Installation of implants on the front teeth is a difficult dental operation that allows you to restore the dentition. This procedure requires a lot of time and effort. And as a result, the oral cavity acquires an attractive appearance. At the same time, the implants themselves are well fixed, which makes it possible to exclude their loosening. Therefore, when talking or eating, these items will not fall out.
Features of the procedure
What could be special about a procedure such as implantation of dental elements? The main feature here lies in the fact that such a dental operation can be carried out immediately after tooth extraction. But there are certain situations when it is better to wait with implantation, postponing it for a certain period of time. Usually the reason for this is the course of the inflammatory process or the size of the hole is too large.
Unlikereplacement of molars, which are located outside the smile zone, the specialist must work with the anterior elements very carefully. After all, it depends on how the patient will look, whether it will be possible to achieve a result when only photos of the implants of the front teeth (before and after) can tell others about the procedure.
At the same time, certain requirements are imposed regarding not only the visual part, but also the time of the event. After all, who wants to do without front teeth for a long time? In addition, their loss causes aesthetic discomfort.
Implantation of the front teeth in case of their absence (for various reasons) is a sure way to restore your smile and keep the nervous system safe and sound.
In the usual prosthetic procedure, artificial tooth analogs are fixed thanks to special fasteners. And it is not always possible to hide them. And if, at the same time, the main emphasis is placed on aesthetics (mostly relevant for the front teeth), this will result in the detriment of the quality of fastening. So, there is no certainty in functionality. In the body of this material, you can find several photos of implants on the front teeth, which will allow you to clearly see the whole picture.
Another feature of the procedure is that on the third day after implantation of the “foreign body”, crowns and bridges can be placed. And a day later, the chewing function is restored. Any removable structures are not used here. And after the installation of implants, you can once and for all forget about periodontal disease andperiodontitis.
Procedure description
Many patients, in case of need for implantation, are wondering how long the restorative procedure takes. And is it possible to meet in the shortest possible time? Basically, everything here depends on the condition of the patient's oral cavity, more precisely on the place where the tooth is lost. The more thoroughly the oral care is carried out, the less time it will take to restore the element.
Judging by the photo of the implants on the front teeth, the procedure for their implantation resembles the restoration of chewing teeth and is carried out in several stages:
- preparatory;
- the process of implantation itself;
- orthopedic.
In this case, special materials with high aesthetic parameters are used. The use of titanium in its pure form for the implantation of anterior teeth is undesirable, since such products are easily visible through the gum. Because of this, the patient's appearance suffers, causing him significant psychological discomfort.
In this regard, the use of ceramic implants based on zirconium oxide or aluminum dioxide is relevant. In extreme cases, a special whitening coating helps.
The procedure itself can be conditionally divided into several stages:
- preparatory;
- surgical;
- orthopedic.
Interesting fact: the replacement of the front teeth with artificial analogues contributed to the developmenta new direction in implantation in dentistry - the introduction of non-metal ceramics into the masses.
A number of contraindications to surgery
Many visitors to dental clinics may wonder if implants are placed on the front teeth and is it dangerous. And this is quite natural, since such a procedure has certain contraindications. And this is despite the significant benefit - the restoration of the dentition. Before proceeding to the analysis of how exactly implantation is carried out, it is worth touching on those cases when such an operation should be refrained from:
- Diseases of the blood or blood-forming organs.
- Presence of malignant neoplasms.
- Mental disorders.
- Immunodeficiency.
- Development of tuberculosis.
- STD.
- Infectious diseases.
- Presence of diabetes mellitus (even in case of drug correction).
- Anomalies in the development of the bone structure and connective tissue.
- The patient's retirement age is over 55.
- Intolerance to anesthesia drugs.
- Course of chemotherapy.
- Exacerbation of chronic diseases.
- Anomalies of language.
- Alcohol abuse, drug use.
As you can see, the list is quite extensive. For this reason, if it coincides with at least one of the points for restoring a dentalrow, other possibilities should be used. At least trust the doctor - to implant or not.
Preparation
Which implants to put on the front teeth? This question is also of interest to many patients. Only a doctor can accurately answer it, which is the essence of the preparatory stage of implantation, and its importance should not be underestimated!
To begin with, a complete examination of the patient's oral cavity is carried out and all the necessary information is collected (from his words). Computed tomography (CT) is also required. This allows the doctor to plan further actions. During the preparatory stage, the doctor sanitizes the patient's oral cavity, which includes several procedures:
- Treatment of dental diseases (caries, periodontitis and others).
- Performing a professional dental cleaning.
- The teeth that are not being treated or are already severely damaged are removed.
- Dental canals are being sealed.
If during the examination of the patient periodontal disease was detected, then before placing an implant on the front tooth, it is necessary to cure the disease and strengthen the roots. Only then can implantation begin. The same applies to bone atrophy. In this case, bone grafting is prescribed.
If there are crowns or prostheses in the patient's mouth that are no longer suitable for use, they must be replaced with new elements. Only the doctor needs to considermaterial compatibility to avoid galvanization or corrosion.
Surgery
This is the most important stage of all three, because here everything depends on the quality of its implementation and the qualifications of the specialist. With the right approach, the implanted product can last for many years.
Immediately before the implant is implanted, the patient is given an injection of local anesthesia. Although the operation can be performed under general anesthesia. At the same time, the effect of painkillers remains for 1.5-2 hours after the procedure.
The duration of implantation of the implant on the front tooth is from 30 to 50 minutes. Instead of a natural root, a specialist installs a pin using minimally invasive surgical instruments, after which an abutment is placed on top. It should be borne in mind that during such a procedure, the gum mucosa is damaged. It is for this reason that such manipulations should be performed by a highly qualified specialist.
Orthopedic stage
This stage can be considered the final stage. Here, after implantation of the implant, a prosthesis is placed. Only to begin with, a temporary crown is installed on the abutment, which, if necessary, is filed to fit into the space between the surrounding teeth.
After a certain period of time, during which the implant takes root, a permanent crown is placed. At the same time, experts are trying to give it a shade as close as possible to the color of natural enamel.
Methods of implantation
Installation of implants in the front teeth can be carried out in two directions:
- classic two-step method;
- one-step technique.
In this case, both methods are used in the absence of one or more teeth. Each of the methods presented has its own advantages and disadvantages. Which path to choose is decided by the doctor, who, first of all, takes into account the condition of the gums, how long ago the tooth was lost. The age of the patient and a number of other factors also matter.
Let's consider each of these implantation methods separately.
Classic
Implantation of the front teeth in the absence of a small number (from 1 to 4), should be carried out according to the classical canon in two stages. It should be borne in mind that with this method, a fairly decent period of time can pass between the stages of implantation of the implant and the installation of the abutment - from 3 to 4 months, sometimes more.
This is due to a certain need - you should wait until the implant takes root completely. But if, in addition to removal, bone augmentation is also required, then prosthetics is delayed up to a year. Typically, a two-stage technique includes the following procedures (including the installation of implants on 4 front teeth):
- Diagnostics - the result will depend on the quality of the oral examination. X-rays provide more accurate data regarding the state of the oral cavity and individual physiological characteristics.
- Rehabilitation - this procedure contains a list of the most necessary medical and preventive procedures, including the extraction of teeth itself (if necessary).
- Bone grafting - after the tooth is removed, the bone tissue shrinks over a certain period of time. In this regard, an extension procedure may be required. This is followed by a rehabilitation period (3-4 months), during which the bone crumb takes root to natural tissues. Only then can you proceed to the implantation of the implant.
If earlier the procedure of two-stage implantation was the only solution for restoring the dentition, now, thanks to the development of dentistry, new methods are emerging. This allows specialists to thoroughly study the clinical pictures of patients. And also to determine which implant is best placed on the front teeth.
It is not correct to compare one-step (about it a little later) and two-stage methods. This is due to the fact that in each case, the specific characteristics of the patient should be taken into account.
One-step technique
One-stage, or instant implantation is a type of prosthetics in which an artificial analogue is immediately placed instead of an extracted tooth. That is, the doctor performs both operations. Moreover, the entire procedure is carried out in one visit to the dentist.
Implantation of the implant with this method can be carried out in different ways:
- Immediately after the extraction is completed, a pin is placed and the gum is sutured. Allother manipulations are done after complete healing of soft tissues.
- After tooth extraction, a gum former is placed simultaneously with the implant to preserve the appearance of the tissues. Depending on the wishes of the patients, shapers can be standard or custom made.
- Installation of the implant is carried out together with a temporary crown. And after the artificial analogue takes root, it is replaced by a permanent one. According to reviews, implants on the front teeth, placed in this way, find a greater response among many patients. Indeed, in this case, the dentition is restored much faster.
It is easy to see that many patients choose this method, because in this case, physical and psychological discomfort is minimized. The quality of performance is no worse than that of the classical technique. Immediate implantation significantly reduces the recovery period and allows patients to fully consume food immediately after the procedure.
Upper teeth implantation
The upper anterior elements of the dentition are the most visible of all, especially visible when one of them is lost. As a result, a person's appearance becomes unrespectable or, at times, so comical that it causes psychological discomfort. A person even has to hide his smile from others.
At the same time, the upper jaw has its own characteristics:
- Bone has a minimum thickness.
- The depth here also leaves much to be desired, since it is also relatively small.
- Close proximity to the paranasal sinuses.
Based on this, the procedure for implanting the implants of the upper front teeth is given to specialists (according to their confession) with great difficulty.
During the operation, it is here that there is a possibility of complications. But besides this, there are other risks:
- Bone perforation or damage.
- Bleeding in the sinuses due to breakdown of hard bone tissue.
- Mistake by the doctor in assessing the thickness of the bone, which leads to unreliable fixation of the implant.
Fortunately, most modern dental clinics are equipped with modern equipment. This allows you to minimize the first two points. You can prevent the errors indicated in the third paragraph by performing computed tomography, which will provide more visual data.
In addition, in relation to the upper dentition, a smaller amount of anesthetic is required. And this, in turn, reduces the load on the body.
Inferior Anterior Teeth Implants
The bone structure of the lower jaw has a slightly different structure: it is stronger, much thicker than at the top. And besides, there are no nasal sinuses. But there is always a risk of damaging these cavities.
However, there is one nuance that requires no less qualification from a specialist. After all, it is here that the maxillofaciala nerve that comes from a common (triple) bundle. In other words, there are some peculiarities here:
- Need for enhanced anesthesia.
- In the case of deep implantation of pins (basal implantation), the specialist should act very carefully, as there is a risk of hurting the nerve.
During the replacement of the front teeth of the lower row, complications of only one nature may occur - damage to the facial nerve, which is accompanied by numbness. Based on the nature of his injury, the problem may be irreversible in some cases.
With minor damage, numbness can last 6-12 months. Just in this case, there are no serious concerns - everything is fixable. However, if the nerve has been severely disturbed (fortunately, this is rare), then recovery is impossible. Neither therapy nor surgery will help.
As a conclusion
Today, the procedure of implantation of implants on the front teeth is the only right solution for restoring the dentition in case of loss of the front (upper or lower) elements. It does not matter whether the entire molar is lost or some part of it. But what is most valuable is that the procedure does not affect the surrounding teeth (near the implant).
Products are usually made from quality materials to extend their lifespan. However, the patients themselves should also make some efforts. Namely, regularly care for implanted implants.
Only with this approach, dentures will be preserved for 15-25years. Otherwise, they will become unusable within 3 to 5 years.
