Implantology

When teeth are missing, more and more often a fixed solution is chosen, without involving the neighboring teeth.

That is, one decides for dental implants, artificial roots, with which one chews as with natural teeth. The choice depends on the patient’s health, anatomical limitations and availability.

Implants can be used to replace a single tooth or all the teeth in an arch, or they could be pillars for a fixed bridge, but we can also significantly increase the stability of a full denture with the help of implants.

A dental implant looks a lot like a screw that is placed into the bone with a minimally invasive surgery. With local anesthesia, the gum is moved to where the tooth was previously and the hole suitable for the implant is created. Often times we do not find sufficient bone to accommodate the implant, as in a thin wall it would not have primary stability. In this case we have to regenerate the bone, a procedure that creates the right conditions to be able to proceed with screw placement.

The future tooth on the implant must have a good gear with the other teeth in the mouth and for this reason, when we do not find bone in the right place, we must also resort to the bone regeneration technique. In some cases we propose an orthodontic treatment instead of the intervention. With orthodontic bone regeneration, a root is pushed in a certain direction thus creating enough bone to place a titanium screw.

In Studio Moll we have specialized and have always closely followed all the updates in the field of bone regeneration. Without excellent knowledge of the latter, implant surgery cannot be undertaken because bone defects are found in nine out of ten cases. Using the appropriate techniques and scientifically proven materials, we can also solve your case, even when they told you “you don’t have enough bone, nothing to do, no implants”.

Frequent questions

What does peri-implantitis mean?

Peri-implantitis is a severe inflammation around dental implants.

When the neck of the implant at the border of the soft tissues is not kept clean an inflammation of the mucosa which surrounds the implant occurs because of the presence of bacterial plaque. This stage is named mucositis and is reversible. You recognize it as sometimes it is quite sensitive and it bleeds easily when touched with a tooth brush. The inflammation has not yet migrated to bone level. By performing an accurate oral hygiene session at the dentist’s and rinsing with chlorexidine mouth wash or gel applications you resolve quite easily this problem.

However if this situation is not altered and the hygiene remains neglected or performed inadequately this superficial inflammation develops into peri-implantitis, which meansthat it has migrated to bone level an that bone loss around the implant is involved. Symptoms are sometimes completely absent especially in smokers, but in these cases the mandatory X-ray reveals the damage to the bone.
When examined closely it might be highly sensitive and purulent discharge and bleeding may appear. Without any treatment you may lose the dental implant!

In Studio Moll we perform a laser-assisted implant decontamination and we remove the inflamed tissues and decontaminate the bone crest with the laser. The cleaned site is filled with a bone substitute and a membrane to regenerate the lost bone.

We apply this treatment in the aesthetic zones as it aims to reestablish the former appearance of the implant in the mouth. Another approach consists of removing the bone walls, again with the laser, which surround the defect because a flattened bone crest determines a gum outline which is easy to clean. Also the rough implant will be polished in this case.

This resective approach is successful but it sacrifices the aesthetics and you will have a long tooth which needs accurate cleaning every day.

A dental implant lasts forever?

f the crown of the dental implant has a correct relation to other teeth (neighboring and upper/lower), if the daily oral hygiene is correct, if you visit regularly several times a year your dentist, your dental implants may stay in your mouth as long as your own teeth. It all depends on your effort to keep them clean in the correct way.

If you have lost your teeth because of periodontal problems or if you smoke sigarettes or if you have a medical history like Diabetes , heart problems or other systemic diseases the soft tissues and bone which support your dental implants might encounter more easily episodes of mucositis and peri-implantitis.

You are more sensitive to bacterial plaque. For those reasons (habits, disease) they may have a smaller survival rate. Sufficient daily oral hygiene however creates in all cases high survival rates.