What is an IMPLANT?

Implant Latin October-bread is a word that means. In dentistry, replacement of lost teeth, function and aesthetically similar structures to natural teeth placed in the bone root or cylindrical structures are called implants. Implant treatment has been developed to raise the patient’s standard of living. It is not a vital practice.
Today, Titanium is the most widely used metal as implant material. Titanium is a metal that has been used safely in many areas of medicine for centuries, with perfect tissue harmony. It does not form an antigen-antibody reaction, as in heart-kidney transplantation. Therefore, tissue rejection does not develop.

Who can IMPLANT treatment be applied to?

1-Individuals with Normal wound healing
2-Individuals who can provide oral hygiene
3-Individuals with a sufficient or adequate amount of bone structure that can be reached,
4-Implant can be applied to people who do not have a systemic barrier to Implant construction.

Can the IMPLANT be applied at any age?

In order for an individual implant to be applied, the individual’s bone development needs to be completed. Girls also complete bone development at about 18 years of age at 16-17 boys. Therefore, the implant can not be applied before this age, after this age can be applied. There is no upper limit. Adults can be applied at any age.

What is an emergency implant application?

Immediately after the extraction process of a tooth that needs to be pulled, the implant placement process in that session is called the immediate implant application. The greatest advantage that this technique provides to the patient is the shortening of the duration of treatment, as well as the immediate implant application prevents osteoporosis that may occur after shooting. However, there is no rule that immediate implant application can be applied to each individual or after each tooth extraction. A good examination should be done first. There should be no acute infection around the pulled tongue. Bone def attachment should not be found. The immediate implant application is more preferred after single tooth extraction.

Process of Implant treatment

dental losses of individuals depend on many causes. Gum disease, trauma, delayed treatment, or malpractice is the beginning of these. In patients who have had tooth extraction as treatment, the pull gap over time disrupts the patient’s existing closing and chewing function. Therefore, these cavities need to be treated as functional and aesthetic. There are several treatment options available for this. Today, the most popular treatment option is the Implant, which is made of tissue-compatible titanium metal materials are used. There are stages of applying this treatment.

First of all, the patient’s medical history should be examined very well and wound healing should be evaluated. In individuals with Normal wound healing process and who are in good general health, clinical examination is then carried out. Clinical examination is supported by a panoramic X-ray taken from the patient or, if necessary, computed tomography. In these X-rays, whether the width and length of the patient’s bone is suitable for implant application, anatomical formations are evaluated. At this stage, after approval is given, the implant application is carried out under appropriate anesthesia. In order for Implant application to be performed, bone development in individuals needs to be completed. For this, boys must be 18 and girls 16-17 years of age. The biggest advantage of Implant treatment compared to other prosthetic treatments is that while the implant is placed in the cavity formed by tooth extraction, other adjacent teeth do not need to be cut and reduced. Thus, the health of the other adjacent teeth is not to be played. In addition, the waiting process varies according to the brand of implant used. After placing the brandimplants we use, it is necessary to wait 6 weeks in the lower jaw and 6-8 weeks in the upper jaw for the implant to boil into the jawbone. In some cases, as soon as the implants are placed, the superstructure is done. However, some measurements need to be made in order to do this. After the implants have been placed and waited long enough, healing heads are inserted to open the implants to the oral environment. After 1 Week, the prosthetic stage is passed.

In order to achieve successful implant treatment, the correct diagnosis and diagnosis should be made first and foremost, the correct planning should be made and then successful prosthetic treatment should be made.

What is the Implant success rate?

In patients who are in good general health, have proper healing potential and pay attention to oral hygiene, the success rate varies between 90-100% when appropriate diagnosis and treatment is applied.

What are the stages of Implant treatment?

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< li>examination: clinical and systemic examination is performed. The patient’s medical history is examined. If the Implant is suitable for treatment is examined.< / li>
< li>implants are placed with surgical intervention.< / li>
< li>recovery stage: it is necessary to wait 3 months in the lower jaw and 3-6 months in the upper jaw for the implant to fuse with the bone (osseointegration)< / li>

  • the implant is combined with the oral environment, the mucous membrane on the implant is opened and the healing head is attached. Wait 7 days for gum healing.< / li>
    < li>aesthetic porcelain or zirconium superstructure is placed.< / li>
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What is the advantage of Implant application over other treatments?

Implant-assisted restoration is completely independent of neighboring teeth. Thus, adjacent teeth remain in their natural state,cut and shrink need not be. It is more functional and aesthetic than other restorations.

When is Implant therapy recommended in these individuals?

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  • in the lower and upper jaws without teeth: if movement has started due to osteoporosis and retention has decreased, implant-supported dentures are recommended < / li>
  • in case of loss of large molars, if the posterior region ends without teeth and if the patient does not want to use the dentures inserted and removed, a fixed porcelain bridge can be made by inserting implants.< / li>
    in order to protect the front and back teeth in case of single tooth deficiencies: the wisdom tooth is missing, an implant is placed in the bone and then placed in the upper porcelain structure.< / li>
    < li>implants are placed in long toothless cavities as a bridge pillar and then the bridge is made.< / li>
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What are the conditions where Implant application is not appropriate?

If the bone structure in the jaw is not suitable and there is a risk of damage to the anatomical formations (nerve, sinus), the implant is not placed.The implant should not be applied in patients with heart disease without consultation with their doctor.

In patients with bleeding –clotting problems, the implant should not be inserted without taking precautions and without fixing the problem.

The implant should not be placed in patients with under control diabetes (sugar) without regulating the sugar ratio or interviewing their doctor.

If the patient’s socio-economic status is not in a position to tolerate the treatment, the implant should not be applied

Implant patients will not be able to provide oral hygiene should not be applied

Considerations in implant treatment

recently, with the advancement of technology and more scientific work to be done, there has been a significant increase in the variety of implant brands. As a result of this increase, discussions about which brand to use have emerged.

Each implant manufacturer, while praising its own product, tries to reveal different aspects of each other. It is important to choose the surgeon who will perform the implant application. The patient’s economic status and personal medical history are also important in this selection. Patients should see the environment in which they will have implant application and talk to the physician who will do it and get information. Since the Implant application is a surgical procedure, it should be applied in a sterile operating room environment and the physician who will perform the implant application should be preferred to be an expert in this regard.

The doctor should give information about the implant brand to the patient to whom the implant will be applied. Preferably, companies with a lifetime guarantee and at least 10 to 15 years of history should be preferred and patients should be given warranty certificate after the application.

Patients are often unable to know the properties of the implants, which are manufactured at a wide range of prices, so they should tell their physicians that they want to know about the implant brand in particular, and if necessary, they should examine the name of the implant brand on the internet.

Implant application has become very common with the increasing number of implant brands. Therefore, the complication rate has also increased. Our patients need to be careful. Primarily are required to provide.;
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    < li>the specialty of the Implant practitioner< / li>
    whether the Implant is sterile or not.< / li>
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    After paying attention to all these, the treatment planning of the physician is implemented. It is important that the patient’s treatment in the most ideal way is carried out in the appropriate conditions with the appropriate material. The prosthetic stage of the superstructure after the Implant application is also important. This stage should be preferred by the prosthetic specialist.

In what circumstances cannot implant immediately after tooth extraction?

In individuals with gum disease
In individuals with poor healing capacity(uncontrolled diabetes, continuous steroid use, alcoholism, drug addiction, cases where the immune system is suppressed), no immediate application can be made.
if the patient’s healing process is slowing down and there is infection in that area, these problems should be treated with priority and 8-16 weeks of tooth extraction socket recovery is expected and then implant should be applied.In general, patients who want to have implants want to shorten the treatment time. But whether this is possible should be decided as a result of a good examination of the area. The immediate implant application has become more current today as a result of the development of the implant surfaces. However, the correct diagnosis and treatment options should also be evaluated.

Sinus Lifting

inside the left and right sections of the maxilla (maxilla) are surrounding cavities called sinuses. The main task of these cavities is to reduce the weight of the skull bones,causing phonation.Sinusitis is also called sinusitis.. These cavities can expand volumetric with the effect of air pressure, especially after tooth extraction. This untreated for a long time and toothless in lagging regions are more likely to volumetric expansion and a decrease in bone volume. This can prevent implant to the toothless areas under the sinus.The increase in volumetric leads to a decrease in bone volume in the upper jaws.In order to overcome this difficulty, the technique of filling the sinus cavities with materials that turn into bone or bone, or other names, sinus lifting operations have been developed. In order to obtain the bone volume needed for implantation, a special surgical intervention to reduce the volume of the sinuses and increase the bone volume should be applied. Bone particles are placed between the jaw bone and the sinus mucosa and bone formation is expected for at least 4-6 six months with this operation, which can be performed under local or general anesthesia according to the patient’s wishes.

Augmentation

in cases of advanced bone deficiency, especially in the anterior region of the upper jaw or posterior region of the lower cene, functional and aesthetically appropriate placement of the dentalimplants is often a problem. One of the methods applied to solve the problem is the ogmentation of the region with autogenous(individual’s own bone)onlaygrefts. For this purpose, autogenous bone grafts obtained mostly from the posterior region of the lower cene are placed in areas where the bone is insufficient and fixed with osteosynthesis screws. The purpose of the surgical method is to make bone defects ready for implantcerrahisine afterogmentation.With this method,the existing insufficient bone volume is sufficient for implantation, and the appropriate size and diameter can be implantable.

Inadequate alveolarcrets may require bone grafting to obtain the appropriate bone volume before implant placement. This procedure is important for placing the implant in the appropriate position and also for achieving its aesthetic in restoration. In the treatment of advanced bone defects, block grafts from the Ramus or symphysis region are often used.

Implant treatment is closely related to the presence of adequate bone amount and the relationship between Jaws. In cases where the width and/or height of the alveolar bone is not sufficient for implant placement, techniques such as autogenous bone grafts, alloplastic materials, distractionosteogenesis are used.

The amount and location of bone loss are among the factors that are effective in the selection of ogmentation technique. Failure to place the implant in the correct position leads to undesirable situations in the crown exit profil3. The relationship between Jaws should be evaluated in transverse, sagittal and frontal planes during the clinical evaluation phase

In cases where the width of the alveolar bone is insufficient or the contours are not at the desired level, different treatment methods can be used. Small bone defects into two (splitting) or guided tissue regeneration (YDR), while preparation are treated with fat or stenographers; large defects, tibia, scapula, from out of the mouth like kalvarya, or ramus, we simf, tuber obtained from techniques such as inlay and the inside of the mouth are treated with success with onlygreatcum .The symphysis and ramus regions are considered the primary donor regions in the reconstruction of modern-day defects.

Grafting method (PRF application)

platelet-rich Fibrin (PRF)
Platelet-rich fibrin (PRF™) is an autogenous Matrix derived from platelets in the patient’s blood. The simplified procedure applied at the head of the patient enables fibrin membrane production, which stimulates bone and soft tissue growth. It is rich in leukocytes and vascularendothelial growth factor (VEGF).

The main characteristic of this otologbio-material is the slow release of the growth factor through PRF over a period of more than seven days. From a clinical point of view, the membrane exhibits excellent working properties. It is flexible, strong and bendable, making it easy to use, cut and sew. The PRF is also extremely stable at room temperature, so its running time can be quite long. The membrane is easily manufactured (PRF™ “box”) and is very similar to a natural, post-surgical fibrin network. This membrane of biological and bio-mimetic properties, will not only increase the effectiveness of cell migration and proliferation, but also eliminates the need for biochemical additives or the use of anticoagulants.

The membrane is easily prepared at the head of the patient. Basically, after a certain amount of patient blood has been centrifuged and injected, the membrane is prepared with a protocol that consists of cutting the membrane at the appropriate size so that its thickness is constant.

Indications

Sinus lifts
Tissue grafts
Bone grafts
Periodontal defects
Extraction zones
Wound healing

It is obtained from the patient’s own blood

Fibrince rich
PRF ™ membrane supports angiogenesis and stimulates tissue growth
Accelerates recovery during particularly critical first seven days
Membranes are prepared at the beginning of the patient
Contains biological accelerators not found in PRGF or PRP
Excellent working features (easy cutting, handling and sewing)
Long running time
Fibrin network very similar to natural fibrin network

All known applications of PRF™, accelerated texture
it points to his recovery.
This accelerated tissue healing is one of the following factors:
originates from:

Effective neo-vascularization
Accelerated wound closure
Rapid reconstruction of injured tissue
Almost none of infectious events