Why do people get platinum dental implants

Dental implants

The development of implants in the dental field has shown itself to be very successful in the last few decades, despite many problems. Many long-term studies of implants show that their texture as well as their shapes and their durability have been improved. The layman can think of a dental implant as an artificial tooth root. In connection with a crown-shaped abutment or other prosthetic constructions, an individual artificial set of teeth can be integrated into the oral cavity. This possibility of such a dental prosthesis has meanwhile established its permanent field of application in modern dentistry. Implants open up a way of avoiding toothlessness or a removable prosthesis in a wide variety of ways. Therefore, more and more dental practices are bringing this surgical-prosthetic restoration concept of the teeth closer to the patient by means of information material and discussions.



Dental implants are made of titanium and are available on the market in different shapes and with different coatings. If the bone condition of the upper or lower jaw is sufficient, they are inserted into the bone and, if the healing phase is problem-free, they are finally incorporated after six months at the latest. After that, nothing stands in the way of normal chewing.



The individual implants can be provided with individual crowns, crown blocks or bridge constructions or serve as anchors for prostheses. They not only satisfy the highest aesthetic demands in the field of dental prostheses, but also cause a significant increase in chewing comfort and, above all, general well-being, especially in the case of impending or existing toothlessness.

There is no guarantee that the implants will grow in, but the success rate has already risen a lot in recent years to 95%.

The dental care of the entire implanted structure is not a major problem for the patient after extensive dental instruction.

The word implantation, which is derived from the Latin "implantare" = to plant, means in human medical terms the introduction of living tissue (e.g. organs, of human or animal origin) or chemically stable, artificial materials (which also include plastics and metals) in the human body. The object that is introduced into the human organism is called an implant. It is preferably used as a plastic replacement or, due to its presence, a mechanical reinforcement through which certain bodily functions can be resumed. The artificial hip joints made of metal should be familiar to everyone.

In dentistry, implants in the form of so-called artificial tooth roots, on which a tooth is built up, comparable to a crown, ultimately help to prevent bone loss in the case of toothlessness, to resume the chewing function and to chop up food optimally for swallowing. Likewise, with today's demands in our society, the aesthetic aspect must of course not go unmentioned, for which the implants can offer very good solutions, e.g. in the case of a single anterior tooth loss.

Advantages of implant-supported restorations:

  • there is no need to grind natural, healthy teeth
  • the alveolar ridge does not atrophy (shrink)
  • Implants are interchangeable
  • they enable fixed dentures

Costs according to Stiftung Warentest


The best, but also the most expensive solution is an implant, i.e. an artificial tooth root in the jaw that is provided with a crown. Implants are not reimbursed by the statutory health insurers. An implant plus crown costs the patient an average of 2,000 euros. But not everyone is suitable for dental implants. It may be that the jawbone has to be rebuilt before it is inserted.Stiftung Warentest: healthy teeth


Historical

In addition to the isolated finds of questionable functionality, the history of dental implantation begins at the beginning of the 19th century. Many places have experimented with the material. In the beginning, materials such as silver, gold, platinum, lead, but also rubber, caoutchouc and ceramics were used. The plastic imitations were mostly based on the tooth shapes and were placed in the bone compartments immediately after the tooth extraction. A considerable further development took place towards the end of the 19th century, when the inventions of local anesthetics, the drill and X-rays increased the possibilities for controlled studies, also in the field of implantology.

Since 1960, the "not noble" metal titanium and also the ceramic in the form of an "endosseous" implant embedded directly in the bone have pushed themselves to the top of the applications due to its convincing study successes.


Implant types

material

The types of implants available on the market today are fundamentally based on different shapes and different surfaces. In the course of the further development of implantology, the distinctive feature "material" has become as good as superfluous, since titanium has taken on the number one position. The reason for this is the good mechanical and especially static properties compared to different types of stainless steel and metal alloys. These properties of the implant material depend on the hardness, density, compressive or tensile strength, flexural strength and elasticity. You are responsible for ensuring that the implant is stable enough to withstand the subsequent chewing loads.

For optimal integration in the human body, the characteristic of electrical neutrality is still missing, which among other things requires a desirable healing behavior. Unfortunately, metals do not meet this requirement, because metals have a certain cytotoxicity, i.e. cell-damaging effect, and antigenicity, i.e. the body's immune-activating effect. In comparison, there are other materials available, such as aluminum oxide ceramics, which ensure the integrity of the organism. The disadvantage of ceramics, however, is that the other properties listed above that are necessary for the production of an implant do not prove to be sufficient; the stress on the later mounted dentures then leads, for example, to a fracture of the implant. However, research is constantly working on further developments in this area.

The knowledge of the advantages of ceramics is already used in relation to the superficial properties of the implants. In this way, the biocompatibility of the implant can be increased. The main body of the plastic tooth root replacement is made of titanium, but the surface has been modified in various ways as a distinguishing feature:

  • Purely machined implant surfaces
  • coated implant surfaces
    • by irradiation (e.g. aluminum oxide radiation)
    • by acid etching
    • by thermal etching
    • by electrolytic-chemical conditioning

The conditioning of the implant surface has been shown to influence the healing process in the bone. The latest developments incorporate factors that stimulate bone growth in the coating in order to achieve even better results in terms of bone tolerance.

shape

With regard to the shape of the implant, the various implants have steadily converged over the course of development. In the past, exquisitely shaped implants were placed under the oral mucosa (submucosal implants) or under the periosteum (subperiosteal implants). The introduction through the tooth (transdental) or completely through the jaw (bicortical) is no longer up-to-date.

In modern dentistry nowadays (intra-osseous) implants are preferred. They can be in the form of needles, cylinders, cones, steps, cones or hollow cylinders, with the implant of first choice being a screw implant. These screws in turn differ in their thread depth, their pitch angle, their thread profile, their length, their width and, as already mentioned, in their material. A correspondingly large selection of implants is sold by the various companies on the market. The surgeon is thus able to choose a suitable implant for every individual situation in the patient's mouth.


Contraindications, contraindications

It is important to weigh up the chances of success for the implantation. The procedure, the type and the number of implant restorations require precise examination and planning. General medical factors, such as pronounced metabolic diseases, liver, kidney and bone diseases, blood or risk diseases in general, are considered contraindications for oral surgery of this type. Studies have shown that the number of implant failures in smokers is twice as high as with non-smokers. Nicotine, alcohol and drug abuse speak against performing an implantation. The skill of the patient must also be ensured for the later special oral hygiene measures. Dental implantation should be avoided during an acute infectious disease, shortly after radiotherapy, during pregnancy and while breastfeeding.

In addition to the general contraindications, it is the dentist's responsibility to inspect the oral cavity precisely in order to consider any problems that may arise there in advance. A dry mouth, pathological mucous membrane or bone conditions, a tongue that is too large, unfavorable jaw and bite conditions as well as abnormal chewing movements can speak against the insertion of implants. Sufficient bone thickness must also be guaranteed in order to be able to place the implants in the jawbone at all. If there is not a sufficient bone bed, it is still possible to create this through a preliminary surgical operation. In these so-called "bone augmentations", bone is introduced into the maxillary sinus in the upper jaw or bones are placed on the lower jaw. The surgical techniques have been refined and proven to be reliable in recent years to such an extent that a lack of bone supply can no longer be classified as a contraindication.

Caring for children is still a problem. As the bone growth in male adolescents is not completed until the age of 20, all implantations during adolescence are to be viewed as critical. For girls, this applies until around the age of 18. Nothing speaks against implantation in old age.


Superstructure

The term superstructure refers to the structure that is placed on the implant. The layman must visually imagine these two components as an artificial tooth root and its artificial tooth crown. Several screws and sockets interlock and enable the individual design of the dental prosthesis.

Individual tooth gaps can be supplied with a so-called single tooth implant; limited gaps or shortened rows of teeth with two or more implants. A prosthetic work with crowns or bridges, the so-called fixed dentures, is then possible as a superstructure. This is always more comfortable and more desirable than a removable denture, especially for reasons of self-esteem.



A combined fixed and removable superstructure is used in the case of severely reduced residual dentition or a toothless jaw. This means that the implants are provided with bars or caps overlying the mucous membrane, over which a prosthesis can be incorporated. In particular, such a construction offers relieving chewing comfort for patients with edentulous lower jaws, since full dentures of the lower jaw often cannot find support on the reduced alveolar ridge and can cause pressure pain.

The individual design of the dental prosthesis in terms of bite height, tooth size, tooth shape and tooth color is only limited in terms of its development possibilities to the extent that the optimal load on the implants and the functionality of the chewing system must always remain objective number one. In the context of professional production, the highest aesthetic demands can be satisfied without any problems.


Clinical process

The supply with implants can be carried out by dentists as well as in cooperation with oral surgeons.

After an impression of the jaws, they are measured for planning the location of the implants and for planning the placement of the superstructure. A conservative renovation of the remaining teeth should be carried out in advance to ensure that there is no caries and that periodontitis is excluded. Teeth that are no longer worth preserving are extracted. Current findings call for a waiting period of three months to the day of implantation after extractions, in order to ensure ossification of the resulting bone compartment, according to studies. Alternatively, there is the possibility, for example, of a fresh tooth loss, to carry out an immediate implantation. According to studies, however, the majority of patients prefer a late implantation. In this case, the implants are inserted into the regenerated bone with the help of X-ray images and a specially made drilling template. The mucous membrane is sutured close to the hole. After another three months, the artificial tooth roots are exposed, checked for their healing and provided with so-called oral mucosa formers. The gums grow harmoniously around these screws.

The production of the superstructure behaves in the same way as the production of corresponding tooth-supported crowns and bridges or prostheses. In addition, there is only the filigree work of the screw connections, which must be carried out constantly with every impression or try-in in order to transfer the implant position to the dental models and to ensure the accuracy of fit of the finished work. Without the professionalism of the dentist and dental laboratory, it is difficult to meet the demands of such high-quality care.






durability

The finished surgical, dental and dental technical work in the patient's mouth is a worthwhile, future-oriented denture for several years, if not decades. Over 90% of the implants heal in the jawbone within the first six months after implantation and can remain there for many years; provided, however, that the patient does not develop any general bone diseases over time or that other unpredictable influencing factors such as tumors, accidents occur. Long-term studies prove the incorporation of implants over 15, 20 and more years, whereby the artificial tooth root always remains resilient and prosthetically usable.

The superstructure requires daily oral care by the patient and a professional teeth cleaning by the dentist every six months, just like natural teeth in general. The durability of the dental work is officially set at approx. 5-10 years, but in reality it can easily reach twice the number of years. If the oral situation changes, ie if your own teeth have to be removed over time, using the implants for the new denture reconstruction is not a problem. The old prosthetic work is removed and a suitable denture is put on according to the current situation in the oral cavity the first implants, and possibly combined on other implants placed. The warranty regarding the durability of the dental prosthesis then begins anew.


Proper care of the implants

Immediately after implantation

Do not eat or drink anything hot until the anesthesia wears off.

In the first week

  • Avoid physical exertion (exercise, bending over, lifting, sauna, etc.)
  • For the time being, avoid alcohol, cigarettes, coffee, black tea and dairy products.
  • Rinse your mouth with lukewarm water after every meal, but not on the day of the operation itself.
  • Brush your teeth as you normally would, but be extra careful with the implants.
  • Do not use an electric toothbrush or oral irrigator.
  • You should only cool the painful areas from the outside. To do this, wrap a tea towel around the cool pack before you put it on.
  • If possible, omit your full denture if it includes the implantation area.

In the second to sixth week

  • You should still avoid physical exertion and smoking.
  • Follow your dentist's cleaning instructions carefully.
  • If you have removable dentures, clean them after every meal.
  • Whenever possible after major surgery, such as bone augmentation, refrain from wearing your full denture.