The pre-implant analysis

The introduction of dental implants requires careful preparation, carried out upstream of the intervention using tests such as radio, scanner, etc.


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Realization of a prosthetic project

The implementation of implants is primarily intended to support a prosthesis that must be aesthetic and functional. So it is the project of the future prosthesis that will guide the development of implants. When it comes to simple prosthetic projects (one or two teeth), treatment planning is relatively easy. For complex projects, further analysis is sometimes necessary, with the completion of various "models" or "guides" to anticipate and predict, on models and / or in the mouth, the position of future prosthetic teeth. A fully computerized planning can also be used in certain situations. Dental and oral examination will be conducted to assess the condition of the area to locate and search any cavities or gingivitis to jointly address the problem of missing teeth.


Planning surgery

Once validated the prosthetic project, the surgeon must see under what conditions it is possible to place implants to support future prosthesis. Bone volume is analyzed to determine whether or not to perform a bone graft. The length and diameter of each implant are also determined at this time. Achieving a proper prosthetic project and a well-planned surgery will be the guarantors of a functional and predictable esthetic result.


Pre-implant bone grafts

Dental implants serve as artificial tooth roots and are placed in the jawbone. To ensure sufficient anchorage for the prosthesis, implants should be placed in sufficient bone volume. When the bone volume is too low, it can be increased surgically with a bone graft. Bone volume available for placing implants is evaluated with imaging techniques in three dimensions that quantify the height and thickness of bone available in the area to implement. These images also give the possibility to verify that no surgical obstacles exist in this area. The most conventional tests for analysis of bone volume Jaws scanner and Cone Beam (Pan radio in 3 dimensions). These radiographic examinations are not reimbursed by Social Security


How is bone grafting does it take place?

There are different types of bone grafts. Depending on the type of transplant performed, the procedure can take place in office or clinic under local or general anesthesia. In all cases, the surgery is performed under strict aseptic conditions of the operating room.
In general there are two types of bone grafts:

  • Autografts: the bone is taken from the person receiving the transplant. Bone is usually taken on the jaw, near the area to be grafted. For transplant greater extent, the bone can be removed in the skull.
  • Transplants "no collection": then the bone defect may be filled by various synthetic materials, human or animal. In all cases, these materials undergo a series of treatments guaranteeing a high safety of use.


What are the consequences of the intervention?

The consequences of a bone graft depends on the nature and extent of the graft. Like any surgery, pre-implant bone grafts are followed by a healing period, during which can appear pain, swelling, or in rare cases a complication. For this healing period takes place in the best conditions, a prescription and postoperative counseling, follow "to the letter", you are given by your practitioner.




Bone grafting or sinus lift intra sinus

During the development of dental implants in the upper molars, the surgeon is often faced with a lack of bone volume. This is due to the presence, at this level, the maxillary sinus that is an air-filled cavity. Therefore the introduction of implants in this area may need to carry a sinus lift, which is to fill the bottom of the maxillary sinus with a bone graft.


Nature of the bone graft

In most cases, the bone graft is a bone substitute of animal or synthetic origin, which avoids having to make a bone specimen. In rare cases, a sample can be achieved in the skull or jaw of the patient. The bones thus recovered is then used to make the graft.




The grafting technique

To install the plugin, you have to make an access to the inside of the sinuses. Two main techniques are described:

  • Side access: it allows for transplant volume. The first is carried on the outer wall of the maxillary sinus to obtain broad access with maximum visibility of the operative field.
  • The first crestal (or technical osteotomes): This technique is for transplants reduced volume. The material is pushed into the bottom of the sinus by the implants of the wellbore.
Depending on situations, the implants can be implemented simultaneously with the bone graft or delayed manner.

















Cons-indications to the sinus lift

The cons-indications to the sinus lift are rare. As with any surgical procedure, the patient's health status will be checked beforehand. The sinus condition must also be given special attention and, if in doubt, an ORL specialist advice will be sough


Postoperative

The postoperative sinus lift are usually simple and painful. As after any surgery, edema, easy bleeding and bruising may occur. In all cases, monitoring of prescription and your surgeon's advice is imperative.




Dental pain and implants

After placing a dental implant, the postoperative (discomfort, bruising, possible pain) are well controlled and supported appropriately for each.


What are the postoperative?

After the introduction of implants, various reactions may occur:








Pain:
It depends primarily on the size of the intervention, that is to say the number of implants in the session. Postoperative pain is very variable from one person to another. Overall, for the setting up of 1 or 2 implants, pain is absent or weak. For larger interventions, additional discomfort is to be expected for several days.

Oedema:
This is a swelling of the gums and cheek linked to the inflammatory reaction following any surgery. It is often found very slightly. In some cases, it may be more important.

A hematoma:
It is due to internal bleeding that persists transiently after surgery and occurs occasionally. When extended, it may seem impressive, but it is rarely a concern. When these postoperative you seem better than expected from your dentist, do not hesitate to inform him quickly to detect any complication.


Stress management and pain

The stress and pain associated with dental implant installation can be prevented and treated effectively with a prescription well adapted in line with your health and the heaviness of the planned intervention. If you can not stand the prescribed or if they do not seem very effective medicines, please tell us about it so that your treatment can be reviewed.




Implant Maintenance

As for teeth, strict hygiene and regular monitoring is needed to maintain healthy dental implants.






Implant complications

  • Infectious complications: Implants, like the teeth can remove their shoes. Loosening of implants (also called peri-implantitis) is an infectious condition caused by insufficient cleaning around implants.
  • Mechanical complications complications are rare. These fractures of the implants themselves, or screws used to fix the prosthesis in the implant.


Prevention of complications

  • Prevention of infectious complications requires careful cleaning of the gums joining / implant. This cleaning is to be done at least twice a day with a thorough brushing combination toothbrush and interdental care instruments (dental floss or interdental brush ). It must be associated with a professional cleaning by a dentist once or several times a year depending on the firm's recommendations.
  • The prevention of mechanical complications through regular monitoring of occlusion, that is to say, by fine-tuning the contacts between teeth. These adjustments are made to the cabinet with light grinding of the teeth or implant prosthetics.