Everything in this world is not eternal, and the constituent parts of the body are also subject to aging and deterioration. And first of all it concerns human teeth. They can become unusable at a fairly young age. And if an elderly person can sometimes put up with gaps between the teeth, then it is very inconvenient for young he althy people to demonstrate an inferior row of teeth. When the teeth are out of order, a person is embarrassed to open his mouth once again. He is forced to control himself every second, which negatively affects his psyche.
For a very long time, mankind has learned to correct this trouble with the help of dental prosthetics. But technological progress continues to develop, and now a more modern method has come to replace traditional dental prosthetics - dental implantation. Which implants are better to put and what are their advantages? When implanting, to install a missing tooth, you do not need to spoil two adjacent ones. This innovative technology has taken root inmodern society, despite its high cost. Implants have a more natural look and are very durable. In addition, if you need to replace them, you do not have to use adjacent teeth. Nowadays, a lot of people choose this type of prosthetics, but they would really like to know which dental implants are better and what to choose in this or that case?
What is an implant?
Too many people today have certain defects with their teeth. There are many reasons for this, and everyone has their own, but the results are the same for everyone and they consist in the need to install strong and beautiful implants instead of damaged teeth. What are they and which dental implants are better to put? Now let's talk about this in detail. By definition, an implant is an artificial tooth that is placed in place of a missing natural tooth. The implant consists of three components:
- A durable titanium tooth root that is implanted into the jawbone.
- Abutment - an intermediate piece between the root and the crown. This is a periosteal element, where the entire structure of the dental crown is attached.
- A crown is a direct visible member of the dentition.
The root is permanently implanted into the bone, while the other two elements can be replaced as needed.
Implant. Its pros and cons
The first implantation method was tested half a century ago in Sweden and has since gained high popularity. There are undoubted and obvious advantages in implantology, and they are as follows:
- durability;
- strength and reliability of the implant;
- no dependence on adjacent teeth during installation and operation;
- indistinguishable;
- ability to perform all basic functions - chewing, biting;
- prevention of deformation of the jawbone and face oval.
Along with these advantages, there are some disadvantages, but they boil down mainly to the high cost of the procedure.
Some people, knowing about the convenience of this method of prosthetics, are still in no hurry to go to the dentist, because they assume that this procedure is very painful. I would like to debunk these vain fears and inform such people that there are no nerve receptors in the jawbone and all the discomfort falls on the gum. During the implantation of a foreign body into the bone, the soft tissues of the gums are incised, but the entire operation takes place under the influence of high-quality anesthesia, and the patient does not feel pain. Particularly restless patients can be given general anesthesia, and then they will not feel anything at all.
Features of implant placement
In order for the operation to go smoothly and painlessly, ask first in which dentistry it is better to place implants. Of course, it is better to choose those where such operations are not uncommon for a long time and the specialists have extensive practical experience in this area. You can ask friends or read reviews. In addition, when you come to the dentist for a consultation, ask how many successful implant placements have already been made.
The whole process is beingstep by step and takes about an hour. Having cut the gum, the dentist makes a hole in the bone with a drill, where the titanium root will be implanted. Having screwed a titanium screw into the bone, it is temporarily closed with a plug and a suture is placed on the gum. This completes the first stage of the operation, and the patient rests for one to three weeks while his soft tissues heal. After the incision has healed, the sutures are removed, and the patient waits for several months for the titanium root to heal. When the root has healed, the gum is cut again, the plug is removed and a gingiva former is inserted to give it the desired shape. The shaper must be worn for about two more weeks, after which an impression is made and a crown of the same shape and size as the shaper is made. The abutment and crown are placed on the post, and this completes the implantation process.
Types of implants
Before thinking about which implant is better to put, the reviews advise you to familiarize yourself with all types. There are several varieties, and they all differ in appearance and strength, and also have different installation technologies:
- Root-shaped - used mainly for chewing teeth. This is a cylinder on a titanium threaded screw. They can be installed if there is sufficient bone volume. If there is little bone material, an artificial extension (sinus lift) is made or another type of pin is installed.
- Lamellar - it can be deepened into the jaw bone as much as possible, and this gives greater strength to the false tooth.
- Combined implant - createof the two previous ones, it has a complex shape, and it can be used for various dental defects.
- Superbiostal - rather fragile, placed under the gum, between the periosteum and the bone. Once installed, it becomes durable and reliable.
- Endodontic stabilized - has an excellent reputation among specialists, does not injure the mucous membrane and is as reliable as possible. With this implant, you can lengthen and strengthen the root of the installed tooth.
- Intramucosal - inserted into the bone tissue to stabilize the installed prostheses.
To understand which dental implants are better to put, in the reviews, people are advised to contact their dentist. The doctor will select the best option based on the complexity of the case.
Anterior Implants
The anterior teeth are our facade. Therefore, they are in the zone of special attention of dentists. The front teeth must be flawless and completely indistinguishable from their natural counterparts. Here it is very important to understand which implants are best placed on the front teeth in order to provide the patient with aesthetic and physical comfort and convenience. Each tooth naturally has its own task. And prosthetics should provide the maximum opportunity for artificial to perform its functions no worse than natural.
In particular, for the anterior tooth, a characteristic feature is the biting function, which the selected implant should guarantee. So which dental implants are best placed in the smile zone so that they are durable and beautiful? materialsfor an artificial root and abutment must be well biocompatible in order to eliminate the risk of rejection of the implanted root. A rather small amount of bone tissue suggests the installation of an implant with a thin long root that can securely hold an artificial tooth in place.
To ensure the strength of the structure, a special fine thread is used in the upper section of the prosthesis, and a larger one in the lower section. Since the upper and lower front teeth have a different structure, implants with a short root are installed in the lower jaw, and with a longer one in the upper jaw.
Basic implantation on anterior teeth
Answering the question of many patients: "Which implant is better to put in the smile zone?" - you can offer this option. This method allows you to attach an artificial root directly to the basal layer, which cannot be destroyed during inflammation.
In addition, basal implants have a large selection of intraosseous structures. This greatly facilitates the search for a suitable design for a particular anterior tooth. Basal implants are installed very quickly - in 1-2 days, which minimizes unpleasant moments from a long absence of a tooth.
Producers
And one more important point - which company is better to put implants? According to experts, the best implants are made in Switzerland, Germany, Israel and Japan. These are premium-class implants, made of high quality materials, with a very high survival rate, but alsothe corresponding cost. If the patient's financial capabilities are limited, it is quite possible to choose an excellent option at an average cost, the quality of which is quite good and does not cause complaints or inconvenience. The most expensive implants are made in Switzerland and in the Swiss-USA co-production. Their cost can exceed 1,000 US dollars (approximately 67 thousand rubles). Germany and Sweden supply implants a little cheaper - 900-1000 dollars (60-67 thousand rubles), the price of products from Israel and South Korea is even lower - 650-700 dollars (43.5-47 thousand rubles). Russian-made items cost only $190 (12,000 rubles).
Posterior Implants
Since we have already given an answer to the question of which implant is better to put on the front, we should also dwell on the prosthetics of the chewing row of teeth. Is it necessary to put such expensive implants on chewing teeth, if they are practically invisible? Wouldn't it be better to save on the method of prosthetics, providing only the performance of functions, but not beauty? And if you can't do without it, then which implants are better to put on chewing teeth?
Of course, you can get by with alternative prosthetics, but will it be reasonable in the long run? After all, chewing teeth for the full performance of their functions must be strong and durable enough to withstand heavy loads. Other methods of prosthetics are unlikely to provide your teeth with longer work under the conditions of considerable loads that the molars take on. Modern models of implants, deeply and firmly implanted in the jawbone with the help of a titanium root, can withstand very high loads and remain strong and strong for a sufficiently long period of time.
Making it easier for patients to decide which implants are best placed on chewing teeth, manufacturers today offer a lot of options with different materials for the manufacture of pins, methods of processing and coating, the size and shape of the crown itself and the rod. All these studies give the products different characteristics that allow you to choose the most effective implant option in each case.
Given the importance of the functions that chewing teeth perform and the powerful loads that fall on them daily, experts suggest approaching the restoration of the molar with all responsibility and seriousness and installing a basal implant. Basal technology is more modern and reliable. With this method, the implant is securely fixed in the bone tissues, and the process of osseointegration itself is much faster. For experienced dentists, there is no doubt which tooth implant is best placed in the chewing row - it is definitely basal. It is installed under the influence of compression, because in this case a closer contact between the bone tissue and the implant is achieved.
Since osseointegration occurs quite quickly, the patient can already put pressure on the teeth the very next day, and a week later - already fully akin to them and not feel any discomfort. It is the basal implants that willbe widely used in the future, because they not only look like family, but can reliably perform the functions assigned to the chewing group of teeth.
Useful tips from experts
When replacing missing teeth with implants, the dentist needs to pay attention to some important points:
- The maxillary sinuses are located in close proximity to the upper chewing teeth, and in this case, an appropriate procedure will be required - a sinus lift. Its implementation involves raising one wall and implanting additional bone material into it, which is necessary for the strength of the implant being installed. The specialist who will do this must be highly qualified and have sufficient practical experience.
- When implanting lower molars or premolars, which are distinguished by the simplicity of their location and they are quite easy to replace, plasty should be performed if there is not enough bone tissue to reliably fully fix the pin.
- Choose materials for implants with a survival rate of 98-99% - everything else will depend entirely on the skill and professional skills of the implant surgeon. The best material is metal-free ceramics, which does not oxidize and does not change the color of soft tissues.
Conclusion
The information provided in this article allows patients to understand what a dental implant is and what its advantages are. You also got the opportunity to learn what role implants play in a person’s life andhow to choose them for individual cases. In addition, the article provides useful advice from experts.