Dr. Gross Bethencourt, a pioneer in Málaga in one-piece implants, the so called “All-On-4” implants.
What are dental implants?
Dental implants is a dental treatment that consists of replacing a seriously damaged or already lost tooth with a replacement that simulates a natural tooth.
In order that this replacement is like a tooth, it needs a root. An option for that are titanium screws (this material is very easy for our body to integrate and is highly durable) that can act as a root.
Today, it is the treatment of choice to replace missing teeth, with the subsequent placement of crowns or prostheses on them, since it has many more advantages compared to other types of treatment. One of the main advantages is that it fulfills the function of the root of a normal tooth, so the bone continues to have function after its placement and we prevent it from being lost considerably over the years.
Of course. Of course. Osseointegration (a surgical technique in which an implant is connected to the bone) is ideal thanks to titanium. This metal oxidises in milliseconds on contact with the atmosphere, and its surface is converted into titanium oxide. The titanium oxide behaves like a bioinert material: this means that this material is not rejected. The body naturally rejects any foreign body, but it doesn’t happen with titanium oxide. On the other hand, the hardness and behaviour of this material makes it ideal because in this regard it’s very similar to the bone.
There are many causes why the patient can lose a tooth. This can be solved with dental implants, but most cases can be grouped into four groups:
Certain pathologies such as bruxism (unconsciously grinding the teeth) can cause too much pressure on the teeth, and cause dental fractures —which we consider dental emergencies— or loss of teeth.
Over the years, both the gum tissue and the teeth wear out and loss of the teeth is relatively common.
This disease causes inflammation of the gums that leads to the loss of the tooth due to the fact that it is not anymore properly fixed.
Certain chronic diseases can lead to the loss of teeth, such as diabetes, but also in cases of cancer, osteomyelitis (inflammation of the bone marrow and bone), autoimmune diseases…
At Gross dentistas we want the best for you, our patients, and we can offer it to you: the price for implant + crown is € 1050.
In Málaga we go beyond aesthetics
Do you know the complete process of a dental implant treatment? There are many cases in which our teeth stop being useful and are irretrievable. When this happens, the person can be significantly affected by the loss of the tooth for many reasons. In these cases is when dental implants become essential. Down below we will try to explain to you what dental implants consist of, how they are placed and what their advantages are compared to other solutions.
This is the process of placing dental implants
First of all, images are obtained by radiography of the jawto have the width and height of the teeth to be replaced and to check the viability of the dental implants.
Then, using local anesthesia (which is a painless process), the bone is drilled to fit the titanium screw that will act as root. For osseointegration to occur (the fusion of the bone with the implant material), we have to wait from 2 to 6 months, depending on the case. Then, a piece called abutment is placed on this screw and, on this, the crown.
In this video the complete dental implant placement process is shown:
Dental implants are not just a matter of aesthetics
Of course, aesthetics play an important role here. Losing a tooth can greatly affect the self-esteem of those who suffer from it. For some people it can be even traumatic. However, beyond aesthetics, there is something more urgent: digestive health. The lack of teeth makes it difficult to properly chew and this can lead to other problems, such as gastritis and other stomach ailments. The function of the teeth is, therefore, essential in the process of digestion and this makes it necessary to recover this function as soon as possible.
There is also another reason to get dental implants. Healthy teeth tend to move and fill the gap left by the missing teeth. With dental implants, this risk disappears, as they help to keep the teeth in the right place.
Advantages of dental implants
All-On-4 dental implants
All-on-4 are one of the most one of the most revolutionary and successful techniques. In a one intervention, we are able to place four consecutive teeth at once, being these restored and getting fixed, and in the least invasive way possible.
With just 4 dental implants (All-On-4 echnique), we will be able to restore the complete denture if necessary.
All-On-4 Implants: Questions and Answers
All-On-4 or All On Four is an advanced dental implantology technique, which consists of the placement of four implants in each quadrant, providing adequate stability to support a fixed prosthesis or overdenture.
The implant technique is the same as the one described above, except for a couple of very important details. The first is that we place four implants at once instead of one. The second is that we will be able to go home with the fixed prostheses the same day of the intervention, thus avoiding the most unsightly part of the process.
When the dental implants have healed and integrated into the bone, we replace the prostheses with the definitive ones. The former are, of course, temporary, but from day one the patient has a perfectly functional mouth. You can talk, chew, and so on.
Compared to removable dentures, which can cause discomfort to the gums, the All-on-4 dental implants are much more natural for the patient. In addition, the advantage of being a fixed prosthesis is also aesthetic. We don’t have to worry about removing the prosthesis when sleeping, as it becomes a part of us.
As mentioned, another great advantage is that it is more aesthetic. Due to the speed with which these implants are made, and to the fact that we can place temporary prostheses from day one, the image of our patient’s will not be affected, indeed quite the opposite.
This surgery sometimes requires conscious sedation. In some cases, once the implants have been placed, a provisional prosthesis is adapted by immediate loading that is maintained during the osseointegration period. In this way, the patient returns home with all the teeth and fully functional.
It is a minimally invasive solution to eradicate total edentulous cases, by performing a single surgery in a single day.
Should you have any question about dental implants in Málaga, please do not hesitate to contact us anytime.
All-on-4 dental implants are ideal for those who have lost numerous teeth, but it may happen that the best solution for you is another one. Dr. Gross de Bethencourt, an expert in implantology, will examine your case and give you the solution that best suits your case. You already know our motto is “just smile”. And at Gross Dentistas it is our main objective. We look forward to your visit. We look forward to your visit.
Frequently asked questions about dental implants
It is normal to have questions when we start thinking about dental implants, for this reason, we have developed a series of answers to those possible questions that any patient may have regarding dental implants.
The answer is yes, complete rehabilitation through dental implants is possible.
Currently it is not necessary to place as many implants as there are missing teeth. Fixed or removable full dentures (overdentures) can be made.
Fixed prostheses can only be removed by the dentist if there are any issues over time.
Stable and comfortable removable prostheses or overdentures, placed on 4 or 2 implants, have the advantage that they can be removed by the patient, facilitating proper hygiene.
The number of implants placed will depend on certain factors, but mainly on the quantity and quality of bone that will be supporting them.
Trust your dentist and surgeon, they will provide you with all the information you need and will do the all the necessary tests to plan the best treatment option.
Many patients ask this question when we talk about implants, they are scared by the idea of feeling pain, but… is it really like that?
From Gross Dentistas we can affirm: NO, it isn’t. The patient won’t feel any pain since local anaesthesia is applied during the surgery. Sometimes, slight postoperative discomfort appears, especially in the first 24 hours, but these are controlled with medication, using antibiotics to prevent infections, associated with anti-inflammatories and analgesics, for pain and swelling. In addition, after each surgery, the patient is given a document with the essential care to follow at home.
We are happy to answer to your questions, so don’t hesitate to call us with any questions.
At Gross Dentistas in Málaga, in addition to having Dr. J.L Gross de Bethencourt, our expert in implantology, we try to offer the best price for you, our patients, at a price of € 980 for implant and dental crown patients.
The care of an implant should be carried out the same way or even better than a natural tooth.
Many patients believe that an implant doesn’t need as much care as natural teeth. However, this is a mistake, since the implant can be unsuccessful and have complications. In addition to taking care of our oral hygiene at home with the help of irrigators and superfloss, we should also pay attention to the hygiene and care routine specified by the dentist and come the pertinent check-ups to verify that everything is going correctly.
Another important factor in dental implant care is tobacco consumption. We should always avoid it, since this is closely related to failure of the same.
Thanks to the development of Odontology in recent years, we can already affirm that dental implants can be performed in one day. In the past, a few months were required for the implant to integrate into the bone so that a crown could be placed for simulating a natural tooth. Nowadays, however, we can leave the clinic same day when the surgery of implant placement is performed with the tooth already restored, especially when it comes to anterior teeth and provided that the optimal conditions are met to perform this type of treatment.
Currently, dental implants are one of the safest solutions for the rehabilitation of missing teeth.
On the one hand, it is a very conservative treatment, as it allows the replacement of missing teeth while keeping the rest of the teeth present intact, which other restorations, such as bridges, require the adjacent teeth to be carved, leaving these more weakened.
On the other hand, it is a very long-lasting treatment. Most implants are made of titanium, a metal with high biocompatibility, which increases its ability to adapt to the body and promotes osseointegration, a process by which it connects to bone.
A dental implant is a “screw”, mainly made of titanium, that is anchored in the jawbone by surgery, to osseointegrate and replace the roots of the missing teeth. Once integrated, a connection is created between the implant and the oral cavity, through a healing abutment, which is attached to the dental crown (visible part of the tooth).
The dental crown refers to a cap that covers both natural teeth and implants, to rehabilitate the morphology and lost function, especially in cases of weakened, worn teeth, with alterations in color and shape, and even missing teeth.
For a long-lasting success of the treatment with dental implants, it is vital to attend anual check-ups at the clinic.
To prevent possible issues around implants, the maintenance of the dental implants is very important. Furthermore, it is very important to correctly brush your teeth and using an irrigator to wash away all the food underneath the prothesis on the implants.
It has been proved that the presence of bacteria causes a peri-implant inflamation. It can be very damaging for the implants, so it is vital to follow a correct hygiene technique for increasing the lifespan of dental implants.
There is some controversy with this issue, but in general dental implants have a half-life of between 15 to 25 years. However, this can vary based on a many factors. In most cases, the implant connects with the bone in a process called osseointegration and lasts for as long as the jaw bone is there, often for the rest of the patient’s life, assuming proper maintenance of the same and that the patient receives regular dental check-ups.
The most important factor in the longevity of a dental implant is hygiene. If this is poor, bacteria will accumulate on the surface of the implant and cause inflammation of the mucous membrane that surrounds the implant, this is what is known as mucositis. If left untreated, it can develop to periimplantitis. This is an inflammation of the area and loss of the bone around the implant can occur. Eventually, the implant loses its anchor in the bone and becomes loose.
The lifespan of dental implants can also be affected by health factors, such as diabetes or cancer, or by habits such as smoking. These factors greatly increase the likelihood of a dental implant has to be replaced.
The lack of bone to place dental implants is sometimes an inconvenience for some of the patients who wish to undergo one of our implantology treatments.
When a large amount of dental bone has been lost, it is highly recommended to perform bone regeneration so that the treatment has a greater chance of success.
Placing a dental implant with little bone is counterproductive, just like our natural teeth, implants are exposed to considerable occlusal forces every day.
As there is not a sufficient bone base, the chances of failure of a dental implant are much higher.
Dental implants are a very effective, functional and aesthetic solution. Although, like all surgeries, they present some complications, among them is the rejection of the implant, which is actually a poor healing of the gums, and not an immune rejection of titanium, a biocompatible material.
Peri-implantitis, poor osseointegration, smoking or poor hygiene are some of the factors that cause rejection.
The first symptom is the appearance of fibrous tissue between the implant and the bone during healing, preventing the correct connection and subsequent placement of the crown.
To avoid this, we must maintain proper hygiene and visit the dentist regularly.
Generally, people believe that having implants is annoying, painful and uncomfortable, but this is not true. A dental implant placed according to the appropriate steps, from the incision to the suture of the wound for correct healing, respecting the biology and following the necessary post-surgery protocols, does not cause any type of discomfort. Thanks to anesthesia, nowadays, the surgery is completely painless.
Once the entire process is complete and with the implant working, the feeling is the same as we have with our teeth, although many of our patients say they feel more resistance and improve chewing.
Today there are many brands of implants, most are made with Titanium, since, over the years, the effectiveness of this material has been demonstrated.
In our clinic, Gross Dentistas, we are always updated with the most suitable brands to offer our patients the best service. We currently use the international brand Neodent from the house of Straumann.
This is a confusing question, since this time can vary depending on many factors, such as the type or amount of bone and the state of the soft tissues of each person.
The healing of the soft tissues is done quickly, in one or two weeks, for which we also use accessories such as healing pillars that improve the condition of the soft tissues.
If we talk about bone healing, it depends on osseointegration, which is the process in which the implant adapts to the bone in a solid and consistent way, which is necessary for it to be successful. This usually happens in a period of time between two and six months.
The dental implant is recommended in all those cases in which we want to replace the absence of teeth, lost for different reasons.
It can be used in cases of tooth loss due to disease (periodontal disease, caries, etc.), after dental loss due to accidents and in the case of congenital absence of teeth.
In general, each missing piece must be replaced with an implant. However, in some areas of the mouth, where the teeth receive less load, it is possible to reduce the number of them.
The implant is normally placed under local anesthesia. The latest advances in implantology allow, in the same session, to extract a tooth, place the implant and immediately incorporate the provisional prosthesis, replacing the tooth on the spot.
Some of the advantages of implants:
- It is the safest option, since the prosthesis is attached to the bone, and not to other teeth.
- It prevents bone loss by preserving function on the bone.
- The chewing sensation is similar to that of a natural tooth.
- It has a longer duration, with rates above 90% in periods of 20-30 years.
- When chewing, the bone is subjected to a force similar to that of the natural tooth, which allows it to retain its biological shape.
- Osseointegration occurs, which is a direct bonding at the molecular level of the titanium surface of the implant with the bone. This bond is so strong that the only way to separate the titanium from the bone would be to remove the surrounding bone. Osseointegration takes place in about 6-8 weeks.
- In cases of complete loss of all teeth, dental implants are the ideal solution to improve quality of life, as many patients who wear complete dentures experience considerable difficulty in adapting to removable dentures (removable). The dental implant is fixed and comfortable and there are no parts to worry about because once it has been placed they will continue to function well.
- Absence of pain. No pain or discomfort is felt at any time during the procedure and, in most cases, the postoperative period involves less discomfort than other more common interventions in dentistry.