It may be defined as tooth root designed to fill spaces due to missing teeth and generally made of titanium.
Implants basically consist of three parts; the implant is generally made of titanium and it is the part within the bone. Abutment (denture basis): it is screwed on the implant united with the bone and provides basis for the denture (porcelain, zirconium etc.) which is the third structure.
Today, dental implants are made of titanium. Titanium is a material which has the feature to be able to unite with bone without any allergic reaction in body and strength which provides resistance to chewing forces.
To Whom Implant May be Applied?
Missing single tooth; treatment choices are implant or bridge. Treatment may be provided without intervening in teeth by the space in case of implant.
Mission multiple teeth: Treatment choices in case of missing multiple teeth are implant (2 or more; number of implants may vary by the length of the area with missing teeth), bridge, or removable denture. Treatment may be provided without intervening in your teeth owing to the implant treatment or you may not have to use removable denture.
Total Edentation: treatment choices are implant treatment or full denture (plate). A fixed denture may be applied by placing 4 or more implants in patients suffering from total edentation. In some cases, removable full denture may be applied by getting support from 2 or 4 implants. Even though these dentures supported by implants are removable, it is more comfortable than using total denture (plate).
After all, implant provides more comfortable, aesthetic, and functional treatment compared to the other alternative methods.
Application of Implant
Implant application is often carried out under local anesthesia. You do not feel any pain or discomfort during the operation. In case you act in accordance with the recommendations of your dentist, you do not experience any pain which shall discomfort you after the operation.
Implant may be applied under sedation or general anesthesia according to the request of the patient.
First examination: In the first examination, your general health status, general oral condition, missing teeth, tooth gum health, and such conditions are detected. Then, various visualization examinations are applied in order to get information related to the bone amount and quality. In this way, it is decided to where and how many implants and what kind of denture shall be applied.
Implant operation is carried out under local anesthesia, sedation, or general anesthesia as we have mentioned before. During this operation, implants are placed into your jawbone and waiting (ossification) period which is called osseointegration is passed to by covering the implants with tooth gum. This waiting period varies between 2 and 6 months depending on the operation and your bone structure. If bone addition or sinus lift operations are applied, this period may prolong. Parts called healing caps are placed on the implants united with the bone at the end of osseointegration period to form your tooth gum. After waiting for approximately 1 week for formation of your tooth gum, procedure of denture placement is started.
Success of implant treatment
Success rate of implant therapy is high such as 98%. This rate is around 90% in the tracking period of 15 years. In order to reach that high success rate, the patient must not neglect care and regular dentist control of the implants. Another point which should not be forgotten is that this high success rate drops down to 70% in individuals with smoking habit.
In case that implants are not united with the bone, the implant is extracted and a new implant is applied after cleaning the area. During this application, some surgical procedures may be needed and waiting period may prolong.
Care and Control of Implants
You should apply due care to your implants and provide a good oral hygiene as for you natural teeth. Even though formation of cavities is not observed in implants and prosthetic structures placed on them, infection may be seen in the tooth gum around the implant and this infection spreads to the bone around the implant and causes loss of bone and, if not treated, loss of implant.
This infectious condition around the implant is called peri-implantitis. Even though there are various treatments according to the stages of periimplantitis, it may be necessary to extract the implant in advanced cases. In order to not to experience such negative conditions, it is important for you to care your implant and to visit your dentist for control with the intervals recommended by your dentist.