In the following we would like to explain in more detail which procedure is used in our practice so that you can get a better idea of an „implantation“ and take a look behind the scenes.
If a tooth has already been lost for several years, the jawbone degenerates due to the lack of load in this area of the jaw and progressively decreases in width and height. So there is not always enough bone substance to anchor an implant firmly in the jaw and to guarantee long-lasting dentures on it. Especially in such cases special measures must be taken in advance. These are called bone augmentation.
Depending on the situation, this augmentation can take place either a few months before the implantation or at the same time as the implant is inserted into the bone tissue.
In our practice we only use bone replacement material (granules and bone plates) from renowned European manufacturers. We always combine these with your own bone from the surgical area to ensure optimal conditions for the integration of the bone graft substitute (KEM) into your own tissue. This is another special feature of our procedure that helps to integrate the KEM into your tissue. We treat the wound with endogenous plasma membranes, which we produce from the patient’s blood by centrifugation (A-PRF method). The growth factors and fibrin platelets contained in these membranes promote and accelerate wound healing and help to generate a long-term stable implant surrounding bone level. You will only notice a small pinch in the crook of your arm.
Should a tooth fracture unfavorably or needs to be removed unexpectedly, especially in the anterior region, our implant surgeon Dr. Hakimi can do an immediate implant placement.
A suitable implant can be placed in the same tooth removal session if your bone level is sufficiently stable. Both the radiological (the x-ray) and clinical findings (the situation in the mouth) are decisive for this.
First the tooth is removed very gently and then an implant is inserted directly into the empty bone compartment and the wound is sutured.
Again, not all bone is the same!
If the alveolar ridge is narrow, special instruments can be used to spread the bone (so-called bone spreading/splitting) in order to gain more space, or the bone can be condensed if the bone structure is too „soft“ (so-called bone condensing). Of course, due to the local anesthesia, the patient hardly notices this and is painless.
The so-called Socket-Shield Technique, where part of the tooth is left in place, can also achieve a particularly harmonious result in the aesthetic area of the front teeth. By leaving a narrow part of the tooth and thus also its periodontal socket ligaments with which a tooth is anchored in the bone, the remodeling changes of the bone after implantation are less pronounced. As a result, there is no loss of the gingival profile in the direction of the lip. This allows us to achieve particularly nature-identical results and our patients enjoy an almost unchanged appearance despite tooth loss.
All these techniques support an optimal anchorage of the implant in the bone and guarantee the long-term success of the implantation. As a rule, implants remain in the jaw for a lifetime with optimal care. Of course, in the esthetic area we make a temporary restoration if possible, so that you do not have to leave our practice with a gap in your teeth after the procedure.
After a healing phase, usually lasting three months, the so-called „uncover“ takes place, in which we expose the implant located under the mucous membrane through a small incision and then insert a cap to shape its mucous membrane. Naturally, this is done under a small local anesthesia. A few days later, the implant(s) can then be restored with laboratory-fabricated dentures such as crowns, bridges or removable telescopic works.
For this purpose we offer you another advantage in our practice, as we no longer take unpleasant impressions. Using a portable 3D scanner (Trios 3 Shape), we take a digital impression of your oral situation and send this data to a laboratory cooperating with us, which usually returns your dental prosthesis to us a week later. Of course, we coordinate tooth color and shape with you in advance according to your individual wishes and have the possibility to make corrections and changes in our own in-house laboratory.
In the following years, we guide you through regular follow-up care so that your healthy smile can shine in the long run.
If you would like to receive further information or get a second opinion, you can of course arrange a free appointment for an individual consultation. We will be happy to explain the exact procedure in your case and explain all aspects of the planned procedure and possible risks. You are welcome to use our online appointment service (doctolib), with which you can arrange an appointment from the comfort of your home, even outside of our office hours.
For even more information you can visit our website www.nordend-zahnarzt.de