DENTAL IMPLANTS RECONSTRUCTIVE SURGERY
The Dental Implant Advanced Center focuses its practice on three key areas of dental health and well being: Overall Oral Health, Oral and Maxillofacial Surgery and Implant Reconstructive Surgery. Through advanced training that extends well beyond that required for general dentists, we are able to increase our ability to treat patients with problems of the mouth, face and jaw, which significantly enhance our patients' quality of life.
Oral and Maxillofacial Surgery:
Surgeons trained as specialists in these areas have gone beyond the basic training of dental school. Dentists who go on to become oral and maxillofacial surgeons follow a complete medical/dental curriculum that takes an additional 4 to 6 years of training. These highly trained doctors are capable of treating conditions, defects, injuries and esthetic aspects of the mouth, teeth, jaws and face. Training encompasses all aspects of surgery and recovery including patient care, pain management and anesthesiology.
Implant Reconstructive Surgery:
Implant reconstructive surgery is a highly specialized form of oral surgery. It combines all the elements of dentistry as well as oral and maxillofacial surgery concentrating on replacing missing, damaged or diseased teeth with new, permanently implanted teeth.
Our Goal: Improved Quality of Life!
Eliminating the discomfort and general tooth or jaw pain, pain while eating, poorly fitting dentures and a multitude of other dental issues. through oral and maxillofacial surgery or implant reconstructive surgery helps improve the quality of life for our patients. Our patients can then focus on the important things in life, leaving the worries of their dental challenges behind them.
Dental implants are a permanent solution to missing teeth. A dental implant is a small titanium screw or cylinder which is surgically placed into the jawbone. The implant replaces the root of the missing tooth and provides a stable base for the new tooth.
Implants can replace individual teeth, and they can also anchor and support dentures. Implant-supported dentures improve chewing and speaking ability because they are more stable than dentures held in place with adhesives.
Dental implants provide a permanent, natural-looking solution to missing teeth.
BIOCOMPATIBLE DENTAL IMPLANTS
Today many dentists provide patients with implants, but lack expertise. In contrast, the dental implant practice of Dr. Vizcarra with almost 25 years of experience, she has dedicated his Tijuana Baja California, Mexico exclusively to the placement of dental implants, Oral & Maxillofacial Surgery and Biological Dentistry. Patients from USA come to his Implants Dental Clinic to receive surgical procedure. Patient comfort and satisfaction are of paramount importance to Dr. Vizcarra . She has been a pioneer in Tijuana Baja California , Mexico in techniques that shorten treatment time and eliminate patient fear and discomfort. Patient Education is always a top priority, especially the patients' general health and well being, building up the immune system in order to achieve maximum success with their implant treatment.
What Are Dental Implants?
The implants themselves are tiny posts, which are inserted into the jawbone where teeth are missing. These Dental Implants anchors act as tooth root substitutes. They are surgically placed into the jawbone. The bone bonds with the Dental Implants creating a strong foundation for artificial teeth. Small posts are then attached to the implant, which protrude through the gums. These posts provide stable anchors for artificial replacement teeth. Implants also help preserve facial structure, preventing bone deterioration that occurs when teeth are missing.
Dental Implants used for many years, Biocompatible dental are effective , natural –looking replacements for missing teeth . Dr. Vizcarra is a Surgical Specialist Surgically who prepares your maxillary and mandible jaw and certificated prosthodontic team for your prosthesis ( substitute teeth). Those implants serve as artificial roots which are anchored in the jaw bone to fill a gap. A crown, a bridge or a complete set of dentures is fixed on them. In this way, the gap is closed, as stable as with a natural tooth. Compared to conventional methods, this treatment assures a considerably better stability of the dentures because the problem of bone atrophy, which often arises in case of a conventional dental prosthesis, is avoided: after the loss of teeth, there is no more load on the bone, the bone weakens and disappears more and more. The result is an “aged” appearance. A treatment with implants stops this process. The natural level of the jaw bone can be preserved.
Most forms of dental implants are biocompatible titanium metal posts surgically placed into the bone under the gum tissue to replace the roots of missing teeth Over a healing period of several months, bone biologically attaches to the implants. This process is called osseointegration. The ability of titanium to fuse with bone was discovered accidentally. In 1952, Professor Per-Ingvar Brånemark used titanium chambers screwed into bones as part of his research to investigate the blood supply in bone. The chambers were placed and after several months, Brånemark observed that the chambers had become an integral part of the bone structure and could not be removed. This discovery led Brånemark to further research how titanium implants work. The first practical application of osseointegration was the implantation of new titanium roots in an edentulous patient in 1965.4 His research, along with research by other scientists, continues transforming the discipline of implantology from an unpredictable art to a well-grounded clinical science. Brånemark's initial discovery of the principles of osseointegration also have been applied to other areas of health including facial prostheses, bone-anchored hearing aids, and orthopedic prostheses.
Dental implants have become increasingly popular since the ADA endorsed them in 1986. Many implant systems are available from various dental manufacturers.5 Many patients think only single teeth can be replaced with implants, but implants can be placed to support a bridge or a complete denture. Table 2 lists the various types of implant-supported restorations.
Today, most dental implants are placed in 2 surgical stages followed by a restorative phase. The 2-stage procedure begins with the placement of the implant fixture, followed by 6 to 8 months of healing time. After the implant integrates into the bone, the implant fixture is exposed, a healing cap is placed, and the restoration is attached. A team approach usually involves the general dentist and the specialist who places the implant. Most implants are placed by Oral Surgeons.
As technology advances, implant surgery continues to evolve. Today, computed tomography scans provide 3-dimensional images to evaluate the bone morphology before implant placement and to create surgical templates to show the specialist the location of the most appropriate bone to place the implant. Other new focuses of implant dentistry include immediate loading, in which a functional fixed or removable restoration is placed at the time of surgery; and immediate provisionalization, in which a temporary restoration is placed at the time of surgery.
What You Need
Implant dentistry is like putting a puzzle together: a number of parts and pieces, when combined, result in a natural-feeling tooth. The first piece of the puzzle is the implant screw. Although the implant screw will be placed before the restorative phase begins, assistants need to be familiar with all the fixture's parts to complete the restoration properly. The top part of a dental implant is called a hex (Figure 2). The hex is the visible part in the patient's mouth, when the healing cap is removed. The hex has a locking mechanism, which may be inside the body of the implant (internal hex implant, Figure 3) or project as a platform above the body of the implant (external hex implant, Figure 4). Looking at an implant from the top, a threaded canal in the middle of the hex goes down the body of the implant. This threaded canal will later support the abutment on which the crown or prosthesis will be seated. The abutment will be seated on the hex and tightened to the implant. The screw onto which the restoration is tightened is called a retaining screw. Table 3 further details the components of root-form dental implants.
To achieving predictable anterior implants esthetic is often extremely challenging for the any clinicians or Oral Surgeon. To create anterior implant restoration whit harmonious gingival contours that emulate nature of the normal gingival tissue is extremely challenging. `Understanding the biological and physiological limitation of the soft and hard tissue , along with proper implant position will facilitate predictability in simple to complex esthetic situations.
My emphasis be place on the diagnosis and treatment planning and surgical and prosthetic management of soft and hard tissue for optimal anterior and posterior implants esthetic in addition , immediate lodging of a anterior single teeth as well as the benefits of the biocompatible dental implants used in my practice.
My focus on current Dental Implants treatment philosophies and methodologies for replacing missing teeth and the managements of my patient who require the loss of a tooth or teeth in the esthetic zone . Also, identify prognostic variable for predictable anterior implants esthetic.
Treatment planning and diagnosis of single and multiple teeth replacement in the esthetic zone. When is possible to have a delayed or immediate loading . Discus with my patient and understanding surgical and prosthetic treatment with the dental implants, also the benefits of different surgical procedure , understand the of the bone grafting and soft tissue management in the dental implants zone. Understand the benefits of Immediate loading in the esthetic zone and understand the different restorative methods and concepts in the esthetic zone including different methods of provisionalization temporal crowns.
Understand the managements of the defects of the hard tissue ( bone) using a bone grafting particles of block – onlay autogenously ( your own done zone from mandible ramous, chin, iliac crest hip ) which are screwed to the defects sites, and protect whit the use of membrane mash for restoring the anterior and posterior esthetic zone, this surgical procedure require 4 to 6 months for healings, after that the bone will be ready to received the dental implants. Also evaluation and management oft the thickness of the gingival soft tissue. In order to create anterior implants restoration with harmonious gingival contours that emulate nature gingival appearance, is necessary to perform a soft connective grafting tissue for the palatal donor zone perform a soft connective grafting tissue for the palatal donor zone.
A natural tooth does more than enable a person to cut and grind food and look good. Teeth also are the reason to bone of the jaws exist. When natural teeth are lost, those bones lose their reason for being, and thy begin to shrink , this is know as resorption . F or many patients, resorption is minimal, and sufficient bone remains to provide a good foundation for a full or partial denture. For other patients, however , bone loss becomes severe. When this occurs, a number of unpleasant side effects may occur. Loose fitting dentures make it difficult to bite or chew properly. , Loose- fitting denture often rub the underlying gums, causing persistent soreness, speech my be impaired, appearance is negatively impacted , self - image is affected.
Dental Implants provide a more stable and natural feeling than loose dentures. You will be able to eat virtually any food ease , comfort, and confidence. You will notice an improvement in your appearance , and possible, in your speech .
Case Planning and Preparation
Pre- Surgical Planning
Judicious pre-surgical team planning is key to the success of an implant restoration. Important consideration such as implant placement , prosthetic design and hygiene maintenance need to be discusse .
Factors should be evaluated prior to surgical treatment.
- Medical History / Evaluation, EKG and cardiologist evaluation,
- blood Screening and Laboratory Evaluation .
- Medical Contraindication, Oral Contraindications, Patient Selection,
- presentation of Patient, Patient’s Attitudes, Dental History
Diagnostic Aids : Panoramic X-ray , Tomogram and CT scans, Lateral Cephalograms, Mounted Study Cast and Diagnostic Wax-up.
- Patient Preparation
- Surgical Preparation
- Post–Surgical procedures
- Patient follow-up: Post – Surgical Healing
- Post-Surgical Provisionalization
Stage I Surgical Treatment
The dental implant operation is a very gentle procedure takes approximately one hour . In fact, the treatment is no more uncomfortable than the extraction of a tooth. Insertion of the dental Implants is a surgical procedure performed in a single office visit in my clinic .Using local anesthetic.
When my patient decides to have an implant, needs a consultation appointment to determine if he or she is a candidate for an implant. If so, the operative appointment is scheduled. Before the implant is placed, my patient need to have impressions made for the laboratory to fabricate an interim partial prosthesis. This will be worn during the healing period and until the final restoration is inserted. During the operative appointment, an incision is made in the gum, a hole is drilled in the bone, the implant is screwed into the hole, and the incision is sutured. If the implant is placed in the maxilla, there is a 6- to 8-month healing period during which osseointegration occurs. If the implant is placed in the mandible, a 4- to 6 month healing period usually is sufficient. The patient should only experience mild to moderate discomfort for a few days following surgery. At the end of the waiting period, I will expose the implant and a healing abutment, also called a healing cap, will be screwed into the implant .The healing abutment allows the tissue to heal in a natural shape, and prevents the tissue and bone from growing over the implant. After the healing abutment is placed, there is a 4- to 6-week healing period before the patient is ready for the final restoration.
Depending on the gap size, one or more implants are planted into the jaw bone. In case one tooth has to be replaced, one implant – on which a crown will be fixed – is sufficient. A larger gap is filled with two o more dental implants. In case a complete dental prosthesis is needed several implants are anchored individually in the jaw bone. After the operation the implant grows together with the bone. During that time the implant has to be protected against pressure. Depending on the patient's bone structure the usual growing-in period in the upper jaw is about 6 or 8 months and about 6 months in the lower jaw , while the OSSEOINTEGRATION process occurred .
Osteoconductive bone grafting
Bone graft are placed directly filled in bone defect. Completely Biocompatible bone graft stimulate new bone growth. BioGraft granules of Matrix of Calcium Phosphate-the mineral that makes up coral. Is a bone graft designed to be used into the bone defect to aid bone regeneration. Is indicated for the contouring and improvement of dental implants osseointegration , Essentially , the granules become an integral part of the ridge, helping to restore bone height and width . This natural porosity is intended to encourage rapid ingrowths of connective tissue and subsequent deposition of bone.
Vicryl a Guided tissue regeneration membranes barrier , placed directly over the dental implants and bone graft matrix
The principles of the guided tissue regeneration resorbable membranes barrier ,apply to the treatment of localized osseous defects, has been designed to regenerate osseous tissue in accordance with the biological principles, the inner portion is occlusive to inhibit connective tissue from migration into the wound , the stiffness of this portion maintains a space to contain the blood clot , creation an area into which osseous cells can migrate , the outer portion of the membranes is flexible enough to drape smoothly over the margins of the defects and enhance flap managements. The more open microstructure allows for tissue integration adding stability to the wound and preventing leakage of connective tissue between the membrane, bone grafting and the dental implants during healing and osseointegration . By excluding connective tissue from the wound healing process, dental implants and bone can more predictably regenerate to fill the defect space.
During that time the gap is protected by an interim provision before the dentures are fabricated and fixed on the implants.
PRGF, Plasma Rich in Growth Factors, is a revolutionary bone and soft tissue regeneration technique.
This system is based on the utilization of factors such as: PDGF, TGF-B, EGF, VEGF, IGF-I, bFGF and HGF.
These proteins, once stimulated, foster new bone synthesis and the repair of soft tissue in surgical sites.
THE ANESTHESIOLOGIST AND YOU
Surgery may be performed under Intravenous Sedation. Once you have experienced intravenous Sedation sleep Dental Implantsl surgery with my Anesthesiologist Dr. Maurcio Echeverria and Dra. Corinne Vizcarra Oral Surgeon , you will never be afraid to go to the dental implants surgery again. You will be sedated just enough to be unaware of the treatment, as if you were asleep.
You will wake up refreshed, with little or no memory of what was accomplished. Because You are completely comfortable .
WHAT IS INTRAVENOUS SEDATION?
Intravenous sedation is the state-of –the –art-technique for the comprehensive control of pain and anxiety in dentistry, Intravenous IV sedation uses sedative drugs that are delivered through the blood stream. Intravenous Sedation ‘s superior results make it the method of choice for the treatment of the highly fearful patient and those patient that want to b e very comfortable during treatment . Because of the kinds of drugs used and the method of their delivery, IV sedation allows the oral surgeon to control the drugs effects precisely. The history of IV Sedation goes back to the 1960’s at the Central Medical Hospital around of the world. Since this time there have been many different drugs and techniques used. With these advancements, the safely record of Intravenous Sedation is continued to improve. My Oral surgical Clinic , has a Mexico permit to perform this procedure , my office have a specially equipped , with emergency equipment and drugs.
Dr. Maurcio Echeverria MD Anesthesiologist has been granted conscious sedation license and permits to perform this advanced sedative technique.
The office has state-of-art- patient monitoring equipment to assure you comfort and safety during sedation .The office contains more emergency equipment and drugs than required by law and the staff constantly trains to provide the highest level of sedation care possible.
IS IV SEDATION SAFE?
Dr. Mauricio Echeverria Anesthesiologist and Dr. Corinne Vizcarra Oral Surgeon , calls IV sedation of the safest of all sedation techniques .
While any sedative technique carries a degree of risk, the drugs and their slow delivery accompanied by modern monitoring equipment make IV sedation extremely safe. Complications arising during sedation were less than 0.2% and even those were minor. “ Since our office performs numerous sedation every months, we train constantly to be prepared for any occurrence.
Truly a testimonial to the safety of IV sedation.
In the majority of surgical cases the assistance of a medical specialist in Anesthesiology is necessary . The Anesthesiologist will insure your comfort, relaxation, tranquility, and pain-free surgery, by Intravenous modern medications.
Each moment your vital functions ( heart, lungs, brain, liver and kidneys ) will be monitored.
When dental implants surgical treatment is to be performed.
The anesthesiologist will administer intravenously a sedative, this is not General Anesthesia , during which the patient is completely asleep, but rather, is sedated, relaxed and comfortable, yet awake, able to respond to verbal requests.
The oral surgeon uses an anesthetic ( Local Anesthesia ) only in the location to be operated, the sedated patient feels no discomfort during the application of local anesthetic.
During the procedure, the anesthesiologist will closely monitor the condition of the patient including heart rate and function, arterial blood pressure, lung function etc. Upon completion of the procedure, the Anesthesiologist will administer medicine antidotes which may be necessary to counter the sedatives used, thereby allowing the patient to walk from the clinic , home or hotel, with only the help of one individual.
The patient should not drive a motor vehicle after surgery .
Require several hours in order to clear or eliminate from the body medications used.
Stage II and III The Restorative and Prosthetic Phase
The stage II is a prosthetic procedure when your dental implants become firmly fixed in you bone, termed biointegration and osseointegration process, you are ready for your second surgery, usually lasts less than one hour, after the local anesthesia takes effect I will make a small incision to expose the top of the dental implants previously placed are now uncovered after the healing period of six to eight months. A brief surgical procedure is needed to expose the head of the implant the healing screw is removed from the head of the dental implants and the healing post called an abutment , is placed into the body of the dental implants, your gums will be e sutured and temporal caps are placed until the gums have completely healed. X-rays are taken to check the condition of the implants, and to confirm the exact seating of the abutment The healing abutment has been placed and the patient is ready for the restorative phase of treatment. The patient should then be scheduled for the final impression to be made; the appointment is after the 4- to 6-week healing period.
An Implant Overdenture is a denture that has some sort of direct connection to dental implants. The connection may be a Zirconium or Gold bar that is screwed onto the implants body and utilizes some type of attachment within the denture to fasten to the bar or individual attachments screwed into each implants with separate attachments in the denture. Whatever the design, the object here is to overcome the instability and lack of retention of a common complete denture .
Overdentures are relatively inexpensive when compared to more sophisticated types of implant restoration such a crown or hybrid fixed restorations ( Zirconium ) but they are very effective. One of the main advantages of an overdenture is that it is very easy to clean and care for and this will help limit additional expenses down the road .
Making the Final Impression
For this visit I will need the tray setup used for crown and bridge impressions, the implant impression coping, impression trays, impression material, bite registration material, handheld screwdrivers, shade guide, and x-ray film or digital x-ray sensors. Taking pictures of the procedure using a digital camera will create great visual aids for educating other patients about implants.
Checking the gum tissue around the healing cap. It should be pink and healthy. If the tissue is inflamed, show the patient how the tissue looks and stress the importance of good oral hygiene, especially around the implant. Depending on the severity of the inflammation, I may decide to postpone the impression until the tissue has had time to heal my the patients is following the postoperative instructions. Some topical anesthetic should be available in case the patient experiences discomfort when the impression coping is seated. The healing cap will be removed by the dentist using the handheld screwdrivers. You should have the impression coping and retaining screw ready so that they can be attached immediately to the implant. This will prevent any tissue from collapsing over the implant . If my patient has multiple implants, I remove the healing caps one at a time, placing each impression coping . The healing cap will be replaced after the impression is made.
The final biocompatible Post – Abutment are placed into the body of dental implants a few weeks later. The gums will need to completely heal around the dental implants and abutments for approximately 2 weeks. The restorative dentist make Impressions of the jaws and dental implants abutments as well as a bite registration to determine how the jaws come together . very precise models of your mouth is constructed from these models we created the prosthesis artificial replacement tooth or teeth . The final Biocompatible Zirconium –Porcelain Crown that is anchored by the abutment and body of dental implants . To ensure the best fit , we will need to see you several times for try-ins. This fitting process can take a few weeks . During this time, you continue to wear the temporal crowns , or false tooth. The new teeth provide long- lasting substitutes for your lost natural teeth. For replacement of a small number of teeth, a fixed bridge can be constructed form biocompatible zirconium-porcelain and cemented onto the biocompatible abutments .
Zirconium is a ceramic that is used in the spaceships because of its high resistance to fracture and heat. These abutment –post without metal give great advantages to the patients:
- AESTHETIC: The white color of zirconia
- HYGIENIC: zirconium retains less plaque and calculus therefore promoting healthier gums.
A full service lab with CAD/CAM certification. Prosthetic Processes priority is to seeks and research new products, materials and technology, ensuring that dentist and their patients always receive the highest quality product and service that is cost effective.
Prosthetic Processes has the latest CAD/CAM technology. Our Tec laboratory milling machine is the only computer controlled frame designed milling system that does everything from single coping to long - span bridge frameworks out of zirconium materials .
Zirconium crown and bridgework is a everyday occurrence for the skilled technicians at Prosthetic Processes.
New Procera® Crown Zirconia 0.4
- The ever-popular Procera® Crown Zirconia is now even thinner yet still has exceptional strength
- Thinner coping enables more flexible esthetic opportunities
- Combines zirconia extreme flexural strength, 1200 MPa, with a beautiful esthetic result
Procera® Crown Zirconia
Biocompatible Zirconium Oxide All Ceramic Crowns
One of the most difficult areas in dentistry today is the restoration of dental structures with biocompatible materials that are strong enough to withstand the forces of chewing (500-1000lbs pressure on molar teeth). Recent technology from Germany now offers a material that has overcome most of the pitfalls of present day products. Patients now have a choice of a material that is esthetic, strong, pure, biocompatible and capable of being used for single and long span dental bridgework. That material is called Zirconium oxide.
Zirconium oxide has the following superior characteristics that make it the most ideal material available:
- Excellent biological compatibility: absolutely bio-inert.
- Outstanding physical and mechanical qualities:
- Hardness (Vickers) 1200 HV
- Compressive Strength 2000 MPa
- Bending Strength 1000 MPa
- Modulus of Elasticity 210 GPa
- Tensile Strength 7 Mpavm
- Wear characteristics (Ring on disc) <0.002 mm 3/h
- Absolute corrosion resistance: Ringer’s solution 370C <0.01mg/ m2x24h
- Very small particle size: <0.6ym
- No glass phase for particle binding
- Extremely high density
- Porosity: 0%
- Purity (Zr/Hf/Y): 99.9%
- Translucence of the framework material makes excellent cosmetic results possible
- Equivalent fit to precision gold castings: edge opening 20-50 ym. Precludes the need to use adhesive cements.
- Zirconium oxide is manufactured and optimized industrially so that the material qualities remain unchanged through the complete pro duction chain.
- Optimal material for crowns: tasteless, radiopaque, no pulp irrita tion because there is no need to use adhesive cements and minimal invasive preparation by dentist.
Zirconium oxide forms the core of each crown and provides the cross-link that bridges the gap of missing teeth. The precision fit of the Zirconium core is derived from computer guided Swiss lathes that cut the form out of a solid Zirconium oxide block. The cutting instructions are obtained from a laser beam that reads 120 points per millimeter from the anatomy of a model of the prepared teeth. Once formed, new synthetic porcelain (99.9% pure) is baked on to the Zirconium core and then shaped like a tooth. Because of the extreme accuracy of the crown fit, the crowns can be cemented with biocompatible dental luting material. This avoids the use of an invasive procedure of etching the tooth with acid and injuring the pulp or nerve of the tooth. This latter procedure often times results in the pulp dying and necessitating root canal therapy.
Advantages of ET zirconium high performance ceramic compared with other full ceramics
Zirconium oxide ceramic primarily stands out due to its high crack resistance. Crack resistance is the resistance with which the material counteracts the spreading of cracks. If a material is stressed, it usually comes to excessively high tension within a defect area (pores, surface deficiencies, cavities) or it cracks. While with metals under high tension in the area of cracks, plastic deformation appears and the top of the tension can be reduced by rounding the cracks; in ceramics due to missing plastic deformation possibility the cracks continue to grow. The unusual feature of zirconium oxide ceramic in comparison with other ceramics is that at the appearance of a high-tension area a transformation of the crystal structure can take place. This process is also accompanied by a volume expansion. By this volume increase it builds wedges in the crack and therefore it reduces the continuation of the crack. While the critical tensile strength (KIC) e.g. of Dicor, Vita Mark II and Empress is in the area of 1-2.5 Mpam-1/2, zirconium oxide shows values in the range of 10 Mpam-1/2. Even In-Ceram (glass infiltrated Al203 ceramic) and Procera aluminum oxide (pure Al203 ceramic) show values less then 5 Mpam-1/2.
In connection with the tensile strength there also stands the characteristic of bending strengths. While conventional glass ceramics show results of 100-200 Mpa and aluminum oxide ceramics lie in the area of 400-600 Mpa, zirconium oxide reaches a bending strength of over 1000 Mpa.
Because of the high tensile strengths exhibited in test results, it is now possible to fabricate posterior bridges with zirconium oxide. Further decisive advantages of zirconium oxide are its high resistance to corrosion; stability to hydrolysis and its high biocompatibility in comparison with other ceramics makes this material ideal for restorative dentistry.
In medicine, zirconium oxide is being used more and more as the material of choice especially for hip prosthesis. For years there has existed substantial clinical tests and examinations which confirm the high quality of zirconium oxide.
CARING FOR YOUR NEW TEETH
Once you receive your new teeth, you must take care of them. Dental Implants need special care to keep them clean and trouble – free. At your checkup appointments.
Brushing, flossing, special cleaning aids , Once a year you should see and visit my office who I will check the stability of your dental implants and the health of your gums and jaws
Implants need regular care and must be protected against infections. An annual control by your dentist furthermore assures their long durability. Implants of titanium are biocompatible, they are not rejected by the body and do not cause any allergies.