DENTAL RESTORATION ON IMPLANTS
The role of dental implants is to support dental restoration (crowns, bridges or special dentures) which replace missing teeth. The dental implant can support a porcelain tooth (crown) or, together with other implants, a dental restorative piece (bridge) which replaces a series of missing teeth.
Dental restoration on implants depend on the size and aesthetic qualities of surrounding tissue. Following extractions, both the bone and the gums may suffer some transformations (resorptions) which causes aesthetic damages.
With the purpose of keeping the natural look of tissues, extractions are performed through atraumatic procedures, where bone defects are remedied through guided bone regeneration. The gingiva must also be preserved and recovered in order to accomplish good aesthetic results.
We advise you to take precautionary measures to limit resorption and improve the periodontal tissue immediately after extraction to reach aesthetic results. Later recovery is possible, but difficult and expensive. To this end, we recommend a temporary ceramic restorative piece on implant made in our laboratory which allows the guided bone and gum recovery.
CHOOSING THE RIGHT RESTORATIVE PIECES ON IMPLANTS
In lack of stronger consideration (contraindications, financial restraints, etc.) dental restoration on implants are fixed. They resemble natural teeth in terms of hygiene. Removable restorative pieceson implants (overdentures) are the alternative in cases where we don’t have enough implants to support a fixed restorative piece. In terms of comfort for the patient, are superior to removable dentures, but inferior to fixed restorative piecesand also have a shorter life span. They are removed after every meal, cleaned and then inserted back.
For fixed restorative pieceson implants we use the same materials as for restorative pieceson natural teeth, the only difference lies in the technique.
Depending on the position of the restorative piece on implant and financial power, the patient can choose from porcelain, metallic or zircon support.
THE IMPORTANCE OF A GOOD HYGIENE IN DENTAL RESTORATION AND IMPLANTS
Tartar, gum inflammation or untreated bone infections can lead to premature loss of implants. Periodic hygienization reflects in the health of bone and gingiva around the implant and requires regular visits to the hygienist, and also learning some hygiene procedures to be performed at home.
LONG TERM TEMPORARY CEMENTATION
For the purpose of good periodic hygienization, we recommend that dental restoration on implants be treated with a special cement. It remains flexible even after it dries, absorbing shocks to the implant and allowing the removal during profilaxy (plaque removal) sessions. In this way, cleaning the area around the implant is much easier and with low additional costs.The cementation is permanently…long term temporary. Unless you leave the country for long periods of time or it comes loose more often than it is comfortable, then we strongly recommend this type of cementation. We advise you to protect the restorative piece from mechanical and thermic shocks. At first, chew lightly on the implant area in order to make sure that the adaptation of all concerned structures (gums, bone) be carried out gradually, over a period of 2-3 months. At the end of the accommodation period, you will be able to eat normally.