Archive for the ‘implantology’ Category

Master of Implantology – additional dental degree

Posted by Dental News Team On October - 29 - 2009

Is a dentist with the title„Master of Implantology“ better able to perform implants than a “normal” dentist?

zahnarzt_implantologieMaster here, Master there, Master Master everywhere. There is more and more talk of additional training to become e.g. a “Master of Oral Implantology”.  This training has to be paid for but does not really say much about the actual skills of a dentist.

There are various reasons for this: first of all there are no general standards for these courses, some last a few days, others years. It also depends on why the dentist is doing them – some do it for the certificate, others to further their education.

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Another example should illustrate the problem of additional studies:

A doctor works in a hospital and handles broken jaws, tumors etc, but has no Master’s Degree. However, during the course of his or her career, s/he has performed innumerable operations on bones and hundreds of implants.

Another dentist takes a one-year course to become a „Master of Implantology“ but may only have actually attended 200 implant settings and only performed about 20 of them. Whatever institute charges the dentist for the course may not check to see how well the dentist works while performing this procedure …

Who would you rather have performing your implant?

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Don’t let certificates fool you, instead ask dentists how long they have been performing implants and where they have worked before. You have the right to ask these questions, and don’t get “taken in” by a dentist’s age …

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More information on this topic here!

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Dental bone grafts

Posted by Dental News Team On October - 20 - 2009

What is the best type of bone to use in reconstruction?

bonematerial1If parodontitis goes untreated for a long time, or teeth are lost and not replaced, then bone starts to recede. And once it is time for a dental implant, there may not be enough bone matter available to support the implant.

Fortunately, there are various materials available to reconstruct bone, but which one of them is the best?

A rule of thumb is that the more similar replacement bone is to human bone, the better it heals. The best bone to use is the patient’s own – as long as the chunk of bone used does not exceed a specific size – you can find out more on that here.

From a certain size onwards it is better to use purified replacement bone, ideally human bone, or animal bone, for example from cattle. Bone substitutes can also be produced, e.g. from algae. Synthetic bone takes the longest to heal, although research is still being done on the subject.

It does not help to infuse bone from a donor with your own cells.

It is much more effective to mix replacement bone with your own blood – this is usually enough, and facilitates absorption during an operation, but it is unclear whether it helps healing.

There are many studies on this topic, but they are often poorly structured and do not observe evidence-based medical guidelines. Moreover, many of the materials used to replace bone are distributed by doctors themselves, and they all have their favorites, so it is hard to remain objective!

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Recommendations and advices after dental work

Posted by Dental News Team On August - 20 - 2009

nach_zahn_opDentists often forget to tell patients what to do after getting dental work!
So here are some advices after dental treatment.

What should you watch out for?
What rules are there to follow?

The suggestions below are general information. If your pharmacist gives you other instructions, then you should follow them!

The Dental News team wishes you a speedy recovery, these tips will help you smile again!

  • Leave the swab in for another half hour after treatment, then you can spit it out, unless your dentist has given you other instructions
  • Keep the area which has been operated cool, e.g. using a Cool Pack (ice), not directly on the skin, but wrapped in e.g. a towel
  • Do not eat as long as the area is still numb, and remember to chew on the other side
  • Avoid nicotine and alcohol, as well as spicy, crumbly or raw foods, and milk products for the first three days after the operation
  • Do not pull on your lip/cheek, no „peeking in front of the mirror“
  • Do not start cleaning your teeth again until two days later (do not use a toothbrush around the wound, but use a cotton swab dipped in 3% H2O2).
  • Use mouthwash containing chlorhexidine (e.g. Chlorhexamed) twice a day (not longer than 2 weeks) and several times a day using 3% H2O2 dissolved in water. Rinsing out your mouth using chamomile tea also helps speed up healing.
  • Do not point the oral irrigator at the area treated!
  • Bruises or swelling in the face (intensifying up to 4 days after treatment), as well as difficulty opening the mouth and a temperature of up to 38.5° C are common after treatment and are no cause for concern
  • Avoid sunlight and physical exertion the first couple of days after treatment (no sauna, no sports, no hiking …)
  • For operations in the upper jaw and opening of the maxillary cavity no blowing your nose for 8 weeks; do not hold your nose shut when sneezing
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All Information about Dental implants and costs

Posted by Dental News Team On August - 20 - 2009

Questions and answers on the costs of dental implants and their durability

implantatThe Web provides a great deal of information about dental implants!
While much of this informations useful, a lot of it simply confuses non-experts!

We have provided answers to the most frequently asked question here, as well as links further below!

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Do implant-based teeth have to be cleaned?
Implanted teeth have to be cleaned even more thoroughly than your own teeth.

The area where the implants show through the gums has to be kept clear of inflammation, otherwise the implants may get inflamed and fall out.
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Can I even take dental implants?

Implantation has become a common procedure in dentistry. In spite of great advances in this field, some patients are worried about negative “”reactions”" to  titanium implants they have read or heard about. The literature on the subject does not mention any side effects when using titanium, even though some implants do fall out in the case of some patients.
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Why do implants fall out?

  • Inadequate cooling when reaming the implant shaft into the jaw bone (dentist’s fault)
  • Inserting an artificial root into an inflamed jaw bone (dentist’s fault)
  • Prematurely loading the artificial root (dentist’s fault, patient’s fault)
  • Poor after-treatment and nicotine abuse further exacerbate these negative factors (patient’s fault)

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What happens if an implant doesn’t heal properly?

If an implant does not heal properly and has to be removed at some point, it is a shame, but it does not occur frequently. There is no physical damage, as the gap in the bone can be closed by new bone. Renewed implantation is also possible, if desired.
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Can you fly with dental implants?

Many patients believe that they will no longer be able to go through metal detectors at airports because of titanium implants. First of all, having titanium in your body does not set off any alarm, but even if such devices should come to be used, an implant passport can help you get through.
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Are dental implants the solution to my dental problems?
Many patients think that a set of teeth which has been undergoing certain changes for decades (up to full dentures) can be completely replaced using implants, under general anaesthesia. When getting full treatment, think about the habits that got you there in the first place. You may need to change your dentist, if your old one failed to inform you of the implications, but you also need to change your own habits, or else you will also lose your implants!
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I would like a permanent denture, how many implants do I need?
If you have no teeth left in your jaw, then you will generally need 4 implants in the lower jaw and 6 implants in the upper jaw for a permanent denture.
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How long do dental implants hold?
Scientific studies performed over the last 25 years show implants to be highly effective. How long they hold cannot be specified exactly, but assuming that they heal properly, after 10 years over 90% of all implants still work.
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How much does an implant cost?

In Europe, a titanium implant itself costs between 500 and 1700 euros. But patients also want to know about the total costs (implant, abutment, crown). Prices vary greatly because of the different components used, so that the total denture may cost between 1400 and 3000 euros.
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You will find more information on this topic in a forum or in the first dental video lexicon.

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Knowledge about Implant teeth

Posted by Dental News Team On August - 18 - 2009

querschnittDental implants made of titanium, set into the jaw-bone they act as roots.

You keep hearing about the body rejecting implants – is this true? NO!

Did you know that you only need 4 implants in your lower jaw for a permanent denture? Studies are currently being conducted to see if 4 are also enough for the upper jaw, up until now it has been customary to use 6 implants for the upper jaw.

Porcelain implants are not recommended for wide-spread use.

Some months ago these products were introduced, but there have not been enough good quality clinical studies, and improvements need to be made to the implant surface.

Here you can find information on various implant manufacturers.

If you wish to see a video concerning implants and implantation, click here.
Also watch related videos!

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