Dental implantology

Dental implantology means, in the absence of one or more teeth, the insertion of one or more titanium screws into the maxillary or mandibular bone. Once one of the Sanident dentists in our dental clinics has verified the so-called osseointegration, he will be able to support an artificial tooth suitable to perform the function of the missing natural teeth.

If the market can currently be divided into low cost dental implants and premium prices, it is important to understand that only this last type offers guarantees to the patient. This is because dental implant products of quality are the only ones supported by adequate scientific evidence and clinical trials; low cost systems, on the contrary, can be marketed at lower prices because they do not meet these requirements, often exploiting expired patents of larger companies and copying them more or less slavishly, creating real clones beyond any control. To lose, obviously, is always the health of patients.

According to a clinical study published in the Clinical Implant Dentistry and Related Research, only a few brands of implants have been tested by at least two independent (non-sponsored) clinical works, which should prompt patients to request more transparency before accepting any estimate, up to the release of a real implant passport. Among the brands of implants included and mentioned in this clinical study are: Aiser ® Straumann ®, Nobel Biocare ®, Dentsply Implants ®”

The dental implant is to be considered as a screw constructed using specific nanometric technology and is designed to replace the natural root of teeth in humans.
Modern titanium posts mostly have a cylindrical shape of various lengths and diameters so that they adapt to the different morphology of the bone profile that accommodates their insertion.
The titanium structure is used throughout surgery and not only in oral surgery due to its complete tolerability by the body.

As in any other product, there are differences in the quality of the materials that make up the implants and in the technology used by implant manufacturers for their design, construction and above all in the quality and quantity of scientific tests carried out before and after their marketing.
All this also differentiates the cost. It is very important to get advice from the implantologist on the characteristics of each model that can be applied to your case and also talk about the structures that will be placed on the implant for rehabilitation, thus also having a clear picture of the possibility of replacing the prostheses over time.

After the surgical intervention which allowed the positioning of the implant in the site to be rehabilitated, a physiological wait of approximately 3/4 months is necessary during which the organism naturally proceeds to the osteointegration of the screw (along the threads of the screw of the dental implant inserted into the bone, the cells present called osteoblasts create filaments all around it and bind to the implant, integrating it and fixing it completely to the bone).
Subsequently, with the aid of a radiological examination, usually a digital orthopanoramic or in case of further need for detail with a 3D Cone Beam CT examination, it is assessed whether the implant has integrated perfectly with the bone.
At this point, it is possible to move on to the uncovering and application phase of the healing screws, mounted on the internal thread of the dental implant and necessary to correctly shape the gum.
After about a week it is possible to acquire the impression on the implants (in Sanident the innovative three-dimensional digital scanning technique is used for improved precision compared to the traditional impression with silicone materials).
From the digital impression obtained, the project of the optimal prosthetic structure in terms of functionality and aesthetics is created on the computer with the aid of CAD/CAM technology and is subsequently created by milling biomedical resin for the temporary provision and very pure blocks of ceramic and/or zirconia for the definitive. If the patient’s clinical and anatomical conditions allow it, it is also possible to perform immediate loading implantology with fixed ceramic composite teeth already placed at the end of the surgical session or within 72 hours of surgery.

The crowns and bridges used by Sanident they are built in a highly specialized laboratory owned by Sanident using modern CAD/CAM technology thanks to the help of specialized technicians, Zeiss high definition microscopes, digital scanners, powerful computers and 5-axis milling machines allows for precision never seen before on the creation of fixed prostheses previously handcrafted by hand.
The materials used are extremely aesthetic and resistant blocks of pure ceramic and zirconium oxide and free of metal alloys previously used for the realization with the old metal fusion system.

Yes, regardless of the type of prosthesis that will be made on the implants, you can eat and speak normally as with natural teeth.
In fact, the dental implant replaces the natural root of the teeth and the crown inserted above the implant replaces the natural tooth itself.

No difference is noted. It seems to have natural teeth.

If the doctor detects an optimal clinical and anatomical situation, “immediate loading of the implants” is possible, which consists in fixing a high-quality temporary directly onto the newly inserted implant instead of waiting the period of time necessary to allow the latter to integrate in the bone.
This new technique allows the teeth to be fixed on the same day as implant placement.

In cases of autoimmune diseases that also exclude other types of interventions or in the presence of serious generalized diseases such as significant heart disease, high level diabetes, serious blood clotting problems, or a severely damaged immune system, the use of the implant technique is not recommended.
In these cases it is necessary to inform the implantologist who, together with the Sanident team of doctors and specialists, will recommend alternative solutions on how to proceed with the treatment.

You never remain without teeth. A temporary, comfortable, biomedical resin temporary provision is made, both for one and for several missing teeth and is applied immediately after implant placement.
This temporary is subsequently replaced with a fixed ceramic tooth when the dental implant is osseointegrated.
In the case of immediate loading full arch implant rehabilitation, if the patient’s bone is sufficiently large and of good quality, thanks to the modern techniques and latest generation implants used by Sanident doctors it is possible to obtain fixed teeth immediately definitive.

It is possible to insert dental implants immediately after extraction (post-extraction dental implants) but it is very important to verify that the extracted teeth have not had any infections in place.
The socket that receives the implant must be intact to avoid the possibility of infections and therefore the possibility of failure of the dental implant.
If necessary, Sanident uses synthetic bone derived from bovine bone matrix to recover lost bone tissue.

General anesthesia is not necessary for the insertion of dental implants.
Local anesthesia or in some cases conscious sedation administered to the patient by an anesthetist specialist who is always present at Sanident during all Dental Implantology and Zygomatic Dental Implantology procedures is sufficient.

The dental implant can last very long, even for a lifetime.
It is very important to observe the utmost care during the period of osseointegration of the dental implant and subsequently practice daily hygiene carried out with care at home and periodically at Sanident which, thanks to its partnership with the most important implant companies in the world, guarantees dental implants for life against any possible manufacturing defect.

Dental implants, like all other prostheses and artificial support parts used by modern medicine for insertion into the human body, are made of titanium.
Titanium is a resistant and light material that has no allergenic components and that the body accepts as an integral part of the organism.

To proceed with the surgical act of positioning the implants, the person’s bone formation and growth must be completed.
For this reason, the application of dental implants before the age of 18 is not recommended.
The maximum age is determined by an objective analysis of the patient’s general health status and the presence of sufficient bone support for the insertion of dental implants.

It is necessary to avoid intense sporting activities and sustained efforts as there is (albeit minimal) a wound that is in the process of healing. Light activities do not involve any risk or contraindication.

Dental implants are not magnetic and cannot cause reactions in safety detectors.

Having no electromagnetic effect, dental implants do not pose a danger to the correct functioning of pacemakers.

Below we indicate a combination at the top of the Sanident range of excellence for implantology with all the steps necessary for the intervention and therapy:

• Specialist visit with an implant surgeon among the 6 that make up the team of the Sanident Implantology division (all specialized in implantology and dental surgery and with each of them carrying out more than 200 implants per year)
• Diagnosis with the aid of digital orthopanoramic radiographs
• 3D Cone Beam CT (if required for the surgery)
• Drafting of the personalized estimate and planning of the care plan
• Initial dental and oral hygiene pre-surgery with the possibility of oxygen therapy and anxiolysis
• Use of the dedicated surgical room and all related equipment and sterile components
• Premium-price titanium screw Aiser Implant System ®, Dentsply Implants ®, Nobel Biocare ® or world-leading Straumann ® implants
• Titanium abutment for prosthesis
• Impressions of the dental arches detected with a digital intraoral scanner
• Temporary crown in biomedical resin
• Full ceramic crown or zirconia CAD / CAM technology with CE conformity certificate without base alloys and metals
• All the checks and checks necessary after surgery and during osseointegration and prosthesis
• Periodic check every 6/8 months
• Recall for dental and/or prosthetic hygiene at a reserved price
• Personal certificate with international lifetime guarantee

To overcome this problem, the volume of the alveolar bone must be increased.
These bone grafts can be performed both at the same time as the implant surgery and before it, it will be the decision of the Sanident surgeon to establish which procedure is most suitable for the patient.
Autologous bone grafting, i.e. the patient’s own bone taken from other locations and positioned in the site to be operated on, is a technique used to increase bone thickness.
Another method consists in filling the defect with synthetic granular bone covered by a biocompatible resorbable membrane.

The maxillary sinus frequently involves a reduced vertical bone thickness which does not allow stable anchoring of the implants.
The maxillary sinus elevation o large maxillary sinus lift is a particular bone grafting technique: during the operation the floor of the maxillary sinus is exposed and the covering membrane is raised using a sophisticated MECTRON piezosurgery device; the space is filled with particulate autologous bone and/or artificial bone synthesized from bovine bone matrix.

After approximately 4/6 months the autologous bone graft will have completed the bone regeneration process.
Even with the use of synthetically derived substitute materials used to fill defects resulting from bone deficiency, the bone substitute will be invaded and replaced by the patient’s natural bone within approximately 4/6 months.

Thanks to the modern implantology techniques practiced in Sanident by a team of excellent specialists, with bone regeneration we are able to stimulate the physiological process of bone remodeling and growth, using clinically tested intervention protocols.
The first technique is linked to bone auto-transplantation: the bone is taken from another part of the body (from the chin or head) and grafted into the gum. You are not exposed to the risk of rejection as the bone taken is from the same patient.
In the second type of technique for bone regeneration, artificial bone made of synthetic material is used; this material, installed in the gum and covered by a resorbable membrane, melts into the bone.
Also this intervention does not expose to the risk of rejection, being the synthetic material and biocompatible.

The fear of the dentist or rather the fear of undergoing treatment due to pain is a constant subject of research at Sanident and we can confidently state that at Sanident the fear vanishes from the first session.
We are very careful to grasp the patient’s state of mind aware of the fact that the pain threshold and the perception of discomfort are factors with extremely personal variables and consequently we prepare to give each patient the due attention to definitively defeat every slightest sensation of pain or discomfort.
Thanks to the pain prevention and control technique practiced by our expert anesthetists, every operation is peaceful and all patients are satisfied with the surgery assisted with oxygen therapy, anxiolysis and conscious sedation without feeling any pain.

Comfortable environments, relaxing videos and music, attentive and caring staff, anesthetic spray, painless needles, oxygen therapy, local anesthesia, conscious sedation, anxiolysis: Every day we use these and other proven techniques with the help of instruments, cutting-edge electronic equipment and drugs specific.
For the most important cases we have the collaboration of expert specialists in anesthesiology and resuscitation practicing conscious sedation or anxiolysis.
The results obtained with this technique are exceptional, the patient undergoes treatment with maximum serenity and the interventions take place with greater fluidity and less overall duration.
Post-operative symptoms are also reduced in intensity and duration. The reassured patient acquires confidence and undergoes any subsequent sessions provided without any fear.

In all the treatments and areas of intervention, from the simple dental hygiene session to clean the teeth to the operations of immediate loading implantology where in a single session the patient enters the surgical room edentulous or with his natural teeth compromised and leaves with the implants placed and the prostheses fixed on both arches the constant commitment of Sanident and of all the staff is of is to completely eliminate the pain and the consequent fear of the dentist.

While maintaining the characteristics of excellence and uncompromising quality of the treatments and products used, Sanident has always waged a continuous battle for educe the prices of the treatments offered to its patients and in some cases has even succeeded in eliminating them altogether (see the free check-ups or booster dental hygiene at an affordable price within the prevention and control program reserved for those who are already patients).
Thanks to the commitment of SANIDENT, to that of its partners and to the large numbers achieved (more than 35,000 patients treated in the hospital alone clinic in via Settembrini in Milan in the last six years) today it is possible to offer a high-end titanium dental implant at prices lower than 1,200 euros (cost of the titanium screw alone and the intervention of the specialist implantologist surgeon) and conditions accessible to all even with payment in installments.

The international guarantee with personal certificate offered on the implants used by Sanident offers exclusive international lifetime coverage for any type of high-end implant chosen.
Sanident guarantees the success of this modern technology by making use of the collaboration of internationally renowned dentists specialized in implantology and regenerative surgery (the team which has more than 1,500 implants per year is made up of only specialist implantologists registered with the order of doctors and dentists with specific Master’s degrees obtained at important national and international university institutes such as New York University, the University of Geneva and largely already university professors and speakers of courses and conferences on implantology and regenerative surgery) , selecting the high quality of the materials used (only first-class systems Aiser, Straumann, Nobel, Dentsply) and practicing implantology safe from every possible source of pathogenic infection using cutting-edge sterilization procedures and sterile components and equipment in a dedicated surgical room within the exclusive structure reserved only for interventions for dental implants and bone regeneration.