From First Examination – Planning – to Placement
The dentist begins with a preliminary examination to clarify the requirements and indications. First, a medical history is taken. The patient is asked about any existing general illnesses and their medical background. This is followed by a dental examination to assess the entire oral cavity (mucosa, teeth, jawbone). A CT or CBCT scan provides detailed information about the condition of the bone and surrounding structures.
Only a Healthy Mouth is Ready for Implant Placement
After the initial examination, a so-called pre-treatment phase follows, during which diseased teeth and gum inflammation are treated. In this stage, the patient is also introduced to the specific oral hygiene requirements.
Steps of Implant Placement Therapy
Once the preparatory work is completed, the implantation can begin. In uncomplicated cases, implant placement is considered a minor surgical procedure (from a dental perspective) performed under local anesthesia. From the patient’s point of view, however, the level of stress can vary but is generally comparable to the surgical removal of a tooth, such as a wisdom tooth.
After exposing the intended bone site through a small incision in the mucosa, a hole is drilled in the jawbone for each implant. The implant body is then inserted into this hole (by screwing it in). It is important that the implant fits firmly into the bone. The implant body is sealed with a cover screw, and the mucosa is sutured over the implantation site. After osseointegration (fusion of the implant with the bone) and successful healing, a gingiva former is placed on the implant after 3–4 months to shape the gum for the prosthetic restoration.
When the gingiva former is removed (after about 7 days), an impression is taken for the prosthetic work. In collaboration with dental laboratory technicians, the final design of the teeth is planned.
Possible Additional Procedures with Implant Placement:
Bone Regeneration
Required in cases of insufficient jawbone. This may be carried out before or during implant placement. If necessary, the osseointegration process can be extended by 2–3 months.
- With blood plasma
- With artificial bone
- With autologous bone
Sinus lift
- Both minor and major sinus lifts can be performed, depending on the case.
After the final prosthetic work is completed, the restoration is cemented in place.
There are very few contraindications for implant placement. Successful implantation requires highly skilled dental surgeons, dental technicians, and a technologically advanced dental clinic.
