The exact course of mouth rehabilitation with dental implants
We wrote many times about how important healthy, well-kept teeth are; since neglected, incomplete teeth are not primarily an aesthetic deficiency but a serious health risk. Bad teeth should be treated if possible, and if they are no longer suitable for prosthetic care, they should be removed and replaced as soon as possible. Tooth replacement is possible in several ways. Since our specialty is immediate loading implant-based dentures, or a variant of it, mouth rehabilitation with dental implants, we discuss this topic in more detail. We will tell you precisely what the term means, how to contact for it, the communication before the intervention, and finally, what the course is of mouth rehabilitation with immediate loading implants.
It is essential to know that in our institution, mouth rehabilitation with dental implants, which are immediate loading implants – unlike some rare cases – takes place under general anesthesia monitored by an anesthesiologist. The cost of this is included in the dental implant package price. We will talk about this topic later! And one more thing: one-phase implant and immediate loading are the same.
What does the term mouth rehabilitation mean?
We talk about mouth rehabilitation when the patient does not have a single tooth suitable for prosthetic treatment, so a complete tooth replacement is necessary. Oral rehabilitation is possible on the upper jaw bone, the lower jaw bone, or both; the latter is called full mouth rehabilitation. Deciding whether the teeth in the mouth are suitable for this further dental treatment is the dentist’s responsibility. They must determine whether saving teeth makes sense in the long run or not. The basic principle is that a tooth should only be treated or “saved” if the treatment is a reliable solution lasting for years. Otherwise, it must remove and replace.
Oral rehabilitation solutions
There are two ways to do it. Traditionally, when the denture is fixed on the gums with an artificial vacuum floor and gluing. Most people decide on this solution since this one cost much less than the dental implant-based denture. Patients who have traditional dentures face many challenges, such as insufficient biting and chewing power, inadequate stability, and other discomforts during wear.
We are just touching on the two-phase implant and implantation method. We mentioned earlier that the topic of this article is only one phase, also known as immediate loading implant. More precisely, a particular form of mouth rehabilitation with dental implants. However, it is essential to emphasize that both implant types are perfectly suitable for replacing the natural tooth root, but the two-phase only if certain conditions are met.
The antecedents of oral rehabilitation based on one-phase implants
Appointment request. The first step is, of course, to contact the selected dentist. There are several ways to request an appointment for moth rehabilitation with dental implants treatment. It is most practical if we do it online. Many dentists, including us, provide additional options for booking appointments, such as phones and various apps.
The most obvious is to request an appointment online, which is available 24/7. Almost every website has a CONTACT page where you have to fill out a simple form and even upload an X-ray or other document related to your dental problem. It is also possible to leave a short message.
The next option is to contact the dentist by phone. In larger clinics, the receptionist takes incoming calls, but there are many dental offices where the assistant does this. They may be undergoing treatment and, therefore, unable to receive calls. In this case, the patient may move on and call another dentist.
The more demanding dental clinics are also available via apps. The most used applications are Facebook, Viber, Messenger, and WhatsApp. These applications are more for making contact, but at the same time, it is possible to call the patient back at the specified phone number and make an appointment. This option is popular because it is available at any time.
We try to give a consultation appointment within a week, and if it is acceptable to the patient, we will arrange the appointment. The consultation is free with us, but the appearance is the patient’s responsibility!
Personal consultation
The first step in moth rehabilitation with dental implants is a personal consultation, as is customary in many other areas of healthcare. As with any intervention, you must prepare for oral rehabilitation based on immediate loading implants. An essential part of conscious preparation is a personal consultation, even if you have to pay for it at many dentists.
A correct diagnosis is possible almost exclusively based on a personal consultation. The consultation can be preliminary or even during the first treatment. Meeting with the doctor is an excellent opportunity to get informed and know the oral surgeon performing the procedure. During the informal conversation, on the one hand, we can get answers to all questions. On the other hand, some sympathy and trust can develop toward the implantologist, which is also essential for a successful intervention.
The mouth rehabilitation with dental implants continues with an X-ray and CT scan. Both recordings are necessary because, while X-rays provide a two-dimensional image, cbCT is a 3-dimensional imaging system developed specifically for dentistry, including implant placement. That allows for a scaled, three-dimensional digital image of the condition of the jaw bone.
Successful implantation is hardly conceivable without the use of these imaging systems. The implantologist must be perfectly aware of the patient’s teeth and jawbone condition since he cannot determine the number of implants to be implanted and the exact location of the implants. Regardless of the type of implant, this is essential information for the oral surgeon.
Based on the X-ray images, a detailed examination follows. Dental implants are only possible with a healthy, inflammation-free oral cavity. Oral rehabilitation with immediately loadable implants requires certain health conditions to be met; therefore, part of the consultation is to learn about the patient’s general state of health. Are you under any medical treatment? If so, what is it? Are you taking any medication? Do you have an allergy to this medicine? If so, what medications are you sensitive to? Have you ever been sedated? How is your general health and so on? When all data is available, the implantologist diagnoses and explains the options available in the given situation.
Once the decision has been made, the dentist prepares a price quote and treatment plan, valid for three months. They also inform the patient about the preliminary tests required for general anesthesia. That usually means labs and an EKG.
How the mouth rehabilitation with dental implants goes?
Consultation with the anesthesiologist
If the laboratory and EKG test results are OK and the patient signs the declaration of consent required for the intervention, the consultation with the anesthesiologist will begin. The anesthesiologist asks questions and provides information about general anesthesia. If everything is in order from this point of view, the anesthesia will take place, and the operation itself will begin.
Removal of teeth unsuitable for prosthetic treatment
Most of the time, the patient’s oral cavity contains teeth unsuitable for dental treatment, which must remove before implant placement. Tooth extraction is usually straightforward, but sometimes complications can occur. For example, a bad tooth only has the root, which needs to carve out of the tooth bone.
Implant placement
The most crucial part of mouth rehabilitation with dental implants that are loadable immediately is the implantation in the upper or lower jawbones. Depending on the situation, 8-10 or even more one-phase implants are needed. This implant is inserted through the gums into the tooth bone or, if necessary, into the jaw bone.
The two most important advantages of a one-phase dental implant comparing it to a two-phase one:
1. In case of bone deficiency, it is implantable not only in the tooth bone but also in the jaw bone,
2. In contrast to the two-phase implant, the long-term temporary denture is not fixed on the gums but the implanted, immediate loading implants!
The implantologist must ensure that the implantation takes place as specified in the plan. Therefore, they take a panoramic X-ray after the implantation. Based on this, it is determinable that everything is fine with the implanted implants.
Long-term temporary denture
The day after implant placement, the patient must appear for a control examination, and if necessary, further control examinations may also be required. They remove the sutures 7-10 days later and then take a sample for the metal frame that holds the temporary denture. The first part of oral rehabilitation is complete with preparing and delivering long-term temporary dentures.
Upon completion of the mouth rehabilitation with dental implants treatment with immediate loading implants, the patient receives detailed information on the necessity and timing of control examinations, the correct dental care, and other helpful information.
Why is it necessary to perform mouth rehabilitation with dental implants under general anesthesia?
Almost all dental treatments are performable under local anesthesia, including implant placement. However, there are cases when it is recommended to perform the implantation under general anesthesia. An example of this is oral rehabilitation with immediate loading implants. We do the replacement of one or several teeth with a one-phase implant almost exclusively under local anesthesia. In such cases, effective pain relief is possible even without general anesthesia since it is a relatively short time and a small oral cavity area.
The situation is quite different if the intervention affects the entire oral cavity, as is the case during oral rehabilitation. General anesthesia is necessary for two main reasons.
1. The entire oral cavity is affected during mouth rehabilitation with immediate loading implant effects the whole oral cavity, including the upper or lower, or both jawbones. That means such an area that it is almost impossible to provide complete and adequate pain relief with local anesthesia. Pain relief under general anesthesia is essential for successful implant placement while giving perfect comfort to the patient.
2. Long-term intervention. Another reason why implant-based oral rehabilitation must perform under general anesthesia is that it is a relatively long-term operation. The duration of complete oral rehabilitation can be four hours or even longer. Effective pain relief for such a long period is impossible with local anesthesia. You can read more about this topic here.
What is included in the package price of mouth rehabilitation with dental
implants?
Below is a summary of the oral rehabilitation process based on immediate loadable implants (one-phase implant), and what the patient pays is included in the package price. The procedure is the same for the upper, lower, or both jawbones. Of course, each treatment phase takes a little longer in the latter case.
First treatment phase
– Personal consultation with the implant specialist.
– CT and panoramic x-rays.
– Thorough oral examination.
– General anesthesia with an anesthesiologist.
– Removal of teeth unsuitable for dental treatment from the lower and upper jawbone.
– Preparation of the required number of immediate loading implants for implantation.
– The required number of one-phase implants in the upper and lower jawbones. (In case of full mouth rehabilitation)
– Sampling for long-term temporary dentures.
– Making long-term temporary dentures.
– Fixation of the temporary denture on the implants.
– The necessary control tests.
Second treatment phase
– Personal consultation.
– Panoramic X-ray and, if necessary, CT.
– Examination of the oral cavity, particularly regarding the implanted one-phase implants.
– Sampling for the permanent denture.
– Making permanent porcelain dentures on the upper and lower jawbones. ((In case of full mouth rehabilitation)
– Attaching the porcelain denture to the implants. The dentures are fixed and not removable by the patient.
– Inspections and consulting.
This article presents the most critical information about mouth rehabilitation with dental implants (immediate loading implants) for those who intend to choose this teeth replacement method or are simply interested in the topic. We said that replacing a completely missing tooth is possible in several ways: one of them is implant-based oral rehabilitation. We discussed this term, contact, and communication before the intervention. Finally, we described the process of oral rehabilitation based on one-phase dental implants. If you have any questions about what was said, please feel free to contact us.
Many other articles on the subject can be read in our Articles section, which we recommend.
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