Edentulous jaws implantation

Edentulous jaws implantation

Dental implants have been invented to help people who lost their teeth. Age has no bearing on the success of implantation.

Possibilities in the edentulous mandibular jaw:

2 implants:

Implants are usually placed in the mandibular jaw in canines’ position. These implants are used for denture fixation. Without the implants, denture adhesive is necessary to hold prosthesis in place. It causes huge physical and psychological discomfort.

4 implants:

The so-called “All on 4” method. All 4 implants are placed at their respective positions and non-removable dental prosthesis is made. However, individual situation may not meet the requirements for such implantation if bone atrophy level is too high. In such cases 4 implants are being connected interdependently using special connecting bar. A removable implant-supported bar overdenture is then mounted on the bar. Such prosthesis does not have contact with oral mucosa therefore it is comfortable, fully restores chewing function and is similar to non-removable prosthesis.

6 or more implants:

In this case a non-removable bridge or few separate bridges are made.

In second and third cases, a temporary prosthesis on implants is possible – immediately or after few days temporary plastic dental crowns are placed on the implants. If it is not possible or too risky, a removable denture is made for 3 months until final prosthetic works can be started. 

Possibilities in the edentulous maxillary jaw:

4 implants:

The so-called "All on 4" method followed by non-removable prosthesis. Certain conditions are required. Every case is assessed individually. 4 implants may be connected interdependently using special connecting bar and then a removable implant-supported bar overdenture is made.

6 or more implants:

6 or more implants enable to have a non-removable dental prosthesis. Non-removable prostheses are usually made of metal ceramics, or zirconium oxide ceramics.

Edentulous jaws implantation is always a more difficult procedure, so prolonged swelling and discomfort is possible and considered normal during the postoperative period. In order to facilitate unpleasant postoperative period, dental implantation can be performed with surgical guides. What is it and how is it done?

  • 3D computed tomography scan of the face is performed for the patient.
  • Exact implant positions are estimated prior the implantation.
  • The laboratory produces a surgical guide that allows surgeon to place implants at respective locations at the optimal angle. And this can be done without any incisions.
  • Temporary prosthesis can be made, which is ought to be placed on the implant immediately after the implantation.
  • After 3-4 months, temporary prosthesis is changed into permanent.

Again, it is important to understand that in order to perform incision-free implantation bone quality and quantity must be sufficient.

Recently a new implantation method became popular. 4 mini implants are placed directly through the gums without any incisions and patient’s removable denture is immediately adapted to attach the implant. This is a cheaper alternative mostly suitable for elder patients. Thinner implants are inexpensive, the denture is adjusted without technician’s help and surgery is not difficult.

However such implantation is not always indicated.

Long-term prognosis of such implants is questionable.   

Only qualified and experienced dental professional can perform implantations in edentulous jaws.

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