Dental Implants

What is a dental implant?

A dental implant is an artificial root for a tooth. Made of titanium, it is installed in the jaw to replace a missing root, and serves as the base for structuring a permanent tooth. The implant is not felt in the mouth, and its existence is most commonly completely forgotten. Dental implants can replace one or more missing roots.

60 seconds about dental implant

When are dental implants recommended?

1. To fill spaces caused by missing teeth without any damage to adjacent natural teeth.
With implants there is no need to sharpen the adjacent natural teeth into points. Light surgical procedure under localized anesthesia is sufficient intervention for installing the implant into the jaw. Several months after its assimilation, the implant serves as the base for structuring the permanent crown.


2. Several implants to replace removable dentures When the back teeth needed to support a permanent denture are missing, an insertable/removable denture is needed. Removable dentures are well known for having certain disadvantages:

    • They are uncomfortable in the mouth due to rubbing against the gums
    • They are necessarily loose enough to be removed and inserted but cause the wearer to feel they will fall out at any moment
    • This in turn causes a feeling of unpleasant discomfort in social situations
    • They also create the sense of lack of self-confidence
    • They constantly seem like a foreign body in the mouth

    By inserting several implants in key positions where teeth are missing, a permanent bridge can be structured to replace the insertable/removable denture.

    3. Toothless jaw
    In such cases, a full insertable denture had always been the solution. However, it is possible to provide a permanent solution by using a larger number of implants that enable attaching a fixed denture.

    4. Supporting an existing denture with implants
    Full dentures are often uncomfortable in the mouth, since they cause the feeling of looseness, instability and unreliability, or may lead to recurring lesions on the gums. In such cases it is possible to insert several implants on a completely toothless jaw. An existing denture secured to implants helps overcome these issues.

Implants – The Procedure

The procedure comprises three phases: inserting the implant, exposing it, and rehabilitation based on the implant.

Phase 1 – Inserting implants

The Periodontist will insert a titanium implant into the jaw bone under localized anesthetic. This procedure is painless and similar to standard surgical treatment. Inserting the implants may take anything from a half hour to several hours depending on the number of implants needed. Once this procedure is completed, the assimilation process commences. It can last from 3 to 6 months during which time periodic checks are conducted. This is when the bone cells develop, surround the implant, and connect to it.

Phase 2 – Exposing the implants

When your Periodontist determines that assimilation is complete, the implant will be exposed through a minor surgical procedure. This process allows the implant to project above the gums, readying it for the next stage.

Phase 3 – Installing the rehabilitative crown

This phase is handled by a dentist who will install the crown and/or bridge onto the implants. Implantation, exposure, structuring and crowning are implemented by the dentist handling your treatment. 

The advantages of implants

The most effective solution for lack of teeth is implantation, for diverse reasons:

Aesthetics Implants cannot be seen. They hold the crown strongly. The implant also prevents future osteoporosis of the kind common when using removable dentures.

Preserving adjacent teeth The adjacent teeth are not damaged, as is the case with conventional dentures which require shaving down of otherwise perfectly healthy teeth for the sake of attaching the denture.

Comfort, confidence, quality of life Our smile is our social entrance card. Implants are not only comfortable, but restore confidence and quality of life. Implants let you speak, eat and smile without any trepidation, boosting your self confidence in social situations, and enhancing your quality of life.

Dependability The implant method is highly dependable, with a success rate of over 96 per cent. Our center has been dealing in the field of implants since 1985. The method is no longer experimental, but has proven itself over the years, with thousands of satisfied patients. All our implants are guaranteed for 7 years.

Who is best suited to receiving implants?

If you are satisfied with your removable dentures and do not suffer from any after-effects, you do not need implants. Prior to starting work on implants, the Periodontist will question you about your general health, will examine you, and decide if you are a suitable candidate for implants by checking your x-rays. Several elements are taken into account: general illnesses, quantity and quality of your jaw bone, untreated gum diseases, heavy smoking, and general oral hygiene. In some instances surgical intervention will be recommended as a first step, to graft bone that will bring the jaw to the standards needed for dental implants. At this point, the Periodontist will contact your regular dentist to prepare a treatment plan involving both of them cooperating fully.

Unique methods

1. The “teeth in one day” or “immediate loading” method
In some cases, and coordinated with your general dentist, the dental surgeon may decide to install implants and on the same day add temporary crowns, so that a patient entering the clinic without teeth actually leaves with (temporary) teeth.

What does it depend on?

Specific anatomical conditions such as quantity and quality of jaw bone * Size of implants – length, diameter, shape * Number of implants being done – to ensure rehabilitative stability * State of health – such as whether the patient is a smoker * Type of bite * The complexity of the treatment * Pre-treatment preparation by the regular dentist * If this method is possible, we will suggest it to you.

2. Computerized surgical guidance / Navigation system
In recent years, dentists have been using computerized CT (Computerized Tomography) images as an assistive tool when diagnosing and structuring a surgical treatment plan. More recently, a special 3D program has been in use for planning jaw procedures. It is an innovative program that allows full advance planning of the surgical and future rehabilitative processes. In actuality, the surgeon decodes the images with the program, which translates and collects the CT data, structuring a precise template for the required surgical drilling. The template is then placed into the patient’s mouth, allowing completely accurate and safe surgical intervention. The CT template method allows control over drilling depth and positioning of the implant. Because it is computerized technology, it greatly increases the level of surgical precision and enables forecasting results in advance.

Main advantages include:

  • High level precision when inserting the implant
  • Improved forecasting of the aesthetic outcomes
  • Greater safety and reduced risk of complications
  • The possibility of preparing immediate rehabilitation (“teeth in one day” method)

Our clinic has been fully trained in use of this program and is thoroughly conversant with providing this service.

3. “All on 4” technique
This method is applied only in particular cases when no more than four implants can be inserted along the jawbone. If a patient is found unsuitable for bone grafting and restructuring due to medical or other reasons, or simply does not want to do that procedure, this method offers a considered alternative. It involves inserting four implants at diagonals so that the permanent denture can be structured onto them, creating a kind of “screwed into place” denture. There are minimal advantages to this method: it does reduce the number of implants and therefore lowers the costs of treatment while avoiding complex surgical intervention. There are many disadvantages to the method: the method is not suited to all patients and in many cases, the patient is forced to adapt to the method (rather than the method being chosen as best suited to the patient’s needs):

  • The reduced number of implants endangers the procedure from the technical viewpoint relative to future rehabilitative processes * This method often requires the patient to forego the remaining healthy teeth, or teeth that could be treated * The process requires specific anatomical conditions such as insertion of particularly long implants and/or the need for naturally high-density bone * This technique requires foregoing innovations and developments in the field of bone regeneration (bone grafting and regrowth) * The final outcome is similar to a denture (rather than to natural teeth) * The surgical intervention is highly delicate and any small complication may actually cause the goal outcome to fail.

Clearly, only very few cases are suited to this procedure, which should not be considered normative.

4. Robodent 
The ROBODENT is a navigation system containing a computerized program, optical camera and system of sensors similar to the GPS navigator. The instrument facilitates preplanning of implants in the jaw through 3D imaging. By presenting and emphasizing sensitive anatomical areas, the program assists the surgeon in perfectly planning the implants’ site, orientation, diameter and depth. After preplanning is implemented, and during the surgical procedure, the camera and sensor system allow Real Time Navigation for precision application of the plan. The surgeon watches the computer screen, and is guided by the “virtual dental simulator” which remains constantly linked to the plan displaying on the computer screen, the optical camera, and the sensors in the surgeon’s hands. This is an innovative method known as The 3S Implant - Simple, Secure & Safe and is used in Moria Periodontal Center to assure the safest possible implantation for the patient and surgeon.

Post-op instructions

Immediately following implant procedures, you must eat only soft cool foods. If you normally insert a denture, you will be instructed not to insert it until the stitches are removed from the implant area. The day after the implant procedure, you must wash your mouth with a rinse as recommended by the Periodontist, and brush your teeth normally. The Periodontist will also recommend an appropriate antibiotic for a certain number of days. Stitches are removed approximately 10 days later. At this appointment, if you normally insert dentures, you will be referred to the dentist who will ensure they are re-adapted to the altered state of your gums. Should your temperature rise, or the implant area bleed, or if you continue to feel pain in the jaw despite taking painkillers, or in cases of any other non-normative phenomenon, please call the center. Emergency numbers appear on the post-implant instructions flyer.

Side effects

We recommend asking our office for the list of side effects, possible complications and clarifications relative to implants. In accordance with Ministry of Health regulations, you will be required to complete and sign a declaration that you have received all information concerning the treatment you are about to undergo before implantation will be performed.

Notes

Moria Periodontal Center uses implants produced by the leading international companies with many years of R&D. The choice of implant is made by a specialist in conjunction with the patient’s general dentist. Using implants from world famous producers ensures product quality and the ability to receive quality reliable service worldwide. The choice of implants is large – in type, size, diameter, length, casing, etc – but at Moria Periodontal Center, the most appropriate will be chosen for your jaw. We are not interested in competing or comparing with treatment plans prepared in other clinics. The plan we will recommend is, in our view, the one most suited to your specific parameters and our uncompromising quality, and we remain committed to, and responsible for, our decision.

Summary

Implants are the most accepted and recommended treatment of all possible options. The implant offers a permanent solution geared to last a long time. The number of implants will depend on current oral status and the required rehabilitative procedures. Even if a problem arises some years later, the procedure can be reworked. The procedure’s success depends on full cooperation between the specialist Periodontist, your regular dentist, and you, the patient. Moria Periodontal Center’s staff will be happy to provide you with additional information about implants and answer any questions that arise during the various procedural stages.