How is dental implantation done with immediate loading implant under general anesthesia?
Before we get to the subject of one-phase immediate loading dental implantation under anesthesia, let’s say a few words about the implants themselves. Two families of implants are known in Hungary: traditional two-phase and immediate loading one-phase. They got their name based on their most characteristic feature. So, the two-phase implant is implantable in two separate phases, while the one-phase implant insertion takes a single stage. In addition, there are many differences between them, about which you can find articles in our ARTICLES section.
The article on tooth replacement with an immediately loadable implant describes a unique method of tooth replacement, the same course of immediate loading dental implant-based oral rehabilitation treatment. Oral rehabilitation is necessary when no single tooth is suitable for dental care in the oral cavity. Restoration is possible on the upper jaw, lower jaw, or both. That probably happens similarly at other dental offices, but the following protocol describes precisely how it happens in our institute.
Oral rehabilitation tooth replacement occurs in two parts, on two different occasions. The first happens the implantation and the making of the long-term temporary denture(s). Dental implantation under anesthesia is oral rehabilitation’s more expensive and time-consuming part. The second time will take place approximately six months later. That is when we remove the long-term temporary denture(s), thoroughly examine the condition of the implants, and make permanent porcelain denture(s).
One-phase dental implantation under general anesthesia
The treatment begins with a personal consultation with the implantologist performing the implant placement. The personal consultation is free with us, but it is the patient’s responsibility to attend it! That is an excellent opportunity for the patient to get to know the implantologist and ask questions. The consultation is also suitable for developing trust and sympathy between the patient and the doctor.
The making of CT and panoramic X-rays. That is an essential part of immediate loading dental implantation under anesthesia. One of the critical conditions for successful implant placement is that the implantologist is aware of the condition of the patient’s teeth and jawbone. For this, we must use both imaging systems because while X-Ray creates a two-dimensional image, CT creates a three-dimensional one. The latter shows not only the quantity of the bone but also its quality in 3D.
A thorough examination of the oral cavity. Based on the information provided by the imaging systems, the implantologist examines the oral cavity in every detail. The examination includes the upper and lower jawbones, but it is also essential to know the condition of the gums. Implant placement is only possible in case of inflammation-free, healthy gums, and oral cavities.
Consultation with the anesthesiologist. We perform one-phase immediate loading dental implantation oral rehabilitation almost exclusively under general anesthesia. The two main reasons are long-term and large-area surgery. Due to these reasons, it is only possible to ensure complete pain and discomfort-free intervention with general anesthesia. The consultation with the anesthesiologist is based on the results of the previously performed laboratory and EKG tests. General anesthesia is only possible if the laboratory and EKG results are negative. The anesthetist informs the patient about it. How exactly the general anesthesia occurs?
General anesthetic pain relief. As mentioned above, we perform one-phase implant implantation under general anesthesia by a qualified anesthesiologist. During the intervention, the patient’s vital functions are monitored and controlled. They continuously make sure that everything is in order during the dental implantation. The implantation package price includes the cost of general anesthesia!
Removal of teeth unsuitable for dental care. Before one-phase immediate loading dental implantation under general anesthesia begins, we remove the teeth unsuitable for further dental treatment. That is usually a simple process. Its duration depends on how many and what kind of teeth we need to remove. Sometimes, only the root of a molar or wisdom tooth in an awful condition is in the tooth bone. Removing it can even significantly prolong the intervention.
Implantation of the required number of one-phase implants. The most important part of the one-phase immediate loading dental implantation-based oral rehabilitation is the implantation. The implantologist prepares an implantation plan based on the knowledge acquired about the patient’s bones. He determines where, at what angle, and how many implants he needs to implant to provide a secure foundation for the denture(s) that will be attached to them. The implantation takes 3-5 hours. The duration depends on whether the implant is in the upper, lower, or both jawbones.
Preparation of the long-term, temporary denture(s). After a successful one-phase implant placement, we start working on the long-term temporary denture(s). A significant positive feature of a one-phase implant is that it is loadable immediately after implantation. The process begins with sampling, and after that, making the denture(s) takes 4-5 working days with the usual dental techniques.
Temporary dentures are necessary for three main reasons. First, we take the sample on gums that are still swollen and deformed due to the surgery. However, the perfect permanent set of teeth can only be made based on sampling after the tissues have returned to their natural state. The second reason is that although the implants are loadable immediately, they should not overload until the final ossification. The heavy permanent porcelain denture would already be burdensome for newly implanted implants. Last, the patient is not toothless until the permanent denture(s) is complete. The preparation of the permanent denture is recommended six months after implantation.
Making permanent porcelain dentures
We recommend preparing the final set of teeth six months after implant placement, but it must be scheduled within one year. It is essential to know that although the permanent denture is part of the one-phase immediate loading dental implantation under general anesthesia treatment, the implantation package price does not include the permanent denture(s) price.
The second step of the treatment starts with a free personal consultation with the implantologist. The talk takes place with the implantologist who placed the implants. The consultation regarding the preparation of the final denture takes place six months after the implant placement. During this time, the normal condition of the oral cavity is restored, and the implants become part of the bone tissue and are perfectly suitable for fixing and holding the permanent denture(s).
Panoramic X-ray taking. The consultation begins with a panoramic X-ray. In the vast majority of cases, a panoramic X-ray is sufficient. In such cases, a CT scan is unnecessary unless it is necessary for some reason.
A thorough examination of the oral cavity. The implantologist performing the implant placement uses the imaging system to thoroughly examine the oral cavity, paying particular attention to the condition of the implants. This time, the oral examination also covers the state of the gums, such as sampling and the final denture(s), and also has to ensure that the gums are healthy.
Removal of long-term temporary dentures. Before we start making permanent porcelain denture(s) are made, the long-term temporary denture(s) must remove. After we remove the denture(s), prepare the implants to receive the permanent denture(s). That is an entirely painless and discomfort-free procedure, which we do with local anesthesia if necessary.
Sampling for the final denture. The sampling process is the same as for long-term temporary denture(s).
Preparation of the final porcelain denture(s). The permanent denture(s) is fixed and not removable by the patient, similar to the long-term temporary denture. The final denture(s) is usually ready in 5 working days, which may affect the current schedule. Since our dental laboratory is in the same building, cooperation with dental technician colleagues is smooth and efficient.
Our article explained in detail how one-phase dental implantation under anesthesia occurs. Our dental clinic deals exclusively with one-phase implant-based dental replacement because we believe that implant has the most positive properties and may use widely. For example, we mean that the one-phase implant is functional in case of bone deficiency. If you have any questions about what was said, please contact us.
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