Implantation of chewing teeth on the upper and lower jaw - options and prices


Chewing teeth, or as people say, back teeth, are the most important elements of the dentition. They are the ones who actively participate in the process of chewing food. Chewing teeth are much stronger than the front teeth, but caries most often develop on them. This is explained by the fact that when chewing food, pathogenic bacteria accumulate around them in large quantities, causing caries. In addition, it is the chewing units of the dentition that are subject to the greatest stress.

Untreated caries can lead to pulpitis or periodontitis and cause tooth loss. And the loss of even one chewing tooth is fraught with the most negative consequences for human health as a whole.

In the absence of a chewing tooth, the correct distribution of the load is disrupted; it falls in excess on healthy teeth, which leads to their rapid wear. Food begins to be chewed poorly, and this is already dangerous for the development of gastrointestinal pathologies. In addition, in the absence of chewing teeth, aesthetic problems such as sagging facial contours, premature appearance of wrinkles, and the formation of deep nasolabial folds may also appear.

All these unpleasant consequences can be prevented - you need to go to the dentist and restore lost chewing teeth. Restoration of chewing teeth can be carried out with classic prosthetics or with a more modern technology - implantation.

We will tell you about implantation of chewing teeth in this article. After reading the material, you will learn about the features of implantation of chewing teeth, what implants and crowns need to be placed in order to get a durable and reliable result. Also in the article you will find photos of the results before and after, read reviews about implantation of chewing teeth, and learn about prices for the service in Moscow.

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  • Selection of implants
  • Which tooth is missing?
  • How long has the tooth been lost?
  • Missing teeth
  • Cost calculation

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Manukyan Artavazd Genrikovich

Chief physician of the clinic

Price

Implantation of chewing teeth is a highly effective way to restore the integrity of the row in the absence of lateral units. In dentistry, small molars (4, 5) and large (6, 7, 8) are distinguished. All of them are involved in the act of chewing. When one or more teeth are lost, the functioning of the masticatory apparatus is disrupted. Over time, the patient's facial contours change and signs of aging appear. It is impossible to prevent adverse consequences with the help of removable dentures. High-quality restoration of the aesthetics and functionality of the row is ensured only by implantation.

Work examples

All works


Complex implantation (top and bottom)


Complex restoration of both jaws on implants


Complex restoration of the lower jaw


Implantation of one jaw with screw fixation


Complex implantation of the lower jaw


Implantation with screw fixation of chewing teeth


Restoration of chewing teeth using ROOTT system implants


End defect


Single-phase implantation of the lower jaw


Dental restoration using classic ROOTT system implants


Installation of one-stage implants with screw fixation in 3 days


One-stage implantation of three chewing teeth


Classical implantation of the chewing teeth

All works

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Are implants placed on chewing teeth?

Small and large molars bear the brunt of the load when chewing food. The side units ensure high-quality grinding of products and the formation of a food bolus. Premature loss of molars leads to adverse consequences:

  • redistribution of load between other units;
  • accelerated wear of remaining teeth;
  • displacement of units towards the defect;
  • bite deformities;
  • dysfunction of the jaw joints;
  • chronic pathologies of the gastrointestinal tract due to disorders of food digestion.

Implantation is recognized as the best way to restore the integrity of the row. The introduction of implants into the jawbone ensures reliable fixation of prostheses, prevents displacement and loosening of adjacent units, and prevents bone tissue atrophy.

Contraindications

Relative

the procedure can be carried out with extreme caution

  • Age up to 18 years;
  • pregnancy and lactation;
  • poor oral hygiene.

Absolute

the procedure is strictly prohibited

  • Hemophilia, severe bleeding disorders;
  • mental disorders that make it difficult to contact the patient;
  • decompensated diabetes mellitus;
  • systemic connective tissue diseases;
  • allergy to used anesthetics;
  • malignant neoplasms.

Features of restoration of teeth in the upper jaw

  • The maxillary bone is less dense than the lower bone and therefore undergoes atrophy more quickly. If teeth have been missing for a long time, the patient may need bone augmentation (sinus lift surgery) before implantation.
  • When using the classical technique, the engraftment period is 3-4 months.
  • For single restorations, a one-stage protocol with immediate crown fixation is allowed due to lower chewing loads.
  • When implanting in the upper jaw, the doctor requires “jeweller” precision. The accessory nasal sinuses and large nerves pass near the implantation zone.
  • It is possible to use elongated (zygomatic) implants.

Prosthetics ALL-ON-4 all on 4 (all on four)

This method of implantation was created by specialists from the implant manufacturer - the world famous dental brand Nobel. When carrying out prosthetics on implants in the complete absence of teeth, this method involves the implantation of four implants into one jaw and loading them with a fixed-type prosthesis secured with screws. Implants implanted at the end of the dentition are placed at an angle of forty-five degrees, which helps to avoid affecting complex areas during manipulation: the area where the nerve exits and the maxillary sinus.

At the development stage, the method under consideration was planned to be as gentle as possible for patients, but in order to avoid a minimum of surgical interventions, a sufficient volume of bone tissue and its solid height are required. Without meeting these conditions, it is impossible to implant an implant of the required length into the bone, and shorter structures may simply not take root. In such options, patients are offered a procedure with the installation of not four implants, but six. Two additional implants will ensure uniform load on the natural tissues of the oral cavity and significantly reduce the risk of implant rejection.

Implantation in the absence of teeth in the lower jaw

  • Due to high loads, in the absence of a lower chewing tooth, the classical protocol is preferable. Two-stage implantation ensures high-quality engraftment, which increases the stability of the implantation system.
  • If there is significant atrophy of the alveolar ridge, before implantation, bone tissue is augmented using one’s own (bone fragment) or synthetic material.
  • With prolonged absence of lower teeth, adverse consequences develop faster, so it is undesirable to delay treatment for a long time.

Digital diagnostics - to eliminate risks

Computer tomograph Sirona Galileos (Germany) provides thorough diagnosis and planning

  • Assessment of bone structure and size to select an implantation protocol
  • Determining the location of the mandibular nerve to avoid damage
  • Preliminary 3D modeling of the operation, creation of navigation templates

Which implants are better to place?

Requirements for implant systems for chewing teeth:

  • length and diameter - classic models are preferred; rods that are too thin and short cannot withstand chewing loads;
  • shape - in modern implantology, only root-shaped structures are used, as the most physiological;
  • surface – for chewing areas, implants with a microporous surface are used, which speeds up the healing time;
  • thread - with the help of turns of a certain pitch, the effect of compacting the bone tissue around the implant is achieved, which improves the quality of osseointegration.

At the stage of preparation for implantation, it is important to choose the brand of the system. It is better to give preference to well-known brands. The price of materials will be higher, but the advantages are extensive experience in use, confirmed by clinical trials, and a low risk of complications. The selection of implants is carried out by our implantologist personally for each patient, focusing on the anatomy of the jaw bone and health status.

Requirements for crowns on implants

Crowns are artificial teeth that are fixed to implants. The purpose of prostheses is to restore the aesthetics and functionality of a row. The artificial tooth must cover the defect, as well as withstand the loads during chewing and transfer them to the implant. Which crowns to place on implants depends on the treatment technology and the time of their use.

  • Temporary. Used in one-step protocols. They are installed during the healing of the implants and removed from the bite. Made from plastic or metal-plastic. They play an aesthetic and functional role. Can be used for 3-12 months, then replacement with permanent ones is necessary.
  • Permanent. Crowns for implants for the chewing part of the jaw are made of metal ceramics or zirconium dioxide. Installed after complete engraftment of the artificial root. The high strength of the dentures allows for full chewing. If excessive loads are excluded (biting nuts or hard objects), permanent crowns last for 10 years, while zirconium crowns last for more than 20 years.

How to properly care for your mouth after surgery

Within 3 days after implantation, the oral cavity is carefully looked after:

  • The impact on the implant (chewing load) is excluded.
  • On the second day after implantation, you can carefully brush your teeth, avoiding contact with the sutures.
  • As prescribed by the doctor, mouth rinsing with antiseptics after meals and anti-inflammatory baths are carried out.
  • For two days, cold must be applied to the cheek on the implant installation side for 20 minutes every half hour.
  • Avoid sports and excessive physical activity.
  • Give up alcohol and cigarettes.
  • Eat only food that is thoroughly crushed to a puree state and chewed on the side parallel to the surgical intervention.
  • Avoid climbing to heights and flying in an airplane.
  • You need to blow your nose and cough carefully, without opening your mouth or puffing out your cheeks.
  • Avoid hypothermia and overheating.
  • After a sinus lift, you should not drink through a straw.
  • If you notice any suspicious symptoms, consult a doctor.

Within 14 days from the date of surgery, oral care involves:

  • When brushing your teeth, you should try not to touch the implant.
  • After eating, rinse your mouth and take baths.
  • Remove food debris from hard-to-reach areas with dental floss.
  • Eliminate solid foods.
  • Do not chew on the side where the implant is installed.
  • Food should be soft in consistency and contain large amounts of minerals and vitamins.
  • Avoid excessive physical activity.
  • Avoid hypothermia and overheating of the body.
  • Cough, sneeze and blow your nose gently.
  • When performing a sinus lift, you should not drink through a straw.
  • Visit your dentist regularly for checkups.

Regardless of the time that has passed since the operation, it is necessary to carefully care for the implant:

  • Use dental floss and brush.
  • Use an irrigator or rinse aid.
  • Have it professionally cleaned at least twice a year.

Price - how much does it cost to restore a chewing tooth?

The final price of the service varies depending on:

  • brand of implantation systems;
  • size of the defect;
  • type of prosthesis;
  • orthopedic design material;
  • the need for preparatory measures (treatment or removal of teeth, bone grafting).

The cost of implantation at Scientific Dentistry Dantistoff can be viewed in the price list on our website. We regularly hold promotions for implantation, and you can get treatment in installments.

PiezoSurgery® - gentle tooth extraction and bone grafting

Ultrasonic scalpel NSK VarioSurg 3 for gentle pre-implantation preparation

  • Affects only bone tissue without damaging nerves and blood vessels
  • Gently works with bone in osteoplasty protocols
  • Atraumatic tooth extraction without chips or fractures of surrounding tissues

Which is better - a bridge or an implant?

In the absence of molars, the patient is offered to install a bridge prosthesis supported by his own teeth. The method involves turning units on both sides of the defect. The doctor takes impressions and orders a bridge. The length of the prosthesis depends on the size of the defect. The orthopedic device must have 2-3 supports to evenly distribute the load. The advantage of the method is the price; no surgery is required. Disadvantages of bridge prosthetics:

  • the need to remove pulp from supporting units;
  • significant turning of supports for crowns;
  • accelerated destruction of anchors due to high load;
  • gradual expansion of the defect;
  • subsidence of tissues under the bridge;
  • risk of breakdowns and injuries.

Implantation is preferable because it allows you to preserve your own units, slows down or stops atrophic changes, and allows you to evenly distribute the chewing load.

Manufacturer and clinic warranty period

No implantologist can give an absolute guarantee of implant survival; there is always a risk of rejection. The reasons are different, but sometimes rejection occurs due to incorrect actions by the doctor or the installation of a low-quality implant. Therefore, choosing a dentist from a specialist should be taken seriously.

The manufacturer provides a guarantee for implants. Re-implantation at the expense of the manufacturer of the structure is performed if rejection is caused by poor quality of the product. It can be 10-20 years, and some companies even provide lifetime. The clinic's guarantee covers the quality of the operation and lasts 1-2 years. Free re-implantation is performed if it is proven that the rejection occurred due to incorrect actions of the doctor.

  • Complete restoration of the dentition in just 4 days!


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    Roott Pterygoid Implants Sinus lift is no longer needed!

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    Once and for life! Express implantation in 4 days with a permanent ReSmile prosthesis

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    All-on-4, All-on-6, ReSmile, Zygomatic implantation We use all modern methods of dentition restoration

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Other Alternatives

Lost molars can be replaced with removable dentures. The device is selected taking into account the size and location of the defect. For prosthetics, acrylic plate, nylon, clasp structures, devices with hooks or locking type of fastening are used. The advantage of the method is the price. Minuses:

  • unreliable fixation of the prosthesis;
  • false jaws are not able to replace their own during the chewing process;
  • pain occurs while eating;
  • possible damage to mucous membranes;
  • devices for the upper row often cause nausea;
  • the tissues under the prosthesis continue to sag;
  • Over time, the device will require relocation.

Alternative options

If there is a lack of teeth in the chewing region, an alternative treatment option may be the installation of removable orthopedic structures. However, it is not always possible to fix a bridge-type prosthetic device. Sometimes the patient only has supporting units on one side of the defect, which explains the need to use a removable prosthetic system that is fixed to these teeth and gums.

Removable prosthesis. This is a fairly low-cost system that is accessible to the vast majority of patients. However, along with the effectiveness of this design, there are some negative aspects associated with its operation:

  • Uncomfortable to wear. Due to the presence of a massive acrylic base, the prosthetic device can cause irritation of the gum tissue;
  • Insufficiently strong fixation. Many patients resort to the use of additional gels, ointments and adhesives;
  • Light load. Due to the lack of necessary pressure on the bone, it undergoes further resorption. Over time, this deteriorates the strength of the prosthetic device and leads to the need for its relocation.

Taking into account the above disadvantages, we can judge the advisability of installing dental implants instead of removable prosthetic devices using one’s own teeth as supports.

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