Modern dentistry is undoubtedly the latest generation of implantation. Science and technology in this area are ahead of their time; the development of implantology can be compared to space developments. Continuous study of a huge number of clinical cases, analysis of results, implementation of innovative solutions, improvement of materials and types of implants has already made it so that modern dental implantation is completely painless, safe and allows you to restore an entire row of teeth even in one visit.
Modern dental implantation
Dental restoration using implants began in the mid-twentieth century. The metal rod installed in the jawbone has changed over time, and new methods of its installation have appeared. Outdated plate implants are no longer used. Doctors have moved away from the intramucosal, superiosteal method and some others. Nowadays, new generation dental implants are artificial roots made of titanium alloy, which are biocompatible with the human body, do not cause allergic reactions, are durable and reliable for chewing loads. They play the role of real roots, preventing the atrophy of bone tissue that would inevitably occur in the place of lost teeth. And new implantation protocols make it possible to quickly solve the problem of the absence of one or all teeth, without preparing healthy teeth and even avoiding sinus lifting and increasing the volume of bone tissue in case of its deficiency.
Dental restoration forever!
Installation of a two-stage implant ROOTT (Switzerland) - RUB 27,000. 32,000 rub.
What trends are expected in this area?
Unlike dentures, implants do not need to be periodically replaced with new ones . They help make your smile beautiful, natural and healthy at any age. However, their main advantage is the complete restoration of dental functions.
Nowadays there are dental structures made of different materials: titanium alloy, ceramics, biopolymer. Technology improvements continue. Thus, Spanish scientists have created completely new dental implants with a biodegradable coating. They integrate much faster into living tissues; upon contact, the coating particles gradually dissolve. This helps accelerate bone regeneration.
Modern methods of dental implantation
The dental clinic can offer the patient atraumatic, fast and effective modern implantation methods.
Express implantation
(simultaneous implantation). The method of implanting a titanium pin directly into the socket of an extracted tooth is used. Advantages of the one-stage flapless method:
- there is no need to cut the tissue, suturing it, which means less time will be spent on healing and removal of sutures;
- the non-traumatic nature of the operation, which is morally easier for a person to bear;
- installation lasts up to 15 minutes.
In what cases is this transgingival method of modern dental implantation suitable:
- in the absence of one or all teeth on the upper or lower jaw;
- There is a time limit for recovery (it must be done urgently).
In addition, there should not be severe inflammation of the gums and insufficient bone tissue (consultation with a doctor is necessary to resolve these issues).
Implantation with immediate loading
(one-stage implantation). Just a couple of decades ago, after implantation, it was necessary to walk without a visible tooth, without a crown or prosthesis, for the entire period of osseointegration (3-6 months). Which, naturally, caused terrible psychological discomfort in any patient. The latest generation of implantations allows you to immediately install an adaptive prosthesis. A person leaving the dentist's office can smile, speak without defects and eat normally. During the entire period of engraftment of the titanium pin, its fusion with tissues and blood vessels, a lightweight temporary prosthesis allows you to get used to the presence of the orthopedic structure in the mouth and not experience discomfort in everyday life.
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Healing period for the best implants
On average, the time for osseointegration of dental implants using the traditional method is close to 6 months. However, today many manufacturers are introducing the latest developments, due to which they can reduce this period to 4-8 weeks.
Some patients consider this point to be the most important when searching for an answer to the question: “Which are the best dental implants?”
Indications for implantation
Most companies offer implantation systems that can be used in one-stage and two-stage techniques. The possibility of implant fixation in case of hepatitis, diabetes mellitus and insufficient bone tissue is already the prerogative of top brands. Not all manufacturers use technologies that allow the installation of dental implants in the presence of serious restrictions. However, if you are wondering which dental implant is better, this is a point you should pay attention to. High-quality systems produced by prestigious companies are usually allowed for fixation if there are contraindications.
Indications:
- absence of one, several teeth or complete edentia.
Dental implantation using a surgical template
. The use of 3D modeling helps the doctor accurately plan the operation, eliminating all risks and undesirable consequences. The modern method of implantation using a surgical template is the key to the successful work of an implantologist and orthopedist.
After a CT (computed tomography) scan, the doctor outlines the location of the implants in the program, which he then works with to decide at what angle and what type of implant to install. And the technician is already preparing to make temporary crowns and prostheses, which will be fixed on the day of implantation.
Basal
Such implants are installed in the basal layer of the jaw bone tissue. It is denser than the spongy layer. This ensures good primary stabilization. Prosthetics can be performed 3-5 days after the operation.
The intraosseous part and the abutment are a single unit. Therefore, it is impossible to correct the supragingival part after installing the implant. There are many cases of loss of aesthetics - dentures look unnatural and do not adhere well to the periodontal tissues.
The process of installing basal implants is not very complicated and traumatic, but basal implants have more “cons” than advantages.
Firstly, this is not titanium (after installing this type of implant, the orthopedic doctor simply bends them with forceps, creating parallelism), but it is titanium that has the property of “fusing” with the bone.
Secondly, with Basal implantation, osseointegration does not occur and it is rather the denture that holds the implants in the bone, and not vice versa.
Thus, at first glance, there are more advantages of basal implants, but the disadvantages are so significant that their use is questionable.
Indications:
- absence of several teeth or complete edentia;
- a complex clinical case that requires a particularly careful approach.
Implantation
All-on-4 and All-on-6
. Modern dental implantation “All on four” or “All on six” allows you to reduce the financial burden of restoring the entire dentition. By implanting only 4 or 6 titanium rods, you can install a complete denture on the jaw with 10-12 artificial crowns. Installing an implant instead of each tooth would require more money and time.
Manufacturers rating
When choosing dental implants, you do not need to rely on the opinions of friends who have had them installed before, or on reviews on the Internet. In the review, a person describes dental implants, types and prices, a few days or weeks after surgery. But how he will behave in a year or three is rarely written about. And patients do not indicate why the doctor recommended specific dental implants, the prices of which are higher or lower than average. Perhaps the person has weak bone tissue, diabetes, or, conversely, is under 30 years of age.
If dental implantation is to be done, prices and reviews should not be the deciding criteria. But it is useful to know the statistics: what dental implants are used by implantologists in Europe. Of the 350 manufacturers, there are 5 clear leaders, accounting for more than 60% of the market:
- Straumann are leaders, accounting for up to 18% of sales in this segment.
- NobelBiocare – slightly behind Straumann, 17% of the market.
- AstraTech - Approximately 15% of the structures used are manufactured by AstraTech.
- 3i Biomet – about 7% of sales.
- Zimmer – approximately 6% of sales.
The prices for dental implants they offer are above average. Another 37% of the market is accounted for by the remaining more than 300 small manufacturers. Some have their own patented inventions that improve the composition, design and performance properties of implants. Israeli manufacturers AlphaBio, MIS and Korean Osstem offer lower cost of dental implants, but good quality.
Implants from different manufacturers can differ greatly in design and materials. Not all of them are widely used in Russia. Look at the overview of the structures used for dental implantation in Moscow, their prices in 2022.
Indications:
- absence of most teeth or complete edentia;
- inability to wear a removable lamellar denture.
This modern implantation method allows people with removable dentures to securely fix it.
Complex implantation
. “All inclusive” in dental treatment. In one visit to the dentist, teeth are removed (if necessary) and an implant is inserted. A method for immediately restoring multiple teeth. Prosthetics on 6-12 implants with a fixed prosthesis.
Combined
The shape and size of such implants are determined strictly individually, depending on the number of lost teeth, the thickness of the jaw bone and other factors.
Highlight:
- Lamellar-root-shaped;
- Disc: for weak, atrophied bone in cases where bone grafting is impossible;
- Transosseous: used for severe atrophy of the jaw bone, installed through an incision in the chin area;
- Ramus-frame dental implants: a fairly extensive design that covers almost the entire jaw. It is used for severe bone atrophy and serves as a support for both removable and fixed prostheses.
Such implants are used only in cases where screw installation is not possible. The operation requires more time, the process is complex and traumatic . The recovery period is much longer, and the service life is short.
Indications:
- impossibility of two-stage implantation;
- absence of 3 teeth to complete absence;
- urgency of recovery.
Resmile
. Implantation technology without cuts or sutures. The transgingival method of implanting a titanium root is atraumatic, healing occurs quickly. The combination of implants from one system increases the success rate and minimizes complications. This is facilitated by a titanium-based ceramic composite prosthesis, which is installed on the 4th day and does not require replacement subsequently; it is permanent.
The latest achievements of Israeli doctors
Israeli specialists perform the implantation of an artificial root carefully and consistently; the operation can take from 4 to 8 hours. Anesthesia is administered using Sleeper One technology, which involves a slow injection of anesthetic. This makes the procedure comfortable for the patient. The effect of the medicine begins after 40 minutes and leads to an absolute blocking of the sensitivity of the jaw. The method is safe and requires a minimum of time and money.
The rehabilitation period after implantation in Israeli clinics takes three days in the hospital. The patient must remain in a state of complete rest and follow the specialist’s recommendations. The medication course is selected individually. It usually includes anti-inflammatory and antibacterial drugs.
New generation of dental implants
Implant manufacturers are constantly researching and developing new types of dental implants. By studying numerous clinical pictures from the practice of doctors, they create new types of threads, improve the alloy, and change the method of processing the surface of the product.
New generation dental implants:
- Compression implants. The very tight contact of titanium and tissue promotes rapid osseointegration.
- Multi-units with a rotating abutment head, screw fastening for fixing the prosthesis with screw fixation.
- Basal implants are placed where there is critically little bone tissue. Their implantation occurs in deeper, dense layers.
The titanium alloy is being improved, and the grinding and processing of the implant surface takes place in several stages. This is sandblasting and etching. The main thing is to achieve the necessary roughness of the root part of the implant for successful survival and cleanliness, the absence of traces of organic matter during production. The necks are made smooth to prevent the accumulation and reproduction of bacteria on them. Every nuance is taken into account. And the creation of a wide range of implants allows the doctor to comprehensively use different types of artificial roots within one operation.
Modern systems have a warranty of 25-50 years, and many manufacturers provide a lifetime warranty. The survival rate of implants takes from three months to six months, and the success of osseointegration of new generation dental implants reaches 98.5%.
Advantages and features:
- Each implant is covered with a unique TiUnit material, thanks to which the process of osseointegration occurs much faster (in its structure and composition it is very close to bone tissue);
- 3D planning of the operation, which is the key to the accuracy and high aesthetics of the finished structure;
- Due to the design features of the thread and the body of the implants themselves, tissue trauma is minimal;
- A wide range of implants in diameter and length makes it possible to install them even in the most seemingly difficult clinical situations;
- Simplicity, logic and accuracy in the surgical protocol (operation);
- All Nobel implants have identification numbers. Fake is impossible.
The only downside worth noting is the high cost.
Alternative Methods
You can restore the integrity of the dentition using:
- removable prosthetics. It is inexpensive and can immediately replace all lost teeth. But it takes a long time to get used to such voluminous structures; at first they can cause a gag reflex. For more reliable fixation, additional means such as Corega are often used to prevent the prosthesis from accidentally falling out. Aesthetics are poor, and tissue atrophy progresses inexorably. With prosthetics on implants this is impossible.
- prosthetics with a bridge supported by adjacent teeth. In this case, the supporting teeth grind down and become weaker. With constant chewing load, such structures may collapse over time.
- crowns If the tooth root is preserved, it can be restored with a crown. If the root is destroyed, then the only options left are single implantation or a bridge;
- classical implantation. A two-stage protocol involves installing a root-shaped implant, waiting for it to engraft into the bone, and only then fixing the permanent prosthesis. This is a long process (from 3 to 6 months), during which the titanium rod is completely osseointegrated into the jaw bone.
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Content
How to choose the best dental implants? The likelihood of survival is the main factor in the ranking of implants
Options for prosthetics when choosing implants
Healing period for the best implants
Indications for implantation
Rating of dental implants by manufacturer 10. MIS – dental implants from Israel at an affordable price
9. XiVE implants – dental systems from Germany of decent quality
8. AnyRidge – universal implants from South Korea
7. Osstem – implants with decent characteristics from South Korea
6. Zimmer – dental implants from the USA with a unique surface
5. Anthogyr implants – top French quality system
4. Dentium (South Korea) – the best budget implants
3. Astra Tech implants (Sweden/USA) – ideal aesthetics and lifelong service life
2. Nobel Biocare implants – perfection of shape and surface
1. Straumann implants – the best dental implants in the world from Switzerland
Price
Modern dental implantation is more expensive than prosthetics. The cost of treatment depends on several factors:
- chosen method;
- use of a surgical template;
- number of implants;
- company manufacturer;
- material of prosthesis, crown;
- qualification of an implantologist.
For example, the price of one-stage implantation with a temporary crown is about 40,000 rubles, the All-on-4 technology of one jaw with an adaptive prosthesis will cost from 190,000 rubles, one-stage implantation with complete edentia of one jaw on 6 compression implants and a temporary prosthesis - in the region RUB 265,000 The cost item may increase due to additional diagnostics and prosthetic materials.
Where to go for the latest generation of dental implants
Only dental clinics with technologically advanced diagnostic and surgical equipment and highly qualified staff can offer a choice of modern methods of dental implantation and a guarantee for their work.
The table shows several Moscow clinics where you can restore a beautiful smile in an advanced way. We advise you to find out the cost and current promotions directly on their websites.
dental clinic | Website |
Center for Dental Implantology ROOTT (RUTT) | https://dentalroott.ru |
Dentum dentistry | https://dentumclinic.ru |
City-Dent | https://city-dent.rf |
The president | https://www.prezi-dent.ru |
Center Family Dentistry | https://family-dental.ru |
ASTRA TECH implants
ASTRA TECH implants
The system was developed by Swedish scientists and is popular in many countries.
Advantages and features:
- Made of the highest class titanium, which has excellent biochemical qualities;
- Modified OsseoSpeed surface, which accelerates the process of osseointegration;
- The connection of the implant to the Conical Seal Design abutment is located below the gum level, which allows for a more even distribution of the chewing load;
- Patented microthread in the upper part of the implant (in the neck area), which also improves the distribution of chewing pressure;
- The company provides a lifetime guarantee.
Among the disadvantages, high cost can be noted.