Implants for chewing teeth – which ones are better to install?


Modern dentistry is undoubtedly the latest generation of implantation. Science and technology in this area are ahead of their time; the development of implantology can be compared to space developments. Continuous study of a huge number of clinical cases, analysis of results, implementation of innovative solutions, improvement of materials and types of implants has already made it so that modern dental implantation is completely painless, safe and allows you to restore an entire row of teeth even in one visit.

Modern dental implantation

Dental restoration using implants began in the mid-twentieth century. The metal rod installed in the jawbone has changed over time, and new methods of its installation have appeared. Outdated plate implants are no longer used. Doctors have moved away from the intramucosal, superiosteal method and some others. Nowadays, new generation dental implants are artificial roots made of titanium alloy, which are biocompatible with the human body, do not cause allergic reactions, are durable and reliable for chewing loads. They play the role of real roots, preventing the atrophy of bone tissue that would inevitably occur in the place of lost teeth. And new implantation protocols make it possible to quickly solve the problem of the absence of one or all teeth, without preparing healthy teeth and even avoiding sinus lifting and increasing the volume of bone tissue in case of its deficiency.

Dental restoration forever!

Installation of a two-stage implant ROOTT (Switzerland) - RUB 27,000. 32,000 rub.

Designs with tapered abutment connection

Another improvement in the field of implantology is the development of a monolithic (non-removable) implant with a conical abutment. The cone ligament rationally distributes the load and provides the best mechanical stability of the artificial root. Thus, it became possible to insert the structure below the level of the cortical bone, which has poor blood circulation.

Advantages of the technology:

  • integrity of the structure;
  • uniform load distribution;
  • impossibility of penetration of pathogenic microorganisms;
  • fusion of tissues with implant coating;
  • maintaining normal blood circulation of structures;
  • excellent aesthetic appearance;
  • long service life.

Modern methods of dental implantation

The dental clinic can offer the patient atraumatic, fast and effective modern implantation methods.

Express implantation

(simultaneous implantation). The method of implanting a titanium pin directly into the socket of an extracted tooth is used. Advantages of the one-stage flapless method:

  • there is no need to cut the tissue, suturing it, which means less time will be spent on healing and removal of sutures;
  • the non-traumatic nature of the operation, which is morally easier for a person to bear;
  • installation lasts up to 15 minutes.

In what cases is this transgingival method of modern dental implantation suitable:

  • in the absence of one or all teeth on the upper or lower jaw;
  • There is a time limit for recovery (it must be done urgently).

In addition, there should not be severe inflammation of the gums and insufficient bone tissue (consultation with a doctor is necessary to resolve these issues).

Implantation with immediate loading

(one-stage implantation). Just a couple of decades ago, after implantation, it was necessary to walk without a visible tooth, without a crown or prosthesis, for the entire period of osseointegration (3-6 months). Which, naturally, caused terrible psychological discomfort in any patient. The latest generation of implantations allows you to immediately install an adaptive prosthesis. A person leaving the dentist's office can smile, speak without defects and eat normally. During the entire period of engraftment of the titanium pin, its fusion with tissues and blood vessels, a lightweight temporary prosthesis allows you to get used to the presence of the orthopedic structure in the mouth and not experience discomfort in everyday life.

Bone Volume Requirements

After tooth loss, atrophy (loss) of bone tissue begins. This leads to negative consequences, one of which is the impossibility of implantation in the future. The bone is too thin for an implant. In addition, it is not dense enough to provide high primary stability. Of course, leading manufacturers have provided for such clinical cases and produce pins for cortical, zygomatic (where the tissue is denser) implantation or compression pins that compact the bone along the movement of the thread.

Israeli manufacturers have also achieved great success in producing products for installation in bone tissue of different densities. Korea is somewhat behind here. They, for example, have neither pterygoid (pterygoid) nor zygomatic models. If we are talking about severe atrophy, the answer to the question “Israel or Korea?” obvious. But Switzerland or Israel - it depends on other factors. If the bone is dense and there are no complications, then Korean or Israeli implants will perform their functions perfectly.

Indications:

  • absence of one, several teeth or complete edentia.

Dental implantation using a surgical template

. The use of 3D modeling helps the doctor accurately plan the operation, eliminating all risks and undesirable consequences. The modern method of implantation using a surgical template is the key to the successful work of an implantologist and orthopedist.

After a CT (computed tomography) scan, the doctor outlines the location of the implants in the program, which he then works with to decide at what angle and what type of implant to install. And the technician is already preparing to make temporary crowns and prostheses, which will be fixed on the day of implantation.

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Astra Tech implants (Sweden/USA) – ideal aesthetics and lifelong service life

When considering implants from various manufacturers, their quality rating and price, it is impossible to ignore the products of the famous Swiss brand Astra Tech. In the production of such implantation systems, purified titanium is used, which has a beneficial effect on the process of osseointegration.

Special attention should be paid to the improved OsseoSpeed™ coating, which is used to create Astra implants. According to numerous clinical studies, such a surface has the most important advantage of accelerating the process of bone formation. Moreover, such structures are characterized by impeccable initial stabilization and the shortest healing time.

Also, a significant “advantage” that allows you to add the above-described dental systems to the rating of the best dental implants is the use of MicroThread™ microthreads. Due to this innovation, it is possible to optimize the pressure on the cortical region of the bone tissue.

The conical connection between the implant and the adapter is also important, which also contributes to the correct distribution of pressure on the deep layers of bone tissue and eliminates the possibility of loss of bone tissue in the neck area. To understand which implants are the best, it is necessary to take into account the reviews of doctors and patients about each system used. Thus, according to the majority of specialists and visitors to dental clinics, Astra dental implants have perfect aesthetic parameters and improved functional characteristics. In addition, they are suitable for use in the most difficult situations. At the same time, an important advantage of such structures is their long operational period – up to 20 years.

Read more about Astra Tech implants »

2. Nobel Biocare implants – perfection of shape and surface

The success of this manufacturer is based on the use of an improved TiUnite coating, which guarantees impeccable quality and an accelerated osseointegration process. A distinctive feature of such a surface is the presence of moderate roughness and an impressive number of micropores, which promotes the fastest possible engraftment and prevents the likelihood of serious complications for the patient’s body.

When a patient asks the question: “Which implant is better?”, the Nobel system is undoubtedly the winner. This is due to the following positive aspects:

  1. If we talk about which implants are better, then it is necessary to take into account such an indicator as primary stability. With Nobel implantation systems, the necessary initial stabilization is possible even in loose bone tissue. This expands the possibilities for using such structures - they can be used both as part of a classical procedure and for a one-stage technique.
  2. In addition, the above systems have an aggressive profile at the bottom, which guarantees the ability to self-screw and form threads on bone walls.
  3. In order to reduce pressure on bone tissue and form a beautiful gingival contour, the neck of the implant has a reverse-conical structure in the upper part.
  4. Due to the conical shape of the NobelReplace and Replace Select Tapered models, it is possible to achieve the required initial stabilization even with immediate cementation of crowns.

Read more about Nobel Biocare implants »

Straumann implants – the best dental implants in the world from Switzerland

As you know, the Strauman implant is considered the best in the world due to the following advantages:

  • Impeccable product quality and lifetime service life. It was possible to obtain such positive effects due to 35 years of scientific experience and the active implementation of innovative technologies;
  • Solid experience in the field of implant installation. Since the company opened, over 14 million procedures have been performed with Strauman implant systems;
  • Possibility of reducing the engraftment period to 1-2 months, which is achieved through improved coating;
  • If we consider the best dental implants and their rating, Strauman systems undoubtedly occupy a leading position. This is due to unsurpassed aesthetic indicators, accelerated rates of osseointegration, excellent compatibility with the human body and the ability to withstand increased chewing loads;
  • An important factor that allows you to understand which dental implants are the best is the possibility of fixation even in the absence of sufficient bone tissue. This manufacturer offers users dental systems with a minimum diameter, made of the improved Roxolid alloy. This eliminates the possibility of osteoplasty (sinus lift);
  • Providing a lifetime warranty on all installed dental implants;
  • The use of a unique SLA surface, which significantly accelerates the process of osseointegration. This gives a comprehensive answer to the question: “Which implant survives better?” According to the results of many years of research and development, Straumann implants show a 99% survival rate. In addition, such a coating eliminates the possibility of peri-implantitis.

Based on the above facts, we can confidently say that the best dental implants are Strauman systems, which is confirmed by the rating (1st place in the list) and the presence of unique characteristics.

Read more about Straumann implants »

Author:

Indications:

  • absence of several teeth or complete edentia;
  • a complex clinical case that requires a particularly careful approach.

Implantation
All-on-4 and All-on-6
. Modern dental implantation “All on four” or “All on six” allows you to reduce the financial burden of restoring the entire dentition. By implanting only 4 or 6 titanium rods, you can install a complete denture on the jaw with 10-12 artificial crowns. Installing an implant instead of each tooth would require more money and time.

Indications:

  • absence of most teeth or complete edentia;
  • inability to wear a removable lamellar denture.

This modern implantation method allows people with removable dentures to securely fix it.

Complex implantation

. “All inclusive” in dental treatment. In one visit to the dentist, teeth are removed (if necessary) and an implant is inserted. A method for immediately restoring multiple teeth. Prosthetics on 6-12 implants with a fixed prosthesis.

Basic criteria when choosing the best implants

  • Good indicators of osseointegration. According to statistics, dental systems in the premium segment currently have this advantage: their survival rates reach 100%. This indicates that there is no risk of rejection of the structure;
  • Flawless aesthetics in the long term. Based on the studies conducted, 6-10 years after the fixation of dental implants, the marginal bone located at the line of their contact with the gingival tissue undergoes shrinkage. However, if the manufacturer has provided special treatment for the thread and neck of the implant, this possibility is excluded;
  • Guarantee period. When studying the question of which dental implant is better, reviews indicate that high-quality dental systems have an indefinite warranty period. However, the key factors here are: the level of professionalism of the specialist and the patient’s responsible attitude towards their health. If a person often does not follow basic rules of oral care and regularly overloads the installed structure, then the likelihood of problems occurring several years after fixing the implant increases significantly;
  • Availability of a quality certificate. The assignment of a registered serial number to each model is a prerequisite for its use. At the same time, it must be certified, which avoids the risk of purchasing a counterfeit product and causing harm to the patient;
  • Easy to fix. When studying dental implants and trying to figure out which ones are better, it is important to take into account the possibility of fixation when there is a significant lack of bone tissue. If the structure bypasses the osteoplasty procedure and can be immediately loaded with a prosthetic device, this confirms its impeccable quality. As a rule, such implantation systems are used with one-stage techniques. In addition, this parameter indicates that the manufacturer uses programs that make it possible to reproduce the entire treatment process in 3D format, and uses special navigation templates that ensure maximum accuracy of implant fixation and greatly facilitate this procedure.

Another priority factor for those trying to figure out which implants are the best is the cost of the design.

We cooperate directly with the manufacturer of premium systems, Strauman, which allows us to implement a flexible pricing policy and provide favorable conditions to every visitor.

Indications:

  • impossibility of two-stage implantation;
  • absence of 3 teeth to complete absence;
  • urgency of recovery.

Resmile

. Implantation technology without cuts or sutures. The transgingival method of implanting a titanium root is atraumatic, healing occurs quickly. The combination of implants from one system increases the success rate and minimizes complications. This is facilitated by a titanium-based ceramic composite prosthesis, which is installed on the 4th day and does not require replacement subsequently; it is permanent.

Lamellar


Plate implants
The intraosseous part is a wide thin plate with a textured surface (macrorelief in the form of a snake or corrugated structure) and holes. Such implants are practically not used, as they have more disadvantages than advantages.

Firstly, they differ in shape from the roots of natural teeth, thus they are not able to withstand and distribute the chewing load in the proper volume. Therefore, the service life is not long.

The only positive thing that can be noted is the low cost.

New generation of dental implants

Implant manufacturers are constantly researching and developing new types of dental implants. By studying numerous clinical pictures from the practice of doctors, they create new types of threads, improve the alloy, and change the method of processing the surface of the product.

New generation dental implants:

  • Compression implants. The very tight contact of titanium and tissue promotes rapid osseointegration.
  • Multi-units with a rotating abutment head, screw fastening for fixing the prosthesis with screw fixation.
  • Basal implants are placed where there is critically little bone tissue. Their implantation occurs in deeper, dense layers.

The titanium alloy is being improved, and the grinding and processing of the implant surface takes place in several stages. This is sandblasting and etching. The main thing is to achieve the necessary roughness of the root part of the implant for successful survival and cleanliness, the absence of traces of organic matter during production. The necks are made smooth to prevent the accumulation and reproduction of bacteria on them. Every nuance is taken into account. And the creation of a wide range of implants allows the doctor to comprehensively use different types of artificial roots within one operation.

Modern systems have a warranty of 25-50 years, and many manufacturers provide a lifetime warranty. The survival rate of implants takes from three months to six months, and the success of osseointegration of new generation dental implants reaches 98.5%.

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6. Zimmer – dental implants from the USA with a unique surface

Systems of this brand are included in the rating of the best dental implants, since their production is based on a unique technology that allows obtaining a trabecular surface structure. Due to it, the ability of bone tissue and the structure to mutually “build” into each other is achieved, which has a beneficial effect on the rate of osseointegration.

Also among the distinctive features that allow these designs to be included in the rating of competitive implants:

  • Significant area of ​​contact with bone. Provides the possibility of implantation even in the absence of the required bone tissue sizes;
  • Possibility of quick fixation of prostheses due to short healing times;
  • The use of a material (tantalum) that is fully compatible with the human body;
  • A unique connection between the dental implant and the adapter, thanks to which the tightest possible contact of the component parts is achieved and the risk of microbes is eliminated.

5. Anthogyr implants – top French quality system

These systems are in 5th place in the presented ranking of implants, which is due to the presence of the following positive qualities:

  • Possibility of installation directly after tooth extraction;
  • Can be used with various types of orthopedic structures;
  • These implants can be used both within the framework of the classical technique and for an instant procedure;
  • They have a minimal period of osseointegration, which is facilitated by an improved porous coating;
  • They are distinguished by their versatility. The use of such structures is allowed even if the quality of the bone tissue is low or if its size is insufficient;
  • Possibility of performing surgical intervention in a shortened time;
  • They are famous for their ease of installation, which reduces the likelihood of injury to nearby tissues;
  • Can be used with both zirconium and titanium transition elements;
  • The Antogir product line includes implants suitable for fixation in a limited area of ​​the defect;
  • Help prevent reduction in bone tissue size.

If we talk about the negative features of these systems, they are associated, first of all, with the use of a planar-type transition element. This, in turn, can create a distance between system components and cause the fixing screw to loosen.

Read more about Anthogyr implants »

4. Dentium (South Korea) – the best budget implants

The above-mentioned Korean systems were included in the ranking of dental implants not by chance - in terms of quality and prices, they meet the needs of modern patients and the requirements of experienced specialists. Among the main factors for the company's success are:

  • The best budget implants;
  • Impeccable quality;
  • Versatility. Through the use of these dental systems, it is possible to select the appropriate implant and adapter option for each specific clinical case. In this case, the use of Dentium implants is allowed when implementing the instant technique;
  • Easy to install. When fixing such implantation systems, the possibility of the slightest error is eliminated, which is ensured through the use of an improved drill system;
  • Providing a guarantee. All Dentium systems have a full warranty. However, if there is a problem with the structure coming off, you can expect a quick and free replacement.

Read more about Dentium implants »

Alternative Methods

You can restore the integrity of the dentition using:

  • removable prosthetics. It is inexpensive and can immediately replace all lost teeth. But it takes a long time to get used to such voluminous structures; at first they can cause a gag reflex. For more reliable fixation, additional means such as Corega are often used to prevent the prosthesis from accidentally falling out. Aesthetics are poor, and tissue atrophy progresses inexorably. With prosthetics on implants this is impossible.
  • prosthetics with a bridge supported by adjacent teeth. In this case, the supporting teeth grind down and become weaker. With constant chewing load, such structures may collapse over time.
  • crowns If the tooth root is preserved, it can be restored with a crown. If the root is destroyed, then the only options left are single implantation or a bridge;
  • classical implantation. A two-stage protocol involves installing a root-shaped implant, waiting for it to engraft into the bone, and only then fixing the permanent prosthesis. This is a long process (from 3 to 6 months), during which the titanium rod is completely osseointegrated into the jaw bone.

Japanese scientists create implants similar to natural teeth

Creating an artificial organ biologically identical to a natural one is a difficult task. Japanese scientists under the leadership of Professor Takashi Tsuji coped with it “excellently.” They created a biohybrid dental implant that completely recreates the structure and function of a natural tooth. The development is based on coating a conventional titanium implant with hydroxyapatite and stem cells from dental follicles.

Studies have shown that after installation of the implant, active regeneration of periodontal tissue occurs and it begins to function like a natural tooth. Capable of feeling pain and responding to mechanical stress.

The work of scientists is still ongoing; now the material is not yet used for dental purposes . The biohybrid implant is a great achievement, which in the near future will be used to restore lost teeth.

Price

Modern dental implantation is more expensive than prosthetics. The cost of treatment depends on several factors:

  • chosen method;
  • use of a surgical template;
  • number of implants;
  • company manufacturer;
  • material of prosthesis, crown;
  • qualification of an implantologist.

For example, the price of one-stage implantation with a temporary crown is about 40,000 rubles, the All-on-4 technology of one jaw with an adaptive prosthesis will cost from 190,000 rubles, one-stage implantation with complete edentia of one jaw on 6 compression implants and a temporary prosthesis - in the region RUB 265,000 The cost item may increase due to additional diagnostics and prosthetic materials.

Indications and contraindications for installation

The price of Korean, Israeli, and even more so Russian and Chinese implants is much lower than that of leading companies from Sweden, Switzerland and Germany. But they also have enough restrictions. In case of hepatitis, HIV, and cancer, the question of which implants to install: Korean or Swiss is not worth it. Because Korean companies include these diseases in the list of contraindications. Manufacturers from Sweden, Switzerland, and Germany offer a line of products that can be used for complex systemic diseases. No matter how hard companies from Israel or Korea try to catch up with them, they have not yet been able to significantly reduce the list of contraindications. However, it decreases every year; competition forces investment in new developments of pins that will suit more patients.

Where to go for the latest generation of dental implants

Only dental clinics with technologically advanced diagnostic and surgical equipment and highly qualified staff can offer a choice of modern methods of dental implantation and a guarantee for their work.

The table shows several Moscow clinics where you can restore a beautiful smile in an advanced way. We advise you to find out the cost and current promotions directly on their websites.

dental clinic Website
Center for Dental Implantology ROOTT (RUTT) https://dentalroott.ru
Dentum dentistry https://dentumclinic.ru
City-Dent https://city-dent.rf
The president https://www.prezi-dent.ru
Center Family Dentistry https://family-dental.ru

In what cases are gold crowns used?

The decent performance characteristics of gold make it possible to use crowns made from it for the restoration and protection of both front and back teeth. But, mainly, today gold crowns are used for prosthetics of chewing teeth. Gold is also used to make composite crowns - as part of the alloy for the frame.

Dental clinic “22 Century” invites you to a free consultation on prosthetics.

You can make an appointment by phone.

Date of publication: September 20, 2020 Last update: September 22, 2022 © 2020 Professorial Dentistry “22 Century”. All rights reserved.

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