Implants are described as a root of an artificial tooth. They are anchored in the bone, in those areas of the jaw or jaw without remnant teeth. They have to be integrated by the surrounding tissues and be able to support the load during chewing permanently. After a healing time (between 3 to 6 months), the implant is firmly attached to the bone and therefore withstand chewing. This process is called osseointegration, it can be explained as the bone cells grow on the surface of the implant.
In the production of the implants materials are used, which guarantee the requirements of biocompatibility and stability. Most implants are made from titanium alloys. This material has been used for many years in medicine (orthopedics), it is accepted by the body without adverse reactions (allergies or rejection).
Modern implant systems have greatly expanded therapeutic options and allow for tooth loss, in principle, to replace each tooth.
In which cases is an Implant placed?
When there is absence of a tooth
To avoid deforming the jaw, to prevent the nearby teeth from moving, and / or for aesthetic reasons due to tooth loss in anterior areas
Unit implant to replace the loss of a previous tooth
Individual crown on an implant
Unit implant to replace the loss of a previous tooth
In the absence of several teeth: Bridge over implants
As a pillar for a bridge over implants.
In the absence of posterior tooth / s (molars or premolars):
as a pillar to replace lost tooth (s) in posterior area
Crown on implant in posterior zone
In the absence of an entire arcade: Fixed implant rehabilitation
A series of implants supports a rehabilitation to replace the absence of an entire arch
A rehabilitation supported on six implants
Rehabilitation in upper jaw on six implants
For the support of a complete removable prosthesis: Overdenture
on 4 implants (supports a complete prosthesis and acquires optimal subjection)
Dental Implants Simulate Artificial Titanium Roots.
What is osteointegration?
The process of osseointegration is defined as a direct, structural and functional connection between the living, ordered bone and the surface of an implant under a functional load. The original term of osseointegration was coined by Professor Per-Ingvar Brånemark since his studies in 1952.
In some cases, because of the loss of bone (atrophy) in the jaw or jaw, we are unable to insert implants, there is a lack of bone width and / or height. Thanks to the use of bone grafts (increase in height and width), where the patient’s own bone (autologous) or bone substitute is used, the deficient bone substance can be regenerated. This procedure is performed prior to or concurrently with implant placement. This osteo substitute (for example BioOss®) is of synthetic or natural origin. Thus, in smaller defects, a regeneration of the zone to be implanted is obtained. After 3-8 months, this osteo substitute is replaced, as it is gradually changed by the patient’s own bone.
Sinuslift (Elevation os maxillary sinus)
A special type of bone regeneration is the sinus elevation: In the posterior region of the maxilla, there is a cavity filled with air, which often leads to insufficient bone height. This makes, that often, the placement of implants in this area is impossible for us. With the sinus elevation technique, this bone height can be increased sufficiently. A surgical access is made in the patient’s mouth, this mucosa is raised very carefully (Schneider’s membrane). The resulting cavity is filled with bone substitute material (for example BioOss®). If the amount of autologous bone present is sufficient, implants can be introduced simultaneously with breast lift surgery. If the amount of bone is insufficient, it is necessary to wait 6-8 months for the placed bone to have hardened before inserting the implants into another surgery. Elevation of maxillary sinus Placement of a bone substitute. It is necessary to wait 6 to 8 months for the material to be replaced by the patient’s own bone .
Breast lift is nowadays a routine operation, which brings good results, predictable in expert hands. However, exposure and fenestration of the antral lateral wall represent a non-negligible surgical trauma to the patient. Despite all the advances, this surgery is always associated with certain risks. Thus, for example, wound infection can be caused by exposure of the bone graft, inflammation, bruising and discomfort in the surgical area. For this reason, today we try to solve the case, without large bony grafts, if possible.
Short Implants (Bicon)
In this we are helped by other approaches:
Bicon Design Keys
1- Design of Stabilizing Fins. The Bicon short dental implant has been designed with Stabilizing Fins, thus differ from the vast majority of conventional implants, which are threaded. The stabilizing fins of the Bicon implant allow the growth of cortical bone. This bone has a faster growth and allows greater stability. Bicon impacted implants by their placement, do not produce a compression of the bone, with this we will get that the adjoining vessels do not retract. We will get the bone to grow from the first moment; this is done through the clot, completely filling the space between the stabilizing fins. The shape of the stabilizing fins gives the implant greater stability and allows implant-prosthesis relationships greater than 1: 3.
2- Auo-Retentive Morse Cone Connection Bicon Morse Cone Connection. Perfect fit between implant and protest pillar. It never loosens, and does not allow bacterial infiltration. The Bicon Implant Connection: The conical connection of the Bicon Implant is AUTORETENTIVE, so once activated, it turns the implant into a Monoblock. There are no weak points or micro-movements. It is a self-locking Morse Cone connection, no need for screws to stay active. It is able to withstand implant-prosthetic relationships greater than 1: 3 without problems of loosening or screw breakage. The Bicon connection is completely watertight, it does not allow bacterial infiltration, thus avoiding the main cause of bone loss. This feature is basic when we have little bone, because we can not allow it to be lost. In Zones with little bone and restoration of unitary teeth. The connection of the Bicon implant (with its self-locking Morse cone) is anti-rotational in nature, there are no problems of loosening of the implant crown. For this reason the placement of unitary implants is very easy. With these short implants we gain flexibility. Due to their short lengths we will avoid vital structures, such as the maxillary sinus and the inferior dental nerve. Many grafting procedures can be avoided or reduced to the maximum. Very often we are limited by poor bone height. As described above, bone grafting methods, such as elevation of the floor of the maxillary sinus, often have to be performed. These additional surgical procedures can be avoided with the use of Short Implants. We will also reduce the complications, risks and additional costs that makes some patients refuse treatment with implants. We also reduce healing time, since we can place the implants directly. There are extreme cases in which the use of longer implants would not be possible, for example, extreme bone loss in the mandible. The proximity of the inferior dental nerve would compromise the placement of implants. An affectation in this structure, can cause us a lasting numbness in this zone. With the Short Implants this limitation in bone height would reduce us a lot.
SHORT® Implants improves the possibility of placing the implants in areas with low bone remaining. The nearness of N. dentus inferior no longer compromises the treatment.
Although the need for dental treatment is to achieve optimal function, our goal is to integrate into our treatment plan aesthetics. This got it using modern porcelains, aesthetic composite and dental whitening.
In the treatment of periodontal disease, it is paramount to release the gingiva and periodontal ligament of the inflammatory process. The procedure and the intensity of the treatment of periodontal disease largely depend on the initial state of the patient.
Endodontics is trying to save the tooth, which otherwise would have to be removed. Removes the pulp tissue (nerves, vessels and tissues), cleaning the ducts of the roots and sealed them with a material, to isolate it from the entrance of bacterial agents.
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