The surgery consists of anchoring the titanium screw to the jaw (under the gum) simulating the natural root of the tooth. A diagnosis is made with the help of imaging (oral scanner and 3D X-rays) to identify the patient’s needs and whether he is a candidate. For the placement of an implant it is necessary to meet criteria of bone density (bone quantity and quality) and gum quality, in order for the treatment to be successful. When a tooth is lost, the ideal replacement is a dental implant. Its function is to act as the root of the natural tooth to support the crown (visible part of the teeth). This implant holds the crown of the tooth securely under the gum and is anchored in the jawbone. The implant is made of titanium, a material used in different medical-surgical procedures such as hip replacements.
For an approximate period of three months, there is an opportunity for the bone to recover and grow around the dental implant. The bone is bonded to the titanium creating a solid base to support the artificial teeth.
DENTAL
EXTRACTION
BONE
REGENERATION
DENTAL
IMPLANT
PROSTHETIC
REHABILITATION
This timeline is the general overview of dental implant treatment, some of the steps may not be indicated in your case. The time between one step and the other is variable, according to the diagnosis of your case.
Dr. Hugo Martinez is a specialist in dental extractions, bone regeneration and dental implants (step 1, 2 and 3). Prosthetic rehabilitation (step 4), which is the placement of the dental crown or fixed or removable dental prosthesis, is performed by another specialist.
Your treatment is planned in a comprehensive manner between both specialists.
Bone is a structure that is continually remodeling, that is, bone is resorbed and new bone is created. Some of the reasons for which this remodeling process is interrupted are age, osteoporosis, cancer, dental diseases, the use of removable prosthesis or the loss of dental pieces. Losing a tooth and not placing something to replace it (dental implant) accelerates the bone loss process.
Depending on the case, this type of treatment promotes the thickening and deepening of your bone layer and allows the area to be filled and prepared for the implant to adhere correctly. Placing the implant in less than optimal bone conditions can cause rejection of the titanium screw.
By means of the radiographic diagnosis, Dr. Hugo Martinez can suggest you among the following treatments:
Atraumatic extraction and bone preservation.
Dental extraction is a process that accelerates bone loss. Bone preservation is the treatment in which bone is placed in the socket (hollow resulting from tooth extraction), this maintains the integrity of the area and the bone walls, increases the thickness of the socket and prevents the walls from collapsing. After 4 to 6 months the dental implant can be placed.
Bone regeneration.
This is a surgical technique in which biomaterials are placed in preparation for the placement of a dental implant. To achieve the desired stability and success in the treatment it is necessary that the area has specific conditions.
Autologous bone block graft.
Sometimes it is necessary to make intramembranous autologous bone grafts because they provide bone volume, these are considered the gold standard for the reconstruction of the alveolar rims.
Dental implant + bone.
When the bone defect is mild to moderate, implants and graft can be placed in the same surgery, this promotes better adhesion and healing.
Click on the image to see the change
INFORMED CONSENT IMPLANTS
You are now informed that you have the right to know about the procedure you are about to undergo. I have been told by Dr. Hugo Martinez and understand the purpose and nature of implant surgery. It has been explained to me, and I consent to use a surgical procedure to place the implants that will go under the gum and into the bone to recover the teeth that I have lost for various reasons, to obtain an anchor for the subsequent placement of a prosthesis and thus rehabilitate the area to regain function and aesthetics in my mouth. I declare that my mouth has been duly examined. Other alternatives to this treatment have been explained to me, and I have studied and considered these methods that I was informed about, being my definitive decision regarding the placement of the dental implant. Furthermore, I have been informed of the possible risks and complications involved with the surgical procedure, medication, and anesthesia. Such complications include pain, swelling, potential infection, and discolorations. That I may experience numbness, and there may be inflammation or tissue damage in the area, bone fracture, penetration of the maxillary sinus and nostrils floor, delayed healing, allergic reactions to medication, drugs, or materials used in the surgical techniques, failure of osseointegration of the implant will force re-treatment. I understand that if I am not treated, I may experience the following problems: bone disease, gum inflammation, infection, sensitivity, and tooth mobility, followed by the need for extraction. It is also possible that I may experience temporomandibular (jaw) joint problems, headache, pain in the back of my neck and facial muscles, and tired chewing muscles.
It has been explained to me that no method can predict with certainty the healing capacity of the bone and gums and that it is different in each patient after implant placement. It has also been explained to me that, in some cases, implants can fail and must be removed. I have also been informed of the inconvenience of smoking, drinking alcohol, or taking too much sugar, for the healing of the gums and that such habits compromise the success of the treatment. I fully agree with the instructions given to me by the surgeon about the care I must take concerning the hygiene of my mouth, and I have understood the way to do it. I agree to come to the revision appointment to be examined and instructed. I agree to undergo local anesthesia, knowing the risks involved, delegating to the dentist the choice of the type of anesthesia. I fully understand that, during and following the planned procedure, surgery, or treatment, conditions may arise that, at the discretion of the practitioner, require a supplemental/alternative treatment plan directly related to the success of the treatment. I also approve of any design, materials, or maintenance modifications if deemed in my best interest.
INFORMED CONSENT FOR CONSCIOUS SEDATION
You are now informed that you have the right to know the details of the procedure you are about to undergo, its benefits, and the most frequent complications that may occur.
I have been informed by the physician and understand the purpose and nature of IV conscious sedation.
I understand that IV CONSCIOUS SEDATION placement includes possible risks such as complications from drug use and anesthesia, which include, but are not limited to, tenderness, bruising (hematomas- color changes), nausea, vomiting, bleeding, infection , tingling and allergic reaction. It has been explained to me that sensitivity or inflammation of the placement site to sedation can occur since some sedative medications can cause a burning or itching sensation during application, in addition, that there may be a small edema in the area of application and They may even take a few days to go away and can be treated by applying warm compresses to the site.
I understand about the limitations on drinks and food for 8 hours to fast for the procedure. Major changes in health status have been reported to me and include fever and cold. I am aware that I must inform the doctors about changes before the planned procedure with IV conscious sedation such as taking medications, previous illnesses and previous experiences with anesthesia.
I am aware that I must attend my appointment with a companion by the time the procedure is completed and I can later be discharged. I am advised not to make important decisions or drive or go by myself in a taxi or Uber service after having undergone IV conscious sedation. I understand that if I am pregnant some medications or drugs may be harmful to my baby and may cause birth defects or miscarriage. I recognize the importance of notifying doctors of suspected pregnancy. I have been informed and understand that sedation costs are part of the surgical and non-surgical procedures to be performed. These costs include the preparation of the IV sedation, medications to be used and anesthesiologist fees. I have been given the opportunity to ask questions related to the purpose of IV sedation and have received satisfactory answers. I assume responsibility for the possible risks previously described and I authorize the doctors of Centro Maxillofacial San Pedro SAS, the application of IV sedation, including the necessary medications.
I GIVE MY CONSENT
Carefully review the information, write down the doubts to be able to solve them with the surgeon prior to your surgery. These documents will be signed the day of your surgery.
- Tooth loss due to fracture
- Tooth loss due to deep caries
The implant is made of medical grade titanium, does not contain any allergenic components and is biocompatible with the body.
- To recover the full functionality of the mouth by having all the dental pieces.
- Speak and pronounce without difficulties, since the tongue will be able to move in a natural way.
- Chew correctly, without noticing the absence of that tooth you lost.
- Improve digestion, by chewing food properly again.
- Recover your smile, without fear of noticing the absence of a tooth, which also improves self-esteem.
The bridge is a removable prosthesis that requires preparation of two continuous teeth, the dental implant does not require continuous teeth, it is not removable and gives the sensation of never having lost the piece.
With the correct adherence to the treatment, it could be said that it is for life.
Dr. Hugo has current credentials and accreditations to perform procedures both in his facilities and in the following hospitals: