Question 1

What is osseointegrated dental implant?

Accepted Answer

Osseointegrated dental implant, or simply dental implant, is a titanium dental device designed to be inserted into the jaw bones to serve as a rigid support for dental prostheses, in the treatment of one or more missing teeth (extracted).

Question 2

In which situations is treatment with dental implants contraindicated?

Accepted Answer

There are several, the main ones being severe bone resorption (little bone available), poor bone quality, osteopenia (bone diseases), severe bruxism, uncontrolled diabetes and inability to follow an abstinence protocol for smokers.

Question 3

Does dental implant treatment hurt?

Accepted Answer

It shouldn't. Post-operative discomfort (mild pain) may be associated with the treatment. During the installation of the implants, the patient should not feel pain because he will be anesthetized with the correct techniques, and in the postoperative period he will be medicated (antibiotic and anti-inflammatory), being more peaceful compared to tooth extraction.

Question 4

Will I be without teeth during the osseointegration (healing) phase of dental implants?

Accepted Answer

No. There are several types of dental prostheses with excellent aesthetics for this period. What may not be technically possible is to fix these provisional devices directly on the newly surgically installed dental implants.

Question 5

Can diseases such as gingivitis and periodontitis also appear around dental implants?

Accepted Answer

Yes, just like natural teeth. However, in this case, the name of the disease is different: it is called peri-implantitis, a problem that affects the bone that supports osseointegrated titanium devices.

Question 6

Is it true that there can be bone rejection to the dental implant?

Accepted Answer

No. As the osseointegrated device is composed of inert material (unilateral interaction with the organism), the phenomenon of rejection of foreign organisms does not occur in this type of treatment. When the osseointegration process does not occur, the term osseointegration failure is given to the phenomenon, which happens in the postoperative period when the patient does not follow the guidelines or when he does not have good hygiene in the postoperative period, which is very important for correct healing ( osseointegration) of the implant.

Question 7

Is it true that it is already possible to surgically install dental implants without “stitching” (suture)?

Accepted Answer

Yes. There is the Guided Surgery technique that allows cutting the gum already in the exact diameter of the osseointegrated device, dispensing with suturing the gums and improving the surgical postoperative period.

Question 8

Why is it sometimes necessary to use bone grafts?"

Accepted Answer

The area where the dental implants will be inserted does not always have enough bone available in height and width for the insertion of the titanium device. In these cases, bone readjustment with grafts may be necessary to make the treatment feasible and improve the aesthetic and durability results and facilitate the cleaning of the dental prostheses.

Question 9

Does the use of bone and gum grafts increase treatment time?

Accepted Answer

Depending on the type of surgical technique, yes. Normally, in more complex cases and in order to obtain a better result, it is necessary to use bone grafts and gum grafts.

Question 10

And what should I do if my treatment fails to osseointegrate?

Accepted Answer

After removing the failed dental implant, you wait between 90 to 120 days, and then a new surgery installs a new titanium device in the same place as the failure.

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