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CURIOUS QUESTIONS ABOUT THE IMPLANT
You need to have an implant, but you have some question marks in your head? If you’re worried about ‘what if your treatment fails’, so there is no need to panic.
Turkey Medicals – Turkey dental implants are very popular today. In order for you to know at least as much as a student of the faculty of dentistry, we answered different questions from the questions circulating on the Internet:
In patients with partial toothlessness, what are the advantages of regulating toothlessness with implants?
It eliminates the need to use natural teeth as a bridge foot.
Eliminates the need for a movable prosthesis in free finite cases.
It best imitates natural teeth.
Hygiene is provided much better.
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IT IS MORE ECONOMICAL
What are the implant prosthesis options for completely toothless patients?
Implant-tissue supported prostheses: The prosthesis used is movable. The purpose of these implants is to provide support and retention to the prosthesis. It is more economical than other options.
Fully implant-supported prostheses: The prosthesis used is movable. It is used in patients for whom further stabilization and retention is required. In this system, the minimum tissue pressure, better transportation for hygiene and better output of sounds in the upper jaw are ensured.
Fixed prostheses with implant support: The prosthesis used is fixed. It can be made in two types as metal-porcelain prosthesis and hybrid prosthesis.
In cases where bone resorption is minimal, metal-porcelain prostheses are preferred, which are more aesthetic.
Hybrid prostheses are preferred in patients with moderate bone resorption, when it is necessary to compensate for the lost bone and soft tissue.
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AT LEAST FOUR IMPLANTS ARE PLACED
Implant-how many implants should be placed at least for tissue-assisted prosthesis construction?
It may be sufficient to put two implants between the mental foramen in the lower dec, in the symphysis area.
Depending on the sufficient amount of bone in the upper jaw, at least four implants should be placed in the area of the canine and small molars.
How many implants should be placed in the construction of a fully implant-supported movable prosthesis?
At least four implants are recommended for the lower jaw and at least six for the upper jaw, as the implant will carry the entire load.
How many implants should be placed in completely toothless patients for implant-supported fixed prosthesis construction?
It is recommended to place at least six implants in the lower jaw and at least eight implants in the upper jaw.
It is preferable to place the implants so that they are from the canine tooth to the first molar tooth.
What is osseointegration?
When the implant is inserted, there is a microbial between the implant surface and the bone. In two to six months, muscle disappears with the construction of new bone, and the process of boiling the bone and implant takes place.
What is the difference dec an implant and a natural tooth in terms of gums?
In natural teeth, fibers that connect the teeth to the decawbone extend between the cementum of the tooth and the wall of the alveolar socket. The implant is in direct dec with the bone without connective tissue in between. Implants merge with the bone in a way that mimics the fusion of the tooth. The gingival epithelium surrounding the upper structure of the implant adheres to titanium by means of hemidesmosomes, similar to natural teeth. Although the attachment of the junction epithelium to the implant is not mechanically strong, the spread of bacteria to the tissues is prevented with good oral hygiene.
What does the primary stability of the implant mean?
When the implant is inserted, it means that there is no movement in the implant. In the success of the implant boiling, it is of primary importance to ensure primary stability when the implant is inserted and not to disturb the balance of the implant during the healing phase.
How much should the heat generated during the preparation of the area where the implant will be placed be maximum?
Necrosis occurs in the bone when the heat generated in the bone rises above 47 degrees for a minute. In order to prevent bone necrosis, it has been recommended that the maximum temperature that may occur be 40 degrees.
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SERUM SHOULD BE WASHED WITH PHYSIOLOGICAL
What should be considered in the preparation of the implant socket to prevent the formation of heat in the bone?
Use of a micromotor at low speed (800-1500 rpm)
Use of sharp end mills
Abundant internal and external saline physiological washing
Preparation of the implant slot so that the cutter protrudes out of the slot at between.
What is considered when implanting implants in the small molar area of the lower jaw?
In the alveolar nerve, it exits the foramen by moving forward and curving up and back before exiting the mental foramen. In order to avoid damage to the nerve, implants should be installed at least 5 mm below the mental foramen. it should be placed in front of it.
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LONG IMPLANT INCREASES SUCCESS
Is there a gap between the length of the implant and its success?
Yes The length of the implant is 3 mm each. with its increase, the surface area increases by about 20-30 percent. The success rate of using short implants is lower than long implants. For this reason, the longest implant that is compatible with the supporting bone and neighboring anatomical structures should be used.
Is there a relationship dec implant balance and the quality of the bone placed in the implant?
Yes The stability of the implant is higher in areas with a high percentage of shell bone, while the stability of the implant is lower in areas of bone with an excess of a bump layer.
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CONJOINED GUMS CAUSE THE IMPLANT TO FAIL
What are the complications that can be seen in implant treatment?
Loss of the implant without loading yet
Loss of the implant after installation
Loss of sensation on the lower lip due to nerve damage
Complications that occur in soft tissue
Inflammation of the implant and surrounding tissues
Bone loss in the alveolar crest
Fracture of the implant
Technical complications related to the elements of the implant
What are the success criteria for implant treatment?
Immobilization of each implant
Absence of radiolucency around the implant during X-ray examination
The average vertical bone loss after the first year is less than 0.002 mm
Constant pain, discomfort, absence of infection associated with the implant
The localization and inclination of the implant does not interfere with the construction of prostheses
What can be the causes of implant failure?
Excessive heat exposure of the bone during the preparation of the implant seat
Failure to ensure primary stability when the implant is inserted
Presence of bone defects larger than 1-2 mm in the anterior or posterior cortical bone
Insertion of the implant into bone of poor quality without taking into account mechanical loading forces
Incorrect localization and inclination of the implant; osseintegration is good, but it is impossible to restore implants
Absence of conjoined gums around the implant and inflammation in the soft tissue
During the early recovery period, the implant is subjected to excessive chewing loads
Excessive load on the implant after the prosthesis is inserted
Poor oral hygiene
Occurrence of infection.
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Turkey's world-renowned organ transplant specialist. Dr. Demirbaş has 104 international publications and 102 national publications.
Physician's Resume:
Born on August 7, 1963 in Çorum, Prof. Dr. Alper Demirbaş has been continuing his work as the President of MedicalPark Antalya Hospital Organ Transplantation Center since 2008.
Prof. who performed the first tissue incompatible kidney transplant in Turkey, the first blood type incompatible kidney transplant, the first kidney-pancreas transplant program and the first cadaveric donor and live donor liver transplant in Antalya. Dr. As of August 2016, Alper Demirbaş has performed 4900 kidney transplants, 500 liver transplants and 95 pancreas transplants.
In addition to being the chairman of 6 national congresses, he has also been an invited speaker at 12 international and 65 national scientific congresses. Dr. Alper Demirbaş was married and the father of 1 girl and 1 boy.
Awards:
Eczacibasi Medical Award of 2002, Akdeniz University Service Award of 2005, Izder Medical Man of the Year Award of 2006, BÖHAK Medical Man of the Year Award of 2007, Sabah Mediterranean Newspaper Scientist of the Year Award of 2007, ANTIKAD Scientist of the Year Award of 2009, Social Ethics Association Award of 2010, Işık University Medical Man of the Year Award of 2015, VTV Antalya's Brand Value Award of 2015.
Certificates:
Doctor of Medicine Degree Hacettepe University Faculty of Medicine Ankara, General Surgeon Ministry of Health Turkey EKFMG (0-477-343-8), University of Miami School of Medicine Member of Multiple Organ Transplant, ASTS Multiorgan Transplant Scholarship. Lecturer at Kyoto University. Lecturer at University of Essen, Research assistant at the University of Cambridge .
Professional Members:
American Society of Transplant Surgeons, American Transplantation Society Nominated, Middle East and Southern Africa Council Transplantation Society 2007, International Liver Transplantation Association, Turkish Transplantation Association, Turkish Society of Surgery, Turkish Hepatobiliary Surgery Association.
Disclaimer:
Our website contents consist of articles approved by our Web and Medical Editorial Board with the contributions of our physicians. Our contents are prepared only for informational purposes for public benefit. Be sure to consult your doctor for diagnosis and treatment.