Tooth decay in children
Most parents believe that caries can only be on the chewing surface of the tooth and when they look into the baby’s oral cavity they don’t see any problems, thinking…

Continue reading →

Ankylosis. Part I: Etiology, a look at the problem
Tooth ankylosis can be diagnosed in several ways: Lack of mobility or a distinct, stable sound when percussing with a hand tool (as a rule, this method is reliable only…

Continue reading →

Do you "wedge" your teeth before a composite restoration in the lateral region?
Composite materials for direct restoration of the lateral tooth group are the most common in clinical practice. However, clinicians often need to make a lot of efforts in order to…

Continue reading →

What you need to know about dental implants

How is implant placement performed?
The implant placement on average takes 15-20 minutes.
After the doctor, together with the patient, planned the type of implantation and selected the implant system, local anesthesia (anesthesia) is done. It is possible to carry out implantation and under sedation (anesthesia).

Then, a small incision is made in the gums and, in fact, the development of a bed in the bone with special drills and the installation of an implant.

Then either a stub is installed and the gum is sutured tightly, or a gum shaper that forms the gum under the future crown, or an abbey and a temporary crown are installed.

All these options are individual and the decision is made during the treatment process.

Which implants are better?
All implants are good. It is conditionally possible to divide implants into two groups:

leaders are implants that have been on the market for more than 20 years (Strauman, Nobel, Astra, Biogorizont)
other implants.
But, it is worth noting that all implants are made of titanium:

GRADE 4 (less durable titanium on small implant diameters)
GRADE 5 (stronger titanium, but worse bone engraftment) and recently zirconia implants have appeared.
The only difference is surface treatment. But, there are not many options:

either acid etching of the surface,
or sandblasting to create a roughness,
or both.
Conclusion: Almost all implants are in the 95-97% survival rate.

Can an implant be placed if the tooth has been removed long ago?
If the tooth has long been removed, you have several options for solving this problem:

do nothing, and then the antagonist tooth extends and the adjacent tooth bends toward the defect;
to install a removable denture (butterfly), which will annoy you with an unpleasant sensation and at the most inopportune moment it will simply fall out;
a bridge, but for this it is necessary to depulpate (kill the nerves) and grind two adjacent teeth;
Implant placement is a good modern way to regain chewing effectiveness.
Can a dental implant be placed immediately after tooth extraction?
Maybe. This is called a one-step technique. But, this requires the absence of inflammatory processes in the bone and a sufficient volume of bone. In our clinic, we often use a one-stage technique. The decision on the implantation technique is made together with the patient at the planning stage when examining a CT scan and oral cavity.

How to eat after installing a dental implant?
There are practically no nutritional restrictions after implantation. More precisely, the number of implants must be taken into account. If it is one or two implants, then there are practically no restrictions. And if this is implantation of toothless jaws, then here you can limit yourself to sharp, salty and solid foods so as not to irritate the wound surface. At the time of taking antibiotics, there is a restriction in alcoholic and low alcohol drinks.

How many implants can be placed at one time?
All teeth can be installed at one time, that is, 28 implants. But, as a rule, now for implants there are enough 6 implants on the upper and 6 on the lower jaw in order to restore full chewing effectiveness.

What is better for a badly damaged tooth: “Implant or crown”?
If the tooth is badly damaged, but the walls in it are tight – it is better to cover it with a dental crown, and thus preserve it. But, if the tooth is badly damaged (which is indicated for removal), then, in this case, it is better to install a dental implant (so as not to grind adjacent teeth when installing a bridge) and then a crown.

How long does it take to implant implantation?
Implant engraftment requires 2 to 6 months. It depends on the implant system and many more factors.

When installing implants, we get a primary stability of 25 Newton and above. At week 3-5, this stability drops by about 50-60%. During this period, implants must be cherished and try not to burden them. And only by 3-6 months (depending on the jaw) there is a complete osseointegration of the implant.

Is implantation possible with periodontitis?
Implantation is possible when there is bone. If there is enough bone in periodontitis on x-rays, implantation is possible. A prerequisite for this type of implantation is that the patient strictly adheres to oral hygiene requirements.

What does the phrase “implants with a guarantee” mean?
Almost all implants have a guarantee from the manufacturer. There is no guarantee and cannot be on implantation. Because this is the introduction of a foreign body into the human body. And each organism is individual. In our clinic, we change and reinstall the implant if it has not taken root, and the patient additionally pays only the “Anti-AIDS” kit. The implant is changed under warranty. Thus, we give our own guarantee and save the patient’s money.

A clinical case of a "flaming" nevus in a pregnant woman
Purulent granulomas are non-tumorous excess formations of granulation tissue, which are formed as a result of a reaction to various stimuli by the type of hormonal changes, traumatic injuries, or…

...

Psychology in endodontics. Microscope in endodontic practice, personal observations
Since 1999, I have been working with an endodontic microscope, during this time my attitude to this subject has evolved from irritation due to the need to retrain, to drug…

...

Ozone therapy - treatment of caries without drilling teeth and without injections
Ozone therapy is the most effective method of destroying pathogenic (harmful) microflora in the oral cavity, used in the treatment of caries and other diseases of the teeth and gums.…

...

An electric toothbrush that helps you see your dentist less often
Who does not dream of a medical capsule, in which he lay down and recovered, is cured of all diseases? But it is still ahead of us. We will not…

...