Dental implants and cosmetic surgery

The issue of tooth loss is one of the most important topics that have haunted man since ancient times, but with the development of science, dental implants have become one of the most important cosmetic dental compensations, because it provides stability and durability and enables the mouth to perform its function to the fullest, which we will mention in detail in this article.

dental implants

Dental implants aim to replace the roots of the teeth with metal abutments that look like screws and to replace missing and damaged teeth with artificial teeth that closely resemble real teeth. Where implanted teeth perform the function of natural teeth in terms of both form and function. The great scientific development has been reflected in dental implants, making them easier, less expensive and more permanent.

The most important features of the dental implant process
Prevents and maintains jawbone atrophy at the site of the missing tooth.
It preserves the remaining natural teeth without the need to erode the teeth surrounding the tooth to be installed, which affects the enamel layer surrounding the tooth and weakens its resistance to decay.
Dental implants help in obtaining stable teeth, which are very similar to natural teeth.
It helps to effectively stabilize removable dental implants in cases of partial dental implants.
It improves the aesthetic appearance of the face by replacing missing teeth.
Procedures before the operation:

After the patient makes the decision to perform dental implants and the dentist chooses the appropriate garage to perform the operation, the doctor performs a comprehensive examination of the mouth and the examination is normal and similar to the cases of oral examination, and the doctor orders an x-ray of the mouth.

It is possible to request a panoramic image of the teeth. It also asks for a blood analysis to know the blood sugar level and to increase attention to oral hygiene during and after the operation

Contraindications to the procedure

There are some cases that, if any, constitute an obstacle to dental implants, such as:

Extreme fluctuations in blood sugar levels.
The patient is exposed to high doses of therapeutic radiation in cases of radiotherapy.
Severe gum infections and severe gum recession cases.
The fragility of the jaw bone on which dental implants will be performed.
Smoking a lot can negatively affect the healing process of the wound and the growth of the jaw bone.
Not reaching the age of eighteen may be one of the reasons that lead to delaying the operation, because the jaw bone is not fully developed, which forces the doctor to wait until the jaw bone growth is complete.
Heart disease and chronic hypertension.
The patient must inform the doctor of his full health condition, and the doctor is the one who decides whether to perform dental implants or not
Steps and stages of the procedure

The dental implant process goes through several stages, and we detail them as follows:

Preparing the jaw bone for surgery:

In some cases, the jawbone is soft or brittle and cannot bear the great pressure caused by the chewing process, which leads to a fracture of the jawbone, and thus leads to the failure of the dental implant process. Or the jaw bone has fractures, so the surgeon resorts to a bone graft.

A piece of the jawbone is removed in order to graft the jawbone, and in some difficult cases or when it is not possible to take a piece of the jawbone, a piece of the thigh bone is taken and implanted in the jawbone.

It may take about nine months for the implanted bone to grow enough to form new bone to support the dental implant.

In simple cases, the jawbone needs a small bone grafting process, and it is often done at the same time as the dental implant surgery.

Dental implant position:

The surgeon makes a cut to open the gums and exposes the bone and then drills holes in the jawbone where the dental implant post will be placed.

It is usually made of titanium metal, which is a very safe metal that is not affected by acids and does not undergo long-term changes such as metals, and its diameter and length depend on the location of the missing tooth and the presence of adjacent implants.

Since the wedge will act as the root of the tooth, it is deeply embedded in the bone.

At this stage, the bone growth is waiting until the bone fusion occurs, and it needs 3 months in implants in the lower jaw and 6 months in implants in the upper jaw, so there remains a gap in the place of the missing tooth, and a partial denture is often placed Temporary to maintain the general appearance and to facilitate the chewing process.

Dentures can be removed at bedtime and when brushing teeth.

Recently, a new method of implanting teeth by laser has appeared, which is a minor therapeutic intervention without resorting to traditional surgical work through a scalpel.

It can be used in all areas where there is sufficient jaw bone suitable for dental implants, where this process is done by expanding the bone by making holes inside the gums of a certain size and depth so that the diameter does not exceed 5 mm.

This opening is prepared by using known types of laser on the gums in the area that will be opened.

Laser surgery provides the highest degree of healing and wound healing after the completion of the operation because of the thermal advantages of laser beams that work on instant blood clotting and fusion of the cut parts of the gums and bone.

stent mode:
After the bone fusion is complete, the doctor needs to perform additional surgery in order to place the abutment, which is the piece on which the dental crown is installed. This operation is usually done after local anesthesia and is done in the outpatient clinic.

The surgeon incises the gums in order to expose the dental implant, and then installs the abutment on the dental implant. The surgeon waits for the gums to heal around the abutment. Sometimes the dental surgeon places the abutment on the stake when implanting the stake, which means that the patient will not need another surgical operation, and since the abutment will remain visible because it It goes beyond the gum line, it remains visible when the mouth is opened and remains in this state until the end of the surgery, so most patients do not like this appearance and prefer to place the stent in a separate surgery

Choosing artificial teeth:

after wad

On the brace, the doctor waits for the gums to heal around the abutment, and it takes one to two weeks.

After the gums heal, the dentist takes dental impressions in order to know the exact measurements and dimensions of the tooth to prepare the dental crowns before the installation process.

The patient and the doctor, in cooperation with the prosthodontist, choose the type and color of the required teeth.

There are two types of teeth:

Removable artificial teeth:

This type is similar to the traditional removable dentures, which are artificial teeth surrounded by acrylic.

They give a pinkish, gum-like appearance, and the crowns are attached to a metal frame. They are securely in place and can be removed when cleaning and put back in.

This is often a good option when replacing some teeth in the lower jaw, as it is less expensive than multiple dental implants.

It is also sturdier and safer than traditional dentures.

Fixed prosthetic implants:

The artificial tooth is firmly fixed and permanently cemented onto the single abutment. It is thus very similar to the real age.

This tooth cannot be removed during cleaning, and is the ideal choice if financial cost is not an obstacle.

In this case, many of the missing teeth are replaced.

Problems associated with the operation

Whether dental implants are performed in one stage or in multiple stages, there must be some problems associated with this surgery, like any other surgery.

Among these problems are swelling of the face and gums, as well as the appearance of some bruises on the gums and skin, as well as the surgery accompanied by slight bleeding in the gums, and every surgical procedure is accompanied by pain at the site of surgery.

These difficulties can be overcome by giving some painkillers and antibiotics.

The patient must eat soft foods at each surgical stage, until the surgical site is healed.

The surgeon often uses self-dissolving sutures in dental implants that dissolve shortly after surgery.

If the doctor uses surgical sutures of the normal type, the surgical sutures must be removed by the doctor within ten days.

What is the success rate of the procedure?

Dental implants are considered one of the operations that have high success rates, with an estimated success rate of 94%.

According to Spiegel Online, dental implants in Germany amount to one million operations annually, and that the number of operations that were re-implanted due to failure in implants from the first time was estimated at 140,000 operations, a rate of no more than 14%.

The reason for the failure of the dental implant process is due to two reasons: The first is the weakness of the jaw bone, and this is something that can be remedied by strengthening the jaw bone and then re-implanting the implant. The second reason is the dentists’ error during the operation, and this is something that can also be corrected, and the small percentage in which dental implant surgery cannot be repeated is due to some diseases that affect the patient, such as weak immunity or severe fluctuations in the level of sugar in the blood.

What are the expected results to be obtained?

There are many benefits and good results that can be obtained from those who underwent dental implants, and they can be summarized as follows:

Excellent durability and high efficiency of dental implants.
There is no need to make any modification to the adjacent teeth in cases of partial implants such as erosion.
Maintains jawbone strength and helps relieve jawbone atrophy.
It gives the patient a high sense of self-confidence due to the high integration of the implanted teeth, which gives the patient a feeling that they are part of his mouth.
Artificial teeth are very similar to natural teeth and perform the function of the teeth excellently in terms of chewing food, pronunciation and overall aesthetic appearance.
It improves the general appearance of the face and gives an aesthetic shape to the human smile, and therefore it is included in the cosmetic operations.
Post-operative advice

Good oral hygiene must be taken care of to keep implants, replacement teeth and gums clean permanently. A toothbrush specially designed to clean between teeth can be chosen, as it glides between teeth and cleans the corners and cracks between teeth and implants well.

You should also avoid chewing hard foods such as ice and hard candy, which can cause dental crowns to fracture.

In addition to avoiding smoking, chewing tobacco and sleeping in excess of caffeine products because they cause staining of the teeth.

It is also preferable to visit the doctor periodically to ensure the safety of natural teeth and artificial teeth for as long as possible.

Best doctor to perform the operation

In fact, there is no specialty in dentistry that is specifically concerned with dental implants.

Therefore, it is very important for the patient to choose a dentist who has experience in this field and who has been certified to perform many successful dental implants.

It is important to survey the opinion of many patients who have undergone such operations, see the results they obtained, and know their impression of the dentist before choosing him.

Best center for transplant surgery

It is true that dental implants are performed in dentists’ clinics, but it is appropriate to choose one of the reputable cosmetic centers in the field of dental operations. Some patients require special treatment, such as diabetics and those with weak jawbone, or patients who need complete anesthesia, such as patients with hyperalgesia and patients who They suffer from a phobia of undergoing dental treatment.

This special care should be carried out in centers that are prepared for these possibilities, which cannot be provided in regular clinics.

The best materials used

The materials used in dental implants are of varying quality, just like all other artificial materials. One implant consists of three parts, the implant, the abutment, and the crown, although all companies still maintain the manufacture of implants from titanium metal because titanium metal has the advantages of not interacting with acids and its high suitability with gum tissue.

Read also:

What is the process of bone grafting or dental bone implants

How is the cost of the operation determined?

Calculating the cost of dental implants interferes with multiple factors mentioned earlier, such as:

Choosing the quality of materials used in the dental implant process, and choosing the dentist who will perform the implant.

Since the centers specialized in plastic surgery and major dental clinics are the first destination for patients, the patient often makes comparisons between these centers, and dental clinics or cosmetic centers are often chosen in countries other than the countries of residence of the patient.

Who are the leading countries in this field, and what is the cost of dental implants in each of these countries, and are there other considerations that affect the process of choosing the country in which he will implant his teeth??

We will try to answer these questions with a quick comparison between a number of developed countries in this field.

First, before making a comparison, it is appropriate to clarify a few things:

The material the tooth is made of:
Each implant tooth is actually made up of three basic components: the implant, the abutment, and the crown.

Thus, when we talk about the implanted tooth, we are talking about the three parts that make up it, so when we talk about the average price of the implanted tooth, we are talking about its three parts, while the raw materials made of it play a key role in determining the cost. The implant is often made of titanium metal because it has It has titanium specifications that are not available in other metals and even the implant, which is sometimes called the screw on which the pillar will be installed, so it is in different sizes and shapes.

The type of teeth that the patient wants to install:
The cost of teeth varies according to the raw material from which the teeth are made, and perhaps the most widely used is made of resin because of its high pressure tolerance during the process of chewing food and being less expensive than other materials.

There are also more expensive materials such as porcelain and zircon, but they have higher cosmetic features.

The location of the tooth to be replaced is also considered in determining the cost.

The front teeth are more expensive than the back teeth, because the front teeth are visible, and they are the front of the mouth when speaking, and they determine the basic shape of the smile, and therefore their installation requires greater accuracy and skill.

Also, the space available for the front teeth implants is less compared to the back teeth, which requires more precision.

The amount of experience and skill the doctor has:
There is no doubt that a highly skilled doctor who has long experience in performing dental implants and has a successful record of those operations, will demand a higher wage than a newly practicing dentist or does not have that wide fame.

Patients often choose an experienced and reputable doctor for safety and a higher rate of success.

The reputation of the medical center: The most famous doctors in the field of dental implants are often doctors working in cosmetic centers.

This is due to the services provided by these centers that are not available in regular clinics, such as the medical assistant team to the doctor, which is often highly skilled, as well as the patient’s need for follow-up after the operation, and beauty centers have a better possibility to achieve follow-up and subsequent care for the dental implant process.

Which makes the cost varies according to the reputation of the center and its policy in setting prices.