Don't Worry About "I Have No Bone"! Advanced Implant Treatment Techniques Applied to the Condition of the Jawbone in Edentulous Mouths
Advanced Implant Treatment Techniques
Living with a completely toothless mouth can present a host of challenges, from difficulty eating to a lack of social confidence. Perhaps you're tired of the discomfort of removable dentures and dream of having permanent teeth. However, you've likely heard the phrase, "You don't have enough jawbone for implants," from numerous dentists.
At Vien Denta Oral and Dental Health Center, we're shattering this perception with the latest technologies offered by modern dentistry. Jawbone atrophy is no longer your fate!
In our clinic, we successfully implement specialized implant techniques requiring 3D digital planning and surgical expertise, allowing us to successfully treat even cases deemed "impossible" when traditional implant methods fail. We're sure to have a solution for you.
Why Does the Jawbone Dissolve and Why Is It Important?
When we lose teeth, the jawbone in that area loses its function and begins to "atrophy" over time. Being without teeth for many years or using removable dentures accelerates this loss. Traditional implants require a certain amount of bone volume and height to be placed. If the bone is insufficient, these advanced techniques come into play.
Here are the groundbreaking implant techniques we apply at Vien Denta, depending on the condition of your jawbone:
All-On-Four Implant Technique
All-on-Four is a revolutionary technique that allows us to screw the entire dental arch onto just four implants on the same day, without the need for additional surgical procedures such as sinus lift or bone graft in completely edentulous jaws.
In this technique, two straight implants are placed in the front region and two implants are placed in the back region at 30-45 degree angles to use the parts where the bone is strongest.
How to Do All on Four?
This procedure requires a thorough oral examination, as sufficient bone tissue is essential for all-on-four treatment, and diseases such as gum infection must be eliminated. If this is the case, the necessary treatments are implemented before the procedure begins. Excessive loss of jawbone is often the cause of multiple tooth loss. Therefore, bone density must be increased before treatment, and bone grafting is performed at this point. The patient waits for a period of time before undergoing this procedure.
If the patient is completely edentulous, a maximum of 8 or 10 implants can be used. Because this treatment is completely personalized, the number of implants and their placement locations can vary. Prosthetic teeth are designed to be similar in structure and color to the patient's natural teeth. This allows for an aesthetically natural appearance. Prosthetic teeth can be used just like real teeth. Patients are completely relieved of the problems caused by missing teeth, such as biting, chewing, and speech difficulties.
Who is All on Four Suitable For?
Patients who have lost multiple teeth or all their teeth in the mouth are excellent candidates for the all-on-four technique. However, the most important criterion for this procedure is that the jawbone tissue must be dense enough to support the implants. If this is a problem, bone grafting can be used to strengthen the jawbone. One of the most frequently asked questions by patients is the cause of the tooth loss. There is no specific cause for tooth loss for this procedure. This technique can be easily performed regardless of the cause of tooth loss. It's also important to note that the patient must not have any health issues that would preclude surgical intervention.
Stages of All-on-Four Treatment
Peak
The first step in treatment is the examination. The dentist determines whether you are a suitable candidate for the all-on-four technique. X-rays are also taken, and the condition of your jawbone is assessed. At this stage, the need for bone grafting is determined. The number of implants to be placed in the mouth is determined, and measurements are taken to prepare the prosthetic teeth.
Implant
In the second stage, the implants used in the all-on-four technique are placed in the mouth. The area is numbed with local anesthesia beforehand, so the patient feels no pain or discomfort. If bone density needs to be increased, bone grafting is performed before the implants are placed. The patient is required to wait a period of time.
Fitting Prosthetics
After the implants are placed, temporary dentures are attached. When the permanent dentures are ready, the temporary dentures are removed and the permanent ones are attached. This completes the procedure.
All on Four Risks
This procedure carries certain risks, the most common of which is infection. Your dentist may recommend antibiotics after the All-On-4 procedure to minimize the risk of infection. Another risk is nerve damage, but choosing an experienced dentist will minimize this risk. There are also risks, such as improper implant placement, so choosing an experienced dentist is crucial.
What are the advantages of All on Four?
The all-on-four technique is so popular today because of its advantages. The most prominent of these advantages are listed below:
The success rate of this treatment is high, which allows patients to choose the method more safely.
It reduces the risk of bone loss caused by missing teeth.
Although there is a waiting period, temporary dentures are used during this time. Therefore, patients do not spend their time without teeth.
While there may be some mild pain after the procedure, another advantage is that this painful period doesn't last long. Painkillers recommended by your dentist can also be used.
Once the prosthetic teeth are fitted, there is no need to worry about them moving or falling out while speaking or eating.
It is a treatment that meets the expectations of patients not only in terms of restoring the functions of the teeth but also in terms of aesthetics.
What are the Disadvantages of All on Four?
Generally speaking, the all-on-four technique doesn't pose any significant disadvantages. The prosthetic components used are integral, meaning they are a single piece, and if this occurs, the entire prosthesis must be remanufactured. Other than that, it doesn't pose any disadvantages.
What Should All on Four Aftercare Be Like?
It's important for patients to follow a soft diet for a few days after the all-on-four procedure. The treated areas should be protected from harsh impacts, and excessive pressure should be avoided when brushing. The most important factor is taking precautions against the risk of infection and taking medications regularly. Dentures are immediately fitted after the procedure, and oral hygiene should begin immediately. Biting hard objects can damage dentures, just like real teeth.
What is the Success Rate of All-on-Four Treatment?
The reason this treatment is so frequently preferred both in our country and abroad is its high success rate. According to recent evaluations, all-on-four has a success rate as high as 96%. It's particularly high compared to traditional prosthetic treatments. Patients can choose this treatment without hesitation to resolve the problem of missing teeth.
All-On-Six Implant Technique
All-on-Six, a variation of the All-on-Four technique, as the name suggests, secures the full dental arch prosthesis onto six implants.
How is it different from All-on-Four? It's preferred in patients whose jawbone structure is suitable for more than four implants or who desire stronger chewing support (especially if the bone quality is softer in the upper jaw). Six implants allow chewing forces to be distributed over a wider area.
All-on-six treatment is a treatment option that appeals to a wide range of patients and primarily aims to address the problem of missing teeth. This procedure can also be considered for patients experiencing jawbone loss and therefore difficulty wearing dentures. It is also an ideal treatment for patients experiencing complete edentulism.
The biggest concern patients have about all-on-six is its longevity. It's important to emphasize that this treatment is a very long-lasting option. Prosthetic teeth can be used just like real teeth for years. Therefore, patients don't need to worry about their longevity. It's even worth noting that they are a longer-lasting treatment option than traditional implants.
Those who no longer wish to use removable dentures or have lost a significant number of teeth due to trauma or other reasons can confidently call our clinic to schedule an appointment. We will provide detailed information about this treatment. We will also discuss the advantages, cost, and total treatment time of the treatment, also known as a 6-member implant. First, let's answer the question, "How is a 6-member implant performed?"
How is All-on-Six Treatment Applied?
The primary goal of this treatment is to replace the patient's missing teeth. Therefore, implant screws must be placed in the jawbone during the All-On-Six procedure. The density of the jawbone must be assessed to ensure the screws remain secure. Following the patient's oral examination, X-rays are also taken so the dentist can assess the condition of the jawbone.
If the jawbone has sufficient bone density to support the implants used in the All-On-Six procedure, treatment planning can begin immediately. If the bone density is insufficient, this tissue needs to be strengthened. Therefore, a bone graft procedure is performed before the implants are placed. Afterward, the patient must wait, which can range from three to six months. Once this waiting period is over, the bone density is reassessed and the treatment phases begin.
What are the All-on-Six Stages?
Examination – Imaging
The first step is an oral examination and X-rays to assess the condition of the jawbone. The necessary assessment is made to determine whether a bone graft is necessary. If necessary, this procedure is performed prior to the All-On-Six procedure.
Implant Placement
In the second stage, the implant screws are placed in the jawbone. Of course, the area is numbed with anesthesia beforehand, and the patient feels no pain. Implants can be placed in both the upper and lower jaws. The front teeth are placed at a 90-degree angle. For the back teeth, the screws are fixed to the jawbone at a 45-degree angle. Temporary prosthetic teeth are then immediately attached.
Advantages of All-on-Six Treatment
The promising results offered by the All-On-Six treatment in our country and around the world make it a popular choice. We can share the following information about the treatment's advantages:
It is performed without any damage to the jawbone. Only small holes are drilled into the bone to accommodate the implants.
Implant screws are placed at an angle to the bone, ensuring a strong hold on the implant.
It prevents the continuation of bone loss caused by missing teeth.
Patients need to be patient for a while, but then they will have teeth they can use for years.
It offers a natural and aesthetic appearance.
It is not necessary to go to separate sessions to place each prosthetic tooth.
Disadvantages of All-on-Six Treatment
We haven't encountered any significant disadvantages. If the patient follows the dentist's recommendations and warnings after the All-On-Six procedure, the likelihood of a problem is low. Therefore, the only downside of the treatment is the waiting period.
Risks of All-on-Six Treatment
Because this procedure is a surgical procedure, it's impossible to claim it's risk-free. The primary risk is infection, but if the patient takes antibiotics and follows all-on-six instructions after the procedure, the risk can be reduced to zero. It's also worth noting that there are some risks, such as nerve damage. However, overall, it's a very safe treatment option.
Success Rate of All-on-Six Treatment
The all-on-six treatment, which boasts an extremely high success rate, also stands out for its long-lasting results. It's worth noting that the success rate for this treatment is between 90% and 98%. Choosing an experienced dentist and following post-procedure instructions will ensure the highest success rate.
Fitting Prosthetic Teeth
After implant placement, patients must wait a period of time. Because temporary dentures are used during this waiting period, the problem of missing teeth is essentially resolved when the implants are placed. Once the waiting period is over, the temporary dentures are removed and permanent dentures are fitted. After the necessary checkups are performed, and if there are no issues causing the patient any discomfort, the treatment is concluded. Because the dentures are placed in a single visit, you don't need to see a dentist for each tooth separately. This treatment can be performed in three stages, addressing the problems caused by missing teeth!
Who can get All-on-Six?
Firstly, since the surgical procedure will be performed under the All-On-Six procedure, the patient must have no health problems, such as bleeding disorders, that would prevent the procedure. It is important to wait until the jawbone is fully developed, and therefore, treatment is not recommended for those under the age of 18. Furthermore, anyone experiencing missing teeth, multiple teeth loss, or complete edentulism can benefit from this treatment.
In many patients, the jawbone tissue thickness and density are not at the desired level. However, this does not preclude treatment because bone grafting can resolve the issue. The bone tissue is strengthened, allowing the implant screws to fully anchor into the bone.
Zygomatic implant
The zygomatic implant is different from conventional implants. It is a larger implant. The zygomatic implant
It is a method used in patients who have never had an implant placed in the upper jaw. Very advanced bone
It is an implant method applied to patients with bone resorption. Normal implants are 8-10-12
The zygomatic implant varies between 30 and 50 mm in length.
Zygomatic implants are a unique implant system with a very special surface. The location of zygomatic implants is as follows:
It is a very special place because in patients with very advanced bone loss in the upper jaw, a small
It is a method used in patients who cannot even have an implant.
The zygomatic bone is actually an implant system placed inside the bone we call the cheekbone. The zygomatic bone connects the upper jawbone.
It is a bone. It is also inevitable that it is a very hard bone. In the upper jaw bone, where the implant will be placed,
If there is not enough space, the zygomatic bone can be used. The zygomatic bone is a long bone in the upper jaw region.
distance, 30 mm to 40 mm long zygomatic implants are placed in these areas.
Who uses zygomatic implants?
Zygomatic implants are generally used in people who have used a total prosthesis for many years.
Because these patients have been without teeth for a long time, the bone will have completely dissolved. Implant
They are in a condition that cannot be done, they have dissolved to the point where we cannot make implants with bone grafts.
In such cases, it is applied to these patients during periods when they have difficulty using even removable prostheses.
or those who have lost teeth at an early age, which has been very common lately, due to genetic problems
It is also used in patients who have lost their teeth due to illnesses. Implant application is not recommended.
Zygomatic implants can be applied to any patient whose jaw is said to be unsuitable.
How are zygomatic implants performed?
When the patient first arrives, volumetric dental tomography scans are performed. The jawbone structure is determined. The zygomatic
The distance between the bone and the upper jaw is determined. Implant adjustments are made accordingly. Then,
A prosthesis is prepared to show the patient what his teeth will look like after the surgery.
When our patient likes the appearance of his teeth, these teeth are transferred to the computer in 3D.
In the next procedure, the patient will undergo the necessary tests and undergo surgery. General anesthesia will take approximately 2 hours.
Zygomatic implants are placed in the upper jaw during an hour-long operation.
Care should be different and more delicate than the care we give our normal teeth. A personalized toothbrush
We recommend that they come for check-ups every 6 months or once a year.
Pterygoid Implant
Pterygoid Implant Technique
What is it? Pterygoid implants, like the zygoma, are special implants placed in a very hard bone structure called the "pterygoid plate," which is located in the rearmost regions of the upper jaw, behind the molars, and is unaffected by osteoporosis.
How is it different from zygomatic implants? Zygomatic implants generally provide support in the anterolateral regions, while pterygoid implants provide the most posterior support for the prosthesis. These two techniques (zygomatic + pterygoid) are often used together.
Who is it ideal for? It is used for patients who want to avoid a sinus lift surgery in the posterior region of the upper jaw and who want to provide solid support for the prosthesis from the very back.
Subperiosteal Implant
This technique is a futuristic solution that is literally "custom-designed." Unlike traditional "endosteal" implants, subperiosteal implants are placed on the bone, not within it.
How is it implemented? Using 3D dental CT scan images taken from the patient, a custom titanium frame (framework) is designed using 3D printing to fit perfectly onto the surface of the jawbone. This frame is surgically implanted directly onto the bone, beneath the gum. The prosthetic teeth are secured to the posts (retainers) of this frame, which extend into the mouth.
Who Is It Ideal For? It is a last resort and one of the most innovative solutions for patients with bone loss (atrophy) in both the lower and upper jaw that is so extreme and widespread that even the Zygoma or Pterygoid techniques cannot be applied.
Shorter Implants
What is a short implant? Sometimes bone loss occurs vertically, not horizontally. Especially in the posterior mandible, when the distance to the nerve canal (mandibular nerve) is significantly reduced, standard implants carry the risk of nerve damage. Short implants (6mm or less) have a special surface structure that allows for safe placement even with this limited bone height. Who is Ideal for? They are an excellent alternative for patients with limited vertical bone height in the posterior mandible and who do not wish to undergo further surgery (bone grafting or nerve relocation).
How Do We Determine the Right Technique for You at Vien Denta?
When you apply to our clinic, we don't accept the "impossible case" approach. Our process works as follows:
Detailed Diagnosis (3D Dental Tomography): First, we create a millimetric map of your jaw bones, nerves and sinus cavities with our 3D Dental Tomography device.
Digital Planning: Our expert surgeons and prosthodontists plan which technique (All-on-4, Zygoma, Subperiosteal, etc.) will provide the safest and most successful result for your anatomy on these digital data.
A Personalized Solution: Every patient is unique. We don't offer a standard solution, but rather a treatment plan tailored to your specific needs.
Safe Surgery: All these advanced surgical techniques are comfortably performed by expert jaw surgeons in our clinic's modern operating room conditions, with anesthesia and sedation options.
Don't Postpone Anymore: Get Your Smile Back!
Forget the thought, "I can't get implants." Thanks to the advanced implant techniques offered by Vien Denta Oral and Dental Health Center, you can achieve healthy, aesthetically pleasing, and stable teeth the same day, regardless of the extent of your osteoporosis.
Take the first step towards the permanent teeth and comfortable life you dream of.