Implants are the best choice to restore a missing tooth or multible missing teeth without having to “damage” the adjacent teeth or using a removable appliance.
A dental implant is composed of three parts.
1) The implant screw that is inserted in the bone and serves as a root.
2) The abutment that is attached to the implant
3) The prosthesis or tooth restoration
The procedure is very simple and is separated in to two stages: the surgical and the prosthetic.
Stage 1: Surgical
It is done in a dental clinic under local anesthesia where the dentist will perform a small surgery to put the implant-screw into the bone. This will take no more than one to two hours depending on the number of implants to be inserted. The patient is covered with antibiotics two hours before and for one week after the surgery. One can have little to no swelling and sometimes a small bruising can occur. For the first 24 hours antiflammatory/pain relief medication is reccomended. Local chlorexidine gel and mouthwash is adviced until the sutures are removed ten to fifteen days later.
Stage 2: Prosthetic Rehabilitation
Ten to twelve weeks later implants are osseointegraded to the bone and the dentist can proceed to the prosthetic part to restore the area with a tooth or a bridge.
Nowadays this procedure is an everyday practice for the trained dentist that entails no risk or danger.
Immediate Loading or Teeth in a Day
In some cases where we have ideal conditions (excellent primary stability of the implant) the dentist can proceed to immediate loading. That means proceed with the prosthetic part immediately after the surgery. The impression of the implants’ position is taken on the day of the surgery and the next day the lab will have ready a transitional prosthetic work until the gums are completely healed and implants are fully intergrated to the bone in order to put the final restoration.