Какие преимущества имплантации при лечении зубов? Стоит ли консультироваться у имплантолога?

Как выбрать имплантолога?

В первую очередь, пациенты, конечно, выбирают не клинику, а специалиста. Чтобы оценить уровень квалификации врача, можно поинтересоваться стажем его работы, наличием дипломов и сертификатов дополнительного обучения, выяснить, как часто врач ездит на различные стоматологические конгрессы. У опытного доктора всегда собран архив операций, есть профессиональное портфолио.

Важно, чтобы доктор и пациент совпадали психологически, понимали друг друга, потому что лечение – это своего рода партнерство. Пациент и врач обязательно должны найти общий язык, только тогда лечение будет успешным.

Как выбрать центр имплантации зубов?

В хорошей клинике обязательно разработаны и внедрены стандарты обследования и лечения пациентов. Можно сказать, что эти стандарты – главный документ клиники. В серьезном центре имплантации этот документ вам обязательно покажут, дадут ознакомиться. Если в клинике таких стандартов нет, то уже не имеет значения ни дизайнерский интерьер, ни громкая реклама. Отсутствие в медицинском центре такого документа – огромный риск для пациента.

Помимо четко прописанных логичных стандартов лечения, в клинике должно быть главное ответственное лицо. В клиниках Дентал Гуру это Хабиев Камиль Наильевич, основатель клиники. Он является разработчиком и гарантом соблюдения стандартов обследования и лечения всеми докторами Дентал Гуру. В лучших центрах имплантации, как и в нашем центре, за внедрением и выполнением стандартов строго следит еще один ответственный руководитель — директор по качеству.

Всю полноту ответственности за процесс и результат лечения должен брать на себя медицинский центр, а не врач. Даже если доктор, который начал вас лечить, уедет в отпуск или переедет в другой город, хорошая клиника продолжит вашу реабилитацию, не меняя стандарта лечения.

Как оценить уровень лечения в клинике по внешним признакам?

К сожалению, понять с порога клиники, хорошо ли там делают имплантацию, невозможно. В клинике может быть шикарный ремонт, но может не быть необходимого медицинского оборудования. К примеру, в каждом центре имплантации Дентал Гуру есть прибор для определения стабильности имплантата, которого нет во многих клиниках других московских клиниках. Это прибор ISQ, определяющий стабильность импланта во время и после имплантации. Благодаря показаниям этого прибора наши врачи точно знают, созрела ли кость пациента вокруг имплантата и можно ли его протезировать.

Еще один пример: в каждой клинике Дентал Гуру есть томограф. До и после каждой имплантации, а если есть необходимость, то и во время операции, наши доктора делают снимки пациентам, исключая вероятность осложнений.

В центрах имплантации Дентал Гуру активно используется система цифрового планирования имплантации и протезирования. Если клиника предлагает пациенту составить цифровой план лечения в формате 2D и 3D – это один из признаков серьезной работы в этой клинике.

Отсутствие договоров, кассового аппарата, прописанных четких и логичных стандартов обследования и лечения пациентов должно насторожить пациента при обращении в клинику. Если доктор на консультации не может внятно объяснить вам преимущество того или иного вида протезирования, лучше поискать другого врача.

Выбор центра имплантации по уровню цен

Многие клиники позиционируют себя как VIP-центры для привилегированных персон. Очевидно, что приставка «VIP» не делает клинику лучше. Этот параметр не является гарантией того, что вам проведут правильное лечение без осложнений. К сожалению, в стоматологии встречаются доктора, которые позиционируют себя как VIP, но результаты их работы не соответствуют даже стандартному уровню лечения. В любой VIP-клинике также должны быть внедрены медицинские стандарты лечения. Нет стандартов – нет доверия, это нужно взять за правило.

Обращаясь в клинику с очень низкими ценами, пациент должен осознавать, за счет чего достигается доступность услуг:

• за счет использования труда молодых докторов с небольшим опытом, которые согласны работать за меньшую зарплату;
• за счет работы с более дешевыми материалами.

То есть, вы можете пойти в недорогую клинику, где молодой врач установит вам очень доступный по цене имплант, но не факт, что имплант приживется, что операция будет выполнена в соответствии со всеми современными стандартами и не даст осложнений.

В центре имплантации Дентал Гуру найдено оптимальное соотношение цены и качества. Если вам предстоит несложная имплантация, у нас можно получить лечение за небольшие деньги. Если у вас сложный случай, не обойтись без более дорогой реабилитации. Однако, в любой клинической ситуации наши доктора сделают вам имплантацию в соответствии со всеми современными медицинскими стандартами с пожизненной гарантией на все имплантаты.

Кстати, благодаря инновационным технологиям, во многих случаях можно обойтись без костной пластики и сэкономить на это

90000 Dental Implants 90001 90002 Overview 90003 90004 Dental Implants have changed the face of dentistry over the last 25 years. What are dental implants? What is the history of dental implants? And how are they used to replace missing teeth? This section will give you an overview of the topic of dental implants, to be followed by more detail in additional sections. 90005 90004 As with most treatment procedures in dentistry today, dental implants not only involve scientific discovery, research and understanding, but also application in clinical practice.The practice of implant dentistry requires expertise in planning, surgery and tooth restoration; it is as much about art and experience as it is about science. This site will help provide you with the knowledge you need to make informed choices in consultation with your dental health professionals. 90005 90004 Let’s start from the beginning: A dental implant is actually a replacement for the root or roots of a tooth. Like tooth roots, dental implants are secured in the jawbone and are not visible once surgically placed.They are used to secure crowns (the parts of teeth seen in the mouth), bridgework or dentures by a variety of means. They are made of titanium, which is lightweight, strong and biocompatible, which means that it is not rejected by the body. Titanium and titanium alloys are the most widely used metals in both dental and other bone implants, such as orthopedic joint replacements. Dental implants have the highest success rate of any implanted surgical device. 90005 90004 Titanium’s special property of fusing to bone, called osseointegration ( «osseo» — bone; «integration» — fusion or joining with), is the biological basis of dental implant success.That’s because when teeth are lost, the bone that supported those teeth is lost too. Placing dental implants stabilizes bone, preventing its loss. Along with replacing lost teeth, implants help maintain the jawbone’s shape and density. This means they also support the facial skeleton and, indirectly, the soft tissue structures — gum tissues, cheeks and lips. Dental implants help you eat, chew, smile, talk and look completely natural. This functionality imparts social, psychological and physical well-being.90005 90004 The big question is, «Are dental implants right for me?» The section on understanding dental implants will describe the factors that contribute to implant success including: 90005 90004 For good measure, there is also an easy to read FAQ section containing the most common questions and concerns regarding dental implants. 90015 90005 .90000 Dental Implants | Implant Types, Treatment and Recovery Guide 90001 90002 90003 Medically Reviewed by: 90004 Kenneth A. Ingber, DMD 90005 90002 90007 On this page: 90008 Implant consultation | Procedure details | Recovery & Aftercare | Implant types 90005 90002 Dental implants are artificial tooth roots used to support a restoration for a missing tooth or teeth, helping to stop or prevent jaw bone loss. The implantation procedure is categorized as a form of prosthetic (artificial replacement) dentistry, but also is considered a form of cosmetic dentistry.90005 90002 People who have lost teeth might feel too self-conscious to smile or talk. Additionally, biting irregularities caused by tooth loss can have a negative effect on eating habits, leading to secondary health problems like malnutrition. 90005 90002 By replacing missing tooth roots, dental implants provide people with the strength and stability required to eat all the foods they love, without struggling to chew. Additionally, they help to stimulate and maintain jaw bone, preventing bone loss and helping to support facial features.90005 90016 Tooth Loss 90017 90002 90005 90002 Teeth are lost because of: 90021 90005 90023 90024 Tooth decay 90025 90024 Root canal failure 90025 90024 Gum disease (Periodontitis) 90025 90024 Trauma to the mouth (tooth injury) 90025 90024 Excessive wear and tear 90025 90024 Congenital defects 90025 90036 90016 Consultation 90017 90002 To determine if implants are right for you, a consultation with your dentist, oral surgeon, and / or periodontist or prosthodontist is needed.During this appointment, your dental professional will thoroughly examine your teeth and gums and evaluate bone density and quantity. This may involve X-rays and computer tomography scans (CT scans) to ensure there is sufficient bone structure for placing the implant (s), and to determine exactly where they should be placed. 90005 90002 Based on the condition of your oral tissues, oral hygiene and personal habits, and commitment to follow aftercare instructions, your dentist will advise you of the most appropriate treatment plan.Some patients with insufficient bone or gum tissue require bone or soft tissue grafts and / or the use of small diameter implants (also called mini implants). 90005 90002 Depending on your situation, your dental professional will advise you of how long the entire treatment process will take, how many appointments will be necessary and what you can expect after each procedure. During the consultation, options for local anesthesia (to numb the affected and surrounding areas) and sedation dentistry, if necessary, also will be discussed.The estimated cost of your dental implants will also be discussed during this meeting. Costs can vary significantly based on the type of treatment you opt for (amongst other things). 90005 90016 Before Treatment 90017 90002 Any underlying oral health issues must first be managed before implantation may be considered. Common issues such as tooth decay and gum disease can make treatment less effective. 90005 90002 If you are a smoker, your dentist will advise you to quit, as smokers face a greater risk of failure than non-smokers.Smoking can affect osseointegration, the process by which a dental implant anchors to the jaw bone. 90021 90021 Once your dentist deems your mouth healthy enough for treatment, your custom treatment can begin. 90005 90016 Placing Your Implant (s) — The Procedure 90017 90002 Today’s dental implant restorations are virtually indistinguishable from other teeth. This appearance is aided in part by the structural and functional connection between the implant and the living bone. The procedure is typically performed in a single sitting but requires a period of 90056 osseointegration 90057.90005 90002 Osseointegration is the process by which the implant anchors to the jaw bone. An osseointegrated implant takes anywhere from six weeks to six months to anchor and heal, at which point your denti 90005.90000 Types of Implants & Techniques — Types of implants & techniques 90001 90002 90003 Dental implants come in different sizes, heights and types. Your dental implant expert can help you determine which option is best for you, depending on your particular needs. 90004 90005 Types of implants 90006 90002 There are two main types of implants: 90004 90009 90010 90011 Endosteal: 90012 These dental implants are placed in the jawbone. Typically made of titanium and shaped like small screws, they are the most commonly used type of implant.90013 90010 90011 Subperiosteal: 90012 These dental implants are placed under the gum but on, or above, the jawbone. This type of implant may be used in patients who do not have enough healthy natural jawbone and can not, or do not want to, undergo a bone augmentation procedure to rebuild it. 90013 90018 90002 If your jawbone is not able to support dental implants, several techniques can be used to rebuild bone, restore your natural jawline and provide a sturdy foundation for implant-supported teeth.These include: 90004 90009 90010 90011 Bone augmentation. 90012 This involves restoring or regenerating bone in your jaw when it is not able to support implants otherwise. Research shows that using bone additives and growth factors to fortify the bone generally achieves the best results. 90013 90010 90011 Sinus lift. 90012 Also called sinus augmentation or sinus elevation, this involves adding bone below the sinus in cases where natural bone has deteriorated due to missing upper back teeth.90013 90010 90011 Ridge expansion. 90012 If your jaw is not wide enough to support dental implants, bone graft material can be added to a small ridge, or space, created along the top of your jaw. 90013 90018 90005 3D Imaging and Treatment Planning 90006 90002 State-of-the-art, highly precise 3D digital imaging and implant surgical planning software have made implant procedures faster and highly predictable. Your dentist can use these tools to analyze the anatomy of your jaw and determine the best sites for implant placement before surgery.This saves time and money, and shortens recovery time. 90004 90005 Alternative Dental Implant Techniques 90006 90002 Depending on the health of your jawbone and your specific needs, your dental implant dentist may suggest some alternative treatment options in addition to the traditional multi-step dental implant procedure. Options may include: 90004 90009 90010 90011 Immediate Load Dental Implants. 90012 Also called same day implants or Teeth in a Day®, immediate load dental implants allow placement of a temporary tooth during the same appointment as your dental implant placement.This may be a good option if you have enough natural bone and an implant secure enough to support immediate placement and pressure on the new temporary tooth. 90013 90010 90011 Mini dental implants (MDIs). 90012 Also called small or narrow diameter implants, these toothpick-sized implants are narrower than most commonly used dental implants. They are placed through less-invasive techniques and are used primarily to stabilize a lower denture. 90013 90010 90011 All-on-4®. 90012 All-on-4 is an alternative to placing a top or bottom set of replacement teeth, called a full arch.Four dental implants are placed in available bone, avoiding the need for bone grafting. Special abutments are used so that a temporary set of replacement teeth can be placed the same day. You follow a modified diet while the gum tissues heal and the implants bond with your natural bone. After about six months, the permanent replacement teeth will be placed and you can resume a regular diet. 90013 90018 .90000 Dental Implants 90001 90002 90003 Understanding Dental Implants 90004 90005 90003 Am I a candidate for dental implants? 90004 90008 Generally speaking, if you have lost teeth you are a candidate for dental implants. It is important that you are in good health, however, as there are some conditions and diseases that can affect whether dental implants are right for you.For example, uncontrolled diabetes, cancer, radiation to the jaws, smoking, alcoholism, or uncontrolled periodontal (gum) disease may affect whether dental implants will fuse to your bone. It is important to let your dental surgeon know all about your medical status (past and present) together with all medications you are taking, whether prescribed, alternative (herbal) or over-the-counter. 90009 Where and how implants are placed requires a detailed assessment of your overall stomato-gnathic system ( «stoma» — mouth; «gnathic» — jaws), within which the teeth function.This will necessitate compiling records that include study models of your mouth and bite, and specialized radiographs (x-rays), which may include 3D scans known as computerized tomograms (CT scans). Planning with the help of computer imaging ensures that dental implants can be placed in exactly the right position in the bone. 90010 90009 90003 How and why is bone lost when teeth are lost? 90008 90004 Bone needs stimulation to maintain its form and density.In the case of alveolar (sac-like) bone that surrounds and supports teeth, the necessary stimulation comes from the teeth themselves. When a tooth is lost, the lack of stimulation causes loss of alveolar bone. There is a 25% decrease in width of bone during the first year after tooth loss and an overall decrease in height over the next few years. 90010 90009 The more teeth lost, the more function lost. This leads to some particularly serious aesthetic and functional problems, particularly in people who have lost all of their teeth.And it does not stop there. After alveolar bone is lost, the bone beneath it, basal bone — the jawbone proper — also begins to resorb (melt away). 90008 90010 90009 90003 How can bone be preserved or re-grown to support dental implants? 90008 90004 Grafting bone into the extraction sockets at the time of tooth loss or removal can help preserve bone volume needed for implant placement. Surgical techniques are also available to regenerate (re-grow) bone that has been lost, to provide the necessary bone substance for anchoring implants.In fact, a primary reason to consider dental implants to replace missing teeth is the maintenance of jawbone. 90010 90009 Bone needs stimulation to stay healthy. Because dental implants fuse to the bone, they stabilize it and prevent further bone loss. Resorption is a normal and inevitable process in which bone is lost when it is no longer supporting or connected to teeth. Only dental implants can stop this process and preserve the bone. 90010 90009 90003 How are dental implants placed and who places them? 90004 90008 It takes a dental team to assess and plan dental implant placement and restoration — the fabrication of the crowns, bridgework or dentures that attach atop the implants and are visible in your mouth.The dental team consists of a dental surgical specialist — a periodontist, oral surgeon, or a general dentist with advanced training in implant surgery; a restorative dentist, who plans and places the tooth restorations; and a dental laboratory technician who fabricates them. 90010 90009 Placing dental implants requires a surgical procedure in which precision channels are created in the jawbone, often using a surgical guide. The implants are then fitted into the sites so that they are in intimate contact with the bone.They generally require two to six months to fuse to the bone before they can have tooth restorations attached to them to complete the process. 90008 90010 90009 90003 What are the options for implant tooth replacement? 90004 90010 90009 90003 Single Tooth Replacement: 90004 Immediately (at the same time an implant is placed) or after a period of healing, an abutment is attached to the implant. This is a device that «abuts» or joins the implant to a tooth form called a crown, which replaces the tooth part you see in the mouth.It will hold a custom-made crown that the dental laboratory will fabricate and match to your existing teeth. The custom crown is cemented or screwed onto the abutment to permanently keep it in place. Once the crown is in place, it should be indistinguishable from your natural teeth. 90010 90009 90003 Fixed Multiple Tooth Replacement: 90004 As with single tooth replacement, temporary healing caps or abutments may be placed on multiple implants until the healing phase is complete.After healing, permanent abutments are attached to the implants. They can attach to custom-made crowns or bridgework that a dental laboratory will fabricate to match your existing teeth. In the final step, the custom bridge, which will replace multiple teeth, is cemented or screwed onto the abutments. The teeth have been replaced without disturbing the healthy teeth next to them, and bone loss has been halted. 90010 90009 90003 Removable Implant-Supported Tooth Replacement: 90004 If all of your lower teeth are missing, depending on the design of the removable restoration, two to six implants may be used to support a lower denture.If all of your upper teeth are missing, a minimum of four implants may be used to support an upper denture. Removable dentures are often used to replace extensive tooth, bone and gum-tissue loss, thus providing support for the facial skeleton, lip and cheeks. A new denture can have attachments that snap or clip it into place on the implants or a custom made, milled bar can be fabricated to create additional strength and support for the restoration. Design variations are often related to your bone density and number of implants present; your dentist will discuss these options during your consultation.A significant advantage of a removable denture is facilitating the cleaning of the dental implants. 90008 90010 90009 90003 How do implant tooth replacements differ from teeth? 90004 90008 Natural teeth and dental implants may look the same, feel the same, and even function in a similar way, but they are very different. The most important differences are in the way they attach to the surrounding bone, their response to dental disease, their maintenance, and repair. 90008 90010 90009 Teeth attach to the surrounding bone by a periodontal ligament ( «peri» — around; «dont» — tooth) made up of collagen fibers that join into the tooth on one side and bone on the other.Dental implants fuse directly to the bone. 90008 90010 90009 The gum tissues also attach to the root of a tooth with collagen fibers as described above. However, gum tissues can only stick to the surface of dental implants. 90008 90010 90009 Teeth are susceptible to dental decay as well as the need for root canal therapy; dental implants are metal and do not decay or need root canal. Teeth may also be susceptible to periodontal (gum) disease, while dental implants may be susceptible to peri-implantitis, an inflammatory response to bacterial biofilm of the tissues surrounding the implant, which can result in disintegration of the bone to the implant.90008 90010 90009 90003 What type of maintenance do dental implants require? 90004 90008 Implant crowns and other prosthetic (false) tooth replacements are made to be remarkably failsafe systems. They are removable and replaceable (only by your dentist), so that if damage or wear necessitates replacement, this can be accomplished without affecting the implant (s) or attachment to the bone. 90008 90010 90009 Nevertheless, implants do require maintenance. It is important to practice good daily oral hygiene, including brushing and flossing to control bacterial biofilm.It is also important to see your dentist and dental hygienist. Special instruments are necessary to clean dental implants that will not damage their metal surface beneath the gum tissues. Your dentist will need to monitor your implants to make sure the integrity of the osseointegration is stable, and that the implant crowns, bridgework or dentures are functioning adequately. 90010 .