IMPLANTOLOGY
Implantology allows us to rebuild the root of one or more fallen (or otherwise missing) teeth. For this purpose, titanium is used, a biocompatible material suitable to be accepted by the bone, in which we will insert the implant to replace the natural root. On this functional and safe support, we will be able to firmly anchor one or more ceramic teeth without disturbing others.
Thanks to implantology, we have the possibility of creating bridges to replace numerous missing elements, using only implants as pillars, up to supporting a totally edentulous arch.
4-6 implants distributed over the entire length of the arch are sufficient to create the adequate support for a fixed prosthesis of the complete arch itself.
To create a fixed prosthesis blocked on 4-6 implants that act as a pillar to the teeth of a complete arch, with the traditional system it is necessary to wait several months (even eight to nine) during which the "roots" of titanium must completely integrate with the bone. Only then can the teeth be fixed. In the meantime, we will have to settle for a temporary prosthesis, in some cases a mobile one.
With the immediate loading protocol, within 24-48 hours, thanks to an ad hoc implant and prosthetic design, the implants can be inserted and immediately afterwards the teeth of the final prosthesis are "loaded". In a day, even the totally edentulous patient can leave the office with his fixed prosthesis, all screwed onto implants.
This procedure can also be applied to a single tooth but it is obviously more suitable in situations of important or total edentulism. The feasibility must however be assessed for each individual case.
The presence in the studio of a sophisticated and technological machine such as Cone Beam Computerized Tomography (CBCT) makes it possible to resort to guided surgery to increase the level of precision and accuracy in applying immediate load. With CBCT we can obtain a three-dimensional bone scan of the facial block and program the insertion of implants to the millimeter, choosing the points where the bone is more full-bodied and voluminous, that is, able to better support the prosthesis.
Once the map of the implants in the patient's mouth has been determined, the CBCT software allows us to create a template that will report the points where the titanium pins will be inserted and this surgical template will be a guide for the implantologist. The precision increases, the risk of error is eliminated and the success of the intervention increases.