The implantation is not painful and is done under local anaesthesia. The anaesthetic used is Ultracain DS Forte, which is four times more powerful than Lidocaine, which is traditionally used for dental treatment. The anaesthetic itself is not painful, but there may be a slight tingling sensation for a few seconds. The pain that can occur after tooth implant surgery is a normal consequence and can be easily and well controlled with basic painkillers and anaesthesia.
There are immediate or delayed implantation options. The indication for immediate implantation is quite narrow and therefore less common. It is more common to have a tooth implant 2-3 months after tooth extraction. The most ideal time for implantation is 6 months after tooth extraction. After tooth extraction, the main reason to wait for the bone to heal before implanting a tooth. This time is faster for single-rooted teeth and longer for multi-rooted teeth.
If there is very little bone left in the extracted tooth after extraction, bone grafting may be necessary before implantation. This is often the case in periodontopathy, i.e. teeth that have become loose and lost through gum disease. Or, for example, in the maxilla, in the case of the removal of a sixth tooth, when the lower sinus is very close to the bone surface. If a bone replacement is needed, the time between tooth extraction and implantation may increase. In complicated cases, after tooth extraction, there is a wait of 3-6 months for ossification, followed by bone grafting or sinus lifting surgery, then another 8 months and only then can tooth implantation be performed.
The time needed for implantation therefore depends mainly on the quantity and quality of the existing bone. In all cases, it is advisable to wait for a period of time that the specialist considers optimal before having the tooth implanted. Unnecessary haste will only reduce the chances of a successful implantation.
If the tooth extraction was done years ago and there is sufficient bone available at the site of the missing tooth, the implantation can be carried out immediately after the diagnosis and treatment plan have been established and agreed. If the bone at the site of the previously extracted tooth is very re-grown, bone grafting surgery may be performed, in which case tooth replacement may also be carried out at a later date, about 8 months after the bone grafting.
The implantation is done under local anaesthesia. In simple cases, it can be done in up to half an hour. In complicated cases, the operation should take about 2 hours. In general, you should expect an operation of one hour.
No. The implantation is done under local anaesthesia. The local anaesthetic used is Ultracain DS Forte, which is four times more effective than Lidocaine, the anaesthetic traditionally used in dental surgeries, and ensures complete painlessness and anaesthesia during the operation.
After the implantation surgery, the tooth loss is still apparently a tooth loss for a while, as the implant screw rests in the bone under the gum and ossifies. A temporary tooth replacement can be made temporarily while the tooth is ossifying. In the majority of cases, this is a removable prosthesis, which is attached to the missing tooth by means of barely visible pegs. In simple cases, the temporary restoration is completed within 1-2 days. In other cases, it is better to wait for the swelling to subside after the implantation, in which case the dentist will prepare the temporary restoration 1 week after the implantation.
In the simplest case, the permanent restoration can be made 3 months after the implantation, in more complicated cases 6-8 months after the implantation.
If there is an immediate implantation after tooth extraction, a temporary prosthesis will be placed at the beginning of this type of implantation.
To implant a tooth, you need bone that can accommodate the full extent of the implant screw. The thinnest conventional implant screw is 3.3 mm in diameter, with an additional 1.5-1.5 mm to be added in a circle for safe healing.
In addition to the diameter, the length of the implant is also important: the longer the implant, the better, as it will be able to withstand more chewing force. However, certain anatomical formations, such as the sinus cavity or the nerve running through the bone, prevent the long implants needed to place the correct static load on the tooth.
When the bone is either too thin for the diameter or too short for the length, bone graft surgery is required to allow the implant screw to be placed with the correct load-bearing capacity.
In simple cases, the implant can be placed at the same time as the bone graft. In more complicated cases, where there is very little and thin bone of the patient's own, the bone graft is covered with titanium mesh, the implant is left to develop into bone equivalent to the patient's own bone (about 8 months) and then the implant can be placed.
Unfortunately, no. Tooth implantation can have local and general health restrictions.
A local limitation is when there is so little and so little bone left in the mouth - especially in older age, or as a result of severe gum atrophy, or in the case of teeth that have been removed a very long time ago - that the remaining bone cannot be augmented by bone grafting. In these cases, in the case of complete edentulism, a removable denture, but fixed on mini implants, may be an alternative to avoid a completely removable denture. Mini implant dentures can also be used in many cases with very little bone.
A general health limitation is the use of bisphosphonate medication for osteoporosis, for example. In this case, dental implants can NOT be performed. The same category also includes uncontrolled diabetes, severe blood clotting problems.
You must eat before the operation, you should not come on an empty stomach, it is not a blood test! This is partly to avoid dizziness caused by the anaesthetic administered, and partly because you cannot eat for some time after the operation. If you are taking medication, it is important to take your daily medication. Certain anticoagulant medicines should always be discussed with your specialist beforehand and taken accordingly. You should not just skip medication at your own discretion!
It is advisable to drink plenty of water and take higher doses of vitamins C and D in the days before and after the operation.
You can be worried, but not seriously anxious. Patients who are sensitive may be given a sedative tea or, if they are taking them beforehand, anti-anxiety tablets. It is important that the patient remains calm during the operation, as this will have a major impact on the success of the operation.
For ladies, it is important not to have any extra cream or lipstick on the face. These will be wiped off by the assistant anyway and the face should be made a sterile area for the duration of the operation.
In general: yes, you can work after a tooth implant. But everyone is different, and the complications of surgery are different. Some people take the day off, others go back to work from the surgery. Each person has an individual sensitivity. The general condition of the body, the immune system's preparedness, the personality's response to stress (tooth implant surgery is a certain stress!) and the genetic background is different for each person. As a doctor, I suggest we be loving companions to ourselves, as we know ourselves best, what we can handle. From a medical point of view, there is nothing to stop you from going back to work after tooth implant surgery. However, it is still a bone surgery, so if we can, let's at least give the body a chance to rest and recharge that day.
What usually happens after surgery: A perfectly normal reaction after tooth implant surgery is swelling, bluish discoloration, and pain that is easily controlled with normal painkillers. Ice and pain medication may be necessary. Stress at work does not help the mind, spirit and body to heal, so it is better to rest a little for this type of work.
Today's modern techniques and long-term experience have shown that dental implantation is a highly successful dental intervention. The success rate for normal tooth implantation is 98%! For operations combined with bone grafting, this rate is reduced, but not below 80%! The general health of the body and mind is very important. Stress, smoking, severe diabetes or neglected oral hygiene can lead to inflammation of the tissues around the implanted tooth and, in further cases of neglect, to the loss of the implant. Regular check-ups after implantation, preferably every six months + professional oral hygiene care, are essential. If this is done, the lifetime of the implanted tooth is the same as the lifetime of the implanted tooth. There is biological bone loss with age in both the implant and the natural tooth, but this can be controlled with good hygiene!
It is optimal to have a tooth implant within six months to a year after tooth extraction. If your jaw, bite and bone are suitable, it is best to choose this form of tooth replacement and replace your lost teeth with full value. No need to grind down healthy teeth and the dental implant prevents further bone loss.
If the bone stock is no longer of adequate height or width, artificial bone substitutes can be implanted. More bone is created in the upper teeth with sinus lift surgery and in the lower teeth with titanium mesh bone grafting. Implantation can be done 6-9 months later.
Many people come to the practice with gum disease where the teeth are beyond repair. Complete edentulism is a huge life-changing event, but dental implants can be the solution! In cases of complete edentulism, fixed dentures or All-on-4 are excellent and effective types of fixed dentures.
Many people report that during a dental implantation, once the dental implant is fully anchored, it feels deceptively similar to their own tooth. In other words, with dental implants, you can fully replace the experience of lost teeth. You'll be able to chew with a slightly duller sensation, but without restrictions, and you won't have to be more careful or eat softer foods.
You won't have to cover your mouth when talking or smiling in company after a tooth implant. In the zone visible when smiling, almost everyone nowadays opts for a zirconia porcelain solution, which can perfectly replace the aesthetics of a natural tooth.
Success rate above 98%
If not too much time has passed after tooth extraction, in many cases there is enough bone left for implantation. The 3-dimensional CBCT X-ray study allows the bone anatomy to be perfectly defined and the surgery to be planned. The success rate of these simple tooth replacement surgeries without bone grafting is over 98%! So it's worth coming early!
If you are within 3 years, make a move!
The optimum time for a tooth implantation after tooth extraction is within half a year to a year, but in most cases there is still a good chance of a simple tooth implantation within 3 years.
Dental implants are often possible even if the bone stock is not of sufficient thickness or height. In such cases, artificial bone substitutes, autografting, sinus lift surgery can be used to make the area suitable for implantation.
Dental implants are recommended as soon as possible after tooth loss
Implantation within six months to a year can prevent bone loss at the site of tooth loss. The implant places a chewing load on the bone, so that it retains its function and the bone atrophies at the natural rate of biological bone loss. If you already have removable teeth, they can be made more stable with mini implants.
If you are considering a dental implant, the first step is an assessment by a specialist dentist. Whether you are missing one, several or all of your teeth, in most cases the missing tooth can be replaced with a tooth implant.
Planning a dental implantation means both planning the future tooth replacement and planning the implantation surgery. The two areas are two different specialties, so close cooperation between two or more specialist dentists is required.
The assessment includes a 3-dimensional CBCT X-ray diagnosis and evaluation, and the measurements required for surgery. The height, width and density of the bones are measured, and the nerves and anatomy are also taken into account.
If the treatment plan also recommends bone replacement, it will involve several steps leading to tooth implantation. The first step is bone replacement surgery, followed by 6-9 months of healing. Then the titanium dental implant can be placed in the new bone.
In a simpler case, if no bone replacement is needed, you will be given an appointment for surgery after your treatment plan has been approved, with appropriate written preparation. The surgery is performed under local anaesthesia, painless and takes approximately 60-90 minutes.
The restorations can be done 4-6 months after the implantation. The first phase is the release of the implant and shaping of the gums, which takes about 3 weeks. This is followed by the preparation of the final prosthesis, which takes another 5-10 working days.