Do you think there’s nothing serious if you lose one or two teeth and the rest remain intact? The answer is not that simple! Researchers have shown that humans have no extra organs, and teeth are no exception. Each tooth has its function and you need all the teeth at the same time. What can happen if at least one of them is missing? Its function will pass to the neighboring teeth, overloading them, as a result, the chewing will only be done in one part, so the teeth will wear out more quickly, the muscles will become hypertrophied on this part, the temporo-mandibular joint will be affected, and it may even cause pain. The remaining teeth will move towards the gap, eventually altering the dental occlusion, which will lead to an incorrect skull position, which in turn will affect the posture of the body (the cervical and lumbar column).
Without proper treatment, the consequences are often difficult to bear. Ranging from an anesthetic appearance of teeth, masticatory inefficiency, joint pain, hearing disorders or periodontal disease can occur. The discomfort of chewing determines on the one hand the choice of safer and cheaper foods, but which are calorie rich and less healthy, and may result in gastrointestinal disorders that lead to nutritional deficiencies over time. And posture change can trigger a large number of symptoms and even chronic degenerative diseases (such as cystic cifosis, lordosis and scoliosis, compression of muscles, nerves, blood vessels, arteries, veins and organs).
Dental implants are the ideal treatment solution for missing teeth and for patients with partial or total edentations (one or more missing teeth).
A dental implant is the artificial replacement of the root of the tooth. It takes the form of a “bolt” that anchors in the bone at the level of the missing tooth cell and supports an artificial crown, bridge or support on its upper portion or provides support for the fixation of a dental prosthesis. The implants are made of well-tolerated materials that integrate effectively into bone tissue.
Treatment with dental implants is the preferred method of tooth replacement in most situations due to their significant benefits over other restoration options.
Some of the benefits of treatment with dental implants include:
- Dental implants preserve the bone, replacing the missing dental root.
- Dental implants improve face aesthetics, helping to maintain and develop the bone, thus providing natural support for the muscles and the skin of the face (especially around the lips and mouth), correcting the oval of the face, attenuating the wrinkles, and redefining the nasolabial recesses to achieve a youthful look.
- Dental implants protect the adjacent natural teeth, preventing them from moving.
- Dental implants improve breathing and oxygenation of the blood due to the decrease of the vertical occlusion level in case of toothless patients when they remove the mobile prostheses during sleep, the natural movement of the airflow into the body may be blocked, which may cause or exacerbate sleep apnea syndrome.
- Dental implants improve the chewing function by correcting the teeth length and restoring the dental occlusion, which will evenly distribute the masticatory forces between the arches and the teeth equally.
- Dental implants reduce rapid and severe wear of other teeth, protecting other teeth and maintaining proper alignment and smile proportions (which becomes less attractive when teeth are used), increasing their long-term longevity.
- Dental implants contribute to superior long-term aesthetics which is achieved by preventing a visible denture defect.
- Dental implants contribute to a better hygiene of the oral cavity, an implanted crown is more hygienic than a dental bridge, because it is cleaned as a natural tooth and does not accumulate food debris beneath it.
- Dental implants protect the natural healthy teeth, preventing their preparation or even worse root-canal treatment for prosthetic purposes.
- Dental implants significantly reduce the risk of periodontal disease occurrence at the spot of implant insertion due to regeneration of bone and gingival tissue and continuous support, compared to a bridge that usually leads to poor hygiene, and consequently poor hygiene contributes to maintaining periodontal disease, disease progression, gingival recession and, finally, progressive loss of bone tissue.
Dental implantation is a solid investment, documented clinical trials indicate a success rate of 95-98%, and dental implants can last for 20-30 years provided on the one hand that the required surgery techniques are observed and the correct execution of the prosthetic part on the other hand. Another requirment deals with maintaing a good general and oral health, having a good oral hygene, is not an excessive smoker or alcohol consumer (although smoking is bad for healing, it is not absolutely prohibited, thus 3-5 cigarettes per day are allowed).
Keeping a proper oral hygiene has a crucial role in successful implant treatment because the microbial factor can permanently damage this success.
The quality of the implant used in the treatment is very important as well, as it must be made of high quality materials and under special conditions, having all the necessary certifications and approvals of the accredited bodies.
As this is an essential surgical treatment at Grandismedozon Clinic, sterilization conditions are very rigorous, aseptic and antisepsic rules being rigorously observed.
Among the disadvantages of dental implants should be mentioned:
- More planning time and necessary treatment time,
- The treatment requires a surgical procedure,
- Higher costs (but result in long-term stability and fewer future investments for revisions)
- Immunological (allergic) response to titanium metal dental implants and titanium alloys.
How to choose your implants: titanium or zirconium?
Grandismedozon clinic offers implants from a commercially pure titanium alloy (CP4) with a specialized surface consisting of nano-calcium ions structure embedded on the implant surface that activates bone deposition around it, maximizing thus the osteointegration of the dental implant, and the prosthesis (abutment) is manufactured in the “hybrid” individualized version of the 3D CAD / CAM computerized technology. In our opinion, a titanium implant with an individual zirconium bin is the best solution at the moment.
However, given that allergy *to metal has a high prevalence among the population, in the case of dental implants, extremely rare cases of titanium sensitization have been described in patients with prosthesis failure, who were allergic to other metals as well. Titanium dental implants and titanium alloys induce developing sensitivity or even allergy of the gingival hyperplasia, which subsequently due to the microbial factor can permanently compromise the implant treatment.
On a large scale, the contact surface of the dental implant with the bone is rather small, since the bone has a very low reactivity potential. On the other hand, oral mucosa and skin behave differently from an immunological point of view, partly due to the influence of specific immune systems for each organ, such as lymphoid tissue associated with the skin and lymphoid tissue associated with the mucosa.
The evaluation of the skin sensitivity potential to nickel, chromium, and titanium salts demonstrated that a significant amount of titanium ions was required to cause a skin reaction. The amount of titanium ions released from titanium alloys was considered low due to surface stabilization and corrosion resistivity of titanium oxide formed on the surface of titanium alloys. These results can explain the extremely rare cases of sensitivity to titanium contact, and the emergence of immunological reactions is due more to titanium alloys (nickel or vanadium) than titanium itself.
Currently zirconium implants are the only viable titanium-free alternative. Zirconium is a material that has been used successfully in implantology because it has proven to be highly biocompatible, has no allergic effect (as it is not a metal), has very interesting micro-structural properties, is osteo-conductive, strong and resistant, has a color that fits with natural teeth and low affinity to bacterial plaque.
Grandismedozon offers you the choice between titanium implants and zirconium implants.
*Jacob P. Thyssen, Torkil Menn. Metal Allergy – A review on Exposures, Penetration, Genetics, Prevalence and Clinical Implications. In Chem. Res. Toxicol., 2010, 23 (2), pp 309–318, 2009.
Manish Goutam, Chandu Giriyapura, Sunil Kumar Mishra, and Siddharth Gupta– Titanium Allergy: A Literature Review Indian. J Dermatol. 2014 Nov-Dec; 59(6): 630.