Endosteal implants are a widely used and highly effective solution for replacing missing teeth.
They offer a long-lasting and natural-looking replacement option that restores both the function and aesthetics of a patient's smile. In this article, we will explore endosteal implants in detail, including their construction, placement procedure, benefits, and considerations.
Endosteal implants consist of three main components: the implant fixture, abutment, and dental crown.
The implant fixture is the foundation of the endosteal implant. It is typically made of biocompatible materials such as titanium. The fixture is shaped like a small screw or cylinder and is surgically inserted into the jawbone. Over time, the implant fuses with the surrounding bone through a process called osseointegration, providing stability and support.
Once the implant fixture has fully integrated with the jawbone, an abutment is attached to it. The abutment serves as a connector between the implant fixture and the dental crown. It is usually made of metal or ceramic and is custom-designed to fit seamlessly with the patient's natural teeth.
The dental crown is the visible part of the endosteal implant that resembles a natural tooth. It is typically made of porcelain or ceramic, which provides a durable and aesthetically pleasing restoration. The dental crown is custom-made to match the shape, size, and colour of the patient's surrounding teeth, ensuring a natural-looking result.
The placement of endosteal implants is typically performed in several stages and requires collaboration between the patient, dentist, and oral surgeon. Here is a general overview of the placement procedure:
The process begins with an initial consultation, during which the dentist evaluates the patient's oral health, takes dental impressions, and discusses the treatment plan. X-rays or CT scans may also be taken to assess the jawbone density and determine the optimal placement locations for the implants.
Once the treatment plan is finalized, the implant placement procedure takes place. Under local anaesthesia or conscious sedation, the oral surgeon makes a small incision in the gum tissue to expose the jawbone. Precise holes are then created in the bone, and the implant fixtures are inserted securely into these prepared sites. The number of implants placed depends on the individual patient's needs and the planned restoration.
After the implant placement, a healing period of several months is required to allow osseointegration to occur. During this time, the bone tissue gradually grows around the implant fixture, integrating it into the jawbone and ensuring a stable foundation.
Once osseointegration is complete, the dentist reopens the gum tissue to access the implant fixtures. The abutments are then attached to the implants, protruding through the gums. The gum tissue is sutured back in place, leaving the abutments visible above the gumline.
After a short healing period to allow the gums to heal around the abutments, impressions of the abutments and surrounding teeth are taken. These impressions are used to fabricate custom-made dental crowns that will perfectly match the patient's natural teeth. Once the dental crowns are ready, they are securely attached to the abutments, providing a functional and aesthetically pleasing restoration.
Endosteal implants offer numerous advantages for patients seeking to replace missing teeth:
Endosteal implants provide a stable and secure foundation for dental restorations. They mimic the natural tooth root, ensuring that the replacement tooth or teeth can withstand normal chewing and biting forces.
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