Impeccable implantation since 1988 in the private clinic “Dudko and Sons”
Implantation is a widespread technique of modern dentistry. Implantation includes implantation of metal posts into the gums for fixing orthopedic structures. The performed manipulations prevent the occurrence of disorders of the masticatory and vocal apparatus and restore the integrity of the row of teeth, the anatomical position of the jaw system. Today, it is possible to carry out a classic staged and immediate implantation of teeth in the Clinic immediately after the root extraction, to make a prosthesis and a permanent dental crown in a short time.
Dental Center has 30 years of experience in dental implantation in Minsk. Today it provides prosthetics services after the extraction of one or several roots, solves the problem of complete edentia of both jaws. New techniques, the use of different methods, types of implants, the professional competence of doctors have allowed the clinic to become one of the best in the city. During this time, dental surgeons have performed 60,000 surgeries, have implanted into the bone 5,000 posts for crowns to the anesthetized patients, and have mounted about 11,000 dental prostheses.
Proof of successful activity is a portfolio with the works performed, and numerous reviews of grateful clients. The team approach, the personal responsibility of each specialist guarantees the flawless operation of dental products for up to 20 years. The term is determined by the hygienic care of the oral cavity, health condition, and the location in the row. Compared to molar teeth, incisor teeth are less exposed to stress and last longer.
Diagnostic, sterilization and medical equipment from Israel, Japan, Switzerland guarantees high-quality surgical operations of any complexity, implantation of teeth “on a turnkey basis”.
- Cabinets are equipped with American A-dec systems with a multi-functional toolbar.
- The VarioSurg3 ultrasound apparatus for the preparation of jugal arches facilitates the exquisite work of dentists.
- Panoramic X-ray Orthophos XG 3 takes detailed pictures of the jaws, displays images on the monitor.
- Specialists with 10 years of experience make dental crowns and prostheses in the CAD / CAM dental laboratory of the Clinic.
Prices for implantation attract patients from the countries of the CIS, the Baltic States, Poland. Compared to clinics in Moscow and St. Petersburg, the cost of services is 1.5 to 2 times less.
The clinic is open from 9:00 AM to 9:00 PM on weekdays. The clinic is open until 6.00 PM on Saturday. A doctor is on duty on Sunday until 4.00 PM. You can make an appointment with a doctor online, request a callback, call the numbers: +375 17 334-91-65, +375 44 545-09-10.
The cost of services depends on the quality of the alloy of a post, a chosen method, and additional manipulations: the installation of a healing abutment, the type, and class of construction, the price of the crown facing, and doctor’s experience level. Prices for diagnostic measures, full mouth debridement, treatment, sinus-lift, bone grafting are estimated individually. How much does dental implantation cost the doctor says after the examination.
The technology of replacing missing teeth is not cheap. Along with elite products, manufacturers offer affordable analogs. At the primary consultation a surgeon:
- informs patients on the clinical settings;
- Informs patients on the advantages and features of implants of specific brands;
- offers alternative solutions from “premium”, “business”, “economy” categories;
- chooses the optimal solution.
Types of dental implantation
Prosthetic dentistry involves the implantation of a metal post with a screw thread into the place of an extracted root. Conical posts that follow the anatomical shape of incisors and molars and minimally traumatize gums are of top priority. An intermediate part – abutment –a rod of a supra-gingival part is used to connect and hold a crown. The latter are made to order in a dental laboratory from metal or zirconium. Factory-supplied crowns can be used also. The more durable the material is, the higher the cost of products is.
If a bone is thinned and an alveolar process is of small size (less than 5 mm), subperiosteal implants are used for dental implants. They are made in the form of a figured metal construction with protruding supports. They are fixed under the gum to the side jaw, and not through the alveolus of an extracted root. The protruding parts firmly hold removable and fixed prostheses. They do not cause problems when chewing food, retain the natural articulation.
Endodontally stabilized implants
These systems are the most popular among the patients of the Clinic. The integrity of the gums and bone tissue during installation contributes to the rapid healing after dental implantation. Prosthetic dentistry is obligatory if you need to strengthen a root, to preserve the functionality of the unit. The procedure is carried out through a lost or partially preserved root apex. The surgeon implants a screw into the root through the canal of a remote nerve. Crowns or a bridge is fixed to the supports projecting over the gum.
In case of replacement of teeth of a toothless upper jaw, a mushroom-shaped orthopedic system with an extended platform is used to fix the prosthesis in case of complete atrophy of an alveolar process. At first the doctor:
- makes a complete removable prosthesis;
- installs an implant in the base, distributing the artificial teeth along the alveolar crest and palatal vault;
- prepares a pit in a structure.
The procedure for installing implants: using selective anesthesia, the surgeon fastens the implant to the mucosa in the area of distal cusps on both sides, on the frenulum of the upper lip. A month later, the stitches are removed, the prosthesis is removed and partially removed in the palatine, and the implant is polished and fixed.
Constructions of a length of 60 mm, manufactured according to Nobel Zygoma technology, are used in several cases:
- dystrophic pathologies of the upper jaw bone;
- full or partial edentia;
- atrophy of hard tissue, caused by the absence of teeth or when wearing prostheses;
- mechanical damages.
The peculiarity of the method is the fixing of the trans-jugal system. First, it is carried out through a jaw; then it is fixed to a jugal bone. Thanks to the method you can avoid sinus lift.
Methods of implantation
In single-stage prosthetics, two technologies are in operation: low-trauma, saturation-free, with a periosteum incision along the crest of an alveolar process, with immediate loading. In modern dentistry, single-phase implant placement is more often used in case of atrophy since the classical two-stage method is possible only after bone grafting. For single-stage prosthetics, all-on-4, all-on-6 teeth are used:
- in the first case – 2 screws are screwed in the front and 2 screws are screwed on the sides;
- in the second case – 2 screws are screwed in the frontal zone, 4 screws are screwed on the sides.
Basal complex method is effective in the case of atrophy, periodontal disease, periodontosis. The number of posts is increased to 8–12 per row. The surgeon models the place for fixing using 3D-technologies, selects screws of a different shape with one-piece abutments, sets at an angle in case of an acute shortage of tissues. They hold prostheses better, make the jaw work. Implantation of prostheses and crowns is performed on the 3rd day.
Two-stage with delayed load implantation
This method is considered to be classical and more aesthetic. It is used to restore the row of teeth in a smile zone. The process is divided into 2 stages: the installation of a rod, the crown is inserted after the rod has been adapted. For the two-stage method, split rods are used: at first, the endoosseous part is inserted, then goes the healing abutment. You can find details on the methods of prosthetic dentistry in the video.
Sometimes 1 visit is enough to implant a post and a temporary crown to the place of an extracted root! This is real if there is no pulpitis, cysts, granulomas, and oral hygiene is satisfactory. Otherwise, the doctor uses a standard protocol of corrective procedures, and the process lasts longer. The essence of the procedure is to implant a rod into an alveolus immediately after extraction. Later the patient changes the temporary crown to a permanent one and forgets about the problem. The advantage of the method is the formation of a smooth gingival margin without a special cuff.
Why does one need osseointegration
If the bottom of the Highmore’s sinus is lowered, bone degeneration, periodontosis are diagnosed, the surgeon forms a base for a root through an incision, placing an artificial membrane patch. The resorbable flap is resorbed after a while; a nonresorbable flap with titanium reinforcement is eternal. The doctor himself decides which membrane the patient needs. Over time, plastic reconstruction forms a strong framework for an artificial root.
Stages of implantation
The duration of the procedure is determined by the following parameters: the initial state of the oral cavity, tissue density, regeneration rate, immune function, and comorbidities. Therefore, in some cases, teeth replacement lasts for a year, few days are enough for others. The classical protocol of implantology consists of 4 cycles.
The diagnostic stage takes 40 minutes.
During one visit the doctor:
- visually assesses the condition of the mucous membrane, and jaw;
- takes panoramic pictures;
- determines the bone thickness of the alveolar region at the installation site;
- determines the treatment regimen.
The preparatory cycle lasts 2-7 days
To exclude contraindications, the patient is sent to CT, analyzes. Along with that, the specialist:
- performs modeling;
- carries out professional cleaning;
- sanitizes the cavity.
The surgical process of implantation lasts 3-18 months.
It includes preparation, osseointegration, healing, gum formation, implantation of an abutment. When the volume of tissue is less than 7mm, the surgeon thickens a bone. Open sinus – lifting takes 15 minutes. The manipulation is carried out through the hole in the gum, where an artificial root is later implanted. When conducting a closed method, it is implanted immediately into an alveolus. The implantation takes 20 minutes.
Despite long-term healing, the closed method is considered to be of priority because the doctor assesses the risks. Implantation of an abutment and a crown of metal-ceramic, zirconium, metal-free ceramics takes about 3-6 months. The implant success rate is 95-97%. To make a smooth contour, a healing abutment is implanted. The orthopedic stage takes 7-10 days. The doctor takes impressions, orders prosthesis in the laboratory, and fixes them on tips.
Indications and contraindications for dental implantation
The operation is considered worthwhile even if one unit is missing in the mouth; if, after examination and history taking, the patient has no contraindications. If there are absolute contraindications to surgery, the doctor chooses a different type of prosthetics. Indications for Implantation:
- single, included defects, free-end saddles;
- partial and total toothlessness;
- inability to wear a removable prosthesis;
- increased enamel attrition.
- blood-clotting disorder;
- oncology, HIV, venereal diseases, tuberculosis;
- autoimmune diseases – scleroderma, rheumatoid arthritis;
- bone abnormalities – osteoporosis;
- endocrine diseases;
- intolerance to anesthetics;
- severe cardiovascular diseases;
- administration of antidepressants, anticoagulants, cytostatics;
- psychological disorder;
- inanition of the body (cachexia).
Local restrictions: a small distance between the Highmore’s sinus and the lower jaw, deficiency, and looseness of bone tissue. Temporary contraindications include rehabilitation after a serious illness, acute infections, pregnancy, alcoholism, drug addiction.
In the case of metabolic diseases, hormonal disorders, implant failures occur. In the case of type 1 diabetes, there are problems with bone formation. Local and temporary restrictions are subject to corrective treatment, which removes the limitations to the operation.
Information on the types and forms of structures proves that surgical correction can return a radiant smile, even in case of total edentia. The cooperation of the clinic specialists with professorial staffs of the departments of surgical dentistry of universities in Belarus allows finding a way out in the most difficult situations. The guarantor of the quality of work is the long-term practice of doctors.
Why one should install implants?
According to world medical statistics, only 20% of people have healthy teeth. Many people visit a specialist at the last moment when it is too late to cure. Let us suppose that the patient does not have one unit, and he wants to install a bridge. The doctor is forced to grind adjacent teeth to fasten the holding structure on them. When restoring one unit, a person is at risk of losing two. It is more eco-friendly to screw a titanium screw into an alveolar socket, replacing the root and install a crown, keeping the rest tooth healthy. The price of an implant is higher, but everyone decides that it is more valuable for him.
Why one should not postpone implantation?
Many people are convinced that the loss of an incisor or a premolar is just an aesthetic problem but this is a delusion. The gaps in rows of teeth do not allow chop food, which negatively affects the decomposition and digestion. Over time, it results in gastrointestinal diseases. Do not forget about the aesthetics of the face. Even in case of partial toothlessness of both jaws:
- a dental arch becomes shorter;
- lips and cheeks sink in;
- the corners of the mouth go down;
- gravitational ptosis progresses.
If there are not enough incisors on the upper jaw, sank lip impairs the facial asymmetry. Gaps in a smile zone affect diction and articulation. This leads to the unwillingness of a person to communicate, develops a lack of confidence. A load-free jaw atrophies, and the periodontal ligaments that perform the supporting function change shape. This is due to the following:
- Cell malnutrition. As a result, the cartilage layer stratifies, the bone becomes thinner, and the gum falls.
- Inflammatory diseases – periodontosis, cysts, granulomas.
- Jaw injuries, age-related changes.
With the loss of two units, the degenerative processes are progressing rapidly. Reduction in the size of an alveolar maxillary process leads to the structural loosening of tissues and the displacement of the remaining units.
Advantages of implant
The technology produces excellent aesthetic results with partial and complete loss of teeth.
- When using expensive materials, the crown cannot be distinguished from real enamel.
- Before installing an implant, the doctor does not need to grind other teeth and remove nerves.
- Prosthetics replaces defects, distributes the load, makes the following functional subsystems work: periodontium, jaws, masticatory muscles, joints.
- Compared with a conventional prosthesis, a removable post prosthesis is smaller in size and lighter in weight. This reduces the period of habituation to the orthopedic system.
- The method restores articulation, diction, solves the problem of facial asymmetry, and makes the smile perfect.
The disadvantages include individual contraindications, the high cost of implantation.
The Center works with the following materials
The Clinic uses certified materials of the new BTI generation with excellent aesthetic characteristics for implantation of the jaw teeth. In the work, we use Belarusian alloys made of titanium, zirconium, that are biocompatible with tissues, and analogs from Israel, Sweden, and Korea, which take root from the first time in 96% of cases.
For the best implantation of the teeth, the surgeon and the dental prosthetist chose the type of an implant depending on the bone thickness, the jaw structure, the structure of the tissue, the location of the adjacent teeth, the sequence number in the row.
- Israeli company manufactures ADIN structures, taking into account the latest achievements in the field of osseointegration of biomechanics.
- Korea supplies MegaGen with a titanium rod. A distinctive feature is the Xpeed surface with a nanostructured calcium coating for fast adhesion with a bone.
- 3. The Swiss brand produces Nobel Biocare products of impeccable quality, which have been used in the world for 40 years. They are ideal for special clinical cases as immediate prosthetics.
Qualified experienced doctors work at the Clinic. One of them is Pazhlakov Pavel Anatolyevich, a first-category physician. In 2004 he graduated from the medical university. He works with post structures, endodontic treatment, splinting.
Loyko Artyom Vasilyevich is a leading implant surgeon. He graduated from Vitebsk University in 2009. He is a prize-winner of the 2017 city competition in orthopedic dentistry. He took the 3rd place in the Republican skill competition.