Dental implants are artificial roots made of titanium or zirconium, surgically placed into the jawbone to replace missing teeth. Through the process of osseointegration, implants fuse with the jawbone to create a solid foundation, mimicking the appearance and function of natural teeth. In addition to improving chewing function, implants offer advantages such as preventing bone loss and stabilizing adjacent teeth. The healing process can vary from person to person, and in some cases, additional procedures like bone grafting may be necessary. Maintaining regular oral hygiene and dental check-ups is essential for long-term success and reducing the risk of infection.
A dental implant is a titanium device surgically placed into the jawbone, serving as an artificial root to replace missing teeth. This titanium screw fuses with the jawbone to create a solid foundation and functions like a natural tooth root through a process called osseointegration. The modern use of dental implants began in 1952 when Dr. Per-Ingvar Brånemark discovered titanium’s ability to integrate with bone. This practice became more widespread in the 1960s and, with FDA approval, has become a standard and reliable procedure. Today, dental implants provide a permanent solution for missing teeth, enhancing chewing and speech functions while offering an aesthetic appearance.
The working principle of dental implants is based on the implant integrating with the jawbone to provide long-term support. This integration process, known as “osseointegration,” occurs as the implant fuses with the surrounding bone to form a load-bearing structure. During osseointegration, a direct interface forms between the implant surface and the bone, allowing the implant to take on natural tooth functions.
After the implant is placed, the body initiates a multi-step healing process at the bone-implant interface:
During these stages, osteoprogenitor cells transform into osteoblast cells, which create bone matrix on the implant surface. As these cells attach the bone to the implant, the remodeling and maturation process continues for months, resulting in a fully integrated implant within the jawbone.
The surface characteristics of the implant affect osseointegration. Implants with rough and microporous surfaces facilitate bone cell attachment, providing greater stability. Bioactive coatings, such as hydroxyapatite, can support cellular attachment and bone formation on the surface.
Finally, the implant-abutment connection is crucial for stability and longevity. A strong connection minimizes micromovements to prevent issues like peri-implantitis and reduces inflammation by preventing bacterial infiltration with a soft tissue seal. These elements play a key role in the long-term success of implants.
*We recommend that you fill in all fields so that we can get back to you in the best possible way.
Dental implants are used in various cases of tooth loss to meet both aesthetic and functional needs. They provide a fixed solution for single or multiple missing teeth, offering an appearance and function similar to natural teeth. Dental implants are used in the following situations:
Implants offer a secure alternative, especially for patients who want to avoid removable dentures or have difficulties with them. For example, implant-supported solutions like “All-on-4” used in total edentulism are suitable for patients with sufficient bone density and provide more stability compared to traditional dentures. For patients with bone loss, techniques such as zygomatic implants offer a solution without the need for bone grafting.
Patients undergoing implant treatment are evaluated based on jawbone quality, general health, and functional needs. Imaging techniques like cone beam computed tomography (CBCT) help determine the optimal implant placement in this process.
While dental implants generally have high success rates, they may not be suitable for every individual due to certain health and lifestyle factors. Implant placement may not be advisable for individuals with chronic diseases that negatively affect the healing process or those struggling to maintain healthy bone structure.
Systemic Health Conditions:
Oral Health and Structural Factors:
Lifestyle and Behavioral Factors:
During the assessment for a dental implant, both systemic health conditions and oral health should be thoroughly evaluated. For example, smokers may have reduced blood circulation in the gums, which can negatively impact the healing process. Similarly, habits like bruxism, which put pressure on the jaw and teeth, may adversely affect the stability and lifespan of implants.
Dental implants provide a durable solution for missing teeth. The implant procedure consists of several stages, with each step carefully implemented throughout the process. The patient’s bone health and healing rate are essential for success in each phase of treatment.
Each stage aims to secure the implant firmly within the jawbone and establish a functional dental structure. During the initial assessment, the dentist examines the jawbone and plans using X-rays or 3D imaging methods. If there is insufficient jawbone, a bone graft may be recommended. Once the implant is placed, the healing process begins as bone tissue grows around the implant, completing the osseointegration process. Osseointegration allows the implant to fuse with the jawbone, providing a long-lasting result.
In the final stage of a dental implant, the abutment is placed, and a custom-made crown or prosthesis that harmonizes with natural teeth is attached. This final step enables the patient to chew and speak comfortably in daily life.
Dental implant procedures may involve some surgical, infectious, and mechanical complications. These complications can vary depending on the patient’s general health, oral hygiene habits, and the surgical technique applied.
Sinus complications that may occur during surgery are particularly seen in upper jaw implants, while nerve damage may cause temporary or permanent numbness and tingling. Post-implant care is essential for the health of the tissues surrounding the implant and the long-term success of the implant. Inadequate oral hygiene can trigger peri-implant diseases and increase the risk of infection. Excessive stress on implant components can compromise implant stability, requiring regular check-ups and adjustments as needed.
Dental implants generally have a high success rate and can function healthily for many years. Various factors directly affect the long-term functionality and longevity of implants, contributing to their success rate. Studies show that dental implants have survival rates of over 90%, and this rate can be even higher under optimal conditions.
Factors affecting success include:
Factors like bone health and surface technologies used are essential for the success of implants. Applying bioactive surfaces, for example, enhances bone integration and provides long-term stability. These surface treatments strengthen the bone’s ability to attach to the implant, accelerating the initial healing process and reducing potential complications. Additionally, implants used for small bridges or single crowns have higher success rates than those supporting large prostheses.
Despite high success rates, some complications may occur. Peri-implantitis and marginal bone loss are commonly observed risks. Marginal bone loss remains minimal during the first year after placement, then may range between 0 and 0.2 mm annually in subsequent years.
Post-implant care is crucial for extending the implant’s lifespan and maintaining the health of surrounding tissues. This process includes daily care steps performed by the patient and regular professional check-ups. At-home oral hygiene minimizes plaque accumulation around the implant, reducing the risk of complications.
At-Home Care Recommendations:
Professional Care: Regular professional cleanings performed by dentists are essential for removing subgingival plaque buildup. Using non-abrasive tools, such as plastic or carbon fiber instruments, minimizes the risk of damage to implant surfaces. Special ultrasonic tips can also be safely used when necessary.
Monitoring Complications: The health of peri-implant tissues should be evaluated through routine check-ups. Signs of inflammation, such as bleeding, probing depths, and suppuration, may indicate implant mucositis or the development of peri-implantitis, which are advanced complications that require treatment.
To schedule an appointment, please complete the form below in full and contact us.
19 Ağız ve Diş Sağlığı Merkezimiz ile İzmir’in her yerinde hizmetinizdeyiz.
Tüm Hakları Saklıdır | Özel Avrupadent Ağız ve Diş Sağlığı Hastaneleri
