Are "artificial roots", used to replace the missing or lost teeth with the aim of supporting a Crown and/or prosthesis. The dental implant is made of titanium and is a substitute for the missing tooth root, working as a stable base for future prosthesis or dental Crown.

The implant is fixed to the bone through osteointegration. Therefore, it is possible to provide teeth that look and act as if they were your natural teeth.

Once established, implants placed in contact with the bone, an organic Union with the same, perfectly healthy and stable.

The implants must be understood as an alternative treatment to replace missing teeth. Along with the implants there are other options, such as the removable dentures and fixed prostheses. However, they are usually the therapeutic option that allows for oral rehabilitation closest to the natural dentition in physiological terms and comfort.

In the same way as when missing a tooth there are other alternatives after referenced. Each has its indications, contraindications, advantages and disadvantages.

You should inform your Dentist who will be perfectly entitled to perform the diagnosis and explain the treatment alternatives that best suit your case.

Surgical procedures associated with treatment with implants are perfectly filed and most situations does not imply any kind of discomfort and/or pain. It is a procedure performed, mostly by local anesthesia, like most other dental treatments. Postoperatively, there may be a slight inconvenience, a small inflammation and swelling of the area where the surgery took place. In very exceptional cases, these symptoms may be more pronounced. Your may judge necessary in situations that give you medication to eliminate the nuisance.

In general terms, includes four phases: the planning phase, the surgical stage, restorative phase and the maintenance phase.

a. The planning phase may be more or less complex depending on your situation. However, and in general terms implies the study of your case (clinical and radiographic examination), as well as other dental treatments to achieve good health prior to treatment with Oral implants.

(b). The surgical stage entails a surgery with a view to placing the implant (artificial root) in direct contact with the bone. It may happen that there is the need for further surgery depending on your clinical case. These clinical situations are specific cases where there is a limitation in terms of quantity of bone which requires prior surgical procedures to get it.

(c). The restorative phase can be held on the same day of surgery or until 6 months after the same, depending on the case. Consists of a set of procedures necessary for preparation of the graft to be placed on the implants. This set of procedures can involve multiple queries, trying to achieve a function and aesthetics suitable to each case.

(d). The maintenance phase is perhaps the most important of all because treatment is one that allows all here was held to remain in lifelong health. Don't think that once the restorative treatment phase is finished. Actually, it's from here and the oral hygiene performed by the patient and the Dentist that will depend on the duration and quality of treatment. There are specific protocols well documented.

There are several long-term studies to prove the efficacy of treatment with implants, in the order of 90% to 98% in patients with good oral and systemic health. Of course, like other medical treatments and médico-dentários depend on various factors such as: the anatomical and physiological characteristics of patients and their oral hygiene habits, smoking, among others. Should your Dentist informed about the possibilities of success you can expect in your case. In the case of losing an implant can always put another without an increased risk of future failure.

The implants may be lost for many reasons normally associated with the different stages of the process. As a first step because you can't get osteointegration (bone-implant Union), which can occur for various reasons such as: infections, impaired vascularization, alteration of healing, (frequent in smokers) and occlusal overloading of the graft placed on implants. If you have achieved the osteointegration, could be lost by misfits or prosthetics, or fractures of the elements that unite the implants to prostheses, as well as by infections. This last cause results not the surgical procedure itself of implant placement, but the lack of oral hygiene and therefore lack of maintenance treatment.

Tobacco reduces the vascularization of the bone and gums, delays the healing process, increasing the risk of infections. Is clearly proven in the scientific literature that implants in patients who smoke have a higher failure rate.

During the surgical procedure are the same as any oral surgery treatment. All these complications such as injuries of sensory structures (nerves), or neighboring teeth are infrequent and easily preventable when a complete study of your case through the use of diagnostic tests such as x-rays and CT scans.

Functionally the implants behave like natural teeth, that is, the people who have them don't feel like a foreign body. There are however, specific cases depending on the type of prosthesis that stand (removable dentures on implants-overdentures) patients feel a certain degree of movement of the same which is perfectly natural. However, this movement is always lower than that of a conventional removable prosthesis. In terms of the pace of life can do what he's always done but with more quality in the sense that in terms of chewing and aesthetics will be better. Should, however, bear in mind that the long-term duration of these treatments depends on oral hygiene levels and smoking habits.

It's not true normally. Although it is possible to do so has the disadvantage that is placing a prosthesis that can be gum unadapted that surrounds the implant after healing which typically occurs. The latest advances in technology and clinical research with great reliability to allow placement of a provisional fixed prosthesis at the same moment in which are placed the implants. The great advantage is to bring comfort to the patient while waiting for integration of the implant in the bone (osteointegration) around in the average 8-12 weeks. In fact, this prosthesis is in almost every way identical to the definitive, except in the material in which it is made. After this period replace this prosthesis for a definitive, more adapted to your gums remodeled after surgery, and made a more resistant material (ceramic-metal or metal-acrylic) and long lasting.

The treatments with implants are not eternal, nor is any other rehabilitation treatment in dentistry. However, and with recent technological advances can expect a durability of implants always exceeding 15 years, and in the case of prostheses that rely on implants a minimum time of 10 years is the acceptable period of duration. In any case, always remember that when there is some infectious pathology or mechanical problem in the implant-prosthesis set this duration estimated drastically reduces. It is important however to point out that these problems occur almost exclusively in cases of poor maintenance of this type of treatment. It is appropriate to carry out control queries with a maximum interval of 6 months.

Treatment with implants can be carried out in diabetic patients since controlled metabolic point of view. In women with osteoporosis treatment can also be performed and may however, be the subject of a specific planning. If you are taking any medications that interfere with the levels of coagulation and platelet aggregation should inform your Dentist, since there may be the need to change the medication prior to placement of the implants.

1 PRE-OPERATIVE

· Come to the Medical Dental Clinic

· If you take medication, tell the Dentist

· Delivered before the tests query requests

· Avoid taking large amounts of liquids

· Prepare ice at home to put at the end of surgery

· Come together, avoiding driving

2 post-operative care

· Avoid food and hot drinks

· Put ice on the treated area

· Avoid making efforts (for ex.)

· If you have bleeding do compression of the treated area with sterile gauze.

· It is normal for the occurrence of edema in two or three days after the surgery that could last about a week

· Don't smoke or drink alcoholic beverages

· You should brush your teeth in treated area gently

3 MEDICATION (only with your doctor's prescription and counseling Dentist)

· Amoxicillin 875mg + Clavulãnico Acid 125 mg (1 length of 12/12:0 after meals)-ATTENTION the ALLERGIC to penicillin

· Ibuprofen 600 mg. (1 comp. of 12/12:0 after meals)

· Paracetamol gram. (1 comp. of 12/12:0 after meals)

· Deflazacorte 30 mg. (comp. 2:0 3; 2 comp. 12:0 am and at 48 hours; 1 comp. 72 h)

· Mouthwash chlorhexidine 0.2% (12/12:0)

· Chlorhexidine gel