• Patients ask,
    leading implant dentists reply

    Leading Implant Center has compiled from the most urgent patient issues a detailed interview. Click here to read the responses from members of the Leading Implant Centers:

    1. What exactly are implants?

    An implant is an artificial root that subsequently allows performing arch restoration. Implants let us provide regular occlusal load distribution. In our clinic, we use implants with cortical fixation in hard bone. Thanks to this, we can use immediate load. We also use implants when there is significant bone atrophy in those cases where augmentation should be applied.

    2. In what situations are implants used?

    Implants are placed in case of:

    • the absence of one or more teeth in the arch;
    • the removal of one or more teeth (under indication);
    • patient's unwillingness to restore arch defects with the use of additional processing (teeth reshaping) of intact adjacent teeth;
    • as an overdenture abutment;
    • restoration of aesthetic and chewing functions.
    • unwillingness to restore the arch defect with the help of removable denture.

    3. What are the advantages of dental implants for me?

    There is no need in additional processing (teeth reshaping) of intact adjacent teeth. Rapid recovery of aesthetic and chewing functions. Prevention of bone atrophy in the place of lost tooth. Prevention of teeth displacement of adjacent teeth as well as antagonist teeth towards arch defect. There is no need in making overdentures.

    4. What are dental implants made of?

    In our clinic, we use implants made of titanium alloy.

    5. Will my new teeth look natural?

    Orthopedic part of arch recovery process lies in choosing the required / desired design, color, form and other necessary aesthetic and functional parameters. At this stage all patient’s wishes and demands are considered and then, subsequently, implemented in collaboration with the technical laboratory. Properly chosen characteristics of the coronal part of implant design let us speak about high aesthetic index. Dentures will look very natural.

    6. Are dental implants suitable for all patients?

    There are a number of absolute and relative contraindications to implantation. You should study carefully every patient’s life history in order to determine possibility and necessity of placing implants in each case.

    7. Can allergic reactions occur?

    The vast majority of modern dental implants are made of titanium and zirconium alloys. It is no coincidence titanium holds the first place as this metal is the best in manufacturing implant technology and heals perfectly in bone tissues. Titanium has exceptional anti-allergic properties, which allow, with a high degree of probability, to avoid allergic reactions of the patient.

    8. I have osteoporosis - what happens now?

    Osteoporosis is a disease in which the bones become extremely porous due to a decrease in bone mass and density without sufficient compensation of bone formation.

    Typically, the disease advances in areas of focal infection (periodontosis, osteomyelitis, osteodystrophy, etc.) To stop the process of bone destruction it is necessary to eliminate the cause. This disease can also occur among people with systemic disease (diabetes, avitaminosis, rachitis, etc.) To find out the cause of osteoporosis one should carefully follow the life history of each patient.

    9. Dental implant and periodontal disease - what should I consider?

    Periodontal disease is very common, especially among adults.

    Periodontium – is a complex of tissues that surround the tooth and provide its fixation in the jaw. This complex includes the gingiva, the periodontal ligament connecting the tooth root with the bone hole, bone tissue of alveolar ridges and the root cementum. During various periodontal diseases, any part of periodontal complex or the entire periodontium can be involved in the pathological process. However, these processes affect only natural teeth. In other words, if a tooth is missing, and an implant is placed in its place, the processes of bone resorption and other periodontal problems in this area shall leave.

    10. Can dental implants be used for smokers?

    Modern implants, as well as placement protocols, suggest that smokers may not give up their habit. We can talk about that using the one-stage implants with polished collar. Polished collar prevents infection development on the surface.

    11. How do I visualize my implantation?

    Computed tomography is the best way to visualize the process of implant placement. With the help of this type of X-ray diagnostics, it is possible to measure the bone volume in a place where we have to place the implant. We can also pre-select and model the size and the way of implant placement to prevent postoperative complications.

    12. Is the treatment painful?

    The use of the latest generation of anesthetics, as well as such kinds of anesthesia as computer anesthesia, gives us possibility to speak about painless surgical procedure.

    13. How long does a dental implant treatment take?

    Depending on the clinical situation, the placement of one implant can last from 20 to 40 minutes.

    14. Can I go back to work following an implantation?

    Implant placement is accompanied by minimal soft tissue swelling or its complete absence due to the use of transgingival implantation (without incisions) in our clinic. Due to improvement of quality of implantation procedure, as well as improvement of methods of implantation the number of complications in the postoperative period reduces significantly ... A patient does not feel any discomfort and painful sensations. As a result, you can return to your normal life in the shortest time.

    15. How long is the healing period following an implantation?

    Depending on bone quality, the patient’s age and his systematic condition, the period of complete implant healing can last from 2.5 to 6 months.

    16. Does a dental implant last for the rest of my life?

    Minimum actual useful life of a high-quality dental implant in case of optimum level of individual hygiene, even under extreme loading is not less than 10 years. With the proper care and gentle load, the lifetime of implants varies from 30 years or more.

    17. What are the risks of an implant treatment?

    Non-compliance with the rules of implants care, as well as due to possible individual peculiarities of the organism, there is a risk of implant failure.

    18. Should every lost tooth be replaced by a dental implant?

    The absence of one or more teeth may affect the defect in chewing function. Digestive disorder could happen because of the fact that food is chewed much worse on one side, and the load on the adjacent teeth also increases.

    It is necessary to fill the space resulting from tooth extraction; otherwise, a change in the inclination of adjacent teeth toward the empty space could begin. A phenomenon of Popov – Godon could also appear with some time. A tooth or teeth removal causes a compensatory response from the body, which is expressed in the deformation of the dental arch and jaw itself. Adjacent teeth begin to move in a direction of the missing one (ones). As a result an increase in gaps between the remaining teeth happens. Not only the tooth alignment along with the missing tooth undergo deformation but the arch of the opposite jaw too. When phenomenon Popova - Godon happens, a significant tooth shift on the opposite jaw takes place. The tooth "grows" out of the dental arch and creates a "lock" during jaw movements. Thereby, a chewing function suffers, often a bite is disturbed. Together with the tooth, the jawbone also often undergoes deformation, which causes additional problems during treating. In some severe cases it can cause problems with the temporomandibular joint due to overloading of the articular surfaces and ligaments. So, if possible, you have to replace all the defects of the arch.

    19. How many implants would I need for a prosthesis after total loss of my own teeth?

    In case of edentulous maxilla or edentulous mandible, you can place 10 implants to restore aesthetic and chewing function completely. In addition, you can place 4 implants in the front portion. In this context, the chewing teeth will be replaced by an overdenture, which will be fixed on implants.

    20. Is bone reconstruction always necessary?

    In case of bone atrophy augmentation is always necessary in aesthetically vital areas.

    21. What are the alternatives to dental implants?

    Alternatives to dental implants are: 

    • dental ridge constructions fixed on healthy teeth (if case of bounded edentuous space) ;
    • overdentures (for fully edentulous patients).

    22. Is it possible to place implants in children and adolescents?

    Implants are not placed to children and teenagers.

    23. Is there an age limit?

    Implants are placed after the facial bones have completely formed.

    24. Can the treatment for anxious patients be performed under general anesthetics?

    Treating of anxiety patients can be performed under general anesthesia following all the rules of the surgical procedure.

    25. How do I find the most appropriate implantologists for me?

    To choose an implant surgeon you have to come to a consultation. After talking to a specialist, listening about all possible options to correct the defects of the arch in your particular case, you will be able to choose the appropriate clinic and a doctor

    26. Do you have any special training in the specialist field of Implantology?

    Yes

    27. Can all the treatment steps, i.e. the surgical part (insertion of the implant) and the prosthetic part (supply of the implant with the prosthesis) be carried out in your practice? Or asked differently: Do you do the implants yourself?

    We do not manufacture implants.

    28. What hygiene measures do you apply?

    After placing an implant, a patient should follow the simple hygiene, almost indistinguishable from natural teeth care. Clean coronal part of implants twice a day with a soft toothbrush. Rinse the mouth after each meal. The day before surgery you should have periodontal scaling, visit a periodentist and later on come to the clinic for check-ups every six months.

    29. Do you offer a special follow-up (prophylaxis) after the implant treatment?

    The use of an irrigator to wash hard to reach areas. Monthly examinations in the postoperative period. After dental prosthetic by fixed dentures - examinations every six months.

    30. How much do implants cost and what is covered by the health insurance?

    Vary from country to country.

    Thank you for the interview with Dr. Vadim Klymentiev