Single stage dental implant
Implantation with immediate load
One-step non-surgical implantation is carried out without cutting the gum and tapping under the implant and crown on the implant is set for 1 week. In other countries, this method can be found under the following names:
- one-step implantation of teeth
- implants with immediate loading
- bloodless dental implant
- Seamless implant teeth
- Seamless implant teeth
- rapid implantation of teeth
- minimally invasive implantation of teeth
- transgingivalnaya implant teeth
- and even “endoscopic implantation of teeth”
Of the various names of this technique shows that this procedure, in contrast to the classical protocol is performed without large incisions and sutures, and the prosthesis is held as soon as possible after installation of the implant.
One-step non-surgical implantation of the teeth in our centers is carried out using systems KOS ® and BCS ® Swiss company Ihde Dental. The size of implants and the system is chosen according to personal and medical reasons. BCS ® system allows the implant immediately after tooth extraction.
Positive things one-step implantation
- able to restore the lost tooth in 2-4 dental visits;
- does not cause discomfort after implantation.
- method is recommended for patients who fear the panic of surgical procedures;
- a wide range of orthopedic solutions to a strictly individual cases of isolated teeth prosthesis as soon as possible;
- the ability to install the implant immediately after tooth extraction.
The main characteristics of the implants KOS ®:
- unique system of one-step implantation, which is used by specialists Ihde Dental for over 17 years,
- recognized leader among the one-stage implants
- compression design intraosseous parts – an exceptional primary stability,
- OSMOACTIVE ® – a unique surface of intraosseous implants to accelerate engraftment of the implant and improve the integration of the implant into bone tissue,
- Flexible Supraspinous part – new opportunities, orthopedic,
- simple and safe installation – performance implantologist
- lack of bone resorption.
The main characteristics of the implants BCS ®:
- unique “bikortikalny” implant for installation in the bed just the extracted tooth,
- the world’s only implant that has a high primary stability when installed in a bed just the extracted tooth,
- is compatible with KOS ® – the possibility of a joint implant in the absence and had just removed the teeth.
Fixed prosthetics of teeth
Non-removable dentures fixed on the teeth for the long term. This is – single crowns or bridges (several bits), which fixes the doctor on the teeth that need to be grinding to a specific shape. There is a perception that the NON-REMOVABLE prosthetics teeth should definitely depulpirovat, ie remove them from the nerves, but modern technology allows not depulpirovat teeth. At that time, yet to be made crown or bridge, the teeth are fixed provisional crowns.
Cermet
The most common orthopedic construction is cermet. Metal-ceramic prosthesis frame made of chrome-cobalt alloy. Outside cermets cover strong and highly aesthetic ceramics. As a framework can be used more expensive alloy containing gold and platinum – the so-called “ceramic on gold, which, however, does not differ in the properties of chromium-cobalt.
All-Ceramics-metal along with actively applied technology of all-ceramic (category VIP class). All-Ceramics, ie crown, which is made of all-ceramic masses, different maximum aesthetics while maintaining a high functional properties required for the chewing and other stresses. The main difference between all-ceramic is a “live shine”, as Externally, it practically does not differ from the living teeth. It should be noted that of all-ceramic crowns are more expensive than construction of cermets. This is due to the fact that this type of fixed prosthesis made of high-tech and expensive equipment.
In some cases, the crowns of all-ceramic are recommended to set the tabs are made of the same material. The advantages of such tabs as compared with metal – strength, lack of oxidative processes and hence – durability.
Tabs
In the case of a minor fracture posterior encouraged, whenever possible, to preserve tooth tissue and instead of bits set the tab. Such technology is called – mikroprotezirovanie with tabs. In the manufacture of high-tabs all-ceramic, it looks no different from the surrounding tissues of the tooth and will serve you much longer than conventional filling. Pottery has physical properties similar to those of living tissues of teeth, so it is selected, even the most demanding patients.
Veneers
Restoring aesthetics front teeth can be done with ceramic veneers – thin straps, which are firmly glued on the front teeth. A composite veneer may be directly placed (built-up in the mouth), or indirectly fabricated by a dental technician in a dental laboratory, and later bonded to the tooth, typically using a resin cement such as Panavia. In contrast, a porcelain veneer may only be indirectly fabricated.
Removable dental prosthetics
Types of removable dentures
The removable dentures are used when a complete or partial loss of teeth, especially regarding the loss of posterior teeth. Removable dentures can be used even in case of loss of one chewing teeth. The arsenal of modern dentistry, there are manufacturing techniques dentures, with ultra-easy, high wear resistance and aesthetic properties. Bulky and unsightly dentures, which our grandparents for the night was left in a glass with water, forever gone.
In dentistry removable dentures are divided into the following groups:
- Full removable plate dentures;
- Partial dentures, which come in several forms:
- plate prosthesis;
- immediatimplants;
- clasp prostheses;
- removable sectors or segments of the dentition;
- Conditionally removable dentures.
Full removable plate prostheses used in the complete absence of teeth on one or both jaws. Their task – to make up for the absence of all teeth. Partial dentures are used in the absence of individual teeth or groups of teeth in a dentition. This type of prostheses used in the loss of the main chewing teeth and dentition defects large extent. They can also be used as a temporary prosthesis or in the absence of one tooth. Plate partial dentures used to restore the lost fragments of the dentition and the most simple and affordable.
Immediate implants can be used as a temporary structure that is superimposed on the jaw “immediately remove the teeth or in preparation for a permanent prosthetic implant. Clasp (German Bugel – arch) prosthesis can be used in almost all cases related to the lack of teeth, both full and partial. Bar prosthesis – the most reliable, expensive and comfortable design. Its main difference is that the chewing load is distributed evenly between the gingival surface of the jaw and teeth preserved, in contrast to partial dentures, where the entire burden falls on the gums. In the manufacture of prostheses made a precise calculation and simulation of all elements of the prosthesis. Also used as a clasp denture immobilized, splinting with periodontitis and increased tooth mobility.
Removable sectors or segments – a unilateral prosthesis used in the loss of a number of posterior teeth on one side of the jaw.
Conditionally removeble immplant, are typically used when the loss of one chewing teeth. Such a prosthesis can be attached to the adjacent supporting teeth with metal legs. Supporting elements of the prosthesis can adhere to the tooth or fixed with the help of light-cured cements. Such a denture patients do not need to shoot, so he called a conditional-removable. Of what made modern dentures?
Modern dentures are made from dental acrylic plastics by injection molding, hot and cold kompressatsionoy polymerization. The use of such plastic prosthesis allows for a long time to maintain their properties – shape, color, density and strength. Teeth are used in the manufacture of artificial limbs, produced in the form of ready sets, differing in colors, shape, size. This allows you to pick up that set of teeth that the patient wants.
Caring for removable dentures
Removable prostheses require periodic cleaning, as they lie on the gingival surface of the jaw and create badly washed by the band. It is also necessary to periodically remove dentures and after meals to clean the surfaces. Then you need to rinse your mouth well and return the prosthesis in place. Optimally to clean dentures every day, at least – before going to sleep, and how best – after each meal.
Can I leave the dentures at night? After the evening hygienic procedures to clean the prosthesis and mouth it is quite acceptable. It all depends on the willingness of the owner of the prosthesis to leave him in the mouth at night or vice versa, take a break from his presence. Many dentists recommend in the first weeks after prosthesis to keep dentures in your mouth at night for best adaptation.
What must be careful when using the prosthesis?
Patients with removable dentures are not recommended to use highly viscous and sticky products such as toffee, chewing gum, etc. These products may stick to the denture and may contribute to breakage. At first, you should not eat solid food. On a special diet is not talking, but in the first weeks of the field of prosthetics to make well-chopped food in small portions. To practice the skill of chewing, you can use chopped slices of fruit – they are pretty tough but not hard enough to break the denture. If the denture causes uncomfortable sensations in the mouth or rubbing the gums, you should ask your dentist to make a correction.
Whether to keep removeble immplants in a glass of water?
Previously, when the denture base was made of rubber, place them overnight in a glass of water it was absolutely necessary, since the rubber in the air could split and lose shape. When were plastic prostheses, they too were placed in a glass of water at night – apparently by force of habit, although the plastic air is terrible. Then appeared the publication of that water in the glass is a favorable breeding ground for bacteria, and dentures must be kept dry. How to be a modern removable dentures? Some dentists recommend that in the first months of the prosthesis was kept in a moist environment – in the mouth or a glass of water at night. They attributed this to the fact that wet conditions are conducive to the final formation and consolidation of properties prosthesis.
Types of dental prosthetics
In modern dentistry there are many types of prosthetics, provided for the selection of patients according to the testimony or his wishes. Types of prosthesis, adequate for use in a given patient may vary according to indications, cost and complexity of the installation.
Prosthesis can be divided into removable and fixed.
In dentistry dentures into the following groups:
- Full removable plate dentures;
- Partial dentures, which come in several forms:
- plate prosthesis;
- immediatprotezy;
- clasp prostheses;
- removable sectors or segments of the dentition;
- Conditionally removable dentures.
Non-removable dentures fixed on the teeth for the long term. This is – single crowns or bridges (several bits), which fixes the doctor on the teeth that need to be pre-obtochit to a specific shape.
The most common orthopedic construction is a metal-ceramics, metal-frame of the prosthesis is made of chrome-cobalt alloy, outside of the prosthesis is covered high strength and aesthetic ceramics.
Along with the cermet is actively used technology of all-ceramic. All-Ceramics, ie crown, which is made of all-ceramic masses, different maximum aesthetics while maintaining a high functional properties required for the chewing and other loads, while having the property of the surface of live shine “, ie Externally, it practically does not differ from the living teeth.
Mikroprotezirovanie with tabs is recommended in case of minor destruction of posterior teeth, allowing, if possible, to preserve tooth tissue. Restoring aesthetics front teeth can be done with ceramic veneers – thin straps, which are firmly glued on the front teeth.
Bridge – refers to the fixed prosthetic designs, reminiscent of the bridge, which is attached to the teeth with crowns, with the pins, tabs. It can be made of the same materials and on the same technology as the crown. A distinctive feature is the presence of an intermediate part in the form of artificial teeth. It is used to replace one or more missing teeth.
Installing the bridge is only possible if the right or left on both sides of the missing tooth still has teeth, which it can be fixed. These abutments stitch, and they set a crown.
Very important and increasingly popular in recent years gets prosthesis using as a base for the prosthesis implant surface.
To implement conditional removable prosthesis must be used collapsible design implants. This type of prosthesis is shown in cases where the prosthesis is based only on the implants.
Conditionally removable dentures can be metallo or metalloakrilovymi with gingival mask or without it.
Standard manufacturing processes for gear cutting tools diamond wheels
The emergence of synthetic diamonds and commercial production of grinding wheels have created real preconditions for the development of designs, manufacturing technology and industrial Nogo introduction of carbide gear cutting tools. The hardness of tungsten carbide, titanium, etc., which are the basis of hard alloys, close to or equal to the hardness of green silicon carbide, used as an abrasive material for the machining of hard alloys. Due to the low cutting ability in grinding and sharpening of carbide tool in the processing zone having a high temperature reached 1100-1300 ° C, the pressure and friction.
As a result of thermal and mechanical action in the material parts and tool tip appear volt motion, there are burns, deteriorating the quality of the surface layer and decreases the strength of hard alloy, there are cracks, pitting and notches that are centers of rapid destruction of the cutting edges. When working in circles circuit quality sharpening obtained is low, the rough surface of the instrument is high, large radii of rounding of cutting edges (p> 04.30.1960 um). In addition, the wheels of the circuit have a low resistance, their shape changes rapidly and therefore does not provide the required accuracy of processing and the beating of the cutting edges. Due to the low cutting properties of circles of CP are not suitable for handling sophisticated gear cutting tools. The best abrasive for machining of hard alloys, excluding these shortcomings circles circuit, are synthetic diamonds.
Carbide tools diamond wheels are treated in two stages: first push-cutting elements, and then the entire tool assembly. Such a division into stages makes it possible to qualitatively handle seating plug-cutting elements and to ensure the removal of relatively small allowances for the final processing of instruments in the collection, reduce the consumption of diamond wheels of the special form designed for zuboshlifovaniya and zatylovaniya, and improve productivity in the manufacture of such tools.
Hobs fine-grained hard alloy handle for a typical production process. Technical requirements for the manufacture of fine-grained black vyachnyh mills must comply with accuracy class A and AA (GOST 10331-63). These requirements are provided in the processing mills diamond wheels at a specified manufacturing process. To obtain the posterior angles over 12 ° should be used A2n circles form a smaller diameter. To prevent tooth blades from damage it should be stacking kovyvat in containers. Obtained in a multi-mold after sintering rotary cutting plates hobs fully treated by diamond grinding wheels.
Dental implantation using Laser Technology
More and more patients who have lost one or more teeth, prefer dentures, fixed on the implants. Fewer people are content with awkward and uncomfortable removable dentures, which require regular replacement, and often unreliable fixed in the mouth, fewer patients agrees sawdust under crowns perfectly healthy teeth, had the misfortune to be next door with the remote. Implantation procedure allows patients to refuse uncomfortable dentures and do not grind the healthy adjacent teeth to restore lost.
Demand, as is known, gives rise to the proposal and, following the wishes of patients are currently being developed newer and newer methods to prolong the life of dental implants reduce the risk of peri-implantitis – inflammation of the tissues immediately adjacent to the implant, and reduce the likelihood of rejection of the implant . In this case, the life of the implant and the prosthesis and the risk of complications significantly influenced by a number of factors.
Among these factors are several groups:
- factors associated with the quality of the implant and prosthesis (biological compatibility of the material; mechanical strength, the quality of the material from which made the implant and its physical properties, the microstructure of the implant, the strength of individual components and the reliability of their connection, and the shape of the implant, the quality of manufacturing and installation of crowns)
- factors associated with the conditions and methods of dental implants (observance of sterility, trauma surgery, time spent on the operation of the precision drilling of holes and careful adherence to procedure of implantation)
- proper care of established prostheses (personal hygiene, purchasing hygiene; absorption features of care for newly installed teeth, regular sanitation of the oral cavity and the removal of foci of chronic infection, holding sessions of professional oral hygiene).
The preparatory phase includes the identification of absolute and relative contraindications to implantation. You must pass the general medical and special education, dental screening. All dental problems should be resolved before the prosthesis. Laser implantation is usually performed under local anesthesia and lasts no more than an hour.
During these operations more often used a laser beam. The use of laser implantation is justified because laser has many advantages over traditional surgical procedures:
- First, it reduces the duration of intervention. Implantation procedure using a laser takes 15 – 30 minutes.
- Secondly, the use of laser as a surgical instrument is characterized by security, accuracy and speed, the ability to limit the use of analgesics, and thus provides a gentle and painless treatment.
- Third, along with dissects (like a scalpel) action, the laser coagulates the excised tissue, which provides a bloodless procedure provides better access to the surface, which will be installed implant.
- And, fourthly, the use of laser is achieved and the disinfectant effect that helps reduce the risk of postimplantation complications, as we said earlier, better and faster healing.
After disclosure of the mucosa, the implantation of the implant is a cylindrical rod (dental implants may be of different shapes and sizes, and selected patient individually), mucous membrane sutured and install temporary plastic prosthesis for a period necessary for the integration of the implant with the jawbone.
Timing of engraftment of implants with the development of technology is constantly shrinking. After engraftment need to re-open the implant for the permanent installation of crown prosthesis. Moreover, in the case of conventional surgical scalpel made of stainless steel particles it can remain on the surface of the implant, which may further cause the appearance of galvanic currents between dissimilar metals, which is not in the case of laser implantation. After the procedure the patient can safely go home.
On the second day after implantation, the laser may feel some soreness in nature resembling feelings after tooth extraction. It is easily removed by traditional analgesics (analgin, tempalgin, etc.). After the surgery can be a little swelling, but every other day, patients usually forget that it was.
Thus, the use of the laser allows for the implantation procedure as comfortable as possible for doctors to implement it, and for the patient, and to achieve thus a better clinical effect.
The cost depends on the implantation of the implants. Currently, the implantation of dental prostheses available to patients with different material possibilities, and hence more patients will no longer be burdened by the need to use removable dentures.