While making the implant, the laser is only used to open the gingiva.Apart from this, the laser has no place in implant construction. Only a small area of tissue can be opened with the laser. However, this process can already be done with a scalpel. But a tissue that needs to be opened with a scalpel cannot be opened with a laser. Wound healing is delayed in laser procedures. Therefore, the laser has no superiority over the scalpel. In addition, if the bone is sufficient in the area to be implanted, the implant can be made even without opening the gingiva.

Implants can be applied to adults who have completed puberty, individuals who do not have a condition that adversely affects their general health, patients with diabetes under control (if there is not enough bone, it can be done after bone augmentation and expansion), patients with blood pressure under control. There is no upper age limit for implant surgery.

Success Criteria
Suitable diagnosis and treatment
Case-specific planning and which implant will be used,
The width, thickness and quality of the bone where the implant will be placed,
Correlation of implant-supported prostheses with the teeth on the opposing jaw,
Good oral hygiene,
Sterilization of the instruments to be used in the operation and disinfection of the surrounding area,
Experience of the Dentist / Surgeon,
General health status of the patient,
The use of alcohol and cigarettes affects negatively.
Regular checkups.

Implants are made of titanium alloy, which is biologically compatible. After the surfaces are sandblasted, etched or roughened with laser before packaging, all residues are cleaned and packaged in a sterile state. Implants with these features do not cause allergic reactions in the body. The certificate of the implants made in our clinic, which implant is applied to which region and the serial numbers of the implants are given to the patients under warranty.

Implant treatment is performed following local or regional anesthesia. During the surgical applications performed in this way, pain is not felt. After the procedure, the patients can continue their daily life.

The success of implant treatment generally depends on 3 factors. At the beginning of these factors are performing the surgical operation in a sterile manner and placing the implant in an ideal position within the bone. For this, it is important to choose dentists who are experts in their field. Secondly, making a suitable prosthesis and finally the patient needs to take good care of their teeth. As with a normal tooth, daily brushing of the teeth in the implanted areas and the use of additional cleaning agents such as dental floss, interface brushes and mouthwash increase the survival rate of the implant.