Dental Implant: Definition, Types, Cost, and Recovery Duration

A dental implant is a meticulously crafted surgical component composed of titanium strategically placed within the jawbone and delicately nestled beneath the protective layer of gums. The dental implant functions as a synthetic tooth root, offering a secure and robust support system for the placement of prosthetic teeth or dental bridges. Dental implants are available in a range of types, which encompass endosteal implants that are inserted directly into the jawbone, subperiosteal implants that are positioned on the bone surface for patients with reduced bone density, and zygomatic implants that are utilised in cases where the jawbone lacks adequate height.

There are numerous advantages associated with dental implants. Dental prosthetics provide patients with a remarkably realistic appearance and visual sensation, significantly improving speech articulation and optimising the comfort and ease of eating. Dental implants offer enhanced stability and immobility, resulting in heightened self-assurance and superior oral functionality compared to dentures. Dental implants are crucial in maintaining optimal oral health as they effectively preserve adjacent teeth and mitigate the risk of bone resorption, a common consequence of tooth loss.

Dental implants

Dental implants have certain inherent risks. Potential complications associated with dental implants include infection at the implant site, unintentional harm to neighbouring structures, and the possibility of nerve damage. Specific individuals encounter allergic reactions or potential complications, such as implant failure or the necessity for supplementary dental interventions.

The postoperative period following dental implant surgery exhibits variability in duration, contingent upon individualistic factors. The amelioration of initial symptoms transpires within a span of 5 to 7 days, while complete restoration of the affected area necessitates several months of diligent healing. Patients encounter bleeding, bruising, swelling, and mild discomfort as part of the normal recuperative phase, which are anticipated manifestations of the body's intrinsic healing mechanisms. The dental implant cost in Turkey typically spans from 350 euros to 800 euros.

What is a Dental Implant?

A dental implant is a sophisticated and highly effective dental prosthesis that is a viable substitute for a missing natural tooth. The dental implant is meticulously engineered to replicate a genuine tooth root's anatomical structure and physiological capabilities, thereby furnishing a robust and steadfast base for a prosthetic tooth. Dental implants generally comprise three primary elements: implant fixture, abutment, and crown.

The implant fixture is a miniature, helical, commonly composed of biocompatible substances such as titanium or zirconia. The dental implant is strategically positioned within the jawbone using a surgical procedure, facilitating a harmonious fusion with the bone tissue via the intricate process known as osseointegration. Osseointegration is a crucial process that guarantees the integration of the dental implant into the jawbone, resulting in a durable and long-lasting foundation for the prosthetic tooth. The integration is vital as it imparts stability and support to the replacement tooth, ensuring optimal functionality and aesthetic appeal.

The abutment is an intermediary component that establishes a connection between the implant fixture and the crown. The dental structure in question exhibits a prominent projection beyond the gingival margin, thereby providing a stable foundation for the secure attachment of the dental crown. Customised abutments are meticulously designed to achieve an optimal fit and aesthetically pleasing appearance, ensuring the replacement tooth seamlessly blends in with the surrounding dentition while functioning naturally.

The dental crown serves as the visible component of the dental implant, closely mirroring the form, shade, and functionality of a natural tooth. Crowns are customarily crafted from resilient and aesthetically pleasing substances such as porcelain or ceramic, affording a remarkably natural semblance and facilitating the capacity to masticate and articulate easily. The dental crown is securely affixed to the abutment, thereby finalising the comprehensive restoration of the dental implant.

Dental implants present numerous advantages compared to conventional tooth replacement alternatives such as bridges or dentures. They offer remarkable stability, effectively mitigating concerns such as denture slippage or discomfort frequently encountered with removable dentures. Dental implants additionally provide the beneficial effect of jawbone stimulation, thereby promoting the preservation of bone density and mitigating the risk of bone resorption that arises following tooth loss. The particular attribute enhances and supports the maintenance of optimal oral health over an extended period.

Dental implants exhibit exceptional durability and possess the ability to endure for numerous decades when accompanied by appropriate maintenance. The characteristic renders them a financially prudent and enduring resolution for individuals desiring to reinstate their smile and oral functionality after losing a tooth.

What are the materials used in Dental Implant?

Dental implants

The materials used in Dental Implant are listed below.

  • Titanium: Titanium implants possess an exceptional ability to seamlessly integrate with the surrounding bone tissue through the intricate phenomenon recognised as osseointegration.
  • Zirconium: Zirconium, recognised for its exceptional durability and remarkable biocompatibility with human tissues, finds extensive application in the field of dentistry for the fabrication of dental crowns and dental implants.
  • Stainless steel: Stainless steel metals possess remarkable qualities such as high tensile strength and fatigue resistance, which make them exceptionally suitable for crafting implants capable of enduring significant mechanical loads. Such characteristic distinguishes them from ceramics and polymeric materials.
  • Cobalt Chromium Alloy: Co-Cr alloys present remarkable advantages in dental applications, especially in terms of their mechanical properties. These properties encompass a high level of stiffness, as indicated by a high elastic modulus. The attribute enables the creation of more condensed framework dimensions, which is highly beneficial.
  • Tantalum: The exceptional biocompatibility and inert nature of tantalum render it highly suitable for various dental applications, thereby significantly reducing the incidence of allergic reactions and immune system responses.
  • Gold Alloy: Gold alloys exhibit exceptional resistance to corrosion and tarnishing within the oral cavity, thereby significantly enhancing their overall durability and longevity.
  • Ceramic Dental Implants: Ceramic implants are commonly chosen by individuals with allergies, sensitivities, or aesthetic inclinations that prompt them to prefer dental alternatives devoid of metal components.
  • Alumina Dental Implants: One notable advantage of alumina implants is their inherent biocompatibility, rendering them exceptionally suitable for individuals with metal allergies.
  • Carbon Dental Implants: Carbon dental implants are meticulously crafted to provide a durable and enduring solution for restoring teeth while offering the added benefits of being biocompatible and highly corrosion-resistant.
  • Polymer Dental Implants: The purpose of these dental implants is to provide a suitable replacement for missing teeth, offering a durable, lightweight, and non-metallic alternative compared to conventional dental implants.

1. Titanium

Titanium is a robust, lightweight, and corrosion-resistant metallic element noted for its exceptional strength-to-weight ratio. Titanium is a highly versatile material that finds extensive utilisation in diverse industrial sectors, including aerospace engineering, medical implantation, and alloy production. It is primarily due to its exceptional durability and remarkable biocompatibility. It is frequently employed in fabricating various items such as aircraft components, surgical instruments, dental implants, and sports equipment.

Titanium has emerged as an exceedingly preferred material for dental implants owing to its numerous inherent advantages. The exceptional biocompatibility of such material renders it highly suitable for surgical implantation within the oral cavity, as it is exceptionally well-tolerated by the human body. Titanium implants exhibit a remarkable propensity to seamlessly integrate with the adjacent bone tissue via the intricate process known as osseointegration. Such a phenomenon facilitates establishing a robust and enduring dental crown or bridge support system.

Titanium possesses remarkable strength and exhibits exceptional resistance to corrosion. These properties play a crucial role in ensuring the longevity and durability of dental implants, enabling them to withstand the rigorous conditions within the oral cavity. The implant procedure is further enhanced by the lightweight nature of the materials used, which greatly contributes to optimal patient comfort both during and after the treatment. The various qualities inherent to titanium render it a highly convenient and dependable option for dental implants, guaranteeing patients the opportunity to experience the restoration of oral function and aesthetics over an extended period.

An orthopaedic surgeon produced a seminal discovery in medical study when the surgeon discovered the extraordinary qualities favourable to effective bone fusion in 1952. The coincidental discovery occurred during an experiment with a titanium cylinder that unexpectedly bonded with a rabbit's femur bone. Dr Branemark began pioneering work after recognising the potential uses of such phenomenon beyond orthopaedics, particularly dental implants. The first titanium dental implant was surgically implanted in a human volunteer, marking a historic milestone in 1965. The trailblazing achievement sparked a rapid advancement in tooth replacement techniques, ushering in a new era of dental implantology that continues to help countless people worldwide.

Titanium dental implants present many advantageous attributes alongside a few accompanying drawbacks. Titanium is known for its remarkable biocompatibility, signifying its ability to be harmoniously integrated within the human body with minimal incidence of allergic reactions or rejection. Titanium has a remarkable capacity to seamlessly integrate with the adjacent bone, a phenomenon commonly called osseointegration. Such a remarkable process guarantees a steadfast and long-lasting support system for dental prosthetics. It leads to the creation of dental implants that possess exceptional strength and remarkable durability and exhibit a level of functionality akin to that of natural dentition.

Titanium has its disadvantages. The surgical procedure for implant placement is considered invasive and necessitates an adequate amount of bone volume to ensure successful integration. Titanium dental implants are associated with a relatively higher cost, and the overall procedure typically spans several months, encompassing the stages of healing and prosthetic attachment. The advantages of titanium dental implants surpass any potential disadvantages. These benefits include enhanced masticatory function, restored aesthetic appearance, and improved oral health.

Titanium implants cost £695 to £850 in most clinics in Turkey. The cost of titanium dental implants in the UK varies significantly depending on several factors, including the number of implants needed, the dental clinic's location, the procedure's complexity, and any additional treatments required.

2. Zirconium

Zirconium has the chemical symbol "Zr" and atomic number 40. It is a lustrous, greyish-white metal utilised in various industrial applications. Zirconium's high melting point, resistance to corrosion, and biocompatibility make it useful in aerospace engineering, nuclear reactors, and the medical industry. zirconium is utilised in dentistry for dental crowns and dental implants because of its durability and biocompatibility with human tissues. It is frequently used as a titanium substitute for dental implants due to its superior strength and aesthetics.

Zirconium is a convenient choice for dental implants due to its unique combination of biocompatibility, strength, durability, and aesthetic appeal. Its biocompatibility ensures that it is well-tolerated by the body, reducing the risk of allergic reactions or adverse tissue responses. Zirconium dental implants are robust and capable of withstanding the rigours of everyday biting and chewing forces, offering long-term durability. Their natural tooth-like colour and transparency make them visually appealing and blend seamlessly with natural teeth. Zirconium's resistance to corrosion and low heat conductivity contribute to implant stability and patient comfort. Zirconium dental implants provide an excellent solution for individuals seeking reliable, aesthetically pleasing, and long-lasting tooth replacement options.

Zirconia dental implants offer several advantages, making them a compelling choice for patients seeking metal-free dentistry and aesthetic appeal. Zirconia is biocompatible, making it suitable for individuals with metal allergies or sensitivities. These implants are known for their aesthetic benefits as they eliminate the risk of dark lines around the gums. Introducing two-piece zirconia implants allows for customised abutments, optimising treatment outcomes. Zirconia's plaque and calculus buildup resistance, especially in one-piece implants, promotes healthier soft tissues. Its strong flexural strength, white colour, low modulus of elasticity, and excellent osseointegration properties make it a desirable option in implant dentistry, often rivalling or surpassing titanium in performance and bone integration.

Zirconia dental implants offer advantages, and they come with certain drawbacks, too. One significant concern is low-temperature degradation as these implants age, potentially compromising their mechanical properties like strength and density. Long-term success data for zirconia implants is limited, leading to uncertainties about their durability. Failures in two-piece zirconia implants are often related to aseptic loosening, and limited research on these implants steers some clinicians toward one-piece alternatives, albeit with reduced abutment angulation options. The placement of zirconia implants demands precise positioning, as suboptimal locations impact the material's properties. Single-piece zirconia implants require a load-free healing period, which is challenging in specific clinical scenarios. Long-term clinical studies are scarce compared to extensively researched titanium implants, given the relatively recent use of zirconia implants, making it essential to consider these factors when choosing between the two materials.

Zirconium, specifically zirconia, began being used for dental implants in the early 2000s. Zirconium oxide, as a material for dental implants, made its debut in 2005 in Europe with the introduction of a fully ceramic implant by the company CeraRoot. It received approval from the FDA for use in the United States in 2011. Zirconia implants have gained growing acceptance and have been increasingly utilised as an alternative to traditional titanium implants in various regions, including Europe, Canada, and the USA. A Zirconia implant with a Zirconia crown usually costs around £3950.

3. Stainless Steel

Stainless steel is an alloy well-known for its resistance to corrosion, discolouration, and rust. Stainless steel is mainly made of iron, with minor amounts of other elements such as chromium, nickel, manganese, and carbon. Including chromium is very important since it generates a protective coating of chromium oxide on the steel's surface, preventing oxidation and increasing durability. Stainless steel is widely utilised in various industries, including construction, automotive, manufacturing, and kitchenware, because of its strength, adaptability, and resistance to environmental deterioration.

Stainless steel dental implants present advantages and disadvantages in their application. Stainless steel exhibits commendable attributes such as robustness and longevity, rendering it an optimal selection for dental implants that necessitate enduring the demanding demands of daily functionality. Dental implants offer enhanced accessibility to a broader spectrum of patients in addition to their cost-effectiveness. Stainless steel implants do not exhibit the same level of biocompatibility as alternative materials such as titanium. Such a disparity in biocompatibility gives rise to allergic reactions or sensitivities in specific individuals.

The metallic hue of silver fillings has a different aesthetic appeal than the tooth-coloured alternatives. Stainless steel implants exhibit a comparatively elevated modulus of elasticity. They do not offer equivalent shock absorption compared to materials with lower moduli. The selection between stainless steel and alternative implant materials depends on the patient's unique requirements, financial constraints, and biocompatibility considerations.

Stainless steel was used in dental surgery in the year 1939. The Strock brothers, based in Boston, played a pivotal role by utilising Vitallium screws, which remarkably endured for 17 years. Such a groundbreaking method was pioneered by Alvin E. Strock (1911-1996) and Moses Strock, affiliated with the Surgical Laboratory of Harvard Medical School, in 1943.

The remarkable properties of high tensile strength and fatigue resistance exhibited by Stainless steel metals make them ideal for designing implants capable of withstanding substantial mechanical loads, a feature that sets them apart from ceramics and polymeric materials. Metals possess superior ultimate tensile strength and elastic modulus, although they exhibit lower strains at the point of failure than polymers.

4. Cobalt Chromium Alloy

The cobalt-chromium alloy is a metallic substance with great strength, predominantly consisting of cobalt and chromium, supplemented by trace elements such as molybdenum, tungsten, and nickel. The material is noted for its extraordinary mechanical characteristics, encompassing notable attributes such as elevated strength, robustness, and remarkable resistance to both abrasion and corrosion. Cobalt-chromium alloys are widely utilised in many applications, with a notable presence in the medical and dentistry domains, where they are employed to produce orthopaedic implants, dental prostheses, and surgical tools. These alloys are highly regarded for their biocompatibility and capacity to endure the challenging circumstances present in the human body.

Drs. Alvin and Moses Strock pioneered dental implants in the 1930s. They tested Vitallium orthopaedic screw fixtures, a chromium-cobalt alloy. The Strock brothers implanted teeth in humans and canines after seeing doctors install hip implants. Vitallium screws supported tooth replacement and offered stability. Their groundbreaking technique established contemporary dental implantology and stressed the need for biocompatible metals. The Strock brothers placed one of the first successful endosteal implants implanted in the bone, advancing dental implant science.

Cobalt-Chromium Alloy is convenient for dental implants due to their advantageous biocompatible properties. Their exceptional corrosion resistance is pivotal in mitigating complications related to adjacent tissues. The chemical inertness of Co–Cr alloys significantly contributes to minimising issues such as irritation, allergic responses, and general immune system reactivity, further enhancing their suitability for dental use.

Co-Cr alloys offer notable advantages in dental applications, particularly in their mechanical properties, including high stiffness (characterised by a high elastic modulus), allowing for more compact framework dimensions. These alloys facilitate adequate bond strength between porcelain and the alloy and exhibit corrosion resistance.

Several disadvantages are associated with Co-Cr alloys, including heightened susceptibility to corrosion in acidic environments, extended chairside time for finishing and polishing due to their hardness, and challenges related to the casting process. More information must be given regarding the long-term durability of Co-Cr alloys in fixed prosthodontics. Concerns about the biocompatibility of Co-Cr alloys have been raised. There is a risk of dental technicians inhaling grinding dust during adjustments and polishing procedures, which is a safety concern.

5. Tantalum

Tantalum is a chemical element with the symbol Ta and atomic number 73. It is a rare and lustrous transition metal that belongs to the refractory metals group. Tantalum is known for its exceptional corrosion resistance, high melting point, and excellent conductivity of heat and electricity. It is often used in various technological and industrial applications, including producing electronic components, capacitors, surgical instruments, and aerospace materials. Tantalum is used in the medical field for making implants due to its biocompatibility and resistance to corrosion within the human body.

It was only recently that Tantalum has been applied to dental implants, although Porous Tantalum Trabecular Metal (PTTM) technology has had great success in the orthopaedic field for almost two decades. Introducing porous tantalum metal has created more substantial biocompatible orthopaedic, craniofacial, and dental implants. The innovative material has enhanced the performance and compatibility of implants in various medical applications.

Tantalum dental implants have many advantages that make them a popular implant choice. Their biocompatibility and inertness make them ideal for dental applications, decreasing allergy reactions and immune system responses. Acid corrosion-resistant tantalum lasts longer in the mouth. Solid and robust mechanical characteristics make dental restorations durable. The downsides must be considered. Rigid tantalum implants are harder to make and manipulate. Long-term clinical data on their lifespan and performance is scarce compared to typical dental implant materials. However, tantalum's unique qualities make it an attractive dental implant choice.

Tantalum implants are popular in orthopaedics; thus, they're being considered for dental implants. The mouth cavity presents particular challenges due to its complex, potentially unsterile environment and a large range of germs. The mouth cavity is prone to microbial colonisation, unlike orthopaedic sites, and host tissues, saliva, and bacteria interact, making it difficult to predict how porous tantalum trabecular metal (PTTM) implants perform.

Titanium implants are prone to infections due to surface biofilms and impaired immune responses at the implant-tissue contact. Tantalum is biocompatible and corrosion-resistant like titanium, although its interactions with oral fluids, microorganisms, and biofilm formation on the PTTM section are unclear. Peri-implantitis is a concern, and PTTM-enhanced titanium dental implants pose questions regarding how to treat it. More research is needed to understand these interactions and optimise tantalum-enhanced dental implants in the mouth.

6. Gold Alloy

A gold alloy is a substance comprised of gold and one or more other metallic elements. These alloys are formed through the amalgamation of gold with various metals to augment their properties or alter their characteristics. Gold alloys commonly incorporate copper, silver, nickel, and zinc. The resultant alloy shows distinct variations in colour, hardness, or durability compared to its pure gold counterpart. Gold alloys are extensively utilised in fabricating jewellery, dental applications, and various industrial and technological sectors. The precise composition of the alloy exhibits variability, whereby the relative quantities of gold and other metallic elements play a significant role in defining its distinctive characteristics and visual attributes.

Some researchers began experimenting with dental implants made of gold and metals as early as the 18th century. These implants were intended to replace missing teeth. However, these were not very successful at all.

Gold alloy implants have long been used in dentistry and have benefits. Their biocompatibility makes them well-tolerated and less prone to induce allergic reactions or tissue damage. Gold alloys resist corrosion and tarnishing in the oral cavity, prolonging their longevity. Precision-made gold alloy implants fit comfortably and adapt well to surrounding tissues. The downsides must be considered. Gold alloy implants are pricey, making them unaffordable for some patients. Their unusual appearance does not appeal to some, especially compared to tooth-coloured alternatives. Gold alloy implants should be chosen based on therapeutic benefits, patient preferences, and budget.

7. Ceramic Dental Implants

Ceramic dental implants, commonly referred to as zirconia implants, are dental prostheses employed to replace teeth that have been lost. In contrast to conventional titanium dental implants, ceramic implants predominantly consist of zirconia, a high-performance ceramic material. Zirconia is renowned for its biocompatibility, high mechanical strength, and aesthetically pleasing visual characteristics.

Ceramic dental implants have been specifically engineered to replicate natural teeth' functional and cosmetic properties. Dental implants comprise an implant fixture surgically inserted into the jawbone and a ceramic abutment and crown affixed to the fixture above the gumline. Ceramic implants are frequently selected by persons who exhibit allergies, sensitivities, or aesthetic preferences that lead them to favour metal-free dental alternatives. In the field of modern dentistry, there exists a viable solution for tooth replacement that is both lasting and visually appealing.

Ceramic dental implants were first made available to patients in Europe in 1987. Technology and procedures, especially in titanium and dentistry, have enhanced ceramic implants since then. These innovations have substantially improved ceramic implants and increased their oral restoration potential.

Ceramic implants, particularly those made of zirconium, come with many advantages. They boast 100% biocompatibility, ensuring that issues like incompatibilities and allergies are not a concern. These implants offer optimal tissue compatibility, facilitate better gingival attachment, enhance aesthetics, and reduce plaque accumulation, resulting in a lower risk of gingivitis. Another notable benefit is the absence of a gap between the implant and abutment, which minimises the risk of inflammation. These qualities make ceramic implants a highly attractive choice in dental restoration. The usual cost of ceramic dental implants in the UK is £3,500.

Ceramic implants have pros and downsides. One drawback is that bone recovery takes slower than titanium implants, necessitating a period without strain. One-piece ceramic implants cannot be adjusted later, and cemented two-piece implants cannot be changed. One-piece implants are damaged during grinding, and ceramic implants' long-term function and ageing processes are challenging to forecast due to little experience. The long-term stability of two-piece ceramic implants is unknown, and they cost more than titanium implants, which concerns patients.

8. Alumina Dental Implants

Alumina dental implants refer to a specific category of dental implants predominantly composed of alumina ceramic material. These dental implants are utilised to replace teeth that are absent and operate in a manner comparable to conventional titanium dental implants. Alumina, alternatively referred to as aluminium oxide, is recognised in academic literature for its notable attributes, including biocompatibility, high strength, and exceptional corrosion resistance.

Alumina dental implants comprise a surgically inserted implant fixture within the jawbone, accompanied by an alumina abutment and crown affixed to the fixture above the gumline. The alumina implants are a viable option for individuals with allergies or sensitivity to metal components. Alumina dental implants are specifically engineered to offer a resilient and visually appealing remedy for tooth substitution in the context of dental restorative interventions.

Ceramic implants made from alumina were initially introduced in the dental field during the 1960s and 1970s. However, they were later withdrawn from the market in the early 1990s due to certain biomechanical issues, such as low fracture toughness. Zirconia implants subsequently replaced these alumina implants.

One advantage of alumina implants is their biocompatibility, making them ideal for metal allergy sufferers. They were corrosion-resistant. Alumina implants were easily broken due to their low fracture toughness. They left the market in the early 1990s due to the issue. Alumina implants were less durable and mechanically strong than zirconia implants, making them unsuitable for long-term use.

9. Carbon Dental Implants

Carbon dental implants are a specific category of dental implants that utilise carbon fibre-reinforced composite materials. These dental implants are utilised to substitute absent teeth and provide an alternative to conventional titanium dental implants. Carbon dental implants are composed of a surgically inserted fixture, akin to titanium implants positioned within the jawbone.

An abutment and crown are affixed to the fixture above the gumline. The primary differentiation lies in using carbon fibre-reinforced composite materials in carbon dental implants instead of the conventional employment of metallic substances such as titanium. The characteristic renders them a viable choice for persons who exhibit metal allergies or prefer dentistry procedures that do not involve metals. Carbon dental implants are designed to deliver a robust and long-lasting alternative for tooth restoration while concurrently presenting the advantages of biocompatibility and resistance to corrosion.

Carbon dental implants are an innovative alternative to titanium. Their lightweight and biocompatible nature reduces allergy reactions and helps metal-sensitive people. Long-lasting carbon implants are corrosion-resistant and mechanically robust. Their radiolucency makes them perfect for dental imaging, giving precise diagnosis without interference.

Carbon dental implants are new, therefore, long-term clinical data is few, making it difficult to compare their longevity and performance to titanium ones. Higher production costs make their treatments more expensive for patients. Further research and clinical investigations are needed to fully comprehend carbon dental implant pros and cons in diverse clinical circumstances.

10. Polymer Dental Implants

Polymer dental implants refer to specific dental implants fabricated using biocompatible polymers or plastics, as opposed to conventional materials such as titanium or ceramics. The purpose of these implants is to substitute teeth that are absent, offering a resilient, lightweight, and non-metallic option in contrast to traditional dental implants. Polymer dental implants are composed of a surgically implanted fixture, akin to titanium implants inserted into the jawbone.

An abutment and crown are affixed to the fixture above the gumline. Using polymers renders these implants appropriate for patients exhibiting metal allergies or sensitivities while providing the benefit of corrosion resistance and biocompatibility. Polymer dental implants have been developed to offer patients a reliable and effective alternative for tooth replacement, considering the desires and requirements of those who specifically need dental solutions free from metallic components.

The utilisation of polymers has genuinely transformed the landscape of the biomedical field ever since their remarkable discovery. Dental polymers, or as we dentists refer to them, "Dental Resins," have been an integral part of dentistry since their inception in 1839. These remarkable materials have found widespread application in restorative dentistry, serving aesthetic and functional purposes with great success.

Ceramics, however, exhibit remarkable biocompatibility. Their inherent brittleness, low toughness, and limited workability limit their utilisation in load-bearing areas. Polymers possess notable advantages in the realm of biocompatibility and processability. However, it is crucial to acknowledge their inherent limitations regarding mechanical strength and challenges associated with sterilisation. Their application is primarily restricted to hard tissue replacements.

What are the different types of Dental Implant?

Dental implants

The different types of Dental Implant are listed below.

  • Endosteal: The Endosteal implant is precisely positioned within the jawbone (endosteum) through a surgical procedure, functioning as a synthetic tooth root.
  • Subperiosteal: Subperiosteal implants are placed beneath the gingival tissue, providing a stable foundation for the underlying bone structure.
  • Zygomatic: Zygomatic implants, as opposed to conventional dental implants, are affixed within the zygomatic bone in the facial region covering the cheekbone.
  • Single Tooth Implants: The restorative procedure is a highly recommended treatment option for patients who have suffered from losing a single tooth due to various factors.
  • Implant-Supported Bridgework: Implant-supported bridgework is a remarkably effective dental restoration technique that employs dental implants as steadfast and dependable anchors to deliver optimal support for a bridge comprised of synthetic teeth.
  • Implant-Supported Dentures: Implant-supported dentures, as opposed to traditional removable dentures, are firmly attached to dental implants strategically placed within the jawbone through a surgical process.
  • All-On-Four Dental Implants: The notable characteristic of the All-On-Four treatment lies in its ability to provide comprehensive tooth replacement utilising a minimised number of implants and an efficient procedural approach.
  • Transosteal Implants: Transosteal implants, commonly known as blade implants or mandibular staple implants, are specialised dental implants used when patients have severely compromised or insufficient jawbone structure to support traditional endosteal implants adequately.
  • Implant Overdentures: The dental implants serve as secure anchors for the overdenture, as they are surgically placed into the jawbone to provide support.

1. Endosteal

Dental implants

An endosteal implant is surgically placed directly into the jawbone (endosteum) and is an artificial tooth root. Such an implant is usually composed of biocompatible materials such as titanium or zirconia and is created to fuse with the jawbone through osseointegration. A dental restoration, such as a crown, bridge, or denture, is attached to the endosteal implant, providing a stable and functional substitute for the missing tooth or teeth once osseointegration is finished. Endosteal implants are a regularly utilised and effective alternative for dental prosthetic procedures. The final artificial tooth is placed or removed whenever the patient chooses.

Endosteal dental implants represent a remarkably productive and long-lasting remedy for replacing absent dentition. Dental implants possess the remarkable capability to closely mimic and emulate the look and functionality of natural teeth. They play a crucial role in preserving the structural integrity of the jawbone and averting any untoward movement of adjacent teeth.

Endosteal implants are fabricated using various materials, such as titanium and zirconia. The prevailing variant is the endosteal implant, renowned for its remarkable success rate of approximately 95%. The patient's overall well-being is a crucial factor to consider, as it has been observed that individuals who maintain good health tend to exhibit a higher success rate when undergoing surgical procedures. The average cost of an Endosteal implant typically falls between £837.06 to £2511.19 per individual tooth.

2. Subperiosteal

Dental implants

Subperiosteal implants are positioned beneath the gum tissue, resting atop the bone, unlike implants inserted directly into the jawbone. A subperiosteal implant comprises a personalised metal frame to match the patient's jaw.

The frame is secured to the jawbone through small posts extending beyond the gum line, supporting the artificial teeth. These prosthetic teeth are either permanently affixed or removable, catering to the specific requirements and choices of the patient.

Subperiosteal implants offer several advantages, making them a valuable choice in tooth replacement. Firstly, they eliminate the need for bone grafting procedures, streamlining the implant process and reducing its invasiveness. Secondly, these implants are ideal for patients with inadequate jawbone density, expanding the pool of potential candidates beyond those who receive traditional endosteal implants. Thirdly, subperiosteal implants provide a stable and robust foundation for replacement teeth by anchoring them securely to the jawbone through small posts.

These implants are customisable and meticulously crafted to conform precisely to the individual patient's jaw's contours, guaranteeing comfort and an authentic aesthetic. Their adaptability extends to accommodating the replacement of singular or multiple missing teeth, facilitating comprehensive full arch restorations, or enabling complete mouth rehabilitation. Notably, these implants lend themselves to straightforward and hygienic maintenance, akin to the care regime required for natural teeth, fostering good oral hygiene habits among patients.

Subperiosteal implants, once positioned, are designed with the intention of permanence. Patients must avoid attempting to dislodge their dental restoration as the implant integrates with the jawbone over time. individuals must promptly seek professional dental assistance and consultation if any issues or complications arise with their subperiosteal implant.

Subperiosteal implants typically last 10–15 years. The lifespan of a subperiosteal dental implant depends on the patient's oral health, the implant's quality, and the implant dentist's expertise. The pricing for Subperiosteal implants varies between £2512.93 and £5025.86. The overall expense of the procedure is anticipated to increase significantly when multiple implants are employed.

3. Zygomatic

Dental implants

A zygomatic dental implant is a specialised dental implant used to replace missing teeth in cases where conventional dental implants or bone grafting processes are not feasible due to a lack of jawbone density or volume. Zygomatic implants are anchored in the zygomatic bone in the cheekbone area of the face instead of the jawbone. These longer implants provide a stable foundation for attaching prosthetic teeth, allowing individuals with significant bone loss in the upper jaw to regain the function and aesthetics of a natural smile. Zygomatic dental implants are typically used in complex cases and require the expertise of oral surgeons or prosthodontists for placement.

The application of zygomatic implants has proven to be beneficial in the field of dental restoration for patients who experience inadequate bone volume in the posterior maxilla. The scarcity of bone in this context can arise from various sources, such as increasing bone loss associated with ageing, including cases where individuals have experienced early tooth loss or have been dependent on dentures. Zygomatic implants have played a crucial role in situations following tumour removal, traumatic incidents, or severe bone loss, which is frequently associated with substantial deterioration. The utilisation of Zygoma implants facilitates the implementation of two distinct treatment modalities. Fixed and removable dentures are viable treatment options. Fixed dentures are securely affixed to a bridge anchored to dental implants. The removable denture is supported by a bridge that serves to connect all of the implants. Titanium has emerged as the material of choice for zygomatic dental implants owing to its exceptional ability to achieve successful osseointegration with the patient's jaw.

Zygomatic implants for severe maxillary atrophy had a cumulative success rate of 98.5% after 1 year, 97.5% between 1 and 3 years, 96.8% between 3 and 5 years, and 96.1% after 5 years. The most prevalent consequences were soft tissue dehiscence, rhinosinusitis, and prosthetic failures. Zygomatic implants safely repair severe upper maxilla bone loss, with a cumulative success rate of 96.1% after 5 years. The fee structure varies, with costs ranging from £6691.04 to £20909.51, and potentially higher for cases of increased complexity.

4. Single Tooth Implants

Dental implants

A singular dental implant is vital for replacing a solitary absent tooth. The dental implant procedure consists of three integral components: the implant, constructed from biocompatible materials such as titanium, which is meticulously placed within the jawbone to establish a secure and durable base; the abutment, an intermediary connector that joins the implant to the prosthetic tooth; and the prosthetic tooth itself, commonly referred to as a crown, meticulously crafted to mimic the aesthetics and functionality of a natural tooth closely.

"What is Single Tooth Implant?" is a common question patients ask their dentists when exploring options for tooth replacement. The restorative procedure is a highly recommended option for patients who have experienced the loss of a single tooth due to various factors. The treatment offers numerous advantages, including improved aesthetics, stability, and functionality. In addition, dental implant treatment effectively maintains the integrity of neighbouring teeth and mitigates the risk of jawbone deterioration. Patients expect a prosthetic tooth that closely mimics a genuine tooth's appearance, sensation, and functionality. A single-tooth implant is not removable. It is a permanent dental restoration designed to replace a missing tooth.

A Medline literature analysis by Goodacre et al. from 1980 to 2001 indicated that single-tooth implants have a success rate of 97%, which is higher than any other implant repair.35 FPD failure rates reach 20% within three years and 50% between 10–15 years. The average price of dental implants in Turkey varies between 350 euros and 800 euros. The typical expense associated with a singular tooth implant typically exceeds £539.62.

5. Implant-Supported Bridgework

Dental implants

Implant-supported bridgework is a highly effective dental restoration technique that utilises dental implants as secure and reliable anchors to provide optimal support for a bridge composed of artificial teeth. The treatment modality is commonly employed in cases where a patient presents with the absence of multiple adjacent teeth.

The procedure commences with the surgical insertion of dental implants into the alveolar bone, establishing robust and enduring support structures. A meticulously crafted custom bridge, comprising a series of meticulously designed artificial teeth, is expertly affixed to the implants, ensuring utmost stability and durability. The particular form of bridgework presents numerous benefits, encompassing steadfastness, longevity, and an authentic aesthetic, as it does not depend on adjacent sound teeth for reinforcement. Dental prosthetics allow individuals with dental gaps to restore both the functional and aesthetic aspects of their smile.

Implant-supported bridgework is made of Titanium. The implant-supported bridge exhibits exceptional durability and possesses the capacity to maintain its optimal condition for a period exceeding ten years. Implant-supported bridgeworks typically entail a significant financial investment, ranging from tens of thousands of euros, from £1170.43 to £5511.29.

Implant-supported bridges are classified into two categories: fixed or removable options. Removable bridges, commonly known as overdentures, are frequently utilised in dental practice. A fixed support bridge is securely affixed to the abutments of the implants, providing a permanent solution detached with the professional assistance of a dental practitioner. Certain patients often prefer a removable implant-supported bridge due to its ability to be easily detached for regular cleaning and maintenance. The cost of a removable implant-supported bridge is comparatively lower than that of a fixed implant-supported bridge.

6. Implant-Supported Dentures

Dental implants

Implant-supported dentures represent a dental restoration alternative that aims to deliver heightened stability and functionality to patients who have experienced significant tooth loss. Implant-supported dentures are securely affixed to dental implants surgically positioned within the jawbone in contrast to conventional removable dentures. These dental implants function as reliable anchor points for the denture, effectively averting any potential shifting or slippage during essential activities such as mastication and articulation.

The state of stability dental treatment presents many advantages, encompassing heightened masticatory efficacy, heightened comfort, and augmented self-assurance in one's dental aesthetics. Implant-supported dentures are classified into two categories: removable dentures, which offer easier cleaning, and fixed dentures, which present a more enduring and permanent solution. The dental innovation in question has indeed had a profound impact on the lives of numerous individuals, providing them with a reliable and aesthetically pleasing solution for restoring their oral function and overall appearance.

Dental implants have the potential to endure for a lifetime with diligent oral hygiene practices and regular professional maintenance. It is recommended that individuals consider replacing their overdenture, which is the denture that is placed over their implants on a routine basis every 15 to 20 years for optimal outcomes.

Implant-supported dentures consist of a biocompatible titanium post, commonly called implants, and a tooth-coloured acrylic resin material meticulously crafted to form the dentures that securely affix to the implants. The comprehensive range of implant-supported denture scales spans from £3022.59 to £15067.76.

7. All-On-Four Dental Implants

Dental implants

The All-On-Four dental implant procedure offers a groundbreaking and highly effective solution for individuals experiencing significant tooth loss or complete toothlessness, known as edentulism. The dental procedure entails meticulously positioning four dental implants within the jawbone to provide optimal support for a complete arch of prosthetic teeth.

The distinguishing feature of the All-On-Four treatment is its capacity to deliver comprehensive tooth replacement using a reduced number of implants and an efficient procedural approach. It is possible to mitigate the necessity for extensive bone grafting procedures, even in cases where patients present with reduced bone density, through strategic angulation and precise positioning of the implants. Such a particular approach yields expedited treatment durations, diminished discomfort levels, and notable durability for the immovable prosthetic dentition. The utilisation of All-On-Four dental implants has gained significant popularity among individuals searching for a streamlined and economically viable solution to rejuvenate their smile, oral functionality, and self-assurance.

Patients who need to become more familiar with the procedure must research what is All-on-4 implant is. The All-on-four dental implant procedure is highly recommended for patients who currently wear a complete denture, have a significant number of missing teeth, or are experiencing tooth loss due to gum disease.

The same technology as standard implants allows All-On-Four dental implants to merge with the patient's bone during healing and last as long. Most dentists believe All-On-4 dental implants last 20–25 years, possibly forever. The success rate of All-on-4 dental implants is 99%.

The All-on-Four replacement teeth utilise fixed implant-supported prosthetics, thereby safeguarding the integrity of the jaw structure and obviating the need for removal or imposition of dietary limitations. The cost of an All-on-Four dental implant ranges between € 8,000 and close to € 10,000.

8. Transosteal Implants

Dental implants

Transosteal implants, commonly called blade implants or mandibular staple implants, are a specialised form of dental implant utilised in cases where patients present with significantly compromised or insufficient jawbone structure to support conventional endosteal implants adequately.

Transosteal implants are strategically positioned through the inferior aspect of the jawbone, extending upwards into the oral cavity to provide a secure foundation for the dental prosthesis. Dental implants comprise a meticulously crafted metal framework or plate skillfully and precisely affixed to the jawbone through a surgical procedure.

These implants feature strategically placed posts that emerge elegantly through the gums, supporting various dental restorations such as bridges or dentures. Transosteal implants are regarded as a more invasive alternative and are employed when other implant techniques are not viable due to significant bone loss or medical conditions that impact bone density. Dental implants offer a reliable support system for prosthetic teeth, enabling individuals with substantial jawbone concerns to restore oral functionality and aesthetic appeal. Transosteal implants have a 95% success rate. Transosteal implants per arch or jaw cost £4852.16 to £12238.19.

9. Implant Overdentures

Dental implants

Implant overdentures are a type of dental prosthesis designed to provide increased stability and retention for individuals who have lost most or all of their natural teeth. These dentures are supported by dental implants surgically placed into the jawbone to anchor the overdenture. Implant overdentures "snap" onto the implant attachments, creating a secure and comfortable fit, unlike traditional removable dentures that rely solely on suction or adhesives.

Such technology offers numerous benefits, including improved chewing efficiency, enhanced speech, and reduced denture slippage or discomfort risk. Implant overdentures are either removable or fixed, depending on the patient's preferences and specific clinical needs. They provide a significant improvement in the quality of life for individuals with missing teeth, offering increased confidence and overall oral health.

"What is Implant Overdentures?" is a common question among individuals exploring tooth replacement options. Implant overdentures are a highly favourable treatment alternative for individuals who are not viable candidates for permanent implant prostheses and are currently grappling with the challenges associated with denture wear. Specific individuals present with hard and soft tissue deficiencies. Patients have the opportunity to receive a meticulously crafted prosthesis that provides optimal retention and stability, effectively restoring both functionality and esthetic appeal through innovative treatment.

The success rate of implant overdenture typically falls within 95% to 98%. The pricing range for the Implant overdenture procedure begins at £2502.26 and extends up to £5704.31. Implant overdentures are fabricated using a diverse range of materials to cater to each patient's unique requirements and preferences. The selection of materials includes ceramic, titanium, and zirconia implants.

What are the benefits of Dental Implants?

The benefits of Dental Implants are listed below.

  • Avoid Jaw Deterioration: The jawbone needs tooth root stimulation to stay healthy. Unfortunately, losing a tooth reduces jawbone pressure, triggering remineralisation. Remineralisation involves the reabsorption of jawbone nutrients. Consult a dentist about dental implants to prevent the degradation. Dental implants replace lost teeth by stimulating the jawbone like a tooth's root. It helps preserve jawbone and facial shape throughout time.
  • Prevent Additional Tooth Loss: Understand that the teeth are securely secured by their roots and adjoining teeth. Losing a tooth causes surrounding teeth to shift and become destabilised. Tooth replacement is recommended to avoid the domino effect and further tooth loss. Dental implants are popular with our patients because they look and feel like natural teeth and offer aesthetic and functional benefits.
  • Boost Confidence: Dental implants boost confidence in many of our patients. Individuals usually avoid smiling or chatting to new people if they have missing teeth. You'll have natural-looking, comfortable fake teeth after dental implants. People who feel secure with their smile and teeth get to eat all their favourite foods again. Dental implants improve dental and emotional wellness.
  • Prevent Cavities: Neighbouring teeth lose support when someone loses a tooth. Teeth tilt toward the open space or loosen over time. Shifting teeth increases dental decay risk. Crooked teeth hide cavity-causing plaque and bacteria.
  • Improve Speech: Tooth gaps and dentures induce lisping and slippage, changing speech. Implants maintain the dental restorations in place and let them converse normally whether one has a crown or implant-supported dentures.
  • Retain More of the Teeth: Dental bridges need filing down adjacent teeth to place crowns, which weakens good teeth. It's unnecessary to destroy neighbouring teeth with dental implants. It allows the natural teeth to cover a tooth gap while retaining their enamel. One of the several benefits of dental implants is that they retain more teeth.
  • Enhance Nutrition: Maintaining a balanced diet after tooth extraction is harrowing. See a dentist about dental implant surgery if individuals eat soft foods to avoid biting in agony. Avoiding some foods deprives the body of nutrients. A lack of vitamins and nutrients makes it hard for the body to support muscular jawbone tissue.

What are the risks associated with Dental Implants?

The risks associated with Dental Implants are listed below.

  • Nerve Damage: Dental implants damage facial and gum nerves. Patients are likely to have damaged or injured their implant's surrounding teeth or blood vessels. Nerve injury causes pain, numbness, and tingling. It harms the natural teeth, gums, lips, or chin. There are risks associated with dental procedures, and the same with getting dental veneers. Patients experience side effects of dental veneer placement, such as temporary sensitivity and minor discomfort.
  • Infection: Dental implants seldom cause infection at the implant site; however, gum infection symptoms include poor breath, gum swelling, tooth looseness, new spaces between teeth, and pus. Contact the doctor immediately for examination and treatment if there are any symptoms.
  • Peri-Implantitis: Dental implants cause peri-implantitis, a gum disease. Like typical gum disease, it's linked to poor dental hygiene, health, and behaviours. Peri-implantitis results from poor dental hygiene. The spaces between the teeth and implants harbour bacteria. Inflammation, bleeding, infection, and bone loss result.
  • Sinus Problems: Dental implants placed in the upper jaw contribute to sinus complications. For instance, they invade one of the sinus cavities and cause complications.
  • Implant Failure: The body is likely to reject the dental implant. It becomes loose or diseased and needs replacement. Dental implants fail for many causes. They include peri-implantitis (gum inflammation around the implant), osseointegration (bone not integrating with the implant), and poor behaviours like crushing teeth. Compared to other dental restorations, dental implants

How much does Dental Implant Cost?

Dental implants cost depending on the area and kind of treatment. Dental implants have emerged as a widely sought-after treatment option for individuals experiencing tooth loss due to various dental conditions. The dental implants, commonly composed of titanium, are strategically positioned within the jawbone through a surgical procedure. They function as a stable support system for the subsequent placement of dental veneers and abutments, facilitating the restoration of missing teeth.

The pricing for dental implants exhibits notable variations contingent on the geographical area and the precise nature of the treatment. the expenses associated with dental implants surpass $4,000 per individual tooth in certain European nations such as Belgium, Germany, and the United Kingdom. A single dental implant in the U.S. costs between $3,500 and $7,000, excluding supplementary charges for abutments and dental veneers. Consequently, the comprehensive expense of replacing a solitary missing tooth typically amounts to approximately $5,000.

Turkey presents a more favourable cost structure for dental implants, with pricing options spanning from 350 to 800 Euros. The All-on-4 concept, particularly suitable for individuals who have experienced complete tooth loss, is offered at a more cost-effective rate in Turkey, with an approximate price range of 8,000 to 10,000 Euros.

Implant treatments like the All-on-4 concept offer diverse options, encompassing esteemed global brands and intermediate-level implants. These options not only guarantee optimal quality but additionally facilitate efficient cost planning. The selection of an appropriate implant treatment is contingent upon each individual's unique requirements and preferences. Seek the expert counsel of a dental professional when contemplating dental implant procedures.

What is the lifespan of Dental Implants?

The lifespan of dental implants usually lasts 15 to 20 years with proper care. The longevity of dental implants exhibits variability contingent upon various factors, encompassing the patient's comprehensive oral well-being, oral hygiene practices, lifestyle choices, and the calibre of the dental implant materials employed. In a broader context, dental implants are meticulously engineered to serve as a durable and enduring remedy for tooth loss, exhibiting remarkable longevity that frequently extends throughout an individual's lifetime.

Dental implants have demonstrated a remarkable longevity of 20 years or beyond with diligent oral hygiene practices and regular professional maintenance. Routine dental examinations, diligent adherence to oral hygiene protocols, and abstaining from harmful habits such as smoking undeniably positively impact dental implants' durability and lifespan. Dental implant materials, such as titanium or zirconia, exhibit exceptional durability and biocompatibility, augmenting their longevity.

Patients must adhere to the recommendations provided by their dentist regarding post-implant care and maintenance to uphold the stability and functionality of the implants for an extended duration. Dental implants, although requiring a financial commitment, possess remarkable durability and provide substantial oral functionality and aesthetic appeal advantages. They represent a highly commendable choice for individuals in pursuit of a lasting resolution to the issue of tooth loss.

Who are suitable candidates for Dental Implants?

Individuals seeking one or more missing teeth, good oral health, and being prepared for a more involved and potentially invasive treatment process are suitable candidates for dental implants. Dental implants are a preferred solution for replacing a single missing tooth. It involves affixing a dental crown onto the implant's abutment. Dentists frequently suggest dental implants for individuals who undergo a tooth extraction, experience tooth loss due to injury, or naturally lose a single tooth. Implants are recommended due to their distinct advantages, including preventing bone loss and providing a more comfortable and long-lasting fit, qualities that partial dentures or fixed bridges do not offer.

Individuals presenting with a condition characterised by the absence of multiple teeth

Dental implants effectively restore the function and aesthetics of individuals with multiple missing teeth. The dental professional affixes a dental bridge to restore a segment of absent teeth, while providing the option to connect a partial or complete denture to the dental implants for comprehensive replacement of the entire dental arch.

Dental implants offer simplified maintenance through regular oral hygiene practises, accompanied by reduced dietary limitations. Numerous patients have attested to a heightened comfort level after transitioning from dentures to dental implants.

What should patients do before Dental Implant Surgery?

Patients should take several critical steps to prepare for dental implant surgery. First, individuals must have in-depth discussions with their dentist or oral surgeon to comprehend the treatment, including potential risks and advantages, thoroughly. It is critical to provide a complete medical history, including any underlying health issues or drugs, to establish general suitability for the procedure. A dentist does an exam to determine if a patient needs dental implants. It provides crucial information for the dentist's treatment strategy. The dentist examines the patient visually, takes X-rays, and reviews medical records.

Patients must undergo preliminary procedures such as gum disease therapy or tooth extractions to provide an appropriate environment for implant implantation. Following pre-operative instructions, such as fasting before surgery if necessary, guarantees a smooth process and avoids complications. Someone must fast for 12 hours before the procedure if they have oral surgery under general anaesthesia. Wear loose, comfortable attire that allows the operation to run smoothly. Open communication with the dental team, a thorough medical evaluation, and adherence to pre-operative protocols are critical factors in effectively preparing for dental implant surgery.

What should patients expect during Dental Implant Surgery?

Patients should expect a meticulously planned and executed multi-step procedure during dental implant surgery, which typically spans several months. Patients anticipate a meticulously orchestrated and exacting operation performed under the administration of local anaesthesia during the surgical procedure. The oral surgeon or dentist performs a precise incision within the gum tissue to gain access to the underlying jawbone.

A small aperture is meticulously created to accommodate the implant. The dental implant, typically composed of titanium or another biocompatible substance, is meticulously inserted into the jawbone to ensure optimal stability and integration. The gingiva is sutured together, ensuring a secure closure and a protective barrier is applied over the dental implant.

Patients potentially encounter a degree of discomfort and swelling after the surgical procedure, necessitating pain medications and applying cold compresses to manage these symptoms effectively. The dental implant progressively integrates with the underlying jawbone through a biological process known as osseointegration over the following weeks and months. Patients must anticipate scheduled post-treatment visits to assess their progress.

the definitive restoration, such as a crown, bridge, or denture, is securely attached to the implant, reinstating functionality and aesthetic appeal upon successful osseointegration. Diligently follow the post-operative care instructions and faithfully attend all scheduled appointments to optimise the outcome of the dental implant procedure.

How is Dental Implant Surgery performed?

Dental implant surgery is performed by an oral surgeon initiating an incision to access and expose the underlying bone by gently separating the gum tissue. Surgical incisions are made within the bone to create the necessary space for the precise placement of the dental implant's metallic post. The dental implant is carefully positioned within the alveolar bone to serve as a stable foundation for the prosthetic tooth as it is inserted.

A void persists at the juncture where the tooth is absent. The placement of a provisional, interim denture is considered to address aesthetic concerns if deemed necessary in some instances. The removable denture is conveniently detached for thorough cleaning and during rest periods, such as sleep.

The process of osseointegration commences upon the successful placement of the metal implant post within the jawbone. The mandible undergoes osseointegration, wherein it fuses and integrates with the abutment surface of the dental implant throughout the procedure. The duration of the procedure, which spans several months, facilitates the establishment of a sturdy foundation for the forthcoming prosthetic tooth, akin to the role roots play in supporting the natural teeth.

Patients need surgery to put the crown abutment after osseointegration. The small operation is usually done outpatiently under local anaesthetic. Oral surgeons reopen gums to disclose dental implants. The abutment attaches to the dental implant. The gum tissue closes around the abutment but not over it. The abutment is sometimes linked to the dental implant metal post-during implantation. That eliminates the need for additional surgery. The abutment is visible when the mouth is open until the dentist finishes the tooth prosthesis because it protrudes past the gumline. Some don't like that look and prefer a separate abutment operation. The gums must recover for two weeks before attaching the fake tooth after placing the abutment.

More mouth and tooth imprints are taken after the gums recover. The realistic-looking artificial tooth, the crown, is made from these impressions. The jawbone must be strong enough to support the new tooth before fitting the crown. Patients and the dentist choose detachable, fixed, or hybrid artificial teeth. The partial or complete denture is removable like a regular one. White fake teeth are bordered by pink plastic gum. It snaps into place on a metal frame attached to the implant abutment. It is removed effortlessly for repairs or regular cleaning—fixed type permanently screws or cement a fake tooth to an implant abutment. Cleaning or sleeping with the tooth out is impossible. Each crown usually has its dental implant. Bridged implants replace numerous teeth because they're so robust.

What is the Recovery Duration after Dental Implant Surgery?

The recovery duration after dental implant surgery varies considerably and is influenced by several factors. These factors include individual oral health, the specific type of surgery needed, and whether additional procedures like tooth extractions or bone grafts are required.

It takes approximately 5 to 7 days after surgery for most of the initial symptoms to subside. It typically requires a more extended period, ranging from 3 to 6 months, for the jaw and gums to fully heal and prepare for the placement of the artificial tooth on the implant.

The implant fuses with the surrounding bone, ensuring a stable foundation for the prosthetic tooth during the healing phase. The exact timeline varies for each individual, so it's essential to follow the dentist's recommendations and attend regular follow-up appointments to monitor the progress of the dental implant recovery.

Patients encounter a range of post-operative discomforts inherent to the natural healing progression after dental implant surgery. These symptoms encompass bleeding, which endures for approximately 48-72 hours, alongside the manifestation of bruising on the gingival tissues and facial region, with a typical resolution period of 2-3 days.

Facial and gingival oedema frequently lasts approximately 48 hours and is accompanied by mild discomfort and pain that typically resolves within a brief period. These symptoms are typical manifestations that the body is undergoing the natural healing process. The ongoing healing process persists during the second and third days following the surgical intervention. Patients must promptly communicate with their dental professional if they experience worsening discomfort or swelling in the subsequent days after the procedure.

The majority of patients safely transition back to their regular dietary habits within a span of 7 to 10 days. However, specific individuals receive recommendations to adhere to a soft diet for up to 6 weeks as a precautionary measure.

Is Dental Implant Surgery a painful process?

No, dental implant surgery is not a painful process. Dental implant surgery is commonly conducted utilising local anaesthesia, ensuring that patients experience minimal discomfort throughout the procedure. The oral surgeon or dentist takes the necessary measures to ensure that the region in which the implant is to be inserted is adequately anaesthetised, thereby minimising any potential discomfort.

It is common to encounter discomfort, swelling, and mild pain near the surgical site following the procedure. The discomfort experienced following dental procedures is effectively managed using over-the-counter pain medications recommended by an esteemed dentist or oral surgeon. The degree of discomfort fluctuates among individuals, with various factors influencing it, including the intricacy of the procedure, personal pain threshold, and adherence to post-operative care guidelines. It is common for any post-operative pain or discomfort to gradually diminish within several days to a week as the surgical site undergoes the healing process.

What care steps should be followed after Dental Implant Surgery?

Several care steps should be followed after dental implant surgery. Feeling discomfort or numbness is expected after the surgery. Doctors prescribe pain medicine and antibiotics, which must be used as directed.

Avoid irritating the surgical region to promote healing. Vigorous eating, spitting, or rinsing causes bleeding or infection. A doctor applies pressure to the mouth using gauze sponges for the first hour to reduce bleeding in the first one to two days. Reapply gauze after 30 minutes if bleeding persists.

Avoid sleeping or eating with gauze in the mouth. Contact the doctor immediately if bleeding resumes. Limit physical exertion and elevate the head for 24 to 48 hours. Patients must place ice packs on the side of the face for 30 to 45 minutes each hour to relieve discomfort and swelling.

Start eating clear fluids when the bleeding stops, avoiding hot liquids while the mouth is numb. Straws dislodge blood clots with suction. Move to soft meals and avoid nuts, popcorn, and seeds. Take regular medications unless instructed otherwise. Avoid smoking, which slows healing. Driving, heavy machinery, and drinking are prohibited 24 hours after surgery and while taking pain medicine.

How should dental implant surgery recovery be managed?

Dental implant surgery recovery is manageable by following some instructions from a dental professional. It is common to experience some discomfort following the surgical procedure. A dental professional recommends administering appropriate medication to alleviate any discomfort patients are experiencing. Administer the medication before the complete dissipation of the anaesthetic's effects.

Consider using Ibuprofen or other similar analgesics to alleviate pain and reduce inflammation in the treated region. Postoperative bleeding is normal, especially when the patient moves a lot. Use a modest gauze pressure to prevent it. Doing so reduces bleeding, especially in the first 24 hours after surgery. A modest or slow leak from the treated site must be reported to a dental surgeon immediately. An additional method to mitigate swelling in the treated region involves the application of a cold compress utilising an ice pack. Do it for 30 minutes in the first 48 hours after surgery. Restricting blood flow reduces inflammation and oedema.

Refrain from consuming hard and chewy meals. Food particles have the potential to irritate dental implants. Adhere to a strict dietary regimen during the post-operative recovery. Exercise caution and adopt a gentle approach when consuming food to protect the integrity of the recently placed dental implants. Adhere to a diet of smoothies, shakes, and soft foods like spaghetti.

Maintain good dental care, especially after titanium dental implant surgery. Brushing the teeth around the surgery site requires caution. Salt rinses or antibiotic mouthwash as prescribed by the doctor help clean it. Rinse without pushing out the cheek to avoid pulling on the stitches. It opens incisions and slows healing. Avoid touching it with bare fingers to avoid bacterial infections. Rinse the mouth to avoid food particles in the treated area after eating.

Observe a period of rest lasting three days after the implant surgery. Minimise excessive physical activity to facilitate a more expeditious healing process. Allocate an appropriate duration for facilitating osseointegration, a crucial process wherein dental implants establish a harmonious fusion with the existing bony structures. Refrain from engaging in vigorous physical activities to mitigate the risk of elevating the blood pressure and heart rate.

Dentist Dr. Dt. Erdem CETIN
Dentist Dr. Dt. Erdem CETIN

He started his professional career in a private practice in Antalya in 2005 and served there until 2012. Between 2012 and 2016, he continued his work as a partner at the institution named KlinikAntalya. In 2016, he founded Myra Dental Centre Turkey and continues his professional activities there. Additionally, he has strengthened his expertise in the field with his membership in the International Congress of Oral Implantology (ICOI).