When we need to make a visit to our dentist, after making it to make a Mouth cleaning o repair certain damages in our teeth, we do it in search of a dental implant. When we can no longer do anything to save a tooth and it has to be extracted, it is best that we can quickly replace it with another tooth and this is where the patient's questions come in: What type of implant should I use?

Implants have aesthetic function to avoid having certain holes in your mouth that do not look good to others. Although They are also used to prevent your teeth from moving due to the lack they are experiencing. You can use implants for life as long as you give them the care they need. You cannot do this by yourself, but you require your dentist to teach you how to do it and in case you need any dental implant in malaga we can do it for you in Dental Clinics Group.

In the market, there is not just one type of implant, there are many, but to select the correct one, you have to know the one that goes according to your need, since they all fulfill different functions and do not resemble each other. To do this, you must go to your dentist and explain what you have, so that he, evaluating you, can determine what type of implant you really need.

 

What types of implants are there?

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There are three common types of dental implants, which are:

Endosteal Implants

The endosteal implants are the most common type of dental implant. They are designed for all types of patients, but require a good, healthy jaw.

Once the procedure is done, it takes a little time for it to heal. It takes time to merge and create a fortress. Once healed, the false teeth can be positioned to fit the surrounding teeth.

How Endosteal Implants are placed

After the tooth is extracted, and the dental professional has determined that the patient is a viable candidate for a successful implant, this person should attend a consultation to plan implant placement. At the appointment, the dentist will explain to the patient everything that must be done to apply this implant, the time and cost commitments of the implant and its restoration. 

After the patient signs the consent for implant placement, the patient has to schedule placement of the screw and cylinder portions of the implant. Before this appointment, the dental surgeon may prescribe an antibiotic or other medications for the patient to use before and after the operation, as they must avoid all kinds of risk of infection and so avoid problems when placing the implant.

After the screw and barrel portions are placed, the surgeon will likely allow the patient's bone to grow around the implant for permanent acceptance by the patient's body. This process can last from 4 to 6 weeks respectively

This process is called ostointegration and refers to bone and implant bonding process for a solid foundation for long-term strength. In this period of time, the patient eats, drinks, and speaks normally. After this time has elapsed, the patient returns to the oral surgeon to place the abutment on the dental implant. Then a dental crown, denture, or bridge can be fabricated to replace the missing tooth.

How to effectively care for these types of implants

Effective and regular cleaning of an implant in the mouth will help prevent inflammation and therefore need to be removed after surgery. It is important to reduce bacteria, so you have to ask your dentist to give you an exact guide to what you need to make the recovery from this type of implant a complete success.

It is imperative to keep the implant abutment area as clean as possible to reduce inflammation and ensure implant success. If you don't like the idea of ​​having something placed in your jaw, you might like the idea of ​​the second most common implant a little more.

Subperiosteal Implants

Another type of dental implant are subperiosteal implants. This is the main alternative to endosteal implants. Instead of being attached to the jaw bone, subperiosteal implants rest on the bone but still under the gum. A metal frame is placed under the gum with a post attached.

The gum then cures around the frame to hold it in place. False teeth are secured to the poles coming from the gum. This procedure is only used if the patient does not have enough jaw to place an implant or if the person in question simply does not want to undergo intensive oral surgery to add bone to the area.

Subperiosteal implant procedures

Two surgical procedures are required to make and insert a subperiosteal implant. Unlike standard implants, a subperiosteal must be custom made to fit the contours of a particular person's bone.

In the first stage, your dentist or oral surgeon will open the gum tissue with a scalpel, exposing the underlying bone. An impression is taken of the bone, capturing the extent and contours of where the frame will sit and the position of the struts that will support the bridges. After the impression is taken, the gums will be closed with sutures until it can be done. the next surgeryThe entire procedure is performed under local anesthesia.

For the second step, the gum tissue is reopened with a scalpel and the implant is placed over the bone.. Small screws are sometimes used to hold it in place. The tissues are sutured back over the implant frame, leaving anchoring pieces called permucosal extensions that protrude from the gum. 

Finally, the surgeon will place a temporary bridge over the extension and allow the oral tissue to heal over it. A bridge that matches the natural teeth can be cemented into the extensions after the gums have healed.

Recovery and care of a subperiosteal implant job

The failure rate or complication of a subperiosteal implant can be high, it all depends on the care that the patient gives to his new implant. The best way to prevent problems is maintain good oral hygiene y follow your dentist's postoperative instructions or surgeon. 

Some patients may experience mild pain and swelling at the implant site for a few days, and your dentist may advise eat only soft foods for a week or so. During the gum healing process, your dentist has to check for infectionYou should also check for proper gum growth and remove stitches if necessary.

If you need replace a tooth, your dentist can help you explore all the options you have in this regard. Getting a proper diagnosis and treatment plan is always the first step to a new smile. If this does not apply to you, perhaps this next implant will fit you better.

Zygomatic implants

The zygomatic implants are placed in the back of the jawbone, where the maxillary sinuses reside and the bone has the lowest density. The tips of these implants are anchored in the zygomatic bones or cheekbones, which maintain volume and density over time, even if the jawbone is resorbed. 

These implants are recommended for severe maxillary atrophies, when practically no bone remains in the upper jaw or the remaining bone is in an extremely low quantity, filling with air due to an exaggerated increase in sinus volume. In this case, it represents a good alternative to invasive surgery, when the patient is unable or unwilling to perform complex bone supplements to increase bone volume lost in this region.

Zygomatic Implant Procedure

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In certain techniques, conventional implants can be successfully combined: in the frontal region, conventional implants can be inserted and in the posterior areas, zygomatic implants can be insertedThis type of procedure is called total fixation or Total Fix.

For severe conditions of maxillary atrophy in all areas (including the anterior one), a number of two or three zygomatic implants individually but simultaneously, in the same session, on each side of the upper jaw, in order to cover the dental need that exists. Insertion of the zygomatic implant is done through surgical procedures extremely complex that involve an experienced medical team (implantologists, oral and maxillofacial surgeons, prosthetists, anesthetists, etc.) and all the specific equipment for a major surgical act: surgical block, general anesthesia, dental CT scan, etc.

After having done a zygomatic implant surgery, you should not disturb the wounds or the placed stitches. Avoid rinsing, spitting, or touching the wound on the day of surgery. A certain amount of bleeding is expected after surgery. Slight bleeding, oozing, or redness in the saliva is not uncommon in the first two days after the procedure. If there is excessive bleeding, fold a moistened gauze thick enough to bite down and place directly on the extraction site biting firmly for 30 minutes. Repeat if necessary.

Clinical care of a zygomatic implant

After surgery, most patients experience swelling around the mouth, cheeks, eyes, and sides of the face. The swelling may not be apparent until the day after surgery and may not reach its maximum until two to three days after the operation. To minimize swelling, ice your jaw for the first 48 hours in 15-minute intervals and then rest for 15 minutes.

You must make sure take prescription drugs or mouthwashes prescribed by the doctor, in order to reduce the possibility of infection. Not all patients will have such prescriptions, depending on the particular situation. Discontinue use of antibiotics in the event of a rash or other unfavorable reaction and contact the office immediately.

In most cases, direct implant surgeries result in a minimal disruption to normal routine and the surgical area can simply be avoided for several days. More complicated cases may require more specific instructions. The day of surgery begins with clear liquids (juice, broth, gelatin) and progresses slowly by eating soft foods (pudding, yogurt, soups, pasta, well-cooked vegetables) chewing away from the surgical sites. Remember that it is important to hydrate and maintain proper nutrition for optimal healing to occur.

Good oral hygiene is essential for good healing. Begin rinsing your mouth with warm salt water rinses (1/2 teaspoon of salt in a cup of warm water) 24 hours after surgery. You should do this every 4 to 6 hours, especially after meals, for several days until the sensitivity subsides.

It is important to brush and floss your other teeth, but avoid surgical sites and stitches entirely for a few days to allow initial healing, and then you should be very careful brushing these areas for 1 to 2 weeks. If you have a healing abutment (metal post) or an actual temporary crown (cap or artificial tooth) that protrudes through your gums, you can follow the same instructions and gently brush it after a few days.

 

Materials used to manufacture implants

Among the most used materials for the manufacture of implants are:

Implants made of Zirconium

This is a ceramic material which is extremely hard and has quite a strong resistance. Previously, this material was used for the manufacture of brackets, they were also used to make stumps or pins that were placed after endodontics and for the manufacture of dental crowns and bridges.

The white color of this material is quite similar to the white color of the teeth, that is why it is an excellent material for the manufacture of implants and also, it is an extremely durable material, as long as it is kept in perfect maintenance and in optimal conditions. hygiene.

As a very important point, this material completely prevents the creation of bacterial plaque around the gums and does not cause any problems with changes in temperature. This material is used especially in patients who are allergic to titanium and who want to make an aesthetic change to their teeth.

Implants made of Titanium

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This is the material that is most used when making dental implants, since it is a metal very similar to the color of steel, but it is much lighter and is completely moldable, but at the same time it has an extreme hardness. For its high compatibility, titanium adapts perfectly to the body without being rejected by it.

This type of implants are placed with the Osseointegration technique, which is a mechanical union which allows the bone cells to adhere to the implant surface, making the implant perfectly fixed in the mouth.

 

 

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