Dental implant for all missing teeth

  • ARE YOUR TEETH TOTALLY COMPROMISED AND YOU DON’T WISH FOR MOBILE DENTURES?
  • ARE YOU ALREADY WEARING MOBILE DENTURES BUT THEY ARE MAKING YOUR LIFE A TORMENT?
  • ARE YOU SUFFERING FROM ADVANCED AND GENERALIZED PERIODONTAL DISEASE?

THE IDEAL SOLUTION CAN BE “TOTALFIX” OR “ALL-ON-4” – TOTAL RECONSTRUCTION OF DENTURE THROUGH IMPLANTS AND IMMEDIATE AND FIXED WORKS IN ONLY 48 HOURS!!!

The IDEAL CHOICE in case:

  • You have no teeth
  • Teeth exist but are totally compromised (complicated tooth decays, fractures, periodontal infection)
  • You are suffering from advanced and generalized periodontal disease
  • You are wearing mobile dentures that you can’t get used to or are unstable
  • You wish to get rid of dentures forever
  • You wish for a fast and guaranteed treatment
  • You don’t want or aren’t allowed to undergo bone additions

MAIN ADVANTAGES of the concept:

  • IMPROVED ESTHETICS
  • FIXED DENTURE
  • IMMEDIATE DENTURE
  • EASY TO CLEAN AND MANAGE
  • FAST AND EFFICIENT
  • AVOIDS BONE GRAFTINGS
  • FIXED, ANTICIPATED COSTS
  • EXTENDED WARRANTY (20 YEARS EUROTEKNIKA, FOR LIFE NOBEL BIOCARE)
  • MAXIMUM EFFICIENCY (comfort, price, etc.) ON A MEDIUM AND LONG TERM BASIS

IMPLANTODENT TEAM

  • IMPLANTOLOGY SINCE 1999
  • TOTAL REHABILITATIONS BY IMPLANT SINCE 2002 (ALL-ON-4/6)
  • 2008 NATIONAL PREMIERE WITH “TOTAL FIX” CONCEPT
  • 2012 NATIONAL PREMIERE WITH “QUADZYGOMA” CONCEPT
  • 2013 NATIONAL PREMIERE (AND THE THIRD IN THE WORLD) WITH “SIXZYGOMA” CONCEPT
  • 2015 WORLD PREMIERE IN ZYGOMATIC IMPLANT LASER INSERTION
  • OVER 15.000 CONVENTIONAL AND SPECIAL IMPLANTS INSERTED
  • 5 IMPLANTOLOGY SPECIALISTS TRAINED IN USA, GERMANY, SWITZERLAND AND AUSTRIA, 3 SPECIALISTS IN IMPLANT PROSTHETICS AND 3 DENTAL TECHNICIAN MASTERS.

In Implantodent clinics, patients without teeth or totally compromised teeth, no longer having a bone volume corresponding to the insertion of conventional implants, are treated using one of three revolutionary techniques that avoids bone addition:

  1. TotalFix – the angular implant technique
  2. TotalFix + – the combination of 2 zygomatic or pteriodic implants in the posterior jaw areas and 2-4 conventional implants in the anterior area,
  3. QuadZygoma – simultaneous insertion of 4 zygomatic implants, 2 for each side of the jaw.
Echipa implantologie1

WHAT DOES “TOTALFIX” OR “ALL-ON-4” REPRESENT?

Lack of all teeth is called TOTAL EDENTATION.

If there are several teeth left on the arcade but are still totally compromised (advanced, generalized periodontal disease) we can state that the patient is in a TERMINAL DENTITION stage.

alta

Normally, these teeth are extracted and treatment resumes either to a total denture, or modern prosthetics through the techniques described below.

Totalfix concept – implants and fixed work in the same day!

TotalFix” concept, patented by the French company Euroteknika, represents the most modern method of replacing a terminal denture (totally compromised) or all missing teeth from a maxilla with 4 or 6 dental implants and fixed work in the same day.

implant pentru toti dintii lipsa

It is known, depending on the producer under the following names:

  • „All-on-4” – Nobel Biocare;
  • „Fast&Fixed” – Bredent.

Posterior teeth or molars, found behind the maxilla, are the first ones to be lost. Also in the superior maxilla, bilaterally in the back parts and within bone depth, maxillary sinuses are found, cavities filled with air. Unfortunately, the lack of fast replacement for superior molars with dental implants leads to bone resorption in that region, as well as pneumatization or enlargement of maxillary sinus volume.

Therefore, shortly after, we can witness the following phenomena:

  • At the superior maxilla, under the sinuses, there isn’t enough bone for dental implants to be inserted.
  • At the inferior maxilla called mandible, above the inferior alveolar nerve, there isn’t enough bone for dental implants to be inserted.
implant pentru toti dintii lipsa1

In this situation, the methods of treatment are the following:

  1. CLASSIC ALTERNATIVE – with bone addition/augmentation:
  • restoring missing bone from posterior regions of the maxilla (sinus lifting and sinus augmenting, bilateral at the superior maxilla and bilateral bone additions at the mandible).
  • after a minimum of 6 months implants are inserted (6 or 8), in the lateral areas, where bone was augmented as well as in the anterior areas.
  • after another 6 months prosthetic works on implants are performed.
implanturi pentru toti dintiilipsa, rebsorbtie osoasa

THIS EXTENDS THE TOTAL TREATMENT DURATION (with approximately 1, 1 and a half years), INCREASES COSTS, INCREASES RISKS (additional surgical interventions)

  1. MODERN ALTERNATIVE – “TotalFix” or “All-on-4/6”
  • bone additions and augmentations are no longer necessary
  • concept is based on modern implant use, able to provide an excellent initial stability, much needed in case of “loading and immediate function”.
  • in the posterior areas (behind maxillary bones), in front of the critical anatomic formations (represented by sinuses for the superior maxilla and inferior alveolar nerves for the mandible), implants are inserted in an inclined position; this inclination of maximum 45 degrees for posterior implants ensure a proper distribution, avoids extensions (prolongations) of the final dental work and at the same time avoids critical anatomic formations mentioned above.
  • for the superior maxilla, 4,5 or 6 implants are being used, depending on bone density and for the inferior maxilla called mandible, in over 90% of the cases, 4 implants are sufficient for a total rehabilitation.
implanturi pentru toti dintii lipsa, totalfix
  • Temporary works are FIXED and assembled IMMEDIATELY after implant insertion. Therefore, the patient that arrived without any teeth or with all teeth compromised leaves the clinic after only 24 hours with implants and works, temporary yet fixed!
  • Temporary works are esthetic and functional and in most cases consist of 10 teeth (from the right premolar 2 until the left premolar 2). Manufacturing materials are represented by composites and acrylates. Extensions (prolongations) are strictly forbidden for temporary works (function as harmful levers for the implants).
  • Final works can be performed after approximately 4 or 6 months after implant insertion, more exactly after the biological integration (osseointegration) process has ended. It is established through clinical tests, measurement with a special digital device, remarkably precise as well as through radiological checkup (dental tomography). Final works manufacturing material is no “fad” being established with the prosthetics specialist, depending on the clinical situation at the time being, after several tests and occlusion (bite) probing. Therefore, the final work cost cannot be anticipated in the implant insertion stage. We can use materials such as titanium, composite, full ceramics or even zirconium, depending on the clinical recommendation and naturally on the patient’s esthetic wishes. Final works allow distal extension (posterior prolongations) to be carried out, for a maximum of 2 molars on each side. Thus, each total final work will consist of 12-14 teeth!

 

implant toti dintii lipsa

WHAT CONDITIONS THE TREATMENT?

  • REMAINING BONE QUANTITY (HEIGHT AND WIDTH/THICKNESS) AND MAXILLARY SINUS POSITION ARE ESSENTIAL FOR MAXILLARY (inferior bone) DIAGNOSIS!!!
  • REMAINING BONE QUANTITY (HEIGHT AND WIDTH/THICKNESS) AND INFERIOR ALVEOLAR NERVES POSITION ARE ESSENTIAL FOR MANDIBLE (inferior bone) DIAGNOSIS!!!

MAXILLARY BONE AREA CLASSIFICATION

implant toti dintii

 

  1. BONE EXISTENCE IN AREAS I, II, III, IV – WITHOUT RESORPTION, WITHOUT EXCESSIVELY PNEUMATIZED SINUSES – INVOLVES MAXILLARY REHABILITATION THROUGH 6-8 AXIALLY INSERTED IMPLANTS, WITHOUT REQUIRING ADDITIONAL PROCEDURES SUCH AS BONE ADDITIONS AND AUGMENTATIONS.
implant toti dintii, implant axial

 

  1. BONE EXISTENCE IN AREAS I AND II (ABSENCE IN AREA III) – RESORPTIONS IN THE POSTERIOR REGIONS AND MODERATELY PNEUMATIZED SINUSES TOWARDS THE INFERIOR POLE – INVOLVES MAXILLARY REHABILITATION BY “TotalFix” OR “All-on-4” METHODS. THUS, 4 OR 6 IMPLANTS ARE INSERTED, POSTERIOR ONES IN INCLINED POSITION AND BETWEEN THEM, 2 OR 4 IN AXIAL POSITION.
    implanturi pentru toti dintii lipsa, totalfix
  2. BONE EXISTENCE IN AREAS I AND IV (ABSENCE IN AREAS II AND III) – SEVERE RESORPTIONS IN POSTERIOR REGIONS, INCLUDING PREMOLAR AREA AND SEVERELY PNEUMATIZED SINUSES ON AN INFERIOR AS WELL AS POSTERIOR DIRECTION, IN THE CANINE AREA – INVOLVES INSERTING 2 OR 4 CONVENTIONAL IMPLANTS IN THE ANTERIOR REGION (BETWEEN CANINES) AND A SECOND WITH ZYGOMATIC IMPLANTS (ONE FOR EACH SIDE), IN THE ZYGOMATIC REGION, TO ENSURE A PROPER POSTERIOR SUPPORT FOR THE WORK.
    implat toti dintii, implant zigomatic
  3. BONE EXISTENCE ONLY IN AREA IV (ABSENCE IN AREAS I, II AND III) – DRAMATIC RESORPTIONS FOR THE WHOLE SUPERIOR MAXILLA AND SEVERLY PNEUMATIZED SINUSES TOWARDS INFERIOR AS WELL AS ANTERIOR – INVOLVES SIMULTANEOUS INSERTION OF 4 (“QUADZYGOMA”) OR 6 (“SIXZYGOMA”) ZYGOMATIC IMPLANTS (2 RESPECTIVELY 3 ON EACH SIDE) INTO THE ZYGOMATIC BONES, TO ENSURE A FIXED WORK, EVEN IN THESE CONDITIONS WHEN THERE IS PRACTICALLY NO CHANCE OF FIXED REHABILITATION BY OTHER METHOD.

 implanturi zigomatice

KEY ELEMENT OF A TOTAL REHABILITATION SUCCESS – ANTERO-POSTERIOR DISTRIBUTION OF DENTAL IMPLANTS!

implanturi toti dintii, reabilitare totala

WHAT IS THE PROCEDURE?

Surgical intervention involves a single stage, is conducted with general anesthesia by drug sedation and involves 3 situations:

  1. Patient without any teeth
    implanturi toti dintii, implanturi
  • Specialty consultation + investigations (dental tomography and blood tests) + evaluation + intervention scheduling;
  • Bone topography is regulated (smoothed);
  • Dental implants are inserted;
  • Prosthetic elements are assembled (connections between implants and work);
  • Impressions and occlusion (bite) is recorded;
  • A temporary fixed work is attached (after 24 hours);
  • After approximately 6 months a fixed work can be realized.

          2.Patient has teeth left but they are totally compromised (infections)

implanturidentare, implanturi toti dintii
  • Specialty consultation + investigations (dental tomography and blood tests) + evaluation + intervention scheduling;
  • Teeth extractions are performed;
  • Bone curettage of all pathologic formations (infections)
  • Bone topography is regulated (smoothed);
  • Dental implants are inserted;
  • Bone addition is performed within the extracted teeth alveoli (no empty spaces are left behind that will lead in a bone defect healing);
  • Prosthetic elements are assembled (connections between implants and work);
  • Impressions and occlusion (bite) is recorded;
  • Temporary fixed work is attached (after 24 hours);
  • After approximately 6 months a fixed work can be realized.

(1) Cleaning the bone of infections and regularization (smoothing)

implanturi toti dintii, implanturi dentare

(2) Dental implants insertion – inclined (20 – 35 degrees) for posterior ones and vertically (axially) for anterior ones

Implanturi pentru toti dintii lipsa

(3) Fixed temporary works – immediately after implant insertion, with no posterior extensions (prolongations)

Implanturi pentru toti dintii lipsa 1

(4) Fixed final works – are realized after approximately 4-6 months, simultaneously with the implant biological integration into the bone

Implanturi pentru toti dintii lipsa 2

 

3.  Patient has resorption in posterior maxillary areas but also bone defects located in the previous area

  • Specialty consultation + investigations (dental tomography and blood tests) + evaluation + intervention scheduling;
  • Size and location of bone defects is assessed (dental tomography);
  • Bone defects adjusting with biomaterials (bone and membranes);
  • Insertion of 2-3 temporary implants;
  • Performing a temporary and fixed work to protect bone additions;
  • After bone healing, when bone defects have been adjusted, final implants are inserted by “TotalFix” classic concept.

Is there any pain?

No! There is absolutely no pain. Pain is managed intraoperative through local anesthesia performed by the implantology doctor and completed with general anesthesia through intravenous drug sedation conducted by the anesthetist doctor.

ceve

Being a complex intervention, that requires a surgical environment, in Implantodent clinics it is performed in special surgery/implantology rooms with all necessary equipment, as an operating block. Everything is sterile, and inside these rooms no other treatments are conducted that can generate an increased microbial load on surfaces or air (gangrenes, decays, professional hygiene, etc.).

All vital functions of the patient are permanently and carefully monitored by our Anesthesia and Intensive Therapy specialist, so that the operating team’s full attention will be “focused” entirely on the surgical intervention.

At the same time, in the most likely situation where postoperative complications arise, rooms hold all necessary equipment for complication management: oxygen network, emergency kit, defibrillator, intubation kit, etc. Additionally, Implantodent surgical team owns an extensive experience in conducting such interventions, cumulated in years of study and actual work.

After the surgery, you will rest in one of the clinic’s modern wards and you will receive all necessary medication in order to prevent potential infections, inflammation and pain. Thanks to physiotherapy devices with which you will be treated after the surgery, you will be able to resume daily activities in maximum 2-3 days.