Implantology

The best way to restore missing teeth is to replace them with implants. An implant, or a bone graft, is a small screw that replaces an absent tooth through a surgical procedure.

After healing and osteointegration, the implant forms a base for rebuilding the tooth. There are a number of advantages to using implants. It eliminates the need to treat adjacent teeth, preserves the bone base, and avoids the use of uncomfortable removable dental plates and unsightly metal clips.

We offer the following procedures:

  • Dental implantation
  • Bone regeneration (augmentation and distraction of alveolar process)
  • Sinus lift (with or without augmentation)

Frequently Asked Questions:

An implant is a cylindrical or conical screw, usually made of titanium, which serves as a replacement for the tooth root. An implant recreates a lost tooth or teeth by connecting with the prosthetic crown in a way that is closest to nature. The dental implant is placed in the jawbone, thanks to which it connects to the natural bone (osseointegration process), providing a firm and stable base for prosthetic restorations. Dental implants can be used to replace a single tooth, a multi-point bridge supported by implants, or an implant prosthesis (removable type of overdenture) based on 2 or 4 implants. Implants are biocompatible, which means that the body accepts an implant as a natural element and grows together with it.

Implants are made of titanium (grade 2). They come in different lengths. Currently the shortest implant is about 6 mm long, while the longest implant can be even 17 mm long. The diameter of the implants ranges between 3.0 to 5.5 mm. In our Center, we use implants from world leaders, including Dentsply: Implications Ankylos, and Astra tech implant system. Ankylos TissueCare Concept is an extremely precise conical connection of Tissue C-Connection, which eliminates micromotion and is resistant to bacterial colonization. This type of joint guarantees a perfect fit eliminating friction, thus preventing bone resorption and ensuring stability and health of hard and soft tissue.

  • Dental implants are extremely safe and durable. After the 8-week healing period, the implant will be the foundation for a prosthetic restoration functioning as a natural tooth.
  • Dental implants are the best and most cost-effective solution in the long term. Traditional bridges, using a patient’s own teeth as support, last about 5 to 10 years. They often require grinding healthy, live teeth, which in turn may lead to their death and the need for endodontic treatment of the tooth. This in turn affects their durability.
  • Dental implants protect healthy bone, i.e. maintain bone volume. Leaving empty spots in the mouth after losing one or more teeth can lead to additional health problems such as bone loss leading to its disappearance or problems in the temporomandibular joint (TMJ).
  • In contrast to bridges, implants do not rest on healthy teeth, which allow you to protect your own teeth from the damage caused by grinding. Implants function and look like real teeth. They do not cause any difficulties in cleaning, speaking, or chewing.
  • Caring for implants looks the same as for real teeth. All you need is careful oral hygiene and regular visits to the dentist. With good hygiene and regular follow-up visits, implants will last a lifetime!
  • Implants replace the natural roots of teeth perfectly, ensuring stabilization of prosthetic restorations. They fully replace natural teeth in biting and chewing, while restoring proper chewing function and recreating proper occlusion.
  • Implants are biocompatible, that is, well-tolerated by the body.
  • They are ideal for achieving full aesthetic results (highly aesthetic, all-ceramic crowns on aesthetic connectors).
  • Economic reasons – 1 implant + crown is a cost comparable to a 3-point porcelain bridge. The lifetime of the implant is lifelong, while bridges last about 7-10 years.

It may happen that the implant is rejected, i.e. it will not be osteointegrated. This happens very rarely, in about 1-2% of cases, and the causes are often difficult to determine (poor bone condition, infections, poor hygiene, latent diseases, too little screwing force – lack of primary stabilization, too much insertion force of the implant -overheated bones, smoking). In this situation, the implant must be removed. This procedure is called explantation. Approximately 10-12 weeks after the implant is removed, patients are re-implanted. The patient does not bear the costs of re-implantation.

After successful osseointegration (in normal conditions after just 8 weeks), you can perform prosthetic restoration. There is no fixed period as long as the implant stays in the bone. It is individual for each patient. This is influenced by bone condition, daily hygiene, and visits to the dentist. Meeting these conditions will help maintain the positive effect of implant-prosthetic treatment for many years, very often forever.

To assess the costs of implant-prosthetic treatment, it is necessary to make radiological documentation (a pantomographic picture, detailed computed tomography). There are situations in which it is necessary to perform additional bone regeneration before implantation. In order to precisely assess the costs and procedures for further treatment, we encourage you to arrange a consultation visit after which the doctor will prepare an individual plan of implant-prosthetic treatment with a cost estimate.

Illustrative costs:

  • Implant – 3000 PLN
  • bone regeneration treatments using biomaterial – 2500-4000 PLN

Possibilities of crowns on implants:

  • Porcelain crown on metal on a standard abutment costs 2300 PLN
  • Porcelain crown on gold on the standard abutment costs 2300 PLN + cost of gold
  • Porcelain crown on metal base on Atlantis customized abutment 2900 PLN
  • Porcelain gold crown on the Atlantis customized abutment 2900 PLN + cost of gold
  • Cercon all-ceramic crown on standard titanium abutment 3000 PLN
  • Cercon all-ceramic crown on the Atlantis customized abutment PLN 3500
  • All-Ceramic crown Cercon type on aesthetic abutment 3500 PLN

We give patients a lifetime warranty on our implants! In case of the necessity of re-implanting, the patient does not cover the cost of re-implantation.

Due to the time that has elapsed since tooth loss, there are 3 possible timeframes of implant placement:

  • Immediate implantation
  • Deferred implantation (early)
  • Late implantation
  1. Immediate implantation is performed directly after tooth extraction in a single office visit. Minimizing the time that elapses from the moment the tooth is removed to its replacement by a fully functional implant, loaded with the final prosthetic work is the most beneficial method. This procedure provides the greatest possibility of achieving the best aesthetic effect. It allows the preservation of soft tissue in the interdental spaces, prevents bone resorption of the alveolar ridge, and soft tissue recession after removal of the tooth (lowering the gum line).

Implantation is carried out especially in the aesthetic zone (incisors, canines) and very often in the lateral zone (premolars). It is possible with a sufficiently preserved volume of alveolar bone that remains after tooth extraction or with the existing tooth root qualified for extraction, so that the implant can integrate well (heal).

However, immediate implantation cannot be performed in all cases. If inflammation is found in the place of the planned implantation, e.g. inflammation of the bone tissue or insufficient amount of tissue for implantation, a different treatment regimen of the resulting cavity may be necessary. It should also be remembered that the immediate implantation procedure is a procedure requiring high practical skills.

Possibilities of immediate implantation:

  • Immediate implantation – an implant loaded with a temporary abutment and temporary, non-functional crown. This is the optimal solution for the patient – lack of a tooth is supplemented with an aesthetic temporary crown. The final prosthetic restoration in 2-4 months.
  • Immediate implantation without the need for regeneration – staple (stitch) implant. Prosthetic restoration in 2-4 months.
  • Immediate implantation with the need for atrial regeneration -staple implant. The final prosthetic restoration no earlier than in 4-6 months.
  1. Deferred (early) implantation takes place in two stages. The implantation procedure is usually carried out between 10 to 12 weeks after removal of the tooth, so as to obtain properly healed bone and soft tissue at the site of the extraction wound. This amount of time allows appropriate reconstruction of the alveolar bone (new bone is formed), which allows better integration of the inserted implant with the surrounding bone tissue.

Possibilities for deferred implantation:

  • Implant implantation – staple implant. Prosthetic restoration in 2-4 months.
  • Implant implantation – staple implant with the need for regeneration, e.g. sinus lift with or without augmentation, vestibular augmentation. The final prosthetic restoration no earlier than in 4-6 months.
  1. Late implantation takes place when the time that has elapsed since tooth loss to implantation is many months or even years. The consequence of the resulting untreated lack of a tooth is a slow process of disappearance and resorption of bone tissue and surrounding soft tissues. As a result, any implant surgery often requires specialized preparation. If the patient has insufficient bone tissue (CBCT), it is often necessary to perform bone regeneration procedures (e.g. bone graft, maxillary sinus lift, or vestibular augmentation) to restore the amount of bone necessary for successful implantation.

Possibilities of late implantation:

  • Implant implantation – staple implant. Prosthetic restoration in 2-4 months.

Implant implantation – staple implant with the need for regeneration, e.g. sinus lift without or with augmentation, vestibular augmentation. The final prosthetic restoration no sooner than 4-6 months.

Implants have become so popular because they can be used in patients of all ages. The patient’s age doesn’t determine whether or not they can get an implant, but rather the bone condition (bone quality).

Each patient’s case is determined individually based on radiological examinations – pantomographic and computed tomography, as well as the patient’s medical history. Discussion of the patient’s expectations of the whole therapy and of all doubts is very important. Only then is it possible to make a final decision and arrange an individual treatment plan.

As with other treatments, there are some absolute and relative contraindications:

Relative contraindications to implantation:

Relative contraindications for implantation are diseases that interfere with the proper stages of treatment or worsen the results of treatment; however, the coexistence of the disease does not exclude the possibility of implant treatment and does not significantly affect long-term results.

Some diseases, when they are under control, allow for compromise in maintenance of the implant as in healthy people, among others are:

  • diabetes
  • hypothyroidism
  • kidney failure
  • hematological disorders (anemia, polycythemia vera, purpura)
  • lung diseases (asthma, bronchitis, emphysema)
  • osteoporosis
  • chemotherapy
  • smoking tobacco
  • lupus
  • pregnancy
  • mental retardation
  • mental disorders
  • immunodeficiency syndrome (HIV)
  • immunosuppressive therapy
  • elderly patients

Absolute contraindications to implantation:

We include factors that prevent implant treatment. They are associated primarily with the patient’s health condition. Contraindications preventing implantation include:

  • cerebral vascular stroke
  • bleeding disorders
  • heart valve surgery
  • drug addiction
  • a recent myocardial infarction
  • bone and collagen diseases (e.g. Paget’s disease, osteomalacia, osteogenesis imperfecta)
  • immunosuppression disorders
  • mental illness
  • use of intravenous bisphosphonates
  • terminal disease (cancer progression)
  • irradiation at the place of implantation (active treatment of tumors)
  • no possibility of prosthetic reconstruction
  • hyperactive involuntary muscle movements (Huntington’s Chorea, Parkinson’s disease)
  • a patient under 16 years of age

Always in medicine one should be guided by the “lesser evil”. If the patient is pharmacologically stable and under the constant care of a specialist, absolute contraindications can become relative with proper preparation and consent of the treating physician.

No. If the number of bones is insufficient, both vertically and horizontally, we can place an implant or implants; however, the bone matrix requires reconstruction/regeneration. Regeneration can be performed as a pre-implantation or simultaneous implant placement (intra-implantation). We distinguish several basic regenerative treatments – augmentation.

In the jaw (vertical restorations)

  • raising the bottom of the maxillary sinus, the so-called sinus lift using the closed method, osteotomy technique. The method is without having to enter the maxillary sinus through a window in the sinus wall (from lateral access). Raising the Schneider membrane is done by osteotomy, i.e. through a prepared socket for the implant (hole in the bone) into which the implant will be inserted. New bone is made on the basis of a blood clot. Prosthetic restoration is possible 3-4 months after implantation. Elevation and implantation take place simultaneously.
  • raising the bottom of the maxillary sinus, the so-called sinus lift using the open method from lateral access – window method (without augmentation). This method requires access to the inside of the maxillary sinus via a specially prepared “window” in the wall of the sinus. We lift Schneider’s membrane using special elevator tools (hence the name lift). A sinus lift without augmentation is usually performed with simultaneous implant placement – the bone is made on the basis of a blood clot. Prosthetic restoration is possible 4-6 months after implantation.
  • raising the bottom of the maxillary sinus, the so-called sinus lift using the open method from the side access – window method (with augmentation). We raise Schneider’s membrane through a specially prepared window in the side wall of the sinus, placing bone graft material in the sinus. In the best case scenario, simultaneous implant placement is possible. In the worst case scenario, the regeneration time is 6-9 months and only after this period of time is it possible to implant and then complete prosthetics (about 2 months after implantation).

In the upper and lower jaw (horizontal restoration)

  • vestibular regeneration / augmentation – the alveolar bone is rebuilt in the bucco-lingual or buccal-palatal dimension. Implantation is possible 4-6 months after surgery.
  • 3D regeneration / augmentation – rebuilding the alveolar bone in the upper and lower jaw in the vertical and horizontal dimension using bone blocks (autogenous bones, allogenic or xenogenic bone blocks). Implantation is possible 6-9 months after surgery.
  • During all regenerative treatments / augmentation (except for sinus lift, i.e. osteotomy) we apply platelet rich plasma (PRP) to support bone reconstruction successfully. Platelet rich plasma is an excellent substrate for bone formation and the emerging blood vessels supplying the bone regeneration site.

In many cases, it is necessary to use PRF platelet fibrin (Platelet Rich Fibrin) as an autogenous membrane or an alveolar filling after tooth extraction.

PRP, PRF, and A-PRF are obtained from the patient’s own venous blood taken before the procedure. The combination of both methods together with available osteogenic preparations allows for excellent therapeutic results. Success guaranteed!

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PRP is platelet rich plasma. PRF and A-PRF (Platelet Rich Fibrins and Advanced Platelet Rich Fibrin) are both platelet-rich fibrin. As a result of the collection and centrifugation procedure, a fibrin matrix is ​​obtained in the patient’s blood centrifuge. It is a simple, safe, and very natural method. The platelet rich fibrin (PRF and A-PRF), like platelet rich plasma (PRP), is used in patients to help and accelerate wound healing. It stimulates healing, recovery, and growth of bones and soft tissues. All these factors are autologous preparations, i.e. obtained from the patient’s own blood, which affects the safety of the final product. Indications in dentistry:

  • protection of the alveolus and accelerated regeneration after extraction
  • replenishment of bone deficiencies during implantation procedures
  • lifting the sinus (sinus lift) in implant treatment
  • soft tissue transplants
  • supporting wound healing

Thanks to our device, we can additionally receive Concentrated Growth Factors and stem cells CD34 +. They allow you to achieve:

  • faster and better healing results
  • faster bone recovery
  • better integration of the implant with the bone
  • lack of dry socket condition
  • “Sticky Bone” after mixing with a bone substitute
  • “el Poncho” – an autogenous regenerative membrane during implantation

If there is a lack of proper bone in the vertical and / or horizontal dimension before implantation, it is necessary to perform regenerative treatments, i.e. augmentation. If the bone deficit is small it is possible to perform both procedures at one time. When the bone deficit is large, implantation will be possible after 4-9 months from the regeneration treatment.

Materials containing live cells are called transplants, while bone substitutes that do not contain live cells are called implants.

Bone grafts:

  • Autogenous bone (i.e. the patient’s own). In biological and immunological terms, it is best for the patient to use their own bone. The bone in the oral cavity is obtained in the form of chips or bone blocks from the retromolar region and in the form of bone blocks from the chin or maxillary tuber region. The high degree of porosity that the natural bone possesses accelerates the process of blood vessel formation and bone cell migration through the network of large, interconnecting pores. This in turn greatly accelerates the process of osteogenesis, i.e. the formation of new bone.

Implants (bone graft materials):

  • Allogenic implants – These are of human origin, obtained from human bone structures; however, the donor and recipient differ genetically. We differentiate between mineralized and demineralized bone.
  • Xenogenic implants – The bone material is of animal origin, for example Bio-Oss (made from the bones of Australian cattle). As part of the production process, organic elements are removed; only the hard part of the bones consisting of calcium compounds remains).

Alloplastic implants – These are materials synthetically produced or derived from organic compounds, e.g. algae, coral, or from inorganic compounds, e.g. hydroxyapatite.

Consultation is necessary to know the expectations and current problems of the patient and to provide our patients with comprehensive and interdisciplinary treatment. In the course of such visits, basic diagnostic tests, i.e. a dental overview and periodontal examination and pantomographic picture (OPG) on which all teeth and jaw are visible, will be conducted.

No, the pantomographic picture is an illustrative picture showing the image on one plane (the 2D plane) and is used for general assessment of the situation. For precise assessment of bone conditions and anatomical situations in the upper and lower jaw, it is necessary to perform computed tomography CBCT which is taken on the 3D plane.

Advantages of computed tomography CBCT:

  • three-dimensionality of the image
  • very high geometric and contrast resolution
  • familiarization with anatomy and pathology
  • bone density measurement
  • performing accurate measurements in millimeters and assessment of bone condition and locating important anatomical structures on the computer screen thanks to natural-sized images, which consequently facilitates the planning of a surgical procedure

• computer treatment planning thanks to available tools or with additional support programs created for this purpose, e.g. Simplant computer navigation

Yes, to facilitate planning and the possibility of depicting the current state of the patient, and the future reconstruction, it is possible to create diagnostic models and a wax visualization of the future reconstruction. This is a so-called “wax-up”. For full diagnostics, implant treatment planning, and comprehensive communication with the patient, we use a digital solution, the SIMPLANT® program.

It is computer software that supports implant treatment through the creation of a surgical template. The condition for creating the template is to perform the CBCT examination, which, in combination with the SIMPLANT program, enables the phy