The absence of masticatory teeth remains invisible to others, but causes serious disturbances in the distribution of the chewing load. Excessive pressure is exerted on the remaining healthy teeth. The result of this constant overload can be loosening, abrasion, premature loss, gum problems, and increased risk of tooth decay.
If you do not restore your masticatory teeth for a long time:
- an asymmetry will develop, distorting and worsening the aesthetics of your face;
- premature wrinkles and creases will appear;
- disturbances of bite will occur.
Adentia in the area of the masticatory teeth is a factor that provokes chronic diseases of the stomach and intestines. If you want to preserve your youth, facial beauty and good health, make sure you go to the clinic in time and restore your masticatory teeth.
Different techniques are used for the restoration of molars and premolars. However, the most advanced, effective and reliable one is the implantation of masticatory teeth. We will explore its features in detail in a new article on the website of our Aesthete clinic.
Briefly review of the peculiarities of dental implants in the masticatory group.
Posterior teeth are important for healthy digestive processes. It is the molars and premolars that grind and mash the food as necessary to be fully digested. Active participation in chewing means that the teeth in the masticatory group are regularly and heavily stressed on a daily basis. The degree of this stress must necessarily be taken into account when planning the implantation. Implants to replace your lost posterior teeth should be as strong and reliable as possible.
The requirement for increased mechanical strength of implants is not the only distinguishing feature of posterior teeth implants. When developing a treatment plan, the implant surgeon must also consider the area where the implant is to be placed.
Implantation of a masticatory tooth on the upper jaw
If a posterior chewing tooth is absent on the upper jaw, its restoration should be carried out as quickly as possible. The upper jawbone is thin, loose, and atrophies quickly after tooth extraction/loss. The longer the treatment process is delayed, the more the bone tissue will thin. It is impossible to place implants and achieve good primary stability in loose, thin bone. Bone grafting or sinus lifting will be required. These surgeries will increase the timing and price of posterior teeth implants.
If a patient comes to the clinic to get implants immediately after losing/removing a tooth, single-stage implantation can be performed, which means combining the surgical and orthopedic stages within one surgery.
In one visit to the clinic, you can have implants and an adaptive prosthesis placed and go back to a familiar and comfortable way of life. Adaptation prostheses allow you to eat without dietary restrictions and chew your food with high quality. Implantation of masticatory teeth on the upper jaw can only be performed by an experienced, qualified implant surgeon. If the specialist does not have a sufficient base of experience, practical skills, then the risks of trauma to maxillary sinuses when implanting implants are high. Damage in this area can cause severe complications in the postoperative period.
By contacting our premium dentistry clinic, you can get masticatory implants from knowledgeable, experienced implant surgeon, who have been trained by leading surgeons in Europe and the United States and operate according to their standards.
Implantation of a masticatory tooth on the lower jaw
In order to place posterior teeth implants on the lower jaw with high quality and reliability, it is necessary to consider the anatomy and bone structure. The bone in this jaw region has a high density and the alveolar portion has a great height.
These characteristics of the lower jawbone tissue allow the placement of strong and large-sized masticatory dental implants and immediately loading them with an adaptation (temporary) crown. Due to the high bone density, atrophic processes in the lower jaw region are slow, so if you go to the clinic in time, the implantation can be done without prior osteoplasty.
When selecting implants to be placed in place of the missing masticatory teeth during surgery, special attention should be paid to the thread strength and design. These parameters are important because the lower jaw is actively involved in the process of chewing food and the teeth located on it are subjected to high stress. The amount of pressure per tooth during chewing is 35-40 kg! The implant, acting as a substitute for the natural tooth root must withstand this load and not break.
In order to have masticatory dental implants of high quality and without complications, you need to turn to an experienced implant surgeon. The implantation of structures into dense bone requires proficiency, knowledge, and practice. The specialist must consider the location of the mandibular nerve, the accidental damage of which during the implantation can lead to severe pain, numbness of the jaw and other unpleasant consequences.
Placing a posterior tooth implant: implantation options
The two main techniques that can be used to place a masticatory tooth implant are the one-step and two-step implantation protocols. Each has its own characteristics, pros, cons, and price.
One-step implantation of posterior teeth
Allows for the placement of masticatory dental implants and prosthetics in a single surgery. The protocol places high demands on the condition of bone tissue. If it has had time to thin and lose volume, height, it is impossible to put implants and achieve good primary stability. Therefore, you should never put off restoring your masticatory teeth in order to have a one-stage implantation and reduce the treatment time for yourself, lowering its price.
A one-stage masticatory dental implantation option is an immediate protocol. When using it, the surgeon will put an implant in the hole of the extracted tooth. The technique is used when a destroyed element of the dental row cannot be restored using conventional methods and must be removed.
If you are planning to place implants immediately after a tooth extraction, it is important that this intervention be done well. If the bone is damaged during extraction, the implantation will have to be postponed for as long as it takes to repair it. In some cases, poor-quality removal may result in the need for bone augmentation.
Two-step masticatory dental implantation protocol
Conventional method that suggests placing implants in two main steps. The first step is a surgery to implant titanium structures into the jawbone, followed by a several months-break in the treatment. This pause is required to complete the process of osseointegration, i.e. for complete fusion of the artificial root with the natural bone tissue.
As soon as the follow-up control shows full completion of the osseointegration process, the prosthetic stage can be started.
The two-step protocol for placing implants is used when the masticatory tooth was lost a long time ago and the bone has atrophied. Bone volume is restored by osteoplastic surgery and implantation is performed after the tissues have completely healed.
Implantation of masticatory teeth in bone atrophy
Atrophy is the term for a decrease in the volume and height of the jawbone. If the bone tissue is loose, non-dense, it is impossible to put an implant in it. It will not have the quality primary stability that holds it in place. Atrophy is not an absolute contraindication to implantation, but before implants are placed, it will be necessary to build up the bone to the parameters required by the procedure protocol.
The following types of additional surgical interventions are performed for this purpose:
- Sinus lifting. Used only for bone augmentation in the area of the upper jaw. The technique is less traumatic than other types of osteoplasty. In some cases, it is possible to perform a sinus lifting and place dental implants simultaneously.
- Osteoplasty. Performed using different methods, and the specific technique is chosen individually for each patient. It implies transplantation of donor bone, synthetic bone, or a patient's own bone.
The need for bone augmentation can only be determined after diagnosis and a CT scan. However, usually, if the restoration of the masticatory tooth has been delayed for several years, the loss of bone will be significant and osteoplasty will be necessary. Note that the price of augmentation is not included in the price of the implant; the surgery is paid for separately.
How is masticatory tooth implantation performed?
When planning to place masticatory dental implants, you need to be prepared for the fact that the treatment will be carried out in several successive stages:
Comprehensive diagnostics
Before placing implants, detailed information about the condition of the bone tissue, teeth, and overall health of the person must be obtained. For this purpose, a comprehensive diagnostic examination is performed, which includes:
- visual examination;
- computed tomography;
- delivery of general medical tests.
Based on the diagnostic results, a detailed implantation plan is developed, and the implants are selected, as well as the technique to be used by the surgeon for placement of the implants in the jawbone.
Preparation
Implantation requires perfect oral hygiene and the absence of inflammatory-infectious processes. Therefore, before the surgical stage, all cavities are treated, inflammation of the gums is eliminated, destroyed and unrepairable teeth are removed, and sanitation is performed, which completely removes plaque and tartar.
Surgical stage
It involves the implantation of posterior teeth into the jawbone. In our clinic, implants can be placed using surgical templates that make the surgery the least traumatic. Using a template, the implant surgeon will place the implant through the puncture, without making major incisions in the gum and jaw tissue. If a one-step protocol is chosen, adaptation prosthesis will be placed on the implant immediately. With conventional technique, a long pause is made in the treatment.
Many patients are afraid of implant surgery. They find it painful and uncomfortable. However, all possible unpleasant feelings can be excluded by deciding to do the implantation under sedation.
Sedation is a mild alternative to general anesthesia. It will remove fear, anxiety, and pain. The patient sleeps peacefully during sedation, while the doctor performs the implantation and all necessary manipulations. There are no side effects after medicated sleep no long withdrawal required. Implantation under sedation is one of the services of our clinic.
Orthopaedic stage
It consists in the manufacture and installation of the crown on the implant. The artificial tooth is firmly attached to the abutment and replaces the lost chewing unit.
What crown is better to put on an implant on a masticatory tooth?
Crowns for posterior teeth should have high strength and impeccably withstand regular and intense loads. Therefore, fragile ceramics are not used for molar restoration. The ideal material for a crown on a masticatory tooth would be zirconium dioxide.
Zirconium crowns are as strong as metal, but have excellent aesthetics. A zirconium crown on the implant will look exactly like a natural tooth.
Implantation or conventional prosthetics?
The best way to restore a lost posterior tooth is implantation. The implant replaces the root of the lost tooth, and its placement in the jaw helps restore full, proper, healthy masticatory processes and stop atrophy of the jawbone.
The price of implants is higher than the price of dentures, but all costs are sure to be recouped by:
- Longevity. Dental implants last much longer than any dentures placed on your retainer teeth. Manufacturers of implantation systems give their products a long, and sometimes even lifetime warranty;
- Aesthetics. A crown on an implant is visually indistinguishable from natural teeth;
- Comfort. After implantation, you can eat any food and not limit your diet in any way. The implant feels like a native tooth, there is no feeling of a foreign object in the mouth.
Implants do not require retainer teeth and can be used to correct free-end defects. During implantation, no manipulation is performed on adjacent, healthy teeth. They remain intact and strong.
Aesthete clinic professionals are always ready to tell you more about the advantages of implantation over prosthetics. You can get a personal consultation with an implant surgeon at any time convenient for you at our clinic in Dubai.
Photos, reviews, prices for posterior teeth implants
The price of an end-to-end implantation is formed taking into account the following:
- type and price of the implants that are chosen for installation, and their number;
- surgery protocol;
- the use of sedation, navigational implantation software, and surgical templates;
- the use of a healing abutment;
- the need for preparatory and additional procedures and manipulations;
- prices of temporary and permanent crowns. Permanent dentures are made of different materials and are priced differently.
In order to take into account all the factors of implant price formation and make an accurate calculation, a diagnosis is necessary. It is followed by the development of a treatment plan, including each step is entered with its price and indicating the final cost of the service.
We invite you to be diagnosed by our clinic's implant surgeons. Experienced doctors will select the technique and implants; offer the best option for the restoration of masticatory teeth no matter how complex a clinical may be. We will give you back the opportunity to eat well and smile beautifully!
To see and understand how implantation changes the appearance of teeth and a smile, you can use photos and patient reviews that we regularly publish on our clinic's web site.
