Single dental implants

A dental implant is an artificial root used to support or anchor teeth. In most cases, they are made from commercial pure titanium, a biocompatible material that is accepted by the human body without causing rejection reactions.

Types of dental implants

Dental implant placement

The placement of dental implants is a simple process for the patient, painless and performed with local dental anaesthesia in the treatment area.

Our dental implant treatments in Bilbao begin with a diagnostic appointment in which the dentist, periodontist or surgeon determines the possibilities and alternatives for dental treatment. Current radiographic techniques with 3D images using cone beam technology allow the professional to measure the anatomy and bone volume of the patient’s mouth with millimetre precision.

At our dental clinic in Bilbao, we carefully plan the treatment of choice by first simulating the prosthesis using a ‘diagnostic wax-up’ (wax teeth for study) in the laboratory.

Once the decision to begin treatment has been made, the implants are placed under local anaesthesia in the area of the mouth that will receive treatment. It is a painless and quick procedure, which is increasingly performed with minimal incisions (minimally invasive surgery) and leaves no trace after the operation.

The placement of the dental prosthesis on the implant is carried out according to two treatment modalities or protocols: either the traditional protocol of loading the implants between 8 and 12 weeks of integration or what is known as immediate loading on implants.

  • The first is still recommended for replacing one to several teeth on a single side of the arch.
  • The second is recommended for cases involving a complete arch, either lower (the most common) or upper, provided that bone quality allows it.

During the healing period, the patient will be able to maintain adequate dental function by using a temporary prosthesis or denture. It is essential for improving the prognosis of the treatment that the implants remain at rest during the formation of the union with the jawbones.

The treatment is completed with the placement of the final prosthesis or denture, always after checking the long-term stability of the implants. This is done through clinical stability tests, radiographic bone integration tests, and an objective stability tool called ‘Resonance Frequency Analysis’ or ‘Ostell®’.

Dental implant specialists

About single dental implants

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Definition

When a tooth falls out or is lost, there are several alternatives for replacing it. Paradoxically, the least invasive way to replace it is by placing single dental implants, which are artificial roots made of pure titanium in the shape of a screw.

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Advantages

The advantage of dental implants over other alternatives is that they preserve and therefore do not damage the healthy enamel of adjacent teeth. They restore lost chewing function, allow you to show off a natural-looking mouth and enhance the beauty of your smile.

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Procedure

There are two versions of the procedure: immediate implants, which are inserted at the same time as the tooth extraction, or delayed implants, which are inserted after the socket or hole left by the tooth extraction has healed.

Procedure

Types of single dental implants

Immediate implants

Immediate implants have been shown to have the same prognosis or success rate as conventional or delayed implants. The main advantage of the procedure is that the entire treatment can be completed in a single appointment. This includes tooth extraction, cleaning of the socket, implant placement, and reconstruction of the implant gum. Sometimes it is accompanied by a graft of your own gum to ensure a natural aesthetic result, avoiding the deformities or sinking of the gum that occur in all cases to a greater or lesser extent.

There are some situations in which this technique cannot be used: the presence of acute infections or insufficient bone in the tooth to properly anchor the implant.

Deferred implants

Deferred implants are those that are placed after the alveolus or hole left by the extracted tooth has healed. This healing process takes between two and four months in non-smoking patients and is always accompanied by gum recession, which must be reconstructed at the implant placement appointment or at subsequent appointments.

After the implant healing period, which varies between 8 and 12 weeks on average, we confirm the success of the treatment through stability tests and digital X-rays. We will measure the hardness of the bone over the implant using a high-precision device called Ostell® (Resonance Frequency Analysis) and, if the stability indices indicate it, we will proceed to confirm the implant’s readiness to begin the process of manufacturing the final tooth or prosthesis.

Throughout this treatment period, the patient will wear a temporary tooth at all times to replace the one that has been extracted, allowing them to chew, speak and look normal.

Single dental implants