Tooth loss can affect patients of all ages. Triggers may be, for example, accidents, tooth decay, periodontitis and tumors. The loss of teeth usually leads to severe limitations in the affected person in terms of functionality and appearance. Modern implantology provides a wide range of individual options for reliably eliminating the limitations and restoring functionality and aesthetics.

It is important to find an implantologist who has demonstrated a high level of education in the field of oral implantology. Leading Implant Centers has set itself the task of analyzing, sorting and creating qualitative transparency in the market for dental implant dentists worldwide so that patients and prospective clients can locate those implantologists.

Overview of this article

What is a dental implant?

The actual dental implant is a screw that serves as an artificial tooth root for anchoring to the individual dentures. Mostly it consists of tissue-compatible titanium. The implant technique can be used to replace individual teeth, to provide a larger tooth gap, to complete a shortened row of teeth, or to fix an entire bridge or removable denture in the edentulous jaw.

Faster and safer healing is made possible by specially machined surfaces, where the implant surface grows together with the bones, providing stable anchoring. The first dental implants were used from the mid-sixties and since then improved steadily.

As a result, implants can significantly improve the quality of life, even in old age. Due to different implant shapes, diameters and lengths, there are various options that can be performed individually depending on the situation of the jawbone. Fixed implants and removable dentures allow for optimal function, aesthetics and pronunciation (phonetics).

When are implants useful?

For example, by accident or while playing sports in adolescent years

Tooth loss occurs, but dental implantations come into question only after completion of the jaw growth. Periodontal disease or tooth decay are the main cause in middle age and in advanced age often periodontitis causes tooth loss and bone loss.

Implants are a gentler alternative to traditional bridges, which often need to grind healthy adjacent teeth that serve as pillars.

Even if the teeth have been missing for many years, implants can be implanted, even in old age. Prerequisite is the good condition of the jawbone.

When do implants make no sense?

The use of implants to restore the dentition is in some cases, as in severe underlying diseases, not useful. Among other things, these are severe diabetes, taking certain medications or certain bone disorders.
Furthermore, an implant should be avoided if the future cleaning (for example, due to physical impairment) is not guaranteed because implants as well as the natural teeth must be cleaned. Experts therefore recommend consolidating a general practitioner before implantation if severe illnesses are present.

Why are dental implants the better solution and what are the advantages of implants?

With dentures you have two options to choose from: the conventional dentures, such as bridge, partial and full denture or alternatives of implantology.

If you opt for conventional treatment, you must consider the following negative aspects: In a bridge, your healthy butt or adjacent teeth are ground, in a prosthesis large areas of your mucosa are covered with plastic, through which your jawbone can regress and thus which can worsen over years.
If you opt for the implantology treatment, the tooth root of the missing tooth will be replaced by an implant. This screw forms the anchor for crowns, bridges or holding elements with removable prosthetic elements. When using implants, the healthy adjacent teeth, such as When anchoring a conventional bridge, do not ground, since implants do not require support of adjacent teeth. In the case of implants, as with a prosthesis, large areas of your mucous membrane are not covered with plastic, which can cause your jawbone to recede and thus impair your grip over years.

Jaw sections without teeth and thus without functional stimulus by tooth roots, build up and jaw defects arise or bone loss occurs. Implants can stop bone loss by evenly loading the jaw and thus stabilize the gums, resulting in a natural and aesthetic appearance. Implants provide a natural sensation, are not felt by the patient as a foreign body, and have the same function as natural teeth.
With proper planning, proper care and regular follow-up, implants are today a proven solution for better chewing and functional dentures.
The disadvantages are that a restoration with crowns or bridges may be more expensive if preparatory measures such as bone augmentation, mucosal transplantation, etc. become necessary. The insertion of an implant requires surgical intervention, which always involves a certain risk of complications.
Which conditions have to be considered?
The decision to have a dental implant depends on certain conditions that must be fulfilled in order to be commendable and successful from a medical point of view. The most important requirement for a dental implant is a healthy and adequate jawbone and proper oral hygiene. Certain features, such as diabetes, high blood pressure, etc., play an essential role. Only if there are no concerns, implantation is possible.

Possible uses of implants

Whether you have lost one, several or all of your teeth, dental implants can replace them. The dentures are individually adapted to the needs of the patient.

Loss of a tooth

In the absence of a front or side tooth, a crown on an implant is the simplest solution to restore the chewing function and a natural look. The advantage of the dental implant as a dental prosthesis is that the healthy tooth structure of the neighboring teeth is preserved.

Loss of several teeth next to each other

If several teeth are missing next to each other (gaps) and thus form gaps, they can either be replaced individually with implant-borne crowns or closed with bridges attached to implants. The adjacent healthy teeth are preserved and the denture is firmly connected to the jawbone through the implant.

Loss of multiple teeth at the end of the row of teeth

If several molars are missing at the end of a row of teeth, this is called a free-end situation. Here, the implants with a fixed bridge provide an alternative to the removable partial denture. The number depends on the jawbone, the number of missing teeth and the load capacity.

Partly toothed jaw

If there are few teeth left in the mouth, bridging and dentures will be problematic. These can loosen by swinging movements of the remaining teeth.

By the tooth implants, the remaining teeth, which serve as posts and the prosthesis is prevented by a uniform load distribution premature edentulism.

Toothless s - total supply

If all the teeth in the upper and / or lower jaw are missing on which a conventional bridge or denture can be attached, dental implants are used. There is the possibility between a fixed or a removable dentures. Both variants are anchored via implants. Removable bridge constructions or prostheses, which are attached via bridges or telescopes, achieve optimum comfort, perfect aesthetics, phonetics and are very easy to clean. These designs usually sit on four to eight implants and achieve high stability.

The tooth implantation and the course of treatment

An important building block for success is the good planning of a treatment with dental implants. After the history of the procedure, a thorough and careful clinical and radiographic examination of hard and soft tissue is performed before the procedure. Using a low-X-ray DVT device (= digital volume tomography, see DVT), a three-dimensional measurement of the jawbone is performed.

This allows a precise representation of the existing jawbone and ensures with a computer-aided planning and a special drilling template the best possible positioning of implants. This almost excludes risks such as maxillary sinus injury or nerve damage. Various reconstructive and constructive measures may compensate for insufficient bone supply. The most suitable treatment form for you as well as the planning of the dental prosthesis will be individually discussed and planned with you.

The insertion of the dental implant is an outpatient surgical procedure, similar to tooth removal. This is done under local anesthesia (local anesthesia); In some cases, this procedure can also be performed under general anesthesia. The surgery takes place under sterile conditions in the practice of your implantologist. Due to the special instruments for implantation, the jawbone is spared and only a few steps are necessary for preparation.

The anesthesia makes insertion of the implant painless. After anesthesia of the operating area, the jawbone in the implantation area is exposed and the bone bed prepared for the implants. After determining the bone ratios, an accurate hole is made in the jawbone for each implant using various instruments and the previously prepared 3-D computerized surgical guide.

Then the implants are screwed in and the gums are sutured over the implants. By cooling after the procedure, the occurrence of swelling is kept low. In some cases, your implantologist will decide whether to use additional anti-inflammatory and analgesic medications.

The healing time depends on the factors of the medical and physical situation, titanium implants usually heal in a period of 3 months, with extensive bone-building measures this period can extend up to 6 months. At the end of the healing phase, a small surgical procedure is performed by a small mucosal incision to expose the implants to provide them with healing caps.

In order for the dental implants to be able to heal without chewing and compressing, the provisional is adjusted so that any pressure contact (occlusion) is avoided during chewing. The prosthesis is relined so that it exerts no pressure on the implants used. In some cases, several days of wound healing have to be awaited.

After the healing process (implants are firmly attached to the bone), the final restoration is used. Your new dental implant, and we're sure of that, will of course make us feel your own teeth.

How long do dental implants last?

Several long-term studies have shown that modern dental implants have a 95% success rate after 10 years of proper care. In risk patients such as smokers, diabetics, etc., however, the risk of loss may be significantly higher.

Already in the consultation and in the planning your implantologist will point out the necessary hygiene after implant placement and arrange a check-up with you individually, so that you will enjoy your implant for a long time.

Cost of the implant? Cost of an implant supply?

After the planning phase has been completed, a cost estimate for the entire implantology treatment will be made. The costs may vary, as your wishes and ideas determine the scope of costs (material and therapy).

Currently, the statutory health insurance provides a fixed subsidy to the conventional prosthetic care or if, for. Congenital malformations are present due to a tumor operation on the jaw, or if the patient's tooth loss due to a serious accident and a conventional care is no longer possible.

Dental supplements often reimburse part of the costs. Private patients should contact their insurance company and ask how much will be reimbursed. We recommend that you clarify the cost situation before starting treatment.

After this information about costs, advantages of the implantation and the conventional therapy, an individual therapy plan with different supply variants is created for you.


With this information on the dental implant you have received the most important basic questions that you should discuss with your dentist / implantologist if you decide to undergo an implantology procedure. Your implantologist will be happy to answer any further questions on this topic.
We wish you an improved quality of life through your implant for many years!