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Dentistry 2023

Tooth implantário: what é, when é indicated and as é done

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Tooth implantário: what é, when é indicated and as é done
Tooth implantário: what é, when é indicated and as é done

Dental implant is a procedure that consists of fixing a pin in the jaw to serve as a support for the placement of a tooth, being indicated in cases where the person has lost one or more teeth due to cavities, periodontitis or infections, for example.

This procedure is done under local anesthesia so that the gingival incision and bone attachment is not felt. In addition, after the procedure, the dentist may indicate the use of anti-inflammatory drugs, antibiotics and analgesics to favor recovery and reduce the pain that may be felt.

When is indicated

The dental implant can be indicated by the dentist when the person has lost one or more teeth or when they need a total oral rehabilitation, due to infections, deep cavities, accidents or periodontal diseases.Thus, the placement of implants can be recommended to improve the smile but also improve the person's self-esteem.

Although it can often be related to aesthetics, dental implant placement can also be important to improve chewing, speech and in the treatment of temporomandibular joint (TMJ) pain.

How it's done

The dental implant should be done in the dentist's office under local anesthesia. Before placing the implant, the dentist may request some tests to better visualize the location of the teeth, the quality and bone structure and which teeth should be replaced.

After this initial evaluation, the dental implant process can be started, in which the dentist performs the complete oral hygiene of the person, applies anesthetic in the place where the procedure will be performed, excises a tooth, if if necessary, and makes a cut in the gum so that it is possible to have contact with the bone that will serve as the base for the implant.Then, a small hole is made in the bone to correctly fit the pin that will support the tooth and, thus, it is possible to succeed in the implant.

In traditional dental implants, the fitting and adaptation of the tooth to the implant will take, on average, 6 months for the upper teeth and 4 months for the lower teeth. After the procedure, the doctor will prescribe painkillers and rest, which may only be 24 hours, but it is important to avoid efforts and do physical activity in the first week. In addition, it is important that after the procedure the person has a light diet and performs oral hygiene normally.

Dental implant with immediate loading

Dental implant with immediate loading happens when the tooth is placed in the metallic structure right after the surgery. In the traditional dental implant technique, only after 3 or 6 months of fixing the structure are the replacement teeth placed. This time is necessary so that there is greater fixation of the prosthesis with the bone, so that the crown of the tooth can be placed.

In the dental implant technique with immediate loading, the process is faster and more aesthetically comfortable for the patient, but this technique has restrictions, mainly related to the location of the implant, the patient's he alth condition, and the condition that is bone that will receive the implant.

When dental implant is not indicated

The placement of a dental implant is not indicated for children and young people who are in the bone growth phase and people who use drugs for osteoporosis, Paget's disease or who undergo chemotherapy. In these cases, it is best to use dentures instead of implants.

In addition, dental implant placement is not recommended for people who have high-risk heart conditions and untreated diabetes, due to the risk of infection and possible complications.

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