Implant Surgery

A dental implant is a titanium-based screw that mimics the root of the missing tooth and is placed in the jawbone. During a process called osseointegration, it fuses with the bone to form a solid foundation; a fixed or removable prosthesis can then be placed on this foundation.

The crown or prosthesis fitted on the implant aims for a result close to a natural tooth in terms of appearance and chewing function. The method to be used is determined individually, according to the number of missing teeth, the condition of the jawbone and overall oral health.

One of the most important stages that shapes the outcome in implant treatment is planning. Alongside the clinical examination, the height, width and density of the jawbone are evaluated using radiological imaging such as a panoramic film or three-dimensional tomography (CBCT).

Where the amount of bone is not sufficient, additional support procedures may come into consideration. In addition, the periodontal health of the gum and surrounding tissues is carefully addressed during planning because of its bearing on the long-term condition of the implant. The definitive plan is formed after examination and imaging.

Implant treatment is carried out as a transparent, staged process. It generally consists of five stages; the duration of each stage may vary according to the person's oral and bone structure.

1. Examination and Imaging: The jawbone structure and overall oral health are assessed through a detailed clinical examination and radiological imaging.
2. Surgical Planning: A suitable implant type, number and position are determined for the individual; where needed, digital surgical planning and bone support are anticipated.
3. Implant Placement: The implant screw is placed in the jawbone under local anaesthesia.
4. Healing (Osseointegration): A healing period is awaited for the implant to fuse with the bone; this usually takes a few months and varies from person to person.
5. Prosthesis Stage: Once healing is complete, a permanent crown or prosthesis is placed on the implant.

Implant surgery can be planned for a range of situations, from a single missing tooth to multiple missing teeth. Fixed prostheses can be placed on implants, and in cases of several missing teeth, implant-supported removable prostheses may also be an option.

A separate plan is made for situations where the jawbone is insufficient. In suitable cases, digital surgical planning can help determine the implant position in advance. The periodontal care of the gum and tissues around the implant is an integral part of the process.

When no teeth remain in a jaw, a fixed superstructure supported by several implants and not removed by the patient can be planned. The number of implants needed is decided by assessing the condition of the jaw, bone volume, the planned superstructure design and the opposing jaw together.

In the upper jaw, leaving the palate open may be considered depending on the design. In such designs, keeping the superstructure cleanable and accessible between units is part of the planning from the outset; the process and care routine are determined after an examination.

After the implant is placed, the osseointegration period begins. During this period, following the dietary and oral care instructions recommended by your dentist, avoiding smoking and attending check-up appointments support healing.

The long-term condition of implants largely depends on the health of the surrounding gum. Regular periodontal care and correct oral hygiene help protect the tissues around the implant. Inflammatory conditions that can develop in the tissues around the implant (peri-implantitis) are monitored through regular check-ups. The healing process and outcomes vary from person to person; consult your dentist for accurate information.