Which dental implant should I choose?

Whenever we are aiming for a dental treatment and we indulge ourselves in the details of them, it is always Dr. Google who treats us first: their artificial intelligence finds better and better ways to provide us with magnificent, flashy prices, which are usually way better compared to what our dentist has told us before. How is this possible? What are those tiny details that cannot fit into the fine prints of advertisements?

Smart made simple: Fix denture (by mini implants)

As suggested, we are dealing with dentures that are removable. In case of complete tooth loss, the simplest method of replacing your natural teeth is to make a removable denture.

Even though it seems to be the simplest way, it can really challenge our mouths. Let’s just think about it: all the pressure that was applied on your strong teeth before, is now all put on your soft gums. These, in contrast with your teeth, do contain nerves: just imagine the pain!

This, however, can be supported by 2 to 6 sphere-headed implants, on which clips hold the denture. Thus, the removable denture is fixed, cannot move or wobble, and will not rub your gums.
It is important to know that this treatment requires your bones to be solid.

Should any problems arise with any of the implants, these can easily be replaced, and until then, the remaining ones will take care of the denture.

Advantages: It is not a difficult surgery; Quick solution; An improved dental hygiene can be gained; Your existing dentures can get an advancement; It works perfectly well in case of small amount, but solid bones

Disadvantages: The denture is still a removable one; Can only be done in case of complete tooth loss

Price: $$

Basal implants: The evergreen screw

Basal implants are maybe the “most mature” in the line: having a 50-year-long background, they are a really roadworthy option.Their utilization is based om the fact that there are parts of our facial bones that never disappear: if we oblige to the rules set during these 50 years, and implant screws here, they will provide us a long-term, highly solid solution. Since these do not require the bone to grow around them (which would be a longer process), they are perfectly polished, thus no bacteria can stay on them.

Screws implanted into the hard bone can, and have to be immediately loaded. This is a huge advantage, but we must face that by these means, the possible decreased volume of the bone is not made up: that area is supported by the dentures only: this means bigger screws. Thus, sometimes patients have to compromise when it comes to aesthetics.

This method is often criticised, which is also stated in the Hungarian framework, but if it is done under great care by an experienced professionist, it will mean a quick, great quality, long term solution.

Since there are not many tools or pieces needed, the price might be lower compared to the two-phase implants; however, since the soft parts and bone can slightly deform during the healing process, usually a long-term, functional denture can first be applied.

Advantages: quick solution; feasible with small amount of bone; no periimplantitis; can be used for one or more teeth, even for full arch

Disadvantages: Aesthetical compromise; only well-experienced doctors can use it properly; often long term, functional crowns have to be made first

Price: $$

The classics: Two-phase implants

Most dental implants coming from Switzerland, Israel or Korea belong to this category. Fun fact, that even Hungary manufactures these kinds of implants!
Manufacturers have been arguing for a long time about who has the best operability and whose heals faster. Additionally, they could never agree on whether an acidic, oxid or laser-treated surface works better. The bottom line probably is that they all serve the case perfectly fine.

Two-phase implants consist of two parts: one half goes directly to the bone, the other half, a head is attached by a screw. This screw-bonding means both ups and downs: Even though this means a highly aesthetic outcome, since the screws are really flexible, lots of bacteria can find home between the two parts, thus further treatments (periimplantitis, gingivitis) is needed in half of the cases.
One or more teeth can be replaced by this method, although there must be a 1,5-2mm thick bone surrounding this type of implant. If the conditions are not provided, then an osteoplasty is needed, which is followed by a 4-month-long healing process.

Although, the high number of tools needed, and the raised number of meetings with your dentist will raise the cost as well. This fact makes it easy for advertisers to come up with fake prices and offers: usually, prices only include the cost of the screws and the implant treatment, additional tools and crowns are not included.
Make sure you always ask the exact costs and the estimated finishing date of your new teeth!

Advantages: High variability; immaculate aesthetic outcome; one or more teeth can be replaced in this method

Disadvantages: they usually cannot be immediately loaded; you receive your new teeth only in about 1-2 years; a high amount of bone is needed, in great condition; the chance of periimplantitis is high

Price: $$$

All-on-4 and All-on-6

Another solution for a decreased amount of bone or complete loss of teeth is the All-on-4 procedure. Paulo Malo has already discovered in the ‘90s that it is enough to implant 4 (occasionally 6) screws in the front part of the jaw (where there will almost always be enough bone). These can greatly support a bridge.

Advantages of this method are that only a small number of implants have to be inserted, and the fact that bone augmentation can be omitted from the procedure decreases the cost of the treatment. This, again, means that the denture has to make up for the missing amount of bone.

Many-many beautiful smiles have been achieved with this method, although there are lots of complaints. Let’s face it: at this number of implants, only one damaged implant can mean that the whole procedure has to be redone.

Advantages: A well affordable solution with immediate loading

Disadvantages: Even if one implant is harmed, the whole work has to be redone; Only complete loss of teeth can be treated by this procedure

Price: $$$

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