Is there a minimum age for implants?
Bone growth must be fully complete at the time of implantation. This is generally considered to be 18 years of age. In the case of doubt, an X-ray of the carpal bone will confirm it.
At an advanced age, are there any contraindications against implantation?
No, there is no upper age limit for implants. As implants pose virtually no risk, we can treat patients up to 80 and 90 years of age and more. There is no upper age limit in principle. We could add that implantology is the treatment of choice for older patients.
Can you be allergic to implants?
Used in Orthopaedic Surgery since the 1900s and in Stomatology since 1965, pure titanium implants have not developed any known intolerance. This material contains no allergenic components and has a completely neutral effect in the body. Pure titanium can be said to be currently the most biocompatible material.
Is a general anaesthetic necessary for an implantation?
No, a local anaesthetic is enough to suppress any pain in the oral cavity. When the implantologist prepares the site in the bone and inserts the implant, you will feel a vibration and a slight pressure but no pain. Some patients who are particularly anxious may be given a sedative premedication.
I only need individual implants but I would also like to have brighter more beautiful teeth. What solutions are there?
The dentist can brighten yellow teeth or darkened teeth by using a whitener.
Just as for natural teeth, crowns for implants are very aesthetic and designed to be whiter. They are adapted to the new shape of the teeth.
What material is used most often for crowns?
Most crowns and bridges are made of ceramic on a metal frame.
“All-ceramic” products are a latest-generation solution. There is no metal. The metal is replaced by white zirconia on which the ceramic is baked at high temperature in a special oven. Ceramic on top of zirconia is very aesthetic. It is much more transparent and biological due to the absence of metal. It is indicated for implant-supported prostheses, crowns and bridges, as it is very strong.
Can an implant make airport security detectors "beep” when passing through barriers?
No, implants are not magnetic, they produce no reaction in detectors.
How much do they cost?
Cost varies depending on the extent of the treatment and the number of implants. The costs that you are responsible for will be shown on the estimate and on the treatment plan that your implantologist will give you beforehand.
I am a diabetic. Can I have an implant?
Yes, you just need to take the appropriate medication. Diabetes that is improperly treated or untreated can slow the healing process for metabolic reasons. If there is any doubt, the implantologist will contact your referring physician.
Should I expect to feel pain after the intervention?
In the first few days, your gums will probably still be sensitive. Your cheeks may feel swollen for a little while and feel uncomfortable. Most patients do not need pain killers afterwards and resume living a completely normal life.
How long does an implant last?
A high-quality implant inserted under proper conditions is much stronger than a natural root. It does not break and obviously cannot develop cavities. Practising good oral-dental hygiene will keep your gums and the implant site in good condition. Implants are therefore inserted as a permanent measure.
Length of treatment
How many appointments will I need to get my new roots?
It all depends on the extent and type of treatment. For explanations and a preliminary decision, one appointment is sufficient. At the second appointment, the implantologist will do the normal examinations and plan the treatment. In general, a little while later at a third appointment, your new "roots” will be inserted and gums sutured with resorbable sutures. This is when the healing phase starts and generally continues without any further appointments.
What should I expect from the preliminary discussion?
Your implantologist will explain in detail the problem from the start, how to solve it, and will ask you what you would like. Before this discussion, you should obtain information about the possibilities offered by implantology. Tell your practitioner about any illnesses you have had and any drugs you take.
How do I take care of my teeth once I have implants?
You clean them exactly the same way as natural teeth, with a toothbrush (electric) and toothpaste. It is particularly important to clean the spaces between your teeth and the transition zones where they meet the gums. Poor brushing can cause germs to accumulate which can degrade the gums. By practicing good hygiene (brushing, flossing, using mouthwash, and descaling) you will avoid these risks.
Can implants be inserted immediately after tooth extraction?
Yes, this is called immediate implantation. In certain cases, the implant is inserted immediately after the tooth is extracted. (Do not confuse this with immediately loading the implant.)
Can implantation be done on an outpatient basis?
Yes, the implantologist performs the procedure on an outpatient basis under local anaesthetic. One session is enough to insert multiple implants.
Are there any illnesses that prohibit implantation?
Normally no. If you have a serious illness, for example cardio-vascular pathology or osteoporosis, if you are prone to haemorrhaging or if you have a weakened immune system, you must tell your implantologist.
After receiving an implant-supported prosthesis, can I bite and eat normally?
Regardless of whether you have a crown, a bridge or a mobile prosthesis on the implant, you can eat, bite, speak and laugh as if they were your real teeth.
What are implants made of?
Implants are made of medically pure titanium. This material has been proven and validated by acquired scientific data. Currently 99% of dental implants are made of titanium. This material is very stable, biocompatible and integrates very well into bone tissue.
What exactly does “immediate loading” mean?
Normally, after inserting an implant, a healing phase automatically begins. As part of this procedure, a standard temporary crown is applied. If the implantologist decides that the state of the bone is perfect, specifically the mandible (lower jawbone), he may consider in certain favourable conditions immediately loading the implants. This consists of immediately fixing the final prosthesis directly onto the implants that have just been inserted, without waiting for the bone healing process called osteointegration.
Do I have to take out my mobile implant-supported prosthesis at night?
A mobile implant-supported prosthesis is normally so well anchored that it can be worn without risk all night. If you wish, you can wear your prosthesis 24 hours a day. A traditional mobile prosthesis, however, must be removed at night as it can shift while you sleep and potentially interfere with your breathing.
Do implants affect pacemakers?
No, because implants have no magnetic effect and therefore pose no danger to the functioning of a pacemaker.
Do implants interact with medication?
With certain drugs this is possible. If you take drug medication regularly, tell your Implantologist. Cortisone, for example, can change your metabolism and auto-immune properties. The practitioner must also be told if you are taking certain drugs used to treat osteoporosis. Anticoagulants can cause bleeding during implantation. In each case, the implantologist will use appropriate procedures to overcome these difficulties.
Are there different qualities of implant?
As with almost any product, there are different qualities of implant. Ask your implantologist for advice and what his long-term experience is. Also find out if replacements are available in the event that your prosthesis must eventually be renewed.
When is bone reconstruction necessary?
When teeth are absent for a certain length of time and chewing forces are no longer applied to the area, the bone can be resorbed little by little. If there is so much resorption that an implant can no longer be inserted, bone reconstruction becomes necessary. The bone tissue is reconstructed using a similar material or a substitute. This is carefully positioned on the bone at the intended implant site and the body slowly integrates it to form functional bony material. In this way, the area of bone can be extended or increased in height. In the posterior maxilla, bone depth is usually increased by a procedure called sinus elevation or augmentation. It is often possible to reconstitute the bone at the same time as the implantation. It can also be done beforehand via an outpatient procedure.
Renewal or extension of the prothesis
Can a dental prosthesis be renewed or extended?
Yes, it is possible to renew or modify a prosthesis at any time. A single implant can also be, after a number of years, be transformed into a pin for a bridge or mobile prosthesis.
I already have a completely normal prosthesis. To have implants, do I need a new prosthesis?
If the existing prosthesis guarantees a perfect match to the implants and proper chewing action, it can be retouched and retained for implants.
What happens if a natural tooth used as an anchor for the prosthesis begins to disappear?
If a tooth needs to be extracted, for example after root inflammation, it can easily be replaced by an implant. The support and potentially the prosthesis can also be modified to suit.
What risks are there with implantation?
An implantation is a minor surgical operation. Due to the presence of nerves and blood vessels, complications although exceptional are possible in practice when inserting implants. Given current diagnosis methods (digital panoramic radiography or scanning) and planning, these risks are largely excluded, if the implant surgery is performed by a qualified Implantologist.
Similarly, sudden rejection of a fully healed implant is very rare. Exceptionally, the bone may not tighten sufficiently onto the implant. In such a case, the implant cannot adequately support pressure and therefore is always removed, under local anaesthetic. Of course, after a further period of healing a new implant can be inserted.
What happens if there is inflammation at the implant?
Detected early, inflammation, usually caused by bacteria, can easily be treated. If you come to your scheduled check-ups and observe proper hygiene and brush your teeth regularly, you will run no risk.
Foreign Body Sensation
Do implant-supported teeth feel the same as real teeth?
Implant-supported teeth feel totally natural in your mouth when speaking, eating and laughing. You will feel no difference.
Does implantation affect what sports I can do afterwards?
Performing physical movements after implantation is not a problem. Intense physical activity should be avoided or discussed first with your Implantologist. To not interfere with the healing process, particularly when multiple implants have been inserted, we advise you to rest for a day.
Is smoking compatible with implants?
The longevity of the implants can be affected by heavy smoking. Speak to your Implantologist. He will assess your risks.
When and how is a tooth placed onto an implant?
If the healing process progresses normally, implants are fully integrated into the maxilla within six to eight weeks.
A cast is then made. The practitioner will use it to make the prosthesis. After determining the exact colour and performing some testing, the prosthesis will be glued or screwed to the implants.
Will I have no teeth during the treatment and healing phase?
If you already had a mobile prosthesis, you will be able to wear it again after a few retouches by the dentist. In certain conditions, it can be fixed onto the implants – it then automatically serves as a temporary prosthesis.
When can I go back to work?
With the approval of your Implantologist, you can resume your daily activities and return to work the next day.