As If Nothing Had Ever Happened — Implants for Larger Tooth Gaps

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As if nothing had ever happened — implants for larger tooth gaps

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Dental implants. One hundred percent yourself!

Introduction 3

Patient experience Dear patient, You may remember Ian from the poster in "Finally normal teeth again" Do you want to put an end to your problems with gaps your dentist's waiting room. He lost two premolars in Ian, 47 years old, manager 4 — 5 in your teeth and obvious or uncomfortable dentures? succession. The manager has decided to have two Do you want a relaxed and natural smile again? Do you implant-borne crowns and in this way can avoid having want to be able to chew without problems again and a removable partial denture. Since then he has been are you interested in implants and have you already able to go to his office with his normal self-confidence Treatment asked your dentist about the options? and feels years younger. To give you an idea how others Implants are definitely something for me! 6 — 7 experience the time before, during and after implant We congratulate you on your decision, it is the first placement, Ian would like to tell you about his ex- step on the way to showing your teeth proudly and perience. After that this brochure will tell you all you without embarrassment. need to know about these tiny artificial tooth roots What can I expect after and important information on the probable sequence the initial consultation? 7 Original Friadent dental implants are small but extreme- of your treat-ment, such as what you will have to do ly robust titanium screws that the dentist can use to and how your dentist can support you. "make time run backwards". They are inserted into the jaw to replace the natural roots of the teeth and But first we will hear from Ian ... Read it yourself: What is implant placement really like? 8 — 9 become fully integrated into the bone. Then the denture of your choice can be fixed to the implants invisibly and permanently. No one will detect any difference from your natural teeth. Not even you.

Frequently asked questions and answers on dental implants from A to Z 10 — 19

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"Finally normal teeth again"

Ian, 47 years old, manager would be no difference in appearance from before the At the age of 47 I had to have a premolar removed in loss of the teeth. I decided to have the two single my lower jaw. The root had previously been treated implants. They were inserted into my jaw under local but it still became infected again and again. The prob- anesthetic. That was not particularly easy where the lem was that the tooth was the last in the row. It also bridge component sat because the bone below the supported a bridge that replaced the tooth in front of it. bridge had not been loaded for a long time and it had atrophied greatly.

Four months later the implants were fully healed and Ian has several teeth missing integrated into the bone and the new crowns could at the end of the row. be fixed to them. There was no difference from my natural teeth. I felt unbelievably relaxed and years younger. I finally had a perfectly normal row of teeth again just as when I was 28, before I received the This means that I would have two teeth missing fixed bridge. At that time implants were not as common adjacent to each other. And there was no longer any as today. A pity, since without the bridge I might not tooth to which a bridge could be fixed. The dentist have lost the second premolar. spoke of free-end edentulism and explained first that it could be closed with a removable partial denture. I was horrified. Would I have to insert my teeth every morning before going to a business appointment or to the office? Could I even speak normally with a removable denture? Would it show when I laughed? Many questions and embarrassing situations went through my head.

But fortunately there was another solution: dental implants. The dentist said that there were two different options: an implant at the end of the row of teeth would provide an anchor for a bridge. Two implants and two Ian with single-tooth imp- crowns could replace the two missing teeth and there lants — as if nothing had happened.

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The first step towards dental implant-borne teeth: personal Implantation is planned in detail on the basis of X-ray images. consultation with the dentist.

Treatment However, to allow you to review this information at Once preparation and planning are complete, you will leisure and so you will know exactly what is to be done be able have your dental implants placed at the next Implants are definitely something for me too! once you have decided in favor of a perfect smile again, appointment. Depending on the actual procedure you Will they stay in my jaw? And will the implant placement we want to show you the specific steps again. may be able to eat a little up to one hour before sur- for me be as quick and easy as it was for Ian? You gery — however your dentist will discuss this with you. have certainly had these or similar questions in recent What can I expect after the initial You are best advised to follow the dentist's recommen- days. But don't worry. Friadent implant systems are top consultation? dations exactly. quality both scientifically and technically, because they are made in Germany. With their special surface In the next few days your dentist will probably send and shape they have outstanding healing rates and you an estimate of the treatment costs with the exact millions of them have been successfully implanted. costs for your individual implant treatment. You will submit this estimate to your health insurance fund to Friadent implants can be inserted immediately after find out your share of the costs or how much you will tooth extraction and also at any time after that. If there be refunded for the treatment. has been a gap in the teeth for a long time and the bone has become too thin or too narrow for insertion of an Once the costs have been settled and you have decided implant, it can be restored with bone from the body to have dental implants, your dentist will discuss any or a replacement material analogous to bone — and treatment of your natural teeth or the gum that you often at the same time as implant placement. may require before implant placement. Then the actual implant placement will be planned using x-ray images When conducted by an experienced dentist implant and plaster casts of your jaw. Sometimes computed placement is today a very safe and uncomplicated tomography (CT) will be necessary to be able to assess routine treatment. Your dentist has certainly explained the bone and the position of other important structures. the surgical procedure in the consultation appointment.

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Several teeth are missing at the end of the row. First of all, implants are inserted, followed by restorations with Alternative: the implant-borne bridge. The row of teeth looks completely intact. crowns.

What is implant placement really like? Healing of wounds Implant uncovery Placing the crowns or the bridge The gum will normally heal very fast and almost comple- When the healing process has been completed, the gum After about two weeks the gingiva former can be re- Placing the dental implants tely without pain. After two or three days you will above the dental implants is opened again. The dentist moved and your final crowns or your bridge can be The minor operation will not usually take any longer have an examination to make sure all is going well places a gingiva former on the implant to shape the placed. The denture is fixed to the implants. The screws than half an hour per implant. The dentist works so and the sutures can be received about 10 days later. gum to lie as close to and as well-shaped on your new are not visible, so no one can see any difference from atraumatically and the procedure is so safe that all the crowns as the natural teeth. Perfectly natural and no the natural teeth — not even you. implants that you need can be inserted in an outpatient Healing of bone visible gaps. Finally an impression of your jaw is taken procedure and generally in one treatment session. The During the bone healing phase the bone cells are to form the basis for fabrication of the final denture. dentist will open the gum at specific positions. The deposited directly on the specialized surface of the The dentist then replaces your temporary denture. But precisely fitted, small implant sites will be prepared Friadent implants and the implants are gradually don't worry: you will never leave the practice without in the bone and the small implants are inserted. In integrated into the bone. This converts the implants teeth. general, you will now have to allow the bone to heal into an integral part of your jaw. This painless process for some months without loading it. Therefore, the gum lasts four to six months in the upper jaw. The bone in over the implant will be sutured and the gap closed the lower jaw is generally harder so the implant is more with a temporary denture. firmly fixed from the start. It normally only takes three to four months until the implants are healed. But don't You will be able to go home from the practice or hospital worry: until then you have the temporary denture. And with a smile and no gaps. Because you should not drive now temporary dentures can be fabricated to such a after the anesthetic, have someone pick you up or go high standard that they are virtually indistinguishable Exception: immediate loading home in a taxi. You should also not eat or drink until from natural teeth. If you had a removable partial If the dentist decides that your bone situation is optimal, it may also the anesthetic has worn off. denture beforehand, it can also be used during the be possible to subject the implants to so-called immediate loading. This healing phase after a minor modification. means that a top-quality temporary denture is attached to the implants as soon as they have been inserted. You have your implants and your teeth sit firmly again the same day. Talk to your dentist about the options available. He will also explain what you will then have to remember.

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Frequently asked questions with answers about implants from A to Z

Could dental implants be the solution for you, too? Are you interested in knowing more about the exciting possibilities? The most frequently asked questions and answers about implant treatment are collected on the Airport security check: detectors rarely respond to implants. Bone that has atrophied can be restored very easily. following pages by keywords from A to Z. (Cross-section of upper jaw: the atrophied side of the jaw has been built up again by a special procedure. The bone is now wide enough for the implant.)

components and is completely However, if you still want to "sleep" Bone grafting identically to the natural tooth Airport security neutral in the body. Of the materi- during the treatment, the dentist Cardiac enamel. This means that the A check als used for crowns and bridges can also explain the implications When is bone grafting necessary? D pacemaker denture is virtually identical to ceramic has proven the most com- of a general anesthetic. If the jaw has no teeth and is not the natural teeth. patibility to the body. The allergy subject to the associated natural Will metal detectors beep at my risks vary for metals and plastics. chewing load over a long period, Could dental implants affect my implant, such as during security Let your dentist advise you what the bone gradually atrophies. This cardiac pacemaker? Consultation checks at an airport? material is best for you. Beautiful teeth is a similar process to that of a No. Dental implants have no elec- No, don't worry about it. Dental B muscle that atrophies because it tromagnetic effect. They cannot How can I prepare for the implants are not magnetic and they >>> See also "Implant material" is no longer used. Certain bacteria affect the operation of your pace- consultation? are also much too small to trigger at I. can also destroy the bone. This is maker in any way. You should be thoroughly the detector. And if the detector I will be receiving several dental referred to as periodontitis — other- informed before the consultation. ever does beep at your implants, implants, but I would also like all wise known as periodontosis —, This brochure contains all the you will have your proof of implant Anesthetic my teeth to be whiter or more an inflammatory disease of the Ceramics important basic information that placement that will explain the attractive. What can the dentist periodontium. If the bone is you should know. You should situation quickly and easily. Is a general anesthetic really not do here? weakened or thin and an implant What material is used for crowns? also take advantage of the con- necessary for implant placement? The dentist can frequently bleach cannot be placed, the dentist will Most crowns and bridges are metal sultation to ask any questions No. Local anesthetic can complete- darker-colored teeth. Unattractive recommend bone grafting. The or metal alloys and are veneered that you might have. Make a list Allergy ly prevent any pain in the jaw. front teeth can be coated with bone is restored with autogenous with ceramic in a color to match of questions beforehand so you When the dentist prepares the plastic or fine ceramic, referred to bone or bone replacement material the natural teeth. The high-quality don't forget any. Don't forget to Is it possible to be allergic to implant site in the bone and as veneers. The crowns for the as atraumatically as possible. esthetic alternative is porcelain. inform the dentist of any other implants and dental materials? inserts the dental implant, you will implants will be brighter from the A mixture of both is often used. Zirconium oxide ceramic with diseases and all medications that Dental implants have been avail- feel vibration and a slight pressure start or the new tooth shape will The grafting material is applied its high strength is particularly you take regularly. You should also able for more than 40 years. Over but no pain. For most patients the be modified accordingly. Ask directly to the bone to widen or suitable for implant-borne bring a note to remind you of this. this long period no allergies to procedure feels like a normal your dentist. There is a solution lift it depending on the situation. dentures. It is suitable for single- titanium implants have become treatment for caries, which is also for almost every problem. This is often possible during tooth crowns, and also for larger known. Titanium has no allergenic conducted under local anesthetic. implant placement. However, in bridges and it reflects the light some cases a separate outpatient procedure may be required.

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What do dental implants cost? The health and cost schedule has all The most important dental care utensils: toothbrush, dental floss the information. and interdental brush.

Cost areas are colonized by bacteria processes for metabolic reasons. Durability Day surgery that attack the gum and over time If there is any doubt the dentist How much will dental implants D procedure they can also attack the jawbone will consult your doctor. How long does a dental implant cost? around the implant. This can be last? The cost depends on the extent prevented with dental floss or small After the healing phase a correctly of the treatment and the number Is the implant placement really a interdental brushes. The prophy- Diseases inserted quality implant will be of implants. A general estimate day-surgery procedure? laxis team at your dentist will more resistant to some influences for an implant-borne crown in- Yes. The dentist works atraumati- show you how to handle the in- Are there any diseases that would than the natural root of the tooth. cluding all medical and dental cally and safely so multiple im- struments and will provide pro- prevent implant placement? A titanium implant with the opti- services would be in the range of plants can generally be placed in fessional tooth cleaning at regular Not really. If you have a serious mum prosthetic load will not break. 2,000 euros. An implant-borne an outpatient procedure in one intervals — such as every three general disease such as a cardio- And it is immune to caries. Con- bridge (for three missing teeth) single session. months. This will remove stubborn vascular disease, serious kidney sistent oral hygiene will keep your would start at around 4,000 plaque and your teeth will look as damage, a tendency to hemorrhage gums and the implant site healthy. euros. The estimate of work good as new. You should make or an impaired immune system, With appropriate care implants required and the associated Dental care regular prophylaxis appointments you should always inform the can last a lifetime. costs, which will be included in with your dentist. It's worth it. dentist beforehand. In some cases the treatment and cost plan, will How do I care for my implant- side effects of medications may be given to you before the start of borne teeth? affect the healing process, so the treatment by your dentist. Implant-borne teeth not only look Diabetes dentist should informed of this in like natural teeth. They can be the first consultation.Y our dentist cleaned just as easily with a tooth- If I am a diabetic can I still have a will advise you of the options brush — including an electric dental implant? and assist you to make your own toothbrush — and tooth paste. Yes. However, your diabetes must decision on the basis of your When cleaning implants the be well controlled. Diabetes that health profile. spaces between the teeth and is poorly controlled or untreated the transitions to the gums are may adversely affect the healing >>> See also under particularly important. These "Medications" at M.

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The pure titanium used in manufacturing implants is highly Relax and enjoy life again with implant-borne teeth. compatible to the human body.

The first generations of aluminum Immediate loading Food Implant oxide ceramic were not strong Material Pain F I material enough to present serious compe- What exactly does "immediate M P tition for titanium. Current ceramic loading" mean and does it apply implants are now made of to me? Can I bite and eat normally with What are implants made of? extremely stable zirconium oxide The usual plan for implant-borne >>> See "Implant material" at I. Will I be in pain after the my implant-borne teeth? Friadent implants are pure surgical- ceramic and are still in the testing teeth includes a healing phase >>> See also "Ceramics" at C. procedure? With your implant-borne teeth grade titanium. The material has phase. Titanium is still the gold with no loading on the implants The gum will probably be sensitive you can eat, bite, talk and laugh proven to be so good that now standard for implant-material. after they have been inserted. Medication in the first few days, but will not just as you could earlier with 99 percent of all dental implant In this procedure the gap is tem- bleed any more. Your cheek may your second set of teeth. Your systems are now made of pure porarily closed with a classical Are there any interactions with swell for a short time and may teeth are firmly attached to your titanium. It is extremely stable and Immediate implant temporary denture, which is nor- medications? feel uncomfortable. However, most implants and you can feel quite is very compatible to the body. placement mally attached to the neighboring This is possible with certain medi- patients will not even need a pain- secure with them. Titanium also becomes firmly teeth. However, in immediate cations. For example, cortisone killer on the following day and can integrated into the bone. These Can implants be placed immedi- loading new implant systems and can change the metabolism and return to a normal life. positive properties have been ately after tooth extraction? methods are used that under immune system of the body in Foreign body feeling proven not only in implant dentistry Yes. This is often possible today. specific conditions allow the den- such a way that problems with hea- but also in many other medical The implant is placed in the fresh ture or the temporary denture to ling may be encountered. Anti- Will implant-borne teeth feel like fields, such as prosthetic joints, wound immediately after extraction be attached to the implants imme- coagulation medications may cause my own or will I feel as if I have a for many decades. The silverygray of a tooth. This is referred to as diately. Patients receive their serious hemorrhages during impl- foreign body in my mouth? color of titanium is also not a immediate implant placement (not implants and have fixed, natural- ant placement. If you are required Implant-borne teeth will feel quite disadvantage, because implants — to be confused with immediate looking teeth on the same day. to take medications regularly, you natural when you are talking, eating like natural tooth roots — are loading of implants). Whether immediate loading is must discuss them with your and laughing. You won't feel any completely buried in the jawbone suitable for you will depend on dentist. difference. and are invisible. White dental the state of the jawbone and the implants of ceramic have also position of the implants. Ask been available for some years. your dentist about the options.

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Ankylos Xive Frialit

1-3 Friadent systems: the exact solution for every situation. Microstructured implant surfaces promote healing. (The picture shows a bone-forming cell which has become attached to the implant surface. Magnification: 2000x)

Why can I trust Friadent implants? The highly developed surface Replacement Risks A sudden rejection reaction of a Quality Friadent implants are quality characteristics make it possible and modification fully healed dental implant is also Q German products, whose design for bone cells to be deposited R of the denture Are there any risks involved with very unlikely. However, in rare is based on decades of research, directly on the implant and the implant placement? cases the bone may not hold the development and documented new bone and to form new bone. An implant placement is a minor implant firmly enough. In this Are there any differences in experience. They are the result Friadent implants offer the best Can implant-borne dentures be surgical procedure. Complications case it cannot be resist loading quality among dental implants? of high-precision manufacture. conditions for optimum healing replaced or, if more teeth are such as injuries to nerves and sufficiently and will most probably Like virtually any product there Starting from the purchase of the and the formation of a perma- lost, extended? blood vessels during placement have to be removed under local are very high-quality implants raw material the entire production nent stable base for implants. Yes. The denture can be replaced of dental implants are certainly anesthetic. In most cases a new and lower-quality models. For chain is subject to extremely rigid or modified at any time. A Friadent possible. This is extremely unlikely implant can be placed in the same example, there are differences in quality standards. Friadent systems also offer extre- single-tooth implant can be con- these days with current advances session if you wish. the design of dental implants, mely esthetic prosthetic solutions verted into an abutment for a in diagnostics and planning. When particularly of their surface. The The range of products covers three for every requirement and for bridge or prosthesis without dif- an implant is placed by a qualified surface of an implant can be mo- systems with differently shaped every initial situation. And if the ficulty, even after many years. dentist, the risks are no greater dified to improve the principally implants in various sizes and denture fixed to Friadent implants than when removing a wisdom tissue-compatible properties of lengths, so the dentist can select ever needs to be replaced, you tooth. titanium, but they can also be re- the exact type for your specific can be quite sure that your dentist duced. Always have your dentist initial situation. All implants are will be able to obtain all the re- inform you of the characteristics made of pure surgical titanium and quired components even years of the implant that is to be used. have a unique microstructured later regardless of where you are Ask about long-term experience. surface, which actively supports in the world. Also ask about the long-term the healing process of the bone. availability of replacement components in case your denture has to be renewed or modified in the future.

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Reliable implantation due to state-of-the-art diagnosis. Fit for recreation again a few days after implantation. Fit for work again after only a few days. There is no difference from natural teeth.

And if an implant becomes Sports Is there anything else I need to inflamed? Smoking Work worry about? When detected early enough in- S Can I still exercise and play sport W In brief: no. Think of your implants flammations caused by bacteria after implant placement? as a natural part of your body. You can usually be treated success- Exercise after implant placement can exercise, talk, eat, laugh and fully. If you attend regular appoint- Are dental implants advisable is not a problem. However if you When can I go back to work? live as if nothing had happened. ments for dental care and prophy- for smokers? take part in activities involving Your dentist will most likely give There is no difference from your laxis at your dentist and also clean The long-term success rate of dental vigorous exercise, you should you a certificate for a few days off natural teeth. your teeth regularly at home, you implants can be endangered by consult the dentist first. A few days work. However, you can usually are unlikely to be affected. smoking. Discuss it with your den- of rest may be recommended to go back to a normal life on the tist. He can assess the risks in avoid affecting the healing process. day after your treatment and then your case. go back to work a few days later.