When it comes to permanent and full dentures, there is no way around implants, no matter how many teeth or bones need to be replaced. An implant with its crown is indistinguishable from natural teeth and, as an artificial tooth root, is not visible in the jaw. We mainly treat patients with little bone available and are specially equipped and very experienced in bone augmentation on implants.
For patients who want a metal-free restoration, we offer ceramic implants as a very good treatment option.
Thanks to the latest low-radiation X-ray technology and 3D visualization, the position of the implant can be determined precisely in advance, ensuring a high degree of planning reliability and an optimal result.
During the preliminary examination, surgical planning is prepared in collaboration with your referring dentist and in accordance with the prosthetic objectives. Based on three-dimensional volume tomography, detailed information on bone availability and bone quality as well as on neighboring anatomical structures is available before the procedure, enabling reliable planning of the implant position. The more precisely the position of the implants is planned in advance, the better they will fit later.
In the one-stage or “open” procedure, part of the implant head protrudes from the mucous membrane during the healing phase and can be seen. The implants are then prosthetically restored by the dentist. The new teeth are attached to the implants without further intervention.
In the two-stage or “closed/covered” procedure, the mucosa is sutured over the implant during the healing phase. This is advantageous, for example, if bone augmentation is required at the same time. After the healing period, the implant is exposed for the prosthetic restoration in a minor, second procedure.
Which implantation procedure is chosen depends on the patient’s individual situation. Together with the referring colleague, we decide which procedure and which implant is advantageous.
This routine procedure is performed safely and minimally invasively. On request, the procedure can be performed at MKG Hamm under twilight sleep or general anesthesia.
What should I do before the implantation? You can find important tips and information on preparing for the operation here. To ensure that the wound heals quickly and without complications afterwards, you will find information here on what to do after the implant has been inserted.
Depending on personal ideas and individual possibilities, various implant solutions are possible. Aesthetics play a major role with single-tooth implants in the visible area. The advantage of this implant solution is that the healthy tooth substance of the neighboring teeth is preserved and is not ground down as is necessary with the classic restoration with a bridge. The same applies to partial dentition with gaps between the teeth. The advantage of an implant-supported solution is also that the chewing forces are transferred directly to the surrounding bone. This prevents undesirable bone loss.
In the case of a toothless jaw, implants can even provide a fixed and aesthetic solution with a new quality of life. Implants can also significantly improve the hold of existing dentures. The denture remains removable, but sits firmly on the implants.
Sufficient bone substance is the essential prerequisite for an implant. In some cases, the initial situation is not ideal. By restoring bone tissue with the patient’s own material in the lower and upper jaw (sinus lift), we are able to achieve optimal results even in difficult situations.
The basic prerequisite for implantation with attractive aesthetics and long-term stability is a sufficient supply of bone. If the quality and volume of bone is insufficient, bone can be rebuilt using various materials (autologous bone, plasma-derived bone (PRP) or bone substitute material) and techniques.
A three-dimensional X-ray examination (DVT) is carried out to precisely analyze the existing bone. These X-ray images can be used to plan exactly where bone needs to be built up and where bone can be harvested. The so-called sinus lift is a form of bone augmentation in the upper jaw. If there is not enough bone available, this can be increased by storing bone or bone replacement material in the area of the maxillary sinus floor (maxillary sinus). Here too, 3D diagnostics provide detailed information before the procedure.
One of the most important basic rules for implantation is a good bone supply. If this is no longer ideal due to bone loss, bone must be built up before implantation. Bone can be lost as a result of previous operations, inflammation or a decision to place an implant too late. In implantology, any bone loss prior to a planned implantation is an indication for bone augmentation with autologous bone. This means that wherever there is not enough of the patient’s own bone to place a dental implant securely and surrounded by bone on all sides, bone augmentation with the patient’s own bone can and should be carried out, as the body usually accepts its own tissue quickly and easily. This means that complications are rare, healing is reliable and further treatment can be carried out more quickly than with artificial foreign materials. The long-term results of implantation with autologous bone augmentation are very good and stable. After implant placement, however, it is also important to take good care of the dental implants and the prosthetic restoration (crown, bridge, prosthesis) attached to the implant in the long term. You are welcome to read more in the detailed interview with Dr. Dr. Fuhrmann about autologous bone augmentation at MKG Hamm.
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