Express dental implantation or one-stage implantology

If we talk about classical implantation, then, of course, it will require a certain amount of time, but if you need to quickly install an implant that will hide the absence of one or more teeth, you can resort to express implantation.

The main differences between express implantation and classical methods

Modern technologies and techniques make it possible to make treatment and prosthetics procedures as painless as possible. If you have any problems or diseases, you should consult a doctor as soon as possible to prevent the development of pathologies.

Installation of implants using classical methods requires the presence of bone tissue, but its destruction is a fairly common situation in patients. In some cases, a bone grafting procedure may even be required. The duration of engraftment can be from six to eight months. After which it is already possible to introduce an implant, which will also require time for its engraftment to the bone tissue.

If no complications arise, a permanent crown is installed. Express dental implantation occurs much faster. Sometimes, if the patient does not have any diseases that prevent the operation, the entire procedure can be carried out in a short time, from 1 to 3 days. This is achieved through the use of specially designed mechanisms.

The entire procedure can be briefly described in the following steps:

• examination of the patient for the presence of diseases and the possibility of using the implantation method;
• Under local anesthesia, implants are implanted and impressions are taken;
• fitting and installation of manufactured metal-plastic structures.

The metal-plastic crowns used are installed as temporary elements. Some time after the operation, it is recommended to conduct a re-examination; if the healing process went well and no complications were identified, you can, if desired, replace it with more expensive crowns.

MYTH 5: Until the implant takes root, you will have to walk around with a hole in your mouth

Modern implantology has solved this problem. Innovative methods of prosthetics on Immediate Load implants make it possible to eliminate the wait during the implant healing period and to carry out prosthetics immediately after the intervention (within 72 hours). For prosthetics, lightweight orthopedic structures made of metal-plastic are used. This allows the patient not to experience discomfort due to missing teeth. The temporary prosthesis is replaced with a permanent one after complete engraftment of the artificial root. With classic two-stage implantation, the aesthetic deficiency is compensated with the help of a removable immediate prosthesis (butterfly) and adhesive (suspended) crowns.

Our team of doctors

Maxillofacial surgeon, Implantologist

Bocharov Maxim Viktorovich

Experience: 11 years

Dental surgeon, Implantologist

Chernov Dmitry Anatolievich

Experience: 29 years

Orthopedist, Neuromuscular dentist

Stepanov Andrey Vasilievich

Experience: 22 years

Endodontist, Therapist

Skalet Yana Alexandrovna

Experience: 22 years

Orthopedic dentist

Tsoi Sergey Konstantinovich

Experience: 19 years

Dentist-orthodontist

Enikeeva Anna Stanislavovna

Experience: 3 years

MYTH 10: An implant can be installed on the same day of treatment.

Many patients are misled by the phrase “one-day implantation.” In fact, it involves restoring teeth using one-stage implantation methods with immediate loading of the prosthesis. Basal or one-stage technology allows you to restore missing teeth in a few days, even with severe bone atrophy. This became possible due to an integrated approach and the installation of artificial roots in the deep bicortical bone layers. Also, treatment time is reduced by loading the implants with a prosthesis almost immediately after surgery.

But one-stage protocols, like classical two-stage implantation, require preliminary preparation, including:

• Comprehensive diagnostics (X-ray examination, tests);
• sanitation of the oral cavity - removal of dental deposits (plaque, tartar), treatment of teeth and gums;
• eliminating existing obstacles to surgical intervention.

Without quality preparation, implantation is impossible. A reliable dental clinic is guided by the rule of professional responsibility and will never perform surgery without a full diagnosis, drawing up a treatment plan, and simulating the course of the operation. This is the diagnostic obligation of the doctor and he vouches for it. But myths about dental implants exist and will always exist; the main thing is to know them and evaluate them reasonably.

Advantages of express dental implantation

One of the main advantages is the possibility of implantation without bone tissue augmentation. To do this, implants of the correct shape and size are selected. The implementation can be carried out in a minimally invasive way, i.e. by puncture method.

The installed elements are made in the form of a single structure, including the abutment and the implant body, which protrudes above the gum, so it is possible to immediately install a crown. Due to the integrity of the mechanism, the risk of microbial accumulation and inflammation is minimized.

The cost of express implantation in Moscow may vary in different clinics. When choosing a dental center, you should give preference not only to a more favorable cost, but also to pay attention to the choice of qualified specialists. The price of express implantation is not very different from classical methods, however, due to the reduction in the labor intensity of the process and the work of the doctor, it can sometimes be even cheaper.

Benefits of the operation

Dental restoration using the express method has a number of undeniable advantages:

1. Save time.
2. Comfortable operation with a minimum number of complications.
3. Instant restoration of bone tissue.
4. Does not affect the quality of life of patients - the diet remains virtually unchanged (only solid foods need to be excluded), you can fully talk and smile without experiencing aesthetic discomfort.
5. Durability of dental implants due to strong fixation in the deep layers of bone.
6. Saving money.

Dental implantation in one day in Moscow

Modern dentistry allows you to solve dental problems in the shortest possible time. Damage or loss of teeth, especially the front ones, brings considerable discomfort and suppresses self-confidence. I want to get rid of these problems as quickly as possible. Currently, it is possible to carry out the implantation procedure on the same day of treatment.

The Dental Studio clinic officially performs dental implantation in one day in Moscow. Implants can be installed immediately, without reducing the effectiveness of the procedure. The crown material is selected in such a way as to cause minimal discomfort to the patient. All implants are absolutely safe, certified, tested. The procedure is carried out by professionals. A guarantee is provided for the crowns.

As a rule, small implants are selected that can be quickly implanted into the gums. The duration of rehabilitation is minimal, and the load is transferred to the new crown almost instantly due to its small size.

With classic implantation, you have to wait weeks or months for the bone tissue to heal. Instant implantation eliminates long waits.

Preparatory stage

Preparation is an important stage of implantation. It may take some time, but you should not avoid it, since the result of the procedure largely depends on proper preparation. Preparation takes from several hours to several days, depending on the specific situation. The dentist will definitely have a conversation with the patient, listen to his complaints, conduct an examination and tell all the intricacies of implantation.

During the consultation, diagnostics and modeling are carried out. The doctor takes pictures of the jaw and then creates a model of the future prosthesis on a computer.

If there are no contraindications or serious problems with the oral cavity, no additional examination is prescribed. The list of contraindications for rapid implantation is small, so in the absence of serious diseases there is no need to take tests.

Further preparation is individual. If the doctor detects inflammation and caries, he will carry out treatment and also advise the patient on proper oral hygiene. The terms of treatment and implantation are also discussed, which depend on the complexity of the situation. Before the procedure, you do not need to adhere to a special regimen or follow any special rules.

Contraindications

Like any other procedure related to prosthetics, express dental implantation has some contraindications. First of all, the group of restrictions includes diseases of the blood and connective tissues. Due to the fact that the implantation is carried out directly into the bone tissue, if the patient has bone diseases and osteoporosis, the operation also becomes impossible. Before installation, it is recommended to bring the immune system back to normal so that the healing process occurs as quickly as possible and without complications. It is not recommended to perform prosthetics for children and adolescents whose physiological body is still in the process of formation and is not ready for such procedures.

Author:

Indications

• If one or more teeth have been lost previously;
• if there is serious damage to the tooth and there is no way to restore it;
• if previous attempts have been made to treat the tooth, which were not successful and there is a need for its removal;
• if the patient has lost all teeth (complete edentia) and needs prosthetics of the entire dentition.

A prerequisite for such surgical intervention is the presence of a sufficient volume of jaw bone tissue.

When is basal implantation used?

Why, then, in Russia did single-phase implantation, also known as basal implantation, not become so widespread earlier? Our independent portal 1dentist.ru found out that this method appeared in Russia when there were a lot of patients who were refused implantation procedures at dentists because they had been missing teeth for a long time and their bone condition had deteriorated significantly.

To restore bone tissue, it was necessary to undergo a long course of plastic surgery to “replant” the bone, as well as sinus lifting and augmentation of bone blocks. In Europe, basal implantation has been actively used since the mid-90s in Germany, Switzerland and France. With the advent of the first trained doctors in Russia, this method became an alternative for hopeless clinical cases.

Patients who had to get used to uncomfortable removable dentures or undergo long-term treatment to restore bones now have the opportunity to get teeth in 3 days!

What is your dentist hiding from you?

After reading beautiful advertisements, some patients sit in the dentist’s chair without thoroughly understanding the method and experience of the specialists! During a face-to-face consultation with an implantologist, it is quite difficult for an ordinary person to make a decision - to trust the dentist or not? An experienced dentist will tell you both the pros and cons of each method used. However, some doctors miss some possible complications that may occur after undergoing treatment. Especially if there is not enough experience with total prosthetics of both jaws!

When choosing a clinic and doctor for basal implantation, pay attention to the dentist’s experience in total dental restoration! When performing basal implantation of both jaws, it is extremely important to take into account the pathology of the bite, the condition of the bone tissue, its quality and volume, as well as a study of the general health of the patients.

With a lack of experience, in addition to the loss of treatment results and rejection of implants - an extreme degree of complication, patients can acquire a number of seemingly insignificant, but extremely uncomfortable complications:

• A loose fit of the prosthesis to the gum leads to a lack of hygiene and an unpleasant odor
• If there is an error in prosthetics on the lower jaw, excessive salivation may occur
• An important aspect of total prosthetics is the restoration of the bite; lack of experience can lead to complications in the function of the temporomandibular joint (TMJ), which manifests itself as pain during chewing.
• Making a denture on the upper jaw requires sufficient skills of an orthopedic dentist so as not to cause speech dysfunction (difficulty in pronouncing hissing sounds)
• It is extremely important during the implantation process to install implants bypassing the maxillary sinus; some dentists claim that transsinus implantation (installation of implants through the maxillary sinus) does not cause complications, however, such statements end in long-term treatment of chronic sinusitis in the ENT office
• An experienced implantologist installs implants and manufactures prostheses with the expectation of further aesthetic prosthetics with metal-ceramic or other aesthetic prostheses.
• The key to the success of your future treatment lies precisely in the experience and manual skills of the implantologist, combined with the foresight of the orthopedic dentist! When restoring teeth using the basal express implantation method, your implantologist requires extensive knowledge of anatomy and skills in maxillofacial surgery!

Types of permanent fixed dentures on 4 implants

As you already understand, after All-on-4 implantation the patient only has a temporary fixed prosthesis, which is also called adaptive.
If the prosthesis was made without a metal frame, then you will have to change it to a permanent one 5 months after the operation. But, if the adaptation prosthesis was made on a metal frame, then you can use it for an average of 2 years (maximum up to 3 years). After this period, a temporary prosthesis is also necessary for a permanent one. The cost of a permanent prosthesis is no longer included in the price of All-on-4. There are a large number of different options for permanent dentures, the pros and cons of which are simply impossible for the average patient to understand. Let's start with the fact that prostheses for All-on-4 can be original (developed by Nobel Biocare specifically for this implantation technique), as well as non-original - they are used only in Russia in order to reduce the cost of the service. And of course, such savings are fraught with a large number of risks that you are not aware of.

Types of original permanent dentures for All-on-4 –

• Titanium-polymer prostheses are artificial teeth and the base of such a prosthesis will be made of acrylic plastic or ceramic composite, and inside such a prosthesis will have a supporting frame in the form of a titanium beam. The latter is made individually for each patient by milling on a computer-controlled machine (CAD/CAM technology). This is the most popular type of permanent denture for All-on-4, and 90% of patients wear such dentures.

  Please note that you may be offered different options for titanium beams. Firstly, these are the original titanium beams, which are called “Nobel-Procera” (the best option would be a hybrid beam that has special protrusions for fixing artificial teeth). Secondly, these may be non-original titanium beams from other manufacturers, and this will cost you a little less. But titanium-polymer prostheses are not suitable for all patients.

  The fact is that such prostheses require a large amount of vertical space for prosthetics, and if the patient has only a slight degree of jaw atrophy, we simply cannot make them. And in this case, we can offer the patient another prosthetic option - Nobel-Procera bridges, which can be ceramic (made of zirconium dioxide) or metal-ceramic.

• Bridge prostheses “Nobel-Procera” - the frame of such prostheses is also manufactured by milling on a computer-controlled machine (CAD/CAM technology). If we are making a metal-ceramic bridge, then the milled frame will be made of titanium, and it will have special stumps resembling teeth ground for crowns, onto which ceramic artificial crowns will be fixed. If we make metal-free ceramics, then the milled frame will be made of zirconium dioxide (artificial crowns will also be made from the same material).

  Let’s say right away that a metal-ceramic bridge for All-on-4 is far from the best option. The fact is that titanium will give ceramic crowns a grayish tint (this problem can be partly solved by anodizing the titanium frame of the bridge). The second inconvenience is the high risk of chipping the ceramic mass, because Titanium and ceramic are not the best combination of materials in themselves, and dental technicians hate making such dentures.

  By far the best option would be a zirconium dioxide bridge. Such bridges have impeccable aesthetics, and they most accurately imitate not only teeth, but also gums. A zirconium dioxide bridge looks most advantageous on the upper jaw. If you need to carry out implantation and prosthetics on 2 jaws at once, then a zirconium dioxide bridge can be made only on 1 jaw (usually the upper one), and a titanium-polymer prosthesis can be made on the lower one.

  Zirconium dioxide bridge (lower jaw) –

Economy options for permanent dentures for All-on-4 –

Unfortunately, original versions of prostheses are quite expensive. For example, titanium-polymer prostheses on the original Nobel-Procera titanium beam with lining with acrylic plastic or ceramic composite will cost from 370,000 to 400,000 rubles. But in Russia you may be offered to make such prostheses not on titanium beams, but on a cast beam made of nickel-chrome alloy. In this case, the cost of a permanent prosthesis will be from 180,000 to 230,000 rubles. But why is this a bad option...

The strength of such a cast beam is at least 5 times less than that of titanium beams, which very often leads to the fact that the prosthesis simply cannot withstand the chewing load and bursts. The second point is that the cast nickel-chrome beam is much heavier (compared to titanium), which makes the prosthesis much heavier and complicates getting used to it. Well, one more thing... the accuracy of fitting cast beams on implants is much lower, which will mean leaky connections, leakage and contribute to the development of inflammation around the implants (and their subsequent rejection).

Another economical option is a metal-ceramic bridge not on a milled titanium frame from Nobel-Procera, but on a milled frame made from a cobalt-chromium alloy (CHS). The frame made of this alloy also has significantly lower strength (compared to titanium), which in some cases also leads to the fact that the frame together with the prosthesis can simply burst, unable to withstand the chewing load. Well, again, there is also a large mass of the prosthesis, which makes it difficult to get used to.

Conclusions: in this article we only very briefly discussed the characteristics of various options for permanent fixed dentures for All-on-4. You can learn more about the options for prostheses and their costs in the detailed review at the link below:

→ Types of permanent prostheses for All-on-4