Front teeth implantation
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At the "Kiаdent" prosthetic clinic, you can restore a lost front tooth in the smile zone by installing a dental implant at a price lower than the average cost in Odessa.
Features of Front Tooth Implantation
First, higher aesthetic standards are required when restoring teeth in the front area. It’s necessary not only to restore the functionality of the teeth but also to bring back a beautiful smile to the patient.
Second, front teeth need to be restored as quickly as possible. Bone tissue in the front area deteriorates faster. The longer the tooth is missing, the more significant the atrophy—making it impossible to proceed without bone grafting.
Important to consider ☝️
A titanium abutment may show through the gum. It is better to use zirconia abutments, especially for the implantation of upper front teeth.
Only E-max ceramic crowns can flawlessly mimic natural teeth. The metal framework of a metal-ceramic crown may show through and cause gum discoloration. Zirconia crowns have an unnaturally white color and may stand out among neighboring teeth.
Recreating an aesthetic gum contour is essential, as soft tissue diminishes along with bone tissue. Gum tissue grafting is performed to restore the natural gum contour.
Prices
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Full list of services for front tooth implantation:
- Installation of one Brand implant
- Installation of 1 Brand implant + metal-ceramic crown
- Installation of 1 Brand implant + ceramic crown
Implantation of Lower Front Teeth
Specific considerations when implanting lower teeth include:
- Dense bone tissue: The lower teeth endure more chewing pressure. The lower jaw experiences greater chewing load, so its bone tissue is denser than the upper. Bone grafting is rarely needed for lower front tooth implantation. Lower front teeth implants integrate 2-3 months faster than upper ones.
- Complex anatomy: During lower jaw implant placement, it's important to consider the location of the mandibular nerve and blood vessels. To avoid damaging them, the implant surgeon studies CT (computed tomography) results during the examination phase.
Implantation of Upper Front Teeth
Key features of upper front tooth implantation include:
- Smile formation: Upper front teeth primarily shape your smile. Thus, both high aesthetics and fast prosthetics are crucial for their restoration.
- Loose bone: Upper incisors and canines are less involved in chewing, making the bone tissue less dense. Bone grafting is often needed, especially if the front tooth has been missing for a long time. The artificial root may take up to 6 months to integrate.
- Proximity to maxillary sinuses: When implanting upper canines, it's important to avoid damaging the nasal sinuses. During the preparation phase, the surgeon models the implant placement based on CT scan results.
What are the best implants for restoring front teeth?
When selecting dental implants for the smile zone, the implantologist considers several factors:
- Surface: Preference is given to implants with a special coating that accelerates osseointegration and ensures high primary stability.
- Size: Thin implants with a small diameter, such as Astra Tech TX 3.0S (3 mm wide) or Osstem TS-III CA (3.5 mm diameter), are used when the bone is narrow.
- Thread type: In the front zone, the width of the jawbone is smaller. Implants with a wider thread pitch are preferable to avoid bone damage.
- Gum contour shaping: Some implant models are designed to facilitate the formation of a natural gum shape around the titanium post.
Solutions for Front Tooth Implantation
Missing one tooth
Implantation of one front tooth
An implant is placed to replace the tooth root, and an artificial crown is fixed to replace the tooth's crown portion.
Missing three consecutive front teeth
Implantation of three front teeth
There are two options to restore the dental arch:
- Place 2-3 implants and load them with crowns.
- Place 2 implants and attach a bridge of three crowns to them.
Contraindications
Contraindications for front tooth implantation are the same as for all types of dental implants.
Temporary
- poor oral hygiene;
- bruxism;
- glycated hemoglobin above 8% (in diabetes);
- exacerbation of chronic or infectious diseases;
- pregnancy, breastfeeding, etc.
Absolute
- blood clotting disorders;
- central/peripheral nervous system disorders;
- cancer during treatment;
- connective tissue diseases;
- immune system problems.
Implantation Methods
Immediate
Immediate implantation is used when there are clear indications for tooth extraction: mechanical trauma, root fracture, crown destruction of more than 70%, or inability to treat. Immediately after tooth extraction, a dental implant is placed in the socket. A temporary crown is fixed onto it 2-3 days later.
Single-stage
Single-stage implantation is recommended when the patient wishes to quickly restore the dental arch and bring back their aesthetic smile. This method involves the immediate loading of a temporary prosthesis either right after the implant placement or 2-3 days later.
Classic (two-stage)
This method is used when bone grafting is necessary. The implant placement follows a protocol of delayed loading—the permanent prosthesis is fixed only after osseointegration. During the healing period, an immediate "butterfly" prosthesis can be installed.
Indications for Bone Grafting
Bone grafting is indicated before implant placement in the upper jaw when there is a critical lack of bone volume, making it impossible to securely fix the implant in the jawbone.
Recovery After Front Tooth Implant Placement
To speed up osseointegration and avoid complications after implantation in the front area, the following guidelines should be followed:
- For the first 2-3 days, use only mouth baths. Simply hold an antiseptic in your mouth for a bit, then gently spit it out.
- Restrictions for the first 5-7 days. Avoid physical exertion, air travel, saunas, and hypothermia.
- Brush your teeth twice a day. Start brushing with a soft-bristle toothbrush on the 4th day after surgery. You can use an irrigator only 14 days after implant placement. Good oral hygiene reduces the risk of peri-implantitis.
- Avoid alcohol for 1-2 weeks. Do not drink alcohol while taking antibiotics after implantation. After finishing antibiotic therapy, refrain from alcoholic beverages for at least one more week. Alcohol slows down the healing process and increases the risk of gum inflammation.
- Quit smoking for 3-7 days. It's best to avoid smoking altogether until the stitches are removed. Then, minimize smoking for 2-4 weeks. After smoking, rinse your mouth with Chlorhexidine or Miramistin solution.
- Avoid hard foods for 4-6 weeks. Don't chew nuts, crackers, or hard candies.
Questions and Answers
- How long does it take for front implants to heal?
Up to 3 months on the lower jaw and up to 6 months on the upper. Some Astra Tech models heal faster—up to 2 months on the lower or up to 4 months on the upper jaw.
- Is there an alternative to front tooth implantation?
If several consecutive teeth or individual teeth are missing, a partial denture can be used. However, it attaches to the supporting teeth with metal clasps, which may be visible when talking or smiling.
- Which crowns should be chosen for front teeth?
The best choice is an E-max ceramic crown. Its shade and optical properties closely resemble natural teeth. When you smile, the person you're talking to won't notice that you have a crown on the implant.
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Changed: 24 Oct, 2024
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