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Frequently asked questions

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I am 70 years old, taking medications for high blood pressure. Is it possible to ask for an implant as well?

From patient’s point of view, placement of a dental implant is not demanding surgical procedure. Certainly there are situations where placement of implants is forbidden, however these conditions are rare. Here comes the patients with serious metabolic diseases, especially severe or not well treated diabetes, subjects after radiotherapy in head and neck regions, patients taking tablets against blood clotting, and definitely patients who deny clean their teeth well and keep their oral hygiene. It has not been proved that dental implants are less successful in older patients.

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My dentist told me I have too little bone for placement of an implant in backwards. Is it possible somehow to fix it?

A responsible implantologist should be able to treat any dental defect in patient’s mouth. There are situations where bone is insufficient to accept an implant and thus the bone should be replaced before or simultaneously with placement of an implant (augmentation). We recommend these procedures to patients where making a fixed bridge or removable denture would lead to esthetically or functionally compromised results. In order to be able to place implants in an edentulous back part of the upper jaw (maxilla), we usually have to add bone vertically. The procedure called “a sinus lift” (placing bone transplant into the floor of the sinus cavity) could be compared to a non-complicated removal of a wisdom tooth.

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How long would lasts from the first appointment till the final crown or bridge cementation? How many visits do I have to attend?

It is certainly difficult to describe step by step all the particular treatment since it always depends on the individual dental defect. Generally, during the first visit we place an implant and after about 8-10 days remove stitches. The second phase comes in about 3 months after implant placement (sometimes even earlier) when we choose a prosthodontic part (an abutment). We screw it in an implant and make an impression. A laboratory technician makes e.g. a crown that is cemented in patient’s mouth. A crown or a bridge production takes approximately 10 days. It means that a patient has to come to an office five times. Without doubt, it depends on a quality and a quantity of the jaws bone. All augment procedures where we replace a missing bone prolong the management. During the first consultation, we discuss together with a patient the most appropriate therapy for him/her and we offer number and timing of all visits in our center. At the same time, a patient is informed about the price of the treatment.

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Is it possible that my body may reject a dental implant?

Nowadays, a placement of dental implants is highly predictable method (survival rate is roughly around 99 %). The result depends definitely on a quality of a dental system and on skills and experience of a surgeon and a prosthodontist. In order to support patient’s decision concerning dental implants, we give a guaranty for a functional dental implant for the first year after surgery to all patients who accept the regime of cooperation. After one year, implants are firmly osseointegrated by surrounding bone and their failure is extremely improbable.

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Is dental implant planned for the “whole life”?

The all management of dental defects by means of dental implants is provided with the aim of well functioning teeth for the rest of the patient’s life. Success of the implants placed in our center is (regardless if it is in the upper or lower jaw) very high and we are persuaded that patients keep the implants whole life. However, history of dental implantology is not so long in order to have evidence that implants will stay there for 50 or more years. Dental implants similar to current design were placed for the first time in the 60s of the last century.

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Do I have to change my life style with oral implants?

Immediately after implant placement, adjacent mucosa is sutured and a patient has to take care not to overload it during chewing. That means to eat a soft diet and if possible to chew on the other side of the jaw. After complete and entire healing, dental implants act as natural teeth. An advantage is that it is resistant to a dental caries, nevertheless high quality of oral hygiene is necessary. The most sensitive part of the “artificial root” is the implant neck where the fixture comes out of mucosa. Both the crowns and teeth must be cleaned up with a soft toothbrush and so-called interproximal toothbrushes. However, we are concerned to go through all the technique of dental care for every single patient in our center.

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Is it really necessary quit smoking because of dental implants?

Smoking of cigarettes has plenty of risks. Heavy smokers have higher tendency to lung, heart and vessels diseases. There are definitely pathological changes of mucosa in an oral cavity, throat and trachea. Similarly smoking harms healing of dental implants (process of osseointegration). Even more, if a smoking patient does not accept the recommended level of oral hygiene, an implant might fail. Dental implants used in our center are very reliable and successful. That is why we place implants with very good results even to heavy smokers who need for their satisfaction more than 20 cigarettes a day. From these patients, we strongly demand very tight cooperation. For all other patients, we offer one year guaranty for acceptance of an implant in the jaw bone.

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Cesky - Centrum zubní implantologie  English - Center of dental implantology in Praugue