Tooth Whitening

The renowned German scientific society DGZMK, together with the DGI (German Society for Implantology) 1999 following policies adopted:

When dentures must be between removable, fixed and removable conditional supplies can be distinguished.

Removable implantatgestützter dentures at the toothless jaw is standard on 4 implants supported. This form of a higher supply allows stabilization of the prosthesis with less bone resorption (-abbau) of the jaw also as a possible stabilization with 2 implants.

Rein implantatgetragener dentures at the toothless jaws are standard on 6 implants supported, but in the upper jaw is more than 6 implants in the lower jaw, in exceptional cases, only 4 implants may be needed.

In Freiendindikationen and large Schaltlücken are depending on their size Composite Bridge (linking implants with natural teeth) 1 or 2 implants and purely implantatgetragenen constructions standard 2 or 3 implants.

Frequently need for financial reasons (implant costs) compromises. However, it should be carefully considered, whether by the implant success is not sustainable and therefore endangers better fall back on conventional methods.

Failure?

Complications-up to the loss of the implant - occur (success), but in recent years due to improved surgical techniques, optimized material properties, a specific design and construction of the superstructure of a consistent follow-up significantly decreased. They show a similar pattern like that of a gum disease and tooth can be infected soon after the procedure, or even occur only after years (Periimplantitis). They say (more…)

There are different procedures and surgical methods:

The implantation period corresponds to a kieferchirurgischen surgery and is performed under local anesthesia.

Where procedure, the entire implant under local anesthesia in the jaw and inserted with a temporary crown. It therefore calls this method “einzeitig” because no other kieferchirurgischer intervention to the full function of the implant more is needed. Until the final Einheilung-permanent seat on the artificial root (~ 3 months) - the implant should carefully weighed Thereafter, the final design incorporated Supra.
Only a little common form of  procedure is the “emergency implant, which in a fresh wound extraction or in the empty alveolus after an accident lost Schneidezahns used directly, and after 1-2 weeks with the final crown can be covered. (more…)

The application for implants is very comprehensive:

Individual dental implants, primarily applied to a cutting tooth loss, or loss of the first major Backenzahns ,all other kariesarmen teeth. 
               

To fasten or stabilization (more…)

The materials have the metal titanium and different types of ceramics (glass ceramics, Aluminiumoxydkeramik, Zirkonkeramik) enforced:

Titan (Fig. li. O.), or a Titanoxyd coated metal body, the General Medical a proven and stable material, such as Countless experiences with artificial hip joints. Besides his excellent load it in his size is always more of a natural tooth root can be simulated. Because of its excellent biocompatibility deposited relatively (more…)

There are a variety of types and shapes of implants. According to the anatomical relationships and purpose, under different forms and techniques can be selected. Below the main types:

Screws implants: the implant is placed in a vorgefrästes, standardized “hole” in the pine screw: 
 

Cylinder and Hohlzylinderimplantate (more…)

The cost can-depending on implant system vary. As a benchmark is not an amount  of 900 - 1,300 euro per implant without the fortified pointed dentures ( “Supra construction”), and additional surgical intervention (eg sine Lifting) - apply.

  Detailed calculation examples

Private health insurance-reimbursed under the Tariff closed-costs after the official  It is strongly recommended that a prior investigation costs. It is strongly recommended one, a cost estimate

What distinguishes one species implant in dentistry? (more…)

Although still not ideal implant system available (see below), the former, according to scientific criteria investigated remarkable successes:

The “5-Jahres-Erfolgsquote” is in literature, with about 95% for the lower jaw and ~ 90% for the upper jaw. This percentage difference is the different bone structures of the two jaws to explain.

As implant success criteria, the following views:
  Absent sustained complaints such as pain, infection, numbness, neuropathies
  No movement
  X-ray no gap between implant and bone visible
  Only small bone loss (0.2 mm) in the first year of implantation
  The satisfaction of the patient.
  Often in the literature a certain length of a couch implant (eg “.. 5-Jahres-Überlebensrate of 90%”). Such figures are currently Even with a certain reluctance to consider, as some studies the implant loss within the first year, not take account of other data only say that the implant is still in the mouth, but nothing about the state of affairs.

In general implants (such as hip joints), it is always “closed” implants that is, they are completely surrounded by body tissue. A risk of infection outside of this kind is not given.

In dentistry, only the bone implants (eg: Alveolarkammplastik) for the construction of missing jaw bone, the transaction Fixation (a implantation through an existing tooth root through, even as endodontisches implant), and some other “exotic” forms, such as magnetic implants, purely “closed” the overwhelming proportion is as a “semi” because a part (of the implant posts, which include the replacement tooth is needed) in the bacteria with plenty of oral cavity for its towers. The gums may be the only part visible implant add, and is not similar to natural teeth (Fig. below left) through a complex biological system with the firm to grow.

A good oral hygiene and particularly at the transition between the implant and gum optimal plaque freedom to the amount of bacteria in this area as low as possible to keep (things). Without this measure hygiene is the failure of this costly treatment measure inevitable.

Satisfactory anatomical conditions: where hardly jaw bone is present-eg Through a highly advanced “parodontosis”, nothing more can be implanted. An exception was the subperiostalen implants and sinus lifting dar. Generally, the quality of bone mass and its tightness and therefore the success of implants in the lower jaw better than in the upper jaw.
Even in the recently offered “short implants” are subject to physical laws. Such a deployment, which is a significant cost saving and surgical intervention, is only in good quality bone successfully.

No serious underlying diseases, such as Blood disorders (leukemia), not adjusted diabetes (diabetes mellitus), continuous supply of Blutverdünnern (Marc Umar therapy as Infarkt-Prophylaxe), chronic disorders of the immune system, rheumatic disorders, severe liver and kidney disorders, poor general body condition, alcohol, nicotine and drug addiction. Even with regular intake of cortisone, Immunsupressiva and cytostatic drugs is not an implant.

In adolescents can be due to the strong growth in the jaw when girls are only starting 15 and boys at 18 years of implant ions.

The implant, and later the dentures supply place high demands on time, technology and skill of Behandlers. It must therefore be scheduled numerous dates and corresponding financial resources available.

How is the timing-principled differences?

The supply of implants is divided into three major sections:

Rehabilitation of the oral cavity, especially not erhaltungswürdiger teeth removal and the creation of a suitable implant bed.

Actual implantation (Set of the implant in / on the jaw bones). It can immediately (in the fresh extraction wound = Instant implantation), delayed or late (~ 3-4 months after removing a tooth).

Supply and burden with the implant dentures (Supra construction). This mostly only after a secure Einheilzeit (4-6 months; = Spätbelastung) = emergency or immediately load.