All you need to know about teeth replacement with implants
Let’s start with a significant statement. Teeth replacement with implants is the perfect way to replace missing teeth! There are two known methods of eliminating missing teeth problems. The traditional solution is to use existing, healthy teeth to hold the denture. If no tooth is suitable for prosthetic care, they make a prosthetist that the patient can remove. Fixation of such artificial dentures is done with a fake vacuum floor, but mostly with denture adhesive. The other method is dental implant-based dentures. It can also be a crown, bridge, or full-bridge, i.e., a complete set of teeth. In this article, we deal exclusively with the topic of teeth replacement with dental implants, and we will tell you all the essential information related to dental implant treatment. With this, we want to guide those who wish to choose this solution but do not have the necessary information to decide.
We will update this article regularly to keep it as up-to-date as possible. The links in the article always point to an up-to-date page!
The history of tooth replacement with implants
The history of dental implants and dental implantation is a fascinating journey. In 2500 BC, the Egyptians stabilized diseased teeth using a device made entirely of gold. Also, in this period, the Phoenicians used gold wire to stabilize loose, but otherwise still healthy, teeth. In their manuscripts, we can repeatedly read about the toothache.
In the ancient documents, there are several references to the fact that around 300 AD, a dental bridge was made of ivory reinforced with gold wire. The first evidence of dental implants is attributed to the Mayans, about 600 AD. They used carved pieces of shell as dental implants. Mayan dental implant X-rays show correct bone formation around dental implants made from conch shells. Around AD 800, in the Honduran culture, they found remains of implants carved and polished from stone, planted in the jawbone.
In Europe, from the 1500s, for nearly 300 years, teeth were obtained from financially needy people and the dead, which they used for allotransplantation. (Allotransplantation is the transplantation of a cell, tissue, or organ from one species to another within the same species.) Dr. John Hunter has worked for many years with people who sometimes obtained implantable teeth through grave robbing. In the 1700s, Dr. Hunter proposed transplanting teeth from one person to another after years of observing, researching, and documenting jaw and oral cavity anatomy.
Two brothers, Dr. Alvin and Moses Strock experimented with chrome-cobalt alloy screw fasteners in the 1930s. They studied how implants were successfully inserted into the hip bone. Based on the knowledge, rudimentary dental implants were in humans and dogs. The two brothers received high recognition for their research in selecting a biocompatible metal for use in human dental bone. We can state that the Strock brothers were the first to successfully solve the problem of implanting a dental implant into tooth bone.
The discoverer of today’s modern dental implant technology
Before we talk about teeth replacement with implants, we must introduce dental implants in today’s sense. Per-Ingvar Branemark (May 3, 1929 – December 20, 2014), research professor and physician, is known as the father of modern dental implantology. The Branemark Osseointegration Center (BOC), opened in 1989 in Gothenburg, Sweden, was named after its founder.
Branemark is who discovered titanium’s osseointegration ability. He realized that metal in titanium is perfectly capable of becoming an integral part of the human skeleton, including the tooth bone. Osseo means bone, and integration, in this case, means integration.
Dental implants and teeth replacement with implants methods
The three known families of implants and implantation methods serve the same purpose, two of which are widespread in Hungary. One is the two-phase implant; the least known is a subperiosteal version. The third family of dental implants that are becoming explosively popular is the one–phase implant, also known as the immediate loading implant.
Subperiosteal implantation method
Let’s start with this one, which is almost entirely unknown in Hungary. It contains a metal plate attached to the tooth bone below the gums. Implantation begins with an incision in the gums, the metal plate sits on the tooth bone, and then they sew the gums back. There are implant stumps on the metal plate on the tooth or teeth they placed. The metal plate containing the implant stumps is held by the gingiva attached above it. An essential advantage of the method is that it is a relatively simple intervention and does not require drilling into the dental bone. When biting and chewing, the pressure is on the tooth bone so that we have a greater biting force with artificial dentures made in this way than those resting on the gums.
Traditional, two-phase implant
The two-phase teeth replacement with implants is the oldest, most widespread implant family in the world and our country. It can look back on more than 50 years of history, and as its name suggests, the implantation process occurs in two separate phases. It is a reliable, excellent-performing implant, but the disadvantage is that it can be only usable in high-quality and adequate amounts of dental bone.
The teeth replacement with implants process
Such implantation is possible with local anesthesia, for example, when one or several dental implants are necessary, i.e., in the case of crown or bridge replacement. When oral rehabilitation is needed, i.e., a complete set of teeth, especially in the case of full mouth rehabilitation, the dental implantation happens almost without exception under general anesthesia; at least, that is the case with us. The teeth replacement with implants packages and prices shown on our website includes all costs, including the price of the general anesthesia!
The two-phase teeth replacement with implants method differs from the one-phase process. Implantation begins with an incision in the gums to access the dental bone beneath the mucosal flap. The oral surgeon then drills a hole in the tooth bone at predetermined points and screws in the self-tapping implant using a unique key. When it is in place, it closes with a so-called healing screw. That is necessary so that the hollow interior of the implant remains intact. After the required number of implants are in, the first phase of the two-phase implantation ends with the stitching of the excised gum.
While the thread is in the mouth, it can cause a stinging, itchy sensation. These are the body’s natural reactions and phenomena accompanying the intervention. Slight pain may occur in the days after the implantation, and the swollen gums may become sensitive. Prescribed painkillers and icing the operated area reduce the discomfort and speed up the swelling. They remove the suture after a week or so.
The so-called ossification period of the two-phase implant is usually 4-5 months. This rather long time is necessary so that the integration of the dental implant into the bone tissue takes place with complete safety. The patient receives removable temporary dentures for the healing and ossification period. The denture is resting on the gums, glued with denture adhesive, available in all pharmacies without a prescription.
The second phase of the two-phase implant begins with shaping the gums after the healing period. The oral surgeon must make sure, based on a panoramic X-ray, that the ossification of the implants has taken place and that everything is in order. If so, removes the so-called healing screws. After that, he attaches the gingival shaping screws to implants. That is necessary to create a stable implant-gum connection. In other words, gum attachment is similar to natural teeth. It is usually two to three weeks because this is the time it takes for proper gum adhesion to develop.
If everything is in order with the implants, the permanent round bridge (denture) preparation can begin. With us, this takes 5-10 days, depending on the current circumstances. The first step is taking an impression, followed by frame tests and tooth color selection. When everything is perfect, they can start making the permanent denture. This kind of dental prosthesis may not remove by the patient.
Circumstances when two-phase teeth replacement with implants is not possible
Although a two-phase implant is a perfect solution for replacing a missing tooth or teeth, there are circumstances when its usage is not possible. Let’s look at some of the reasons.
– Gum disease is caused by neglected oral hygiene.
– There is not an adequate amount and quality of dental bone.
– Advanced diabetes.
– Severe coagulation hematopoietic disorders.
– Blessed condition. X-rays can be harmful to the fetus.
– Severe heart disease.
– Strong alcohol, drug, or medication addiction.
– Taking certain medications regularly. For example, an anti-osteoporosis drug.
– Heavy smoking. Dental implants are possible, but healing is slower, and the risk of infection is more significant in this case.
One-phase implants (immediate loading implants)
The name of this implant family comes from the fact that the implantation occurs in a single phase. A one–phase implant has many advantages over a two-phase one, which is why it is becoming increasingly popular among those waiting for implant-based dental replacement treatment. The other frequently used name is immediate loading implant, as this dental implant is loadable immediately after its implantation.
Positive features of immediate loading implant
These are designed, so teeth replacement with implants is also possible in other parts of the jaw bone, not only in the tooth bone. One of the significant advantages of a one-phase implant compared to a two-phase one is that it is implantable even in cases of relatively significant bone deficiency. So, for example, even when the two-phase is not possible.
For an implant to be able to insert not only in the jawbone, but it must also be implantable not just vertically but at different angles too. The one-phase implant is implantable at an angle other than the vertical, depending on the current need. It is especially true for the upper jaw when there isn’t an adequate amount and quality of bone available.
For teeth replacement with implants in older age, the jawbone may be so inadequate that even a one-phase implant is good enough. In such cases, bone replacement treatment is still possible, which is expensive and lengthy, but in most cases, the immediate loading g implant is possible.
Another great advantage of the one-phase implant is that it is loadable immediately after implantation. That is a significant comfort advantage of the one-phase dental implant. After traditional two-phase implant implantation, the patient receives a temporary set of teeth that rests on the gums, which he must glue, even several times a day, to remain stable and fulfill its function. And all this for 5-6 months, so it’s incredibly uncomfortable.
With dental implant-based dentures that are loadable immediately, the long-term temporary denture is attached to the implants, just like the later permanent denture. It is a massive advantage of the immediate loading implant, although it is not recommended to overload too much in the period right after implantation. As much as possible, refrain from eating foods that require a lot of biting or chewing.
One more advantage of the one-phase implant is that they are implantable with a more specific, one-time surgical intervention. It mainly applies to cases where one or several teeth must replace. The situation is different in the case of oral rehabilitation treatment, i.e., when implants are in the entire jawbone.
What does oral rehabilitation mean?
Dental replacement becomes necessary when one or several teeth are missing. It can be a crown or a bridge. When the existing teeth are unsuitable for prosthetic care, or there is a complete lack of teeth, the restoration occurs within the framework of oral rehabilitation. The word habilitation has many meanings; in our case, it refers to making fit or capable. Re means restoration, so rehabilitation is a set of procedures to restore an established loss of function and create compensatory new abilities. Based on this, oral rehabilitation is restoring the complete lack of teeth and their role for some reason.
Oral rehabilitation treatment can apply to the upper or lower jawbone or both. The latter is called full oral rehabilitation. In this latter case, implantation takes a 4-5 hour operation, almost exclusively performed under general anesthesia.
Oral rehabilitation under general anesthesia
We mentioned above that the immediate loading implant is implantable almost anywhere in the upper jaw, which is a significant advantage, especially in cases of bone deficiency. An oral rehabilitation takes 2-3 hours, a complete oral rehabilitation (upper and lower jaw), and a 4-5-hour intervention. That is quite stressful for the patient with local anesthetic pain relief.
When someone pays several million forints for an implant-based tooth replacement treatment, they expect not only to get a perfect set of teeth but also to have the treatment free of pain and discomfort. This legitimate expectation is only possible with general anesthesia. There are conditions for dental implantation under anesthesia, which you can read more about on this page in the dental implantation under anesthesia section.
There are two main reasons for dental implantation under anesthesia, oral rehabilitation in the case of tooth replacement. First of all, due to the long duration of the implantation process, it is challenging to achieve genuinely effective pain relief for the entire time with local anesthesia. The second reason is that complete anesthesia must be provided on too large a surface for too long, which is hardly possible – especially for the upper jawbone.
Description of oral rehabilitation treatment
– Consultation with the implantologist oral surgeon.
– Panoramic X-ray and CT scan.
– Thorough examination of the oral cavity.
– A qualified anesthesiologist performs general anesthesia.
– Removal of teeth no longer suitable for dental care.
– Preparation of one-phase implants intended for implantation.
– The required number of teeth replaced with implants.
– Sampling for a long-term temporary denture(s).
– Preparation of long-term temporary denture(s).
– Denture tests, adjustments.
– Fixation of long-term temporary dentures to implants.
– Control tests.
It takes place about six months after the dental implantation.
– Consultation with the implantologist oral surgeon.
– Panoramic X-ray.
– Thorough examination of the condition of the implanted implants.
– Sampling for the final denture.
– Preparation of the permanent porcelain denture.
– Attaching the permanent denture to the implants.
– Control tests.
Oral rehabilitation with local anesthesia
It is scarce that general anesthesia is not possible for some reason. Oral rehabilitation is also possible in such cases but comes with discomfort. What do we mean? First, because the treatment lasts longer, oral restoration occurs in stages. Thus, for example, the teeth unsuitable for treatment are removed for the first time. After that, implantation of the required number of implants in the upper jawbone, and the next time dental implantation in the lower jawbone. It is possible with effective local pain relief, but the patient has to endure more discomfort than during implantation under general anesthesia.
Teeth replacement with implants packages
Dental implantation is possible using a one-phase immediate loading implant or two-phase implant. In both cases, implantation occurs, but as mentioned above, there are significant differences between the two tooth replacement methods, both in the implantation technique and in the implants themselves.
Currently, the following implant-based oral rehabilitation packages exist:
Denture #1 upper jaw oral rehabilitation
Denture #1 lower jaw oral rehabilitation
Denture #2 upper and lower jaw full oral rehabilitation
Oral rehabilitation consists of two parts. In the first part, the implantation and everything related to it, while the second part is about the preparation of the permanent denture(s). There is no specific period between the two treatments. Between the two occasions, 4-6 months must pass. Someone gets their permanent dentures made after four months, but there are also people who only after a year.
Teeth replacement with implants oral rehabilitation package
The assistant prepares the one-phase implants for implantation, and the teeth replacement with implants begins. It starts with a consultation with the implantologist who performs the intervention at our institution. During this, a panoramic x-ray is first taken, based on a thorough oral cavity examination. After that, the anesthesia begins. As the first step of the treatment, the oral surgeon removes the teeth unsuitable for dental care. The package includes long-term temporary dentures for the upper, lower, or both jawbones and the necessary check-ups.
The package includes the following: consultation with the implantologist and oral surgeon. First, they take a panoramic x-ray followed by an oral cavity examination. This treatment takes place six months after the first session. The implantologist is primarily and above all interested in the condition of the implanted implants. If everything is in order in this regard, we can start making permanent porcelain dentures for the upper, lower, or both jawbones.
Dental implant-based oral rehabilitation package prices
A teeth replacement with implants package means a complete tooth replacement treatment, with a detailed description of the package. The same applies to the package price of dental implants. The package price shown on our website is a price without hidden costs, exactly what the patient must pay for the treatment. A slight difference in the lock is possible, which depends on personal needs at the time.
DENTURE #1 UPPER JAW BONE – PACKAGE PRICE
(The Denture #1 Upper Package Price includes the price of the long-term temporary denture but not the cost of the permanent denture.)
PERMANENT PORCELAIN DENTURE
DENTURE #1 LOWER JAW BONE – PACKAGE PRICE
(The Denture #1 Lower Package Price includes the price of the long-term temporary denture but not the cost of the permanent denture.)
PERMANENT PORCELAIN DENTURE
DENTURE #2 UPPER AND LOWER JAW – PACKAGE PRICE
(The Denture #2 Package Price includes the price of the long-term temporary dentures but not the cost of the permanent dentures.)
PERMANENT PORCELAIN DENTURES
The indicated prices were valid at the time of writing. The existing teeth placement with implants package prices are available on this page.
Possible problems with dental implants
The block’s title is incorrect because there are rarely problems with the dental implant. There are three primary sources of problems. One is the implant, the other is the placement of the dental implant, and finally, the qualitative and quantitative changes in the patient’s bones.
As stated above, specific dental implant failure is infrequent, less than 1%. These are, without exception, manufacturing and material defects. In the event of a dental implant failure, we will replace the defective implant with a similar one, of course, without reimbursement.
Errors during dental implantation are also rare. That often manifests in the implantologist misjudging the tooth bone’s state in a specific place that is insufficient or of inadequate quality. In such a case, the implant seems stable at the time of implantation, but it may loosen during subsequent use, and in such case, it must replace.
The most common problem in dental implant-based tooth replacement is that the quality of the bone holding the implant deteriorates over time. In addition to the deterioration of bone quality, which occurs mainly in older age, bone loss can also cause problems. More than 95% of implant problems are caused by the deterioration of the quality and quantity of the jawbone. It is especially typical for patients over 60 years of age.
It may therefore happen that, over time, the quality of the bone tissue that previously reliably supported the implant begins to deteriorate, and the implant is no longer able to perform its fixing function. In such cases, replacing it with a longer or thicker implant is sufficient. If this is not sufficient, bone replacement is still a solution.
The importance of choosing the right implantologist
That is a crucial topic. There are several aspects that patients must take into consideration when choosing an implantologist oral surgeon. Of course, the dental implant price is essential, but it is by no means the most important. We all know that dental implant-based dentures are not cheap, so not many people can afford them, but those who cannot be primarily concerned with prices. If someone pays millions of forints for dental implant treatment, the first and most important aspect is safety! Security is in the best hands, and you can be sure that your teeth replacement with implants will be successful.
It is recommended to look for a dentist specializing in dental implantation at some level. By this, we mean that the given institution has an implantation specialist with extensive experience who only performs dental implantation treatments. We can ask for a recommendation from our general dentist, and we can ask our relatives and colleagues about their experience in this field. We can get helpful information on the Internet, primarily through Google Reviews, because the latter are certainly opinions expressed by actual patients.
There is no doubt that dental implantations are expensive and an essential factor when choosing an implantologist. However, a fair comparison is only possible if we compare the same treatment and the total initial cost. For example, comparing the price of oral rehabilitation treatment is only correct if you compare it with the same treatment from another dentistry.
A concrete, live example of how important it is to be careful when comparing prices. Oral rehabilitation at one Budapest dentistry costs HUF 1,985,000, while at another, the price is HUF 1,950,000. In this case, it is not crucial that the treatment costs HUF 35,000 less in the second place, but this double price also includes the cost of general anesthesia! Nowadays, general anesthesia with a qualified anesthesiologist costs around HUF 170,000 per jawbone! So the price difference is significant in favor of the second institution.
Another important factor about the price of dental implants that you must consider is the pricing method. The vast majority of dental institutions use item-by-item pricing. It means that all materials used, as well as the work with them, are priced separately. The price of the same treatment can differ significantly between dentists.
When we wrote this article, we requested price quotes from six dentists for oral rehabilitation treatment, specifically teeth replacement with implants for the upper jawbone. Four answered in substance. In each case, we have accurately described the teeth’ condition and what we are asking for in the price quote. There was a difference of almost 500,000 forints between the highest and lowest price.
We don’t have a problem with the price differences. Our problem was that in no case have we been assured of exactly how much we have to pay in the end! If we compare package prices with package prices, we can be sure we will get the correct results. At the same time, at those dentists who use package pricing, we can be sure exactly how much the given oral rehabilitation treatment will cost.
In such a relatively long article, it is impossible to cover all areas of teeth replacement with implants or discuss them in more detail. In our article, we discussed the history of dental implants, the two-phase and one-phase implant families, and the differences between dental implants and dental implantations. We have explained the essential advantages of the dental implantation package price and the possible problems related to dental implant-based dentures. If you have any questions about dental implants, we will be happy to answer them.
We would like to draw your attention to the fact that in our Blog section, you can read many articles on tooth replacement, tooth implantation, and implant implantation.
If you have an opinion about what was written, write it in the Comment section. If you have any questions, please contact us.
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