The Implantology is a surgical area of dentistry dedicated to the rehabilitation of missing teeth by placing dental implants.

The implants are titanium integration capacity with structures in the bone tissue - osseointegration - and represents an ideal solution to replace one or more teeth. Thus, functioning as roots, implants are the supporting pillars for future prosthesis.

Currently, there is a wide variety of techniques and forms of rehabilitation with implants. In order to choose the best solution, each case must be examined individually. For each patient is drawn up an appropriate treatment plan after conducting a detailed study of the case, with the aid of X-ray examinations TACs and 3D computer-aided planning, if necessary.

After the surgery for implanting the implant, there is a healing time that varies from 3 to 6 months. After the healing proceeds to the confection and placement of the prosthesis. In some cases tooth replacement can be done on the day of implant placement - with immediate load implant. There are also cases where the implant installation is done immediately after extraction of one or more teeth - immediate implant.

The implants can replace one tooth to replace a whole set of teeth, or serve as retaining means for removable dentures. Thus, an implant can replace a single missing tooth but not always the number of missing teeth is the number of implants placed.

In tendentious rehabilitation taking into account the conditions of each case, the number of implants placed to support a fixed prosthesis 12 artificial teeth generally vary from 4 to 8 implants.

The implants can also be used as a means of retention for removable dentures. In these cases by placing 2-3 implants, the implant-prosthesis fitting increases the retention of removable prosthesis that is no longer supported only by the mucous, thus providing greater comfort during mandibular movements.

This procedure is the most used. Consists of placing the titanium screw to replace the missing tooth. This placement is usually done a few months after the loss. The ceramic crown or denture is placed after two or three months. During this time happens through osseointegration. The ceramic crown can be cemented or screwed to the implant.
Implant placement with immediate extraction unit.
In this dental implant is placed after the extraction of the tooth. The technique consists of prompt replacement of the tooth by the implant. The prosthesis is placed a few months later after the usual period of osseointegration. During this time the patient can use a temporary removable prosthesis.
Placement of fixed immediate single implant and prosthesis - Immediate loading
In this type of treatment the patient can make a tooth extraction on the same day or wait a few weeks after extraction and place the implant. At the time of placing the dental implant is fixed to a temporary or permanent crown. This is called immediate loading. There is a higher speed to finish the process. The benefits related to beauty are higher. The immediate loading allows you to enter the clinic toothless and leave the same day with a fixed tooth dental implant. Not all people are candidates for dental implants with immediate loading.

The procedure is similar to the above treatment. You can make the extractions and place the implants the same day, or rather, do the extractions and place the implants a few weeks while the bone regenerates. On the other hand the applicant may submit the missing three teeth and after consideration of the available bone conditions put up the two implants. The main difference is that it is possible to place two implants getting an intermediate empty space. In both implants will fit a bridge ceramics three elements. The intermediate crown rests on the gums.
This procedure reduces the cost of treatment and fulfilled the three missing teeth.

If you are missing or need to remove all teeth in one or both jaws, implants may allow you to have a full-arch fixed bridge fabricated as well.
As an alternative to wearing a full denture (if there is adequate bone or bone augmentation procedures can be performed to grow sufficient bone), multiple implants can be placed across the jawbone to provide support for a fixed bridge. This procedure is similar to those described for single or multiple implants but requires careful diagnosis, planning and coordination before treatment begins. This attention to detail will ensure that an appropriate number of implants can safely be placed in positions that will allow your dentist to fabricate a bridge which will meet your needs and expectations.
The number of implants necessary for a full-arch fixed bridge varies depending on your particular anatomy, the opposing teeth, the type of bridge you want to have placed and the number of teeth you want or need to replace with the prosthesis. A full arch of implants can be placed when you are already missing all teeth in one of your jaws. If you have teeth remaining, they may need to bre removed as a first step before implant surgery can proceed, or sometimes the teeth may be extracted and teeth placed immediately after the teeth have been removed. If there are teeth remaining, you may be able to have a temporary fixed-bridge made by your dentist to help transition from your own teeth to implants. In this scenario (while implants are healing), the temporary bridge stays in place which allows chewing, speaking, and smiling- all without having to wear a removable denture. If it is not possible to retain enough teeth to support a fixed bridge while the implants are healing, then you may need to wear a removable denture temporarily. Usually, you will be advised by your dentist to refrain from wearing the denture for a period of time (customarily two weeks) after the implants have been placed. This allows the gums to heal without being disturbed. In recent years, we have learned that it is often possible to place a full arch of implants and connect them to a fixed bridge (usually temporary) in what is known as immediate loading - which means the implants are receiving "load" from chewing forces as soon as they are placed.
This newer procedure is highly successful but there are certain requirements for its success. This technique requires careful planning and coordination by your dentist and surgeon and as with all treatment, you should discuss all of your options and alternatives with your dentist and decide together which may be the best and most appropriate for you.

After a period of osseointegration and has the prosthetic stage, the implants are exposed in order to place the healing abutment. This pillar helps shape the gum. Usually on the patient a week. After this period the molds take up model of the mouth of the patient goes to the lab in order to produce the new prosthesis or tooth.

What is an elevation of the maxillary sinus?
A breast lift is a procedure of oral surgery and implantology aimed at increasing the density of the upper jaw bone in the region of the molars and premolars.
The maxillary sinus, the largest of the paranasal sinuses, is an air space that is inside the jaw bone near the summits of some upper teeth. Sometimes it forms a direct access between it and the oral cavity.
A breast lift is a incision in the gum area around the premolars and molars. The surrounding tissue is lifted. The bone is exposed and opens a "peephole." Usually can visualize the membrane that covers the breast. Gently pull the membrane up and fills up the place with appropriate biomaterials. After filling with bone graft material, the gum is placed in the correct position and properly sutured.

The metal cast crowns have the advantage of a high strength and durability, but today are used only in the posterior region when the reduced tooth height (ex. Worn teeth) can not make the tooth wear necessary to compensate for the metal thickness + ceramics.
They can be fused in many alloys, but as shall remain in the patient's mouth for a long time, it is recommended to use alloys of precious metals (gold, platinum). The disadvantage of metal crowns is its poor aesthetics.

Are metal crowns with an external ceramic coating, which gives them excellent aesthetics with color, texture and shine very similar to natural teeth associated with a high strength and durability.
Despite huge technological advances the metal-ceramic crowns are still widely used. It is a very simple, predictable solution and more affordable than those without metal crowns. In this type of problem crowns is the risk of becoming a dark viewing from metal finishing even though the metal being coated by ceramic. To avoid this kind of situation, one tries to make a sub-gingival wear so that the final finishing line becomes a little below the crown gum, thereby producing a more aesthetic result. However we still have to take into account that in case of very thin gums such inconvenience can happen and the medium term in case of gingival recession especially if associated with high smile lines (while smiling the gum shows up) this will inevitable.

They are metal-ceramic crowns in which a small metal band end abutting the front side to the gum is cut and replaced by shoulder ceramics. Thus eliminates the perception of dark metal at the gingival region.
This type of crown can be a good alternative for patients with either thin gum is for patients with high smile line, where the risk of appearance of just unsightly dark line at the gingival smile is great.

The most beautiful dental crown is undoubtedly the ceramic crown.
There are a few different types of ceramic crowns:
The feldspathic crown modeled in layers that some dentists consider to be the most aesthetic.
The Empress crown which is actually not well ceramic and is closer to the glass. It is produced by casting and only the color is cooked from the outside. It has the best fit and is very beautiful and is also preferred by many dentists.
The Procera crown (Nobel Biocare patent) is carved from the inside, with its cooked outside in layers as the feldspathic crown. The advantage is due to the strength of the internal structure which is more opaque however, becoming less translucent than other crowns.
The interior of the Procera crown can be in 3 different materials with different characteristics that will not discuss because it is a more technical matter.

Crowns and bridges in zirconium born of an innovative technology called CAD / CAM, where milling computurizadas:
read plaster models (previously need to make molds) or simply "scanizam" the prepared teeth in mouth (no need to make molds);
wear zirconium blocks, turning them into crowns and bridges all-zirconium (Preteau - very tough and very acceptable aesthetic) or crowns or bridges coated zirconium and later manually by ceramic (very aesthetic but less resistant).
Zirconium is a high-technology ceramic material which is characterized by its unique biocompatibility and stability, as well as the resistance levels significantly higher than for other ceramic materials. In addition to its strength, crowns and zirconium bridges are characterized by a precise fit, very typical of a mechanized work.