Dr. Halil Nihat Kara
    Dental Implant

    Dental Implant

    Nowadays, dental implants are indisputably the best alternative for natural teeth. They provide a better function for talking and chewing compared to traditional bridges and prostheses, and also provide a natural look on your face.

    Dental implants are the latest alternative to natural teeth to enter the dental prosthesis market. This technique makes it possible to replace one or more missing teeth, in order to regain the comfort and aesthetic properties of good teeth over the long term. A dental implant offers the chewing power equivalent to that of an original tooth and provides a good aesthetic solution. Over the years, dental implants have demonstrated their effectiveness, their lifespan and the quality of aesthetic results with respect to a dental bridge or traditional prostheses. During forty years of existence, they obtained an absolute global result and today, implantology has become an ideal and targeted solution in the field of dentistry.
    smileydent.com is equipped with advanced equipment and made up of experienced dentists who are passionate about their profession. She offers to ensure the installation of high quality dental implants, under strictly sterile conditions and at affordable prices. You can visit our site for detailed information on dental tourism and the rates charged by our clinic located in Istanbul, Turkey.

    What is an implant?
    A dental implant is an artificial tooth root placed when the natural root cannot be saved, to replace a missing tooth. It is inserted into the jawbone to hold an artificial crown in place, which allows partially or completely edentulous patients to chew effectively and comfortably. The majority of implants are made of titanium, the screw measures between 5 and 15 mm, and can be conical or straight. The dentist makes a small incision in the gum tissue and places the implant in the socket of the missing tooth under local anesthesia. It is a simple medical act and does not involve any risk.

    What to choose the implant for?
    This is what the implant allows you to: Preserve the gum tissue and the structure of your face, eat freely what you want and digest well look younger and pay much less than you think


    In which cases is a dental implant more advantageous? For who ?
    Tooth loss is both a humbling and terrifying problem. Today, dental implants are a practical alternative to dentures because they are undoubtedly more stable, comfortable and natural. Patients who have lost all of their teeth on the lower jaw and who wear a removable prosthesis often prefer to switch to dental implants for better comfort. These won’t move or slip, saving patients all kinds of trouble they have with dentures for chewing and talking
    In patients who have lost all of their teeth on the upper jaw, the part of the prosthesis covering the entire palate may decrease taste and cause nausea. Bridges and crowns placed on an implant can resolve these types of genes. The other advantage, by stimulating the bone in which they are implanted, implants maintain bone activity and delay its resorption, which is beneficial for maintaining bone capital in the long term.
    Dental implants are also preferable to traditional bridges and crowns, because they avoid alignment problems and pain on adjacent teeth that other techniques can cause. The most decisive advantage of implants over bridges is the fact that there is no need to mutilate the abutment teeth, we only treat the areas where the teeth are missing.
    Patients who have removable dentures often complain about the hooks of their dentures and prefer dental implants that provide comfort, hygiene and aesthetics. The only advantage of this kind of treatment is their low cost.

    What are the scientifically proven benefits of a dental implant?

    Initially, it avoids the use of dentures and preserves bone capital. It offers better comfort since the tooth is directly fixed on the jaw and ensures a certain functional stability, moreover chewing is done in complete safety. From the aesthetic point of view, by restoring visual harmony, it gives a certain self-confidence to the patient and ensures these benefits for very long years.
    In summary, dental implants are beneficial for;
    -Restore aesthetics and oral function
    -Preserve the integrity of jaws and adjacent teeth -Increase
    patient comfort and quality of life in the long term

    Is dental implant longevity reliable?
    With the progress in the field of dental materials and technologies, it should be noted that dental implants are globally reliable with fairly high long-term success rates, in more than 95% of cases. So even if you are implanted young, you are likely to keep your implants for the rest of your life. However, it is important to mention that the longevity or not of an implant depends above all on a good selection of cases and the collaboration of the patient.

    What is the lifespan of a dental implant?
    An integrated osteo dental implant can remain so for life provided it is checked and maintained regularly. The check, in order to verify the absence of bone resorption around the implant, will allow intervention in time in the event of a problem detected. With proper home care and regular professional maintenance, you can make your new teeth last a lifetime.

    Can the dental implant be applied in all cases?
    For the purpose of replacing one or more teeth, the dental implant can be applied if the patient’s existing bone tissue allows for good implantation. Implant placement requires good general health for a high success rate. In some patients these tissues may need to be strengthened by bone grafting to ensure proper integration of the dental implant. All this procedure will be studied and confirmed after radiological examinations during the consultation of your dental surgeon smileydent.com

    Can the dental implant be applied to each patient?
    Certain patient histories constitute absolute contraindications to implantology surgery. Pathologies linked to certain diseases (immunological, psychiatric) and treatments (immunosuppressant, radiotherapy, osteoporosis) may make the practice of dental implantology impossible. Thus the age criterion is important, children cannot undergo this operation until the growth of their bones has finished.
    Some conditions will be evolved depending on the patient, on a case-by-case basis so as not to cause serious consequences. Thus diabetes, angina pectoris or seropositivity are pathologies that can complicate implant placement. You should know that pregnancy is not the best period for an implantology treatment.
    Finally, certain contraindications are linked to patient problems; insufficient bones, periodontal disease, infected and untreated teeth, problems with oral mucous membranes, insufficient oral hygiene, bruxism can be obstacles that complicate the operation.
    Note that smokers are not recommended to smoke during their implant treatment, it can cause infections and prolong healing and healing period.
    All these criteria must be well evaluated during consultation with your dentist to plan the best management of your care. It is essential to identify unfavorable or risky situations, so as to inform the patient of them before the start of treatment and not during.

    What is the price of a dental implant?
    Dental implants have many advantages over its alternatives, but nevertheless its price remains high because the material of the implant and the crown are expensive. The dentist performing the installation must undergo special training, which influences the part of the price remunerating the labor.
    In Europe, the dental implant costs on average 1200 £ / 1000 €. But to this price must be added that of the pillar 250 £ / 300 € on average and the crown up to 850 £ / 1000 €. The total price can increase up to 2200 £ / 2500 €. Social Security does not reimburse dental implants and no mutual insurance company covers it in full. Our smileydent.com clinic offers affordable prices for your dental implants for an average cost of 330 £ / 390 € to 580 £ / 640 € and your abutments from 30 £ to 70 £ /  40 € to 90 € depending on the brand chosen. The prices of dental crowns are between 130 £ / 145 € and 220 £ / 245 €. It is obvious that you will be able to realize real savings while enjoying the quality services.
    We will take the time to analyze your situation to meet your expectations as much as possible while taking care of your financial budget. Remember, it is a long term investment in your health, your appearance and your ability to enjoy life.

    Is general anesthesia not really necessary for the implant operation?
    The majority of patients are pleasantly surprised by the simplicity of the procedure. Implant placement is usually done under local anesthesia in a clinic. The part of the mouth worked for the implant placement is completely numb. The smileydent.com team’s mission is to ensure an efficient and serene service during this fitting session. In the case of extreme dental phobia, if you wish nevertheless, you can request a general anesthesia knowing that the act in itself does not require it.

    Is implant placement really an outpatient operation?
    The placement of dental implants is done entirely on an outpatient basis under local anesthesia. It is a completely benign and painless procedure and the post-operative hours are also easy and comfortable.

    Can I have dental implants even if I have diabetes?
    A diabetic patient who is treated is almost a classic patient, so doing dental implants in a patient who has balanced diabetes is not dangerous. We can place the implants after consulting his medical file, checking the balance of his diabetes and his oral health. On the other hand, since people with diabetes are more prone to have periodontal disease, an assessment of the periodontal condition by your dentist is essential before planning implant surgery.

    After dental surgery, can implants affect my heart battery?
    As the implants have no electromagnetic effect, they cannot in any way influence the functioning of your cardiac battery. Your dentist can guide you while taking your personal information during the consultation.

    Can you be allergic to dental implants?
    It is very important to distinguish the allergic reaction from sensitivity to metals. The use of titanium dental implants does not cause allergic reactions but may cause sensitivity in some people such as an immune response. However, this kind of systematic inflammation reactions have been very rarely reported since the practice of implants in dentistry. Titanium is a biocompatible metal that aids wound healing, rather than complicating it.
    Zirconium oxide used for dental crowns and bridges is the best option in terms of dental replacement material. The structure made of this material does not cause allergic reactions, it offers an ideal solution from an aesthetic point of view to offer a beautiful smile. Your dental surgeon will suggest structures made of materials adapted to your case.

    Are there any contraindications to dental implant placement related to certain diseases?
    You should tell your dentist if you suffer from severe heart failure or significant heart disease related to valves, immune system or kidney failure, high blood pressure or a tendency to bleeding, taking any medication. Any other information about your general health which may influence the operation itself or the healing time should be communicated at the first appointment. This will be of great help so that he can make a decision on the choices of your treatment, taking into account your state of health.

    Is there an interaction of tissues with certain drugs during healing?
    Indeed, the use of drugs can act on bone metabolism and thus on the healing process. For example, cortisone can alter the body’s immune system metabolism and one may encounter problems during the process. It is preferable that the placement of the dental implant is decided after consulting your dentist based on the treatments taken by the patient.
    Drug treatments that prevent clotting can cause heavy bleeding when having implants. As a precaution, you must inform your dentist of any ongoing treatment or that has preceded the operation.

    Can dental implants be offered to smokers?
    Smoking can reduce the long term success rate of dental implants. Talk to your dentist, he can assess the risks of smoking for your teeth and your health. It is advisable to stop smoking, especially during the treatment period.

    Is the placement of dental implants contraindicated in the elderly?
    If your general health allows you to receive any other dental treatment, it is also possible to have dental implants. There is no age limit and this procedure does not pose any risk to your health. This means that there is no age limit to improve your health, your quality of life and offer you a beautiful smile.

    Can a dental implant be applied immediately after tooth extraction?
    Usually, after tooth extraction, a healing period of 2 to 3 months is observed before an implant is placed. But in some cases, immediate implant placement during the same session is possible. This protocol called "putting into function" consists in placing an implant in the socket of the extracted tooth, in the continuity of the operation.

    Can I be in pain after having dental implants?
    The feeling of pain varies from one person to another. It can also be according to the number of implants and their position in the dentition. Some people are more tolerant of pain and the level of anxiety can also have an influence. Our smileydent.com team takes care to establish a dialogue of quality and confidence with its patients to comfort them during any postoperative problems.
    Either way, any surgical operation can have consequences such as unpleasant sensations, bleeding, edema or fever. Your dentist will usually prescribe medication for your relief, but if the symptoms persist or the pain becomes unbearable, contact your clinic immediately.

    Will I feel my dental implants as a foreign object in my mouth?
    The user will not even have to adjust to the device as the feeling is the same as natural teeth.

    Can I play sports after implant placement?
    You can resume normal activity after placing the implants, but it is better to avoid sports activities and the risk of shock for a few days after the treatment to facilitate healing and prefer rest. Ask your dental surgeon for advice if in doubt, he will be better able to give you information.

    Would I be toothless after the placement and during the recovery of the implants?
    If you were using a removable prosthesis before treatment, usually only a simple rectification would be necessary for you to continue using this prosthesis. Otherwise, an immediate temporary dental prosthesis will be placed, so that you can calmly wait for the dental prostheses to be placed on the implants. These temporary dentures have a high quality aesthetic appearance and it is often difficult to differentiate between final dentures and your healthy natural teeth.
    A new method known as “in surgical time” can be practiced in our clinic smileydent.com, which makes it possible to bypass the time of the installation of titanium abutment, intended to connect the implant to the provisional prosthesis. It gives the same results as the classic method but since it is not indicated in unfavorable cases (heavy smokers, risk of infections), your dentist will judge the use of this method case by case.

    When can I return to my job?
    During the days following the procedure, the area around the implant may be painful or swollen. You can use painkillers or ice cubes to reduce the effects. However, in general, you will be able to return to a normal life the day after the operation and you can return to your work in a few days. Your dentist will likely establish sick leave so that you can rest for a few days after the operation.

    Is there a risk of rejection of the implants?
    Generally speaking, rejection of implants is quite rare and patients do not have to worry about the unfavorable outcome of the operation. However, it is necessary to know the signs of beginner rejection which are generally seen in the first days after the operation. These signs are often similar to the usual postoperative effects, but more pronounced and more persistent. In such cases, quickly consult your dentist, who will find the best solution that can provide relief.

    What happens if the implant screw does not integrate with the bone?
    Such a probability is almost nonexistent if the implant is placed correctly during the procedure, respecting all the criteria. In such a case, the implant is extracted and after recovery we opt for other types of dentures.

    How to maintain dental implants?
    It is strongly recommended to people having benefited from dental implant care, if it was not already the case, to adopt a daily brushing of the teeth, to use dental jet devices and interproximal brushes or dental floss. Good oral hygiene is essential to prevent disease from developing around implants. Pay special attention to the areas where the gums and implants meet while avoiding the very frequent use of abrasive dental products. It is advisable to consult a dental surgeon on a more regular basis, as a rule every 3-6 months to take stock of the condition of your dental implants and the areas surrounding them.

    Can I immediately switch to prosthetic treatment after placing the implants?
    After implant placement, there should be an interval of 3 months for healing and osseointegration. During this period, the load borne by implants should be minimal. In the meantime, you can benefit from the provisional prostheses depending on your case, and if the bone allows it, in some cases it is even possible to benefit from the fixed provisional prostheses.

    How are prostheses placed on implants?
    Unlike conventional dental crowns, the dental prosthesis is installed on titanium implants which are grafted to the jawbone like real roots. This provides stability and uneven chewing ability. The implant-installed dental prosthesis is a high precision prosthesis, designed and manufactured to perfectly reproduce the color of your teeth and can improve the appearance of your teeth.
    New materials and concepts allow the practitioner to offer patients personalized solutions These crowns will be fixed to the implant in three different ways:
    1) Cemented dental crown: requires the installation of an element called an abutment or false stump, screwed onto the implant and onto which the ceramic prosthesis will be sealed.
    2) Fixed screwed dental prosthesis (all on 4 or all on 6): in the center of the prosthesis there is an access to the screw which will allow the tooth to be screwed onto the screw thread of the implant. This access will then be filled to conceal and protect it.
    3) Clip-on dental prosthesis
    The practitioner will choose one of these assembly methods depending on the patient’s clinical case.

    What material is used for dental crowns?
    Most crowns are made of a metal shell covered with a ceramic coating, this is an option that is both aesthetic and durable, it is in any case the one that offers the best value for money. The high-quality aesthetic alternative is the ceramic-zirconia crown, it contains zirconium on the inside and ceramic on the outside and perfectly replicates the natural look of your tooth. It is particularly suitable for implant support prostheses thanks to its high resistance and is preferred in cosmetic dentistry thanks to its visual appearance.
    Zirconia ceramic is ideally suited for single-tooth crowns and thus for bridges with multiple teeth. Its particularity is that it reflects light exactly like tooth enamel, to the point that the dental prosthesis is really identical to natural teeth.

    Can I chew normally with a fixed implant prosthesis?
    The implant is a support of choice for different prostheses and in general, it is expected that it is well integrated into the bone. Whether it is a dental crown or dental bridge, since they are well fixed on this solid support, you can speak, chew and eat normally in complete safety.
    It is advisable to be careful when eating during the first month after prosthetic treatment, as your bite may be slightly changed. Once the cortex gets used to this change, there will be no discomfort and all you have to do is enjoy your new teeth.

    What does “immediate loading” mean, can I benefit from this protocol?
    Deferred loading protocols recommend that the implants should not be loaded during the osteointegration period which lasts approximately 3 to 6 months. Consequently, patients with total edentulousness or with partial edentulousness in an aesthetic sector find it difficult to accept this solution. This is why the practitioner should provide an immediate solution during the period of bone healing.
    During this protocol, the prosthesis is placed in the continuity of the placement of the implants. This prosthetic surgical act reduces the number of sessions and allows the patient, in the same session to obtain a functional and aesthetic rehabilitation before osseointegration of the implants. He receives an implant-supported prosthesis within 24 to 72 hours instead of 3 to 8 months.

    How to maintain dental prostheses attached to implants?
    Dental crowns on implants not only look the same as natural teeth but also have the same needs to be cleaned, since the gum around them can be affected by gingivitis as well as that of the original teeth. Brushing your teeth with an electric brush is recommended. Cleaning of dental spaces using dental floss or an interdental brush is strongly recommended. The use of mouthwash is a plus to complement hygiene care. The maintenance of the bridges on the implants is done in the same way, contrary to what one might think, their cleaning is very simple and easy.

    Is there anything else I need to worry about?
    The smileydent.com team ensures careful and little traumatic work during the treatment, which limits post-operative problems.
    Some post-operative instructions to avoid unpleasant consequences Avoid smoking Avoid playing sports Pay attention to sutures Watch your diet Adopt good oral hygiene
    In general, you can resume a normal life in the days following the surgery, eat and speak normally. In the event that problems persist, consult your surgeon quickly, who can find the best solution.

    Can I benefit from aesthetic treatments at the same time as the placement of my implants?
    Your dentist can perform cosmetic treatments such as tooth whitening or dental veneers if you wish. If you want to regain bright, white teeth, tooth whitening can help. In the event that alignment problems are added to color problems, we can offer you to cover your teeth with a ceramic of a fineness called dental facets, in order to correct its defects.
    Our smileydent.com team will guide you throughout your care to provide you with better service.

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