Dental implants: when they are indicated and how they are placed

Dental implants are indicated in all cases of partial or total edentulism, in any of the two arches, in order to replace the patient’s missing teeth and thus rehabilitate their esthetics and chewing function.

What type of implants are there?

There are implants with different designs and different platforms. Dental implants also have a surface treatment that helps to improve osseointegration. Each professional uses the implant model that he/she considers most suitable for his/her patient.

How are implants placed?

Through a minimal incision in the gum and with a minimally invasive surgery, a drilling sequence is performed creating the alveolus that will house the implant. After its placement we will wait for a period of osseointegration before loading with a dental prosthesis. Sometimes immediate loading can be performed and the patient can have the teeth in the first 24 hours after the implants have been placed.

Can dental implants cause pain?

When they are placed with a minimally invasive surgery the pain, the discomfort is from a few hours to 2 or 3 days.

Normally this pain can be relieved with anti-inflammatory drugs such as ibuprofen and analgesics such as paracetamol or metamizole.

What care should be followed after implant placement?

The recommended care for all types of oral surgery. All patients after implant placement surgery are given a sheet of recommendations for postoperative care after surgery of the mouth (compression with gauze in the area, local cold, hygiene instructions and use of local antiseptics …).

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What problems can occur with implants?

The most important problems are those that can cause the loss of the implant, such as lack of osseointegration or infection around the implant (peri-implantitis) that can occur in the long term. It occurs in a low percentage of cases and peri-implantitis can be treated in many occasions. The loss of the implant due to these causes means the loss of the prosthesis and the failure of the rehabilitative treatment.