Loss of teeth for any reason is a problem that needs to be urgently solved, because even a single adentia has unfortunate consequences for the health of other teeth and the body as a whole. The aesthetics of the smile deteriorates, the chewing load is not distributed correctly, speech disorders occur, facial asymmetry and premature wrinkles appear with time, as well as gastrointestinal diseases. There is only one way to avoid these unpleasant consequences: going to the dentist and restoring all of your lost teeth.
To solve the problem of missing teeth, modern dentistry offers an advanced technology — dental implants. The method involves implanting an implant into the jaw, replacing the root of the lost tooth and placing a crown on it.
Implants require no supporting teeth and are effective for both single adentia and completely edentulous jaws. It is more expensive than conventional dentures, but gives almost lifelong results and excellent aesthetics, which cannot be achieved with conventional dentures. In addition, patients always have the opportunity to reduce treatment costs by choosing a comprehensive solution — end-to-end implantation. What does the comprehensive service include and what are its benefits? We will answer these questions in a new article on our website, and you can get a personal consultation about the service and an accurate estimate of the cost of implants by visiting the specialists at the Aesthete clinic. Implant surgeons see patients at our dentistry clinic in Dubai on the Bluewaters Island.
End-to-end implantation: the ability to know all the costs of treatment
End-to-end implantation is the performance of all the steps necessary to restore a lost tooth at a fixed cost. Some clinics include only surgical manipulations in the "end-to-end" concept; others combine implantation and prosthetics in it. Therefore, deciding to have an end-to-end implantation, you need to find out in a particular clinic, what manipulations they include in the service offered.
End-to-end implantation usually involves the following manipulations and procedures:
- Initial consultation with several specialists at once: an orthopedist and an implant surgeon.
- Comprehensive diagnostics.
- Selection of equipment and optimal implantation system.
- Installation of artificial roots and temporary prosthetics.
- Monitoring of implant engraftment during the whole period of osteo-integration.
Pre-treatment/extraction of teeth or roots, preventive hygiene, permanent prosthetics are usually not included in the cost of end-to-end implantation. These services are paid separately. In our clinic, after diagnosis, the patient receives a detailed treatment plan that includes all steps, from preparation to permanent dentures, and gets an idea of the costs involved in advance. The price calculated in the treatment plan is included in the contract and remains unchanged!
Protocols
Initially, there was only one protocol for placing implants: the two-step protocol. Now there are different techniques developed for end-to-end dental implants and below, in the table, we will consider in detail their features, advantages, and compare them with each other.
| Name | Description | Benefits | Drawbacks |
|---|---|---|---|
| Two-stage (conventional) | The treatment process is divided into two stages: implantation and prosthetics. A crown is placed on the implant only after the artificial root becomes one with the natural tissues. The process of engraftment takes an average of 4-6 months. | Versatility. The two-step method of end-to-end implantation is applicable in all clinical situations. Since the implant is not immediately loaded with a crown, the risks of rejection are minimal. | Long-term treatment. While the implants are engrafting, you will have to use a temporary removable denture, which many patients find uncomfortable. The two-stage end-to-end implant protocol sets stringent requirements for bone tissue quality. If the condition of the jawbone does not meet the required parameters, osteoplasty is required. |
| Single-stage | Single-stage end-to-end implantation protocol implies immediate loading of the implant with a crown. It is placed immediately after the implantation of an artificial root in the jawbone. The load on the implant promotes its accelerated fusion with the natural bone tissue. | The patient gets the opportunity to solve the problem of missing teeth as quickly as possible. On the day of surgery, they will leave the clinic with new teeth and a beautiful smile. Since all manipulations are performed in one step, this end-to-end implant technique is considered the least traumatic. | It cannot be performed if the bone tissue is in poor condition. If the bone is atrophied and thinned, osteoplasty is performed, and then a two-step protocol is used. The technique is not recommended for restoring teeth that are under constant active load in the processes of chewing food. |
| Immediate | Immediate end-to-end implantation technique involves implantation immediately after the extraction of a tooth, in the hole that remains after it is extracted. | Minimal injury. The implant surgeon does not need to make incisions or drill into the bone. The implant is put in place quickly and easily and a temporary crown is fixed on it. | Immediate end-to-end implantation is not carried out if the tooth was removed due to inflammatory processes at the roots. Tooth extraction must be done well. If during the extraction of a dental unit, the bone will be affected and damaged, it will need to be recovered and built up, and only then the implants can be placed. |
| Mini-implantation | It implies the installation of special, shortened implants and is carried out for the installation and quality fixation of removable dentures. | End-to-end mini-implantation can be carried out even with a pronounced deficiency of bone tissue and without prior osteoplastic surgery. | It is usually considered as a temporary solution, because fragile and short implants are not able to qualitatively withstand the chewing load. |
The technique of end-to-end implantation is selected only together with the doctor and after a comprehensive diagnostic examination. One cannot choose the method of implant placement by oneself, because it is necessary to assess the condition of the bone tissue, the general state of health, and to take into account other features of the clinical situation.
Indications and contraindications
Any medical procedure and, even more so, such a complex surgical intervention as an end-to-end implantation requires consideration of indications and contraindications. The indications are quite simple: the technique is used to restore lost teeth, their full functionality and aesthetics of the teeth. Contraindications for dental implants fall into two main groups and can be both absolute and relative.
You will have to look for an alternative to end-to-end implantation if the diagnosis reveals:
- Any abnormalities in blood clotting processes.
- Oncology.
- Diseases that cause bone fragility.
- Severe mental illness.
- Chronic kidney and liver failure.
End-to-end implantation is strictly contraindicated in chronic alcoholism, it is not performed on children and adolescents, as the formation of the jawbone lasts until 17-20 years of age and intervention in this process is extremely undesirable.
A temporary limitation to dental surgery will be inflammatory processes in the parodentium, malocclusions, poor oral hygiene. All these conditions are eliminated by preliminary treatment and then end-to-end implantation is carried out.
Benefits of end-to-end implantation
Only the placement of implants can qualitatively restore chewing load and stop bone loss. Conventional prostheses do not provide such an opportunity, the bone will continue to atrophy and this process will require regular replacement of prostheses, it will cause asymmetrical face and may have other unpleasant consequences for the overall health of the body.
End-to-end implantation gives a perfect aesthetic result: the crowns on implants are visually indistinguishable from natural teeth. They are comfortable, do not cause discomfort when eating and talking, and do not feel like a foreign object in the mouth. The adaptation process is as quick as possible.
With new implant teeth, you will not have to limit your food intake. All foods, including the hardest ones, are allowed to eat. End-to-end implantation allows you to keep your native teeth healthy. The implant does not require support, it is placed in place of the lost element of the dental row, healthy teeth are not depulpated and not faced.
Stages
The treatment process will be divided into several stages:
Implant surgeon consultation, diagnostics
The patient comes to see the implant surgeon, the doctor examines the oral cavity, listens to complaints, asks questions that will help identify possible contraindications and get a detailed picture of the overall health. The implant surgeon also prescribes additional examinations: a CT scan, some general tests. After receiving the diagnostic data, the expert tells the patient about all the implantation options that are applicable in the clinical situation. If the patient agrees to the treatment, they proceed to the preparation and planning of the end-to-end implantation.
Preparation
End-to-end implantation requires perfect oral hygiene. Therefore, before placing the implants, a professional cleaning is performed, which removes all types of plaque and pathogenic microflora, and all types of caries detected during the examination are cured. This is a standard set of preparatory measures, but sometimes it includes other procedures and operations. For example, bone grafting, removal of destroyed elements of the dental row. All preparatory manipulations are discussed with the patient, and their cost is always voiced.
Planning
End-to-end implantation is planned with the help of special navigation programs that allow you to accurately identify implant sites, predict the result and competently select an implant system for the specific clinical situation.
Surgical stage
The set of manipulations during the surgical stage of the end-to-end implantation will depend on the technology of the implant placement. If the conventional method is chosen, then first anesthesia (local, sedation) is done, which takes away the pain sensations. Next, the surgeon prepares the hole and bed for the implant and places the implant. A plug is placed on the implanted artificial root, protecting the surgery area from the penetration of pathogenic microflora. The doctor sutures and treatment is interrupted until the implant is fully osseointegrated.
With a single-stage end-to-end implantation, there will be no break, a temporary crown will be placed on the implant immediately.
Orthopaedic stage
It is the final stage of end-to-end implantation, implies the installation of a permanent crown on a fully taken implant. To make it, casts are taken, which are sent to the laboratory. When the ceramic or zirconium crown is ready, the patient is invited to the clinic; the doctor attaches the prosthesis on the implant abutment.
End-to-end implantation technologies in Aesthete clinic
The mission of our clinic: to give patients beautiful smiles and give them back the opportunity to live a full life, without limiting themselves in nutrition and communication. We recommend end-to-end implantation as an advanced and highly effective dental restoration technology applicable to a variety of clinical situations.
For its implementation, we use the most advanced technologies:
- Computed tomography on a latest generation CT scanner, which helps to obtain the most accurate and detailed data on the condition of the jawbone.
- Navigational implant software that allows you to plan implant placement step-by-step and develop surgical templates. With the help of templates the implantation process can be performed without incisions, the implants are placed through small punctures and are precisely positioned in the bed.
- Dental microscope. The surgeon performs all manipulations under magnification, which ensures the accuracy of their actions and minimizes the trauma of the intervention.
We work with implant systems from the world's leading manufacturers. The table below contains a description, characteristics, and survival rates of the implants we install.
| Implants brand | Country of origin | Features | Survival rate |
|---|---|---|---|
| Zimmer | USA | Premium trabecular implants made from tantalum. They have high biocompatibility indicators, accelerated osseointegration periods. Applicable in all types of end-to-end implants, acceptable for bone deficiency | 100% |
| Astra Tech | Sweden | Premium products, versatile in their purpose. The unique surface ensures rapid fusion of the implant to the jawbone and excellent primary stability, allowing for end-to-end implantation with immediate loading. | 99,7% |
| Straumann | Switzerland | Premium class implants, made of pure titanium, completely free of impurities. The implant ranges produced by the brand allow you to choose a system for any clinical situation. The process of engraftment is fast and is fully completed in 3-4 months. Rapid osseointegration is ensured by the unique porous surface. | 99,9% |
End-to-end dental implantation is performed not only under local anesthesia — for patients who are afraid of dentists, fearful and stressed before the surgery, we offer sedation, which involves treatment in sleep and is a gentle and safe alternative to general anesthesia. During sedation, the patient is asleep, without pain, discomfort, or unpleasant emotions, while the implant surgeon performs all necessary manipulations. Sedation requires no rehabilitation, no long withdrawal, and has no side effects. The patient wakes up, stays 30-40 minutes under medical supervision, and then can go home. The clinic has all the necessary equipment for sedation, including monitoring devices, and an anesthesiologist.
Price of end-to-end implantation
Approximate prices for end-to-end implantation are given in the price list; the exact cost is calculated after the diagnosis and an initial appointment with a specialist. For a personal consultation on implant placement, call the clinic and make an appointment.
You can visit our Aesthete premium dentistry clinic on the Bluewaters Island, Dubai.
End-to-end implantation in our clinic is an opportunity to get new teeth without fear and discomfort, with a stable and durable result. Implant surgeries are performed by experienced, responsive professional who have been trained by leading European and American surgeons (Otto Zuhr (Germany), Marc Hurzeler (Switzerland), and Eric Van Doren (Belgium)). The clinic gives a long-term warranty for implants.
