Before carrying out any restoration treatment it is important to carry out a complete study of the case.
It includes the oral examination, clinical history, radiographic studies, study models of the mouth and other complementary tests that the clinician requires depending on the needs of each patient.
Once the case is selected, the treatment consists of a series of steps divided into a Surgical Phase and a Prosthetic Phase. Both phases are carried out by specialists with specific training and training in the technique. If the patient does not have any teeth, normally no preparatory treatment is necessary, but if instead teeth in bad conditions have to be extracted, it may be necessary to wait for the jaw to heal before placing the implants (it can require 2, 3 or more months).
However, currently in many cases we solve them in In an immediate way, we extract the teeth, place the dental implants, and after a few hours we place the fixed teeth.
- First step: "Placement of the dental implant or dental implants". Following a highly precise technique, dental fixations or implants are placed inside the bone. The surgery lasts between 1 and 2 hours and is usually done under local anesthesia. The patient does not have to feel great discomfort, neither during the surgery nor after it. In a maxilla where there is no tooth, between 4 and 6 dental implants are usually placed; in this case, an implant is not needed for each missing tooth.
- Second step: "Connection of the healing abutments". This second step is done after a healing period of between 3 and 4 months depending on whether it is the lower jaw (mandible) or the upper jaw. This period of time is essential for "osseointegration" to occur and the implants to be permanently attached to the bone. For this, a small intervention is carried out in which small metal extensions, called abutments, are connected to the dental implants. These are then used to attach the completed prosthesis in a later phase. During the osseointegration stage a temporary denture or bridge can be used, mainly for aesthetic reasons..
- Nowadays, this second step is usually no longer necessary, since if the dental implant is well anchored in its place and the healing abutment is attached in the same procedure
- Once the gum has healed from the second surgical phase (more or less fifteen days), the Prosthetic Phase begins. A series of imprints of the mouth are taken, followed by between 1 to 4 visits to the dentist to evaluate the adjustment, functioning and appearance of the new teeth. Obviously, all of these stages must be planned suitably in advance.
- The new prosthesis will require regular care and check-ups in the same way as natural teeth, as although the new teeth will not suffer from caries, problems may occur at the point where they exit the gum.