How is it done?

How is the procedure for implant placement?

Usually are performed two surgeries.
In a first surgery, the surgeon after numbing the area, makes an incision in the gum to expose the bone. Then with a specific drill makes a hole in bone for implant placement. The gum is sutured covering the implant. Usually a radiograph is performed to confirm the position of the implant.

After the procedure, the surgeon will give directions to the patient and the appropriate medication. Some of these statements include no smoking, no spitting, soft food and put ice on the face. After placement of the implant in the jaw is necessary to wait some months (3-4 months) to have the implant osseointegration in bone. During this time the patient use a removable prosthesis for rehabilitating the space without teeth.

In the 2nd surgery after implantation have been integrated into the surrounding bone, the surgeon numbs the area and makes a small incision in the gum to expose the implant. Then replace the protective screw implant for the healing abutment. The healing abutment is where the tooth will be placed  and maintains the space and allows for proper healing of the gums.

Two to three weeks after the 2nd surgery the crown / bridge / denture can be performed. It is molded to the patient's mouth and then sent the mold to the laboratory, which fabricate the structure. Can be constructed of ceramic and metal or ceramic and is then cemented or bolted to the implant.

 

Immediate implant

In some cases we can place an immediate implant. The implant is placed immediately after tooth extraction. Place a temporary abutment on the implant and the abutment on the temporary crown. This procedure can be done in one visit and although it may present higher risks it has aesthetic advantages for the patient.

 

 

 

 

 

 

Bone preservation

 

After tooth extraction to bones and gums begin to recede. If you decide to place an implant many years later, the bone level is lower and therefore the crown has to be higher. In some cases it may be positioned material to stimulate the bone and the implant and crown can be at a better position.

 

 

 

 

 

 

 

Raising Sinus (sinus lift)

In the upper jaw where the bone is lost in the molars and premolars area, we may not have enough bone to place implants due to the proximity of the maxillary sinus. In that case surgery is performed to lift the sinus, filling material that stimulates the bone  making room to place implants. See Oral Surgery