Implantation of all teeth for 1 day - methods ALL-ON-4, ALL-ON-6 and basal implantation

Absence of teeth is not a pleasant problem: due to the inability to chew food you have to abandon your favorite dishes, the gastrointestinal tract suffers, because of the lack of vitamins, the defenses of the body decrease, the amount of wrinkles increases noticeably around the mouth, and to all this adds a huge psychologicaldiscomfort.

For a long time in patients with complete adentia, when one or both jaws are missing all teeth, there was only one treatment option: removable dentures. This is the most budgetary method of prosthetics, but, alas, it gives a lot of problems - from rubbing the gums and feeling the massiveness of the structure before falling out of the mouth when chewing.

An alternative to uncomfortable removable dentures is implantation, in which implants are implanted into the bone( artificial roots of metal), and on top of them a denture is fixed( at least removable, though permanent).The new teeth are securely fixed, the prosthesis is smaller, so it does not discomfort, does not move or fall out of the mouth. However, if you have a long absence of teeth, there may be some difficulties.

With a long absence of teeth, there is atrophy of bone tissue - the jaw bone is shrinking in height and width, as natural metabolic processes stop within it. In order to install the implants, you will need to return the volume, pre-build the bone. This operation requires a long rehabilitation and is quite expensive.

For those patients who have bone problems, today there are other methods of implantation offered - an integrated approach Smile-at-once( literally translated as "smile at a time"), based on Implant Implant Implantation Protocol, which includesyourself a few techniques to solve the problems of complete adentium. This service is very popular among patients, as there is no time-consuming waiting for the result - the prosthesis is attached immediately after implantation, there is no need to spend a lot of money, and the result of treatment exceeds all expectations.

To whom immediate implantation is shown

Implantation with immediate loading is indicated to patients with a completely toothless jaw who want to receive new teeth not in years of treatment but in just a few days.

First of all, this approach will be of interest to those who do not have their own teeth for a long time and there is atrophy of the jawbone, as the tissue is not grown even in particularly difficult cases.

What are the types of implantation for 1 day

• prosthetics ALL-ON-4, which uses only 4 implants( two in the front, two placed in the side at a certain angle).Implants are two-part, fixed in a classic way through a cut in the gum and formation of a hole in the bone. The technique is effective and effective only with sufficient bone tissue or slight atrophy,
• prosthetics ALL-ON-6 is a modified technique that involves the use of six instead of four implants( four lateral ones are also angled).The difference is in the implant models: whole structures are used, in which the top does not need to be installed separately. Such implants are fastened at once in several parts of the bone, including the most durable ones, which do not atrophy. Therefore, the method is applicable for moderate violations of bone volume,
• Basal implantation BASAL COMPLEX, which is designed for patients with acute bone atrophy, as well as with severe forms of gum disease( periodontal disease, periodontitis).As with the previous method, special implants are used, which can be used to bypass the most unfavorable parts of the bone. When using this protocol, you will need more implants - 8-12 per dentition. Such quantity provides better and uniform support of the prosthesis.

How is implantation performed for 1 day: the stages of treatment of

When implantation, which involves the installation of a prosthesis immediately, without waiting for the full engraftment of the implants, it is very important for the doctor not to make a mistake in choosing an implant site and pick up a model that is ideal for the patient. Therefore, preparation for treatment comes to the forefront.

What awaits the patient?

• doctor's consultation,
• computer tomography, general blood test if necessary( to exclude some contraindications),
• treatment planning is performed on the computer using special programs. The doctor virtually installs implants, fixes the prosthesis, evaluates the result and makes corrections at the planning stage. With the course of treatment, the patient himself,
• , can also get acquainted with the implant placement: a patchwork method with gum exfoliation or mini-invasive technology by simply puncturing the tissues without suturing. Moreover, in the presence of teeth, the implants to be removed can be placed immediately at the same time after removal to the same well.
• installation of the prosthesis: can be carried out as on the same day, and on 2-3 days. The second option is more preferable, becausesoft gingival tissues need to be restored.

Interesting facts and important features of

About surgical templates of

During the operation phase, the doctor will use surgical templates - these are solid silicone stencils that will ensure precise positioning of the implant - this is extremely important in the conditions of bone atrophy, when every millimeter is counted.

How implants are anchored in bones, with almost no

With all-four technology, conventional implants are used, but due to their oblique arrangement, it is possible to increase the contact area with the bone. With the other two methods - specially designed models. In addition to the central part of the bone tissue, they are fixed in a deep basal base, involve the cortical membrane, zygomatic bones and buttresses or bone consolidations of the jaws. These are denser parts that reliably hold the implants, even if the main department( and it consists mainly of capillaries) is practically absent.

The fact that inflammation of the gums is not a contraindication to the implantation of

Another interesting fact is that implants can be installed in the presence of acute inflammation of the gums and tissues around the teeth. This is possible, firstly, because the structures are fixed in dense and sterile parts of the bone that are not subject to atrophy or inflammation. Secondly, the cervical implants are smooth, they do not accumulate plaque, so the risk of repeated inflammation of the tissues is practically absent.

About why prostheses can be put immediately

Prostheses play a very important role for three reasons:

• framework or prosthesis base connects implants to each other, so their micro-mobility is excluded. The patient can fully eat, and implants at this time will be fused with the bone,
• prosthesis restores the aesthetics and functionality of the teeth,
• prosthesis allows the patient to eat. Chewing tissue receives bone tissue - its cells, through the activation of natural metabolic processes, receive the necessary nutrition and the regeneration( recovery) process is accelerated.

About what prostheses the patient receives and why you need to have a double prosthesis

Immediately after the implants are installed a permanent prosthesis is attached to them. It is fixed for a minimum of six months, then - at the request of the patient. But on average he will serve about 3-5 years. After this period, you can put a permanent, also non-removable prosthesis, but created from cermet or zirconia.

The prosthesis has a metal base on which plastic gums and crowns are attached. The gum is necessary for the smile to look more aesthetic, because its own gum is not enough that it becomes uneven because of bone atrophy, so it also sags with it. If you use only crowns for prosthetics, they will be too long, there will be an effect of the so-called "horse smile".

The tops of the implants are the abutments. If two-part models are used, angled, inclined abutments are used. If the whole models, then their tips can be tilted - in order to fix the prosthesis directly. In any case, the fixation of the prosthesis and abutment in implantation techniques ALL-ON-4 and ALL-ON-6 occurs with the help of screws - so new teeth can easily be removed by replacing them with new models without damaging the implants( except for the basal implantation method -, as a rule, it is not required, because a large number of implants are used, and the prosthesis on them is fixed with a cement fixation).

What are the advantages and disadvantages of the

technique? Advantages of the approach are as follows:

• rapid return of the smile and tooth functionality aesthetics,
• choice: the patient together with the physician can choose a method that really helps to solve the problem of missing teeth,
• does not need to perform sinus lifting andbone augmentation,
• implantation in periodontitis and periodontal disease,
• treatment accuracy and predictable result through the use of 3D visual modeling,
• affordable price.

As for the shortcomings, it can be noted only that these methods are not very common in our country, although they are very popular in Europe and the countries of America. This is due to the conservatism of many implantologists, as well as the lack of an institution of training - to practice until 2016 it was possible only abroad, and this is quite expensive.

Where can I restore my teeth in 1 day in Russia?

As already mentioned above doctors, really masters of their craft with an impressive practice of working with the immediate load protocol is not so much. After all, a doctor should be not only an implant surgeon, but also a maxillofacial surgeon who has in-depth knowledge of the anatomy of the jaw system and the entire human skull.

Nevertheless, among the pioneers of this technique can be identified:

• MOSCOW: Ermolaev Alexey Nikolaevich and Semen Nemeev - an implantologist and orthopedist working in pairs over complex cases of restoration of teeth. You can make an appointment with them at the Stars Dental clinic by phone +7( 495) 789-47-09 or www.starsdent.ru
• MOSCOW: Nikolai Namdakov, an experienced maxillofacial surgeon, an implantologist who perfectly knows all the protocols of implantationteeth. The last 5 years specializes exclusively in the protocol of implantation with immediate loading. Is a member of the International Foundation for Implantology, applies its own patented technologies for prosthetics ALL-ON-6.Works as the chief doctor in the dentistry of innovative technologies SMILE-AT-ONCE.One of the first has passed practice and has received certification on application of method ALL-ON-4 from company Nobel Biocare and BASAL COMPLEX from company Oneway Biomed. The registration for the consultation: +7 495 540-52-42 and 8 800 333-46-28 or on the site www.smile-at-once.ru. In dentistry, there is a special program for treatment in Moscow for patients from other cities.
• SAMARA: Oleg Vladimirovich Filimonov is a dental surgeon, implantologist, ch.ph., a doctor of the first category in the dentistry of MEDGARD.Recording for consultation: www.medguard.ru
• ROSTOV-ON-DON: Kipiani Anna Iosifovna - Chief Physician, dentist surgeon-implantologist, Ph. D.Stomatology EuroStom - www.evrostom.lact.ru

A few words about the cost of treatment

When compared with classical implantation, the cost of technology with immediate prosthetic load is lower by an order of magnitude - from 180 thousand rubles for the restoration of one jaw. As a rule, the price is "turnkey".This means that in the cost of implantation everything is included - examinations, anesthesia, materials, work and all visits to the doctor.

The diagram below shows a comparison of traditional implantation using a two-stage protocol and Immediate Load for one-stage implant restoration for the restoration of all teeth on the 1 jaw, all-inclusive.

And what the patients say. ..

Despite the fact that it is possible to carry out implantation for 1 day only in some clinics in Moscow, there are still many satisfied patients, which is confirmed by the positive feedback: