Dental implants are a treatment method that offers a permanent solution for replacing missing teeth and consist of several stages. First, the patient’s general health and oral structure are evaluated. Then, the implant is placed in the jawbone, and a period of time is required for the bone to fuse with the implant. At the end of this process, the abutment is placed, and the permanent prosthesis is attached to complete the procedure. For the implant to be successful, the patient must maintain good oral hygiene, refrain from smoking, and follow the doctor’s recommendations. This process must be followed meticulously.
| 1. Examination and Planning | The patient’s jawbone, gum health, and general oral structure are evaluated. Panoramic X-rays or 3D dental CT scans are taken to determine suitability for implants. |
| 2. Local Anesthesia and Surgical Procedure | The patient is administered local anesthesia, and implant screws are placed in the jawbone. Sedation or general anesthesia may also be used if necessary. |
| 3. Osseointegration (Bone Fusion Process) | It takes 2-6 months for the implant to fuse with the jawbone. This process ensures a solid foundation for the implant. |
| 4. Healing Cap (Abutment) Attachment | After fusion is complete, a gum-shaping healing cap (abutment) is placed over the implant and the gum is allowed to heal. |
| 5. Denture (Permanent Tooth) Placement | A custom porcelain or zirconium crown is prepared for the patient, and the tooth is fixed to the abutment. |
| 6. Checkups and Care | The patient should attend regular dental checkups and maintain good oral hygiene to ensure the implant’s longevity. |
How is a Dental Implant Surgically Placed?
The Dental implant placement process involves the precise surgical fixation of artificial tooth roots to the jawbone to replace missing teeth. The goal of this procedure is to achieve a result as close to natural teeth as possible while maintaining an aesthetic and functional structure. Each step is carefully planned and implemented to ensure the success of the treatment and the longevity of the implant.
First, the patient’s general health and the structure of their teeth and jaw undergo a detailed examination. Advanced imaging techniques, particularly cone beam computed tomography (CBCT), guide the surgeon and allow for precise planning of the implant’s position. The procedure, usually performed under local anesthesia, is a comfortable procedure. An incision is made in the gums to access the bone, and the implant placement area is carefully exposed.
A pilot hole is drilled in the implant placement area, and then this hole is gradually enlarged to accommodate the implant’s dimensions. These steps ensure a secure fit in the bone and protect the surrounding anatomical structures:
- Clinical evaluation
- Imaging techniques
- Local anesthesia
- Tissue removal
- Pilot hole drilling
- Stage drilling
- Implant placement
After the implant is placed, the healing process begins. During this process, the gums are sutured and the sutures are closed to ensure the implant integrates with the bone. At this point, the surgeon recommends that the patient maintain good oral hygiene and follow the doctor’s recommendations to ensure rapid and healthy healing. After healing is complete, the abutment is attached, creating the foundation for the prosthetic tooth.
In this process, supported by technological advancements, computer-aided surgical guides and dynamic navigation systems allow for more precise implant placement. These methods increase the accuracy of the procedure and improve treatment outcomes.
What is the Recovery Period After Implant Placement?
The healing process following implant placement is a lengthy process aimed at ensuring the implant integrates securely with the jawbone. During this process, the body attempts to accept the implant as a natural part, and several stages are necessary to ensure complete healing.
The initial healing period usually begins immediately after surgery and is completed within the first 10 days. During this period, the body’s natural healing mechanisms take over, and tissue regeneration begins around the implant. A blood clot forms around the implant, marking the first steps in healing.
The bone remodeling period lasts approximately 2 to 4 weeks. The initial bone tissue is still weak. This structure is replaced by a more robust and regular lamellar bone structure. During this process, the implant’s stability increases, making it more permanent.
During the maturation phase, the bone tissue fully integrates with the implant, achieving final stability. This phase usually lasts 3 to 6 months.At the end of the process, the implant is ready to function in perfect harmony with the jawbone.
The following points should be emphasized:
- Maintain oral hygiene
- Follow your doctor’s recommendations
- Avoid smoking
- Avoid hard foods
When is the Abutment Attached to the Implant?
The abutment is placed after the implant has fused with the jawbone, usually after a 3 to 6-month healing period. This part is attached to the top of the implant, creating a solid platform for the attachment of the prosthetic tooth. The abutment’s function is to provide support and a connection between the prosthetic tooth and the implant, contributing to the success and longevity of implant treatment.
- Provides Support and Stability
- Provides Correct Alignment and Positioning
- Evenly Distributes Chewing Forces
- Protects the Bone Surrounding the Implant
After the abutment is placed, the healing process begins. During this period, it is important for the gums surrounding the abutment to heal properly and adapt to the abutment. At the end of the healing process, a permanent denture is placed on the abutment, thus completing the implant treatment.
How is the Denture Attached to the Implant?
The process of attaching the denture to the implant involves several steps that require meticulous and precise care. First, after the implant has fully integrated with the jawbone, the dentist attaches the connecting piece, called the abutment, to the implant. This piece provides solid support for the prosthetic tooth and is usually custom-shaped for each patient. After the abutment is placed, the tooth is measured or digitally scanned, providing the necessary data for the crown design. The crown is fabricated in a dental laboratory.
Suitable material options for the crown:
- Ceramic
- Porcelain on metal
- Zirconium
The prepared crown is secured to the abutment by the dentist. There are two main methods for this process. In cement-retained crowns, the crown is cemented to the abutment, providing a smooth appearance but making removal difficult. In the other method, screw-retained crowns, the crown is screw-mounted to the abutment; this method allows for easier removal if necessary.
In the final stage, the dentist checks the fit and occlusion of the crown. The crown’s compatibility with the surrounding teeth and jaw structure is essential for achieving a functional and aesthetic result.
What Precautions Should Be Taken During the Dental Implant Process?
To achieve successful results during the dental implant process, certain precautions must be taken and adhered to. First and foremost, oral hygiene should be maintained. Regular cleaning and flossing are essential for preventing infections and ensuring healthy healing. Bacteria should also be controlled with mouthwash, and regular dental checkups should not be neglected:
- Use a soft toothbrush at least twice a day
- Use dental floss daily
- Use antimicrobial mouthwashes
- Routine dental checkups
Since smoking negatively impacts the healing process, it is important to avoid smoking during this period. Nicotine slows healing by reducing blood flow and makes it difficult for the implant to fuse with the jawbone. Therefore, it is recommended to avoid smoking before and after implant placement.
Post-operative nutrition also directly impacts healing. To avoid putting pressure on the surgical site, soft, lightly chewed foods should be preferred:
- Soft foods such as yogurt, mashed potatoes, and smoothies
- Avoid hard and sticky foods
- Drink plenty of water
Fully adhering to post-operative instructions is crucial for healthy healing. Vigorous shaking should be avoided for the first day, physical activity should be limited, and rest should be prioritized.
