Dental implant surgery
How is the dental implant surgery?
- Before surgery, meticulous planning is necessary to
identify and analyze the dental nerve, maxillary sinus and
bone shape and dimensions, both in the area of the
intervention and in the surrounding area. During the
preliminary examination, your dentist will use different
imaging techniques (intraoral x-rays, panoramic x-rays, CT
scans, digital scanners, etc.) in order to have the
maximum detail to be able to analyze your mouth and design
the treatment plan. The CT scan is mandatory and surgical
and radiological splints must be made before the CT scan
in order to accurately determine the correct location of
the implant and to ensure that the prosthesis is in the
best possible position when receiving the chewing forces.
Your teeth and gums are also examined so that any disease
or problem is treated and cured before the procedure.
The procedure is usually performed under local anesthesia and, broadly speaking, consists of the following: first incisions are made in the gum to leave the bone uncovered, then a hole is drilled in the bone with special drills. This newly drilled hole is where the implant is inserted and placed below the gum level. Once the implant is in place and before suturing the gum, a temporary cover (healing screw) is used to protect the implant. As in any other type of surgery, there will be inflammation, discomfort, pain and bleeding during the healing process.
As the bone and gum tissues heal, the implant fuses with bone (osseointegration). The healing and osseointegration process of the implant usually lasts from 2 to 4 months, depending among other things on whether it is maxilla or mandibular.
After this time it is necessary to check whether the implant has been successfully integrated. In case of failure, the implant would have to be removed, wait a while for the bone to heal and then replace another implant. The normal thing, and what we do in our clinic, is to guarantee the osseointegration of the implant, in case of failure, there is no charge to the patient.
Once it has been proven that the implant is osseointegrated and that the adjacent tissues are well cured and without infections is when the custom prosthesis is placed. This second phase consists of taking impressions followed by tests to determine the aesthetics, shape and occlusion of the definitive prosthesis. All of these tests, which are done in several sessions, are sent to the laboratory to make the prosthesis as your dentist places you on the implants. Once the prosthesis is in place, it may be necessary to make more visits to the office to make the final adjustments necessary for the rehabilitation to be perfect..