Both aesthetic dentistry and dental surgery use implants.
The dentist’s office is the place where diagnostics begins – with a conversation in which the doctor presents all possible treatment solutions: with or without implants. He discusses the advantages and disadvantages of each method.
The quantity and quality of bone tissue and the possibility of its restoration is a vital factor in implant treatment. During clinical examination the doctor pays attention to:
- soft tissues,
- teeth positions,
- edentulous alveolar processes (width, height of the alveolar process, subjacent areas, damage to the vestibular plate during previous extractions).
One of the basic examinations at the disposal of dentistry is a pantomographic X-ray. On its basis the implantation procedure is planned. It shows the condition of the bone in the area of implantation, the condition of the adjacent teeth, the position of anatomical structures that are important during the procedure (size of the maxillary sinuses, position of the mandibular canal with the alveolar nerve, presence of possible inflammations or other abnormalities that need to be treated before the procedure). On the basis of an X-ray examination the quantity, thickness and length of the implants which would be inserted during the procedure may be planned.
In more difficult cases CT appears to be really helpful as it shows the area of procedure with an accuracy of 1-2 mm.
Dental implants may be used in case of a single tooth loss, a few teeth or in complete toothlessness (edentulism). Depending on the complexity of the case, the procedure is peformed under local or general anaesthesia.