Dental implants have changed the face of dentistry over the last 25 years. Osseointegration (a process involving fusion of the implant surface with the bone) lies at the basis of dental implant success. Osseointegration allows long-term implant durability as own tooth for decades without complications.
There are two methods of placing implants:
– by cutting the gum and applying stitches
– without cutting – transgingival method of implantation
Transgingival one-part implantation offers the patient huge benefits – painless post-operative period and possible high-impact use immediately after the implantation. The patient leaves with a tooth right after the implantation. The inclusion of high-energy laser during the implantation ensures sterility of the operative field, lack of traumatism and reliability of the healing effect. The correct planning, the digital scanner analysis and the use of individual surgical guide ensure correct positioning in the bone with optimal margin from the neighbouring teeth and anatomical features – maxillary sinus and mandibular canal.
With patients without sufficient bone, there are two possible methods of implantation.
The first one is through osseointegration involving a process of bone implantation (bone grafting) followed by the dental implant. The most commonly used clinical procedures for bone base increase are Sinus lift, Horizontal bone augmentation, Vertical bone augmentation.
The second implant option in case of insufficient bone is without osseointegration – with basal implants. Basal implants are anchored in the periosteum of the maxillary sinus, the floor of the nasal cavity and the periosteum of the mandible.
Contraindications for implantation are absolute and relative.
Implantation is not carried out in case of absolute contraindications – osteoporosis, malignant bone disease, treatment with bisphosphonates. Relative contraindications include diabetes, smoking, gnashing of teeth, gum disease, etc.
In case of relative contraindications, additional treatment procedures are used to facilitate implantation. Modern implantology allows placement of implants immediately after tooth extraction. Besides immediate restoration of dentition aesthetics, this treatment method protects the bone from atrophy (shrinking) leading to impaired aesthetics.
The implantation method used in Laser Dental Centre Rositsa Koleva M.D. is transgingival implantation with Lite Touch™ high-energy dental laser, German TRINON Titanium Q-implants and Swiss Ihde implants.