Max 36 is one of the 61 leading dental practices
worldwide with the award as "Leading Implant Center".

Implants from a “Leading Implant Center”. We ensure that you cannot feel or see a difference.

Dentures and implants from a specialist

Dentures are available from your specialist dental practice for esthetic dental medicine in Munich. As a “Leading Implant Center”, we take care of a perfect replacement for missing teeth using the highest quality of implants.

One or more of your teeth are missing?

We provide a gapless, invisible and lasting replacement. The “replacement tooth”, with an optimally suited form and color and made of highest-quality ceramics, is fixed permanently by means of an artificial tooth root – the “implant” in your jaw bone.

Implant – an artificial tooth root?

The “artificial tooth root” basically consists of a type of titanium screw that is inserted into the jaw bone. Within three to six weeks, it fuses with the surrounding bone into a firm, highly durable entity. A rotationally symmetrical screw implant with a round cross section has established itself as the implant form. This is less of a burden to modern-day patients and only rarely leads to complications during the healing process.

After healing, the entrance to the implant is exposed and an impression is made for our dental laboratory. Based on this impression, an individual structure and a crown – your “replacement tooth” – is made in the laboratory for your implant.


Detailed information about implants:

Before surgery

At the beginning, models and radiographic bases are created to determine the optimal position for the implant and the width of the bone. Based on the documentation, the implantation is then discussed in detail. Any periodontal disease that may be present must be successfully treated beforehand.

Procedure of the procedure

The implantation usually takes place on an outpatient basis in practice. Usually a local anesthetic is sufficient. In the area to be implanted, the gingiva is folded back and the bone cleared. Then, with various spiral drills, a channel is created for the implant step by step and the implant is screwed into the bone.

If the bone is missing around the implant, it is reconstructed at the same time as implantation using external or internal bones. Finally, the gum is back-laid and finely sewn. The implant and the operating area should heal unloaded and pressure-free for three to six months.

Risk of implants

As with any surgery, infection may occur in the implantation area. Oral hygiene and patient co-operation should be good to very good, as otherwise the risk of infection increases significantly due to the increased bacterial count.

Basically, the risk of a failure is significantly increased in smokers. Diabetics must be well-adjusted to reduce the danger of inflammation to a manageable level. Dental implants are also subject to the risk of inflammation that can cause a decrease in the bone tissue around the dental implant.

This peri-implantitis can ultimately cause the implant to fail. However, in the early stages, it can often be successfully treated with an antibiotic therapy by surgery.

Are all patients suitable for dental implants?

In principle, yes. Only the prognosis / longevity of the implants is different depending on the boundary conditions. Thus, a healthy patient with a healthy diet, good oral hygiene, with regular and close aftercare and / or professional cleaning, may be more likely to keep his implants for life than for example. A chain-smoking, poorly plastering patient not participating in the prophylaxis program. The latter, however, can also receive implants, provided he is aware of his risk and is willing to bear the responsibility.

Tooth implants and periodontitis - what must be considered?

Parodontitis is caused by bacteria or the immune response of the body to these. It would be easy and wrong to put in a patient with an untreated periodontal implants. Bacteria make no difference whether they attack the bone around a natural tooth or around an implant.

In the former case, the disease is called periodontitis, in the latter peri-implantitis; The biological processes and their consequences are the same: inflammation, bone degradation, ultimately tooth loss or implant loss. Parodontitis should be treated and stopped, the patient should participate in a close and consistent prophylaxis program, then there is no evidence against implantation.

After the procedure

In the first three days, swelling may occur, which disappears after six days. After a period of about ten days, bruises are usually no longer visible. In the first days you can feel a slight pain, which can be well covered with medication.

The cooling of the treated side also brings relief. When sleeping, one should store the head and upper body increased and not sleep on the treated head side. In the first days, exercise and physical exertion must be avoided. When eating, grain and milk should be avoided. Smoking, caffeine and alcohol should be avoided.

Aftercare (after one week)

After one week, the seams are removed and the dentures are checked. If possible, a custom temporary restoration can be fitted. The patient also receives detailed instructions on how to clean the teeth best.

After three to six months

After the imprints and the laboratory work after 14 days, the final dentures are adapted to the implants. The second follow-up appointment takes place after just two months. It is enough, if one afterwards two or three times a year to the control in practice. In the case of professional tooth cleaning, the dentures and the passages of the implants are cleaned with a special powder and gel. Every one to two years, a radiograph is useful for control.

Immediate implantation

In selected cases, an implant can be placed immediately after removal of a tooth with adequate bone supply. Immediate implantation is possible if no acute inflammation is present and there is sufficient jaw bone for a secure and firm anchoring of the implant. As an alternative to immediate implantation, the early implantation is also used in some cases approximately six to eight weeks after tooth extraction.

1. Immediate loading and immediate supply
An immediate supply means that immediately after implantation, a fixed provisional prosthesis, usually a simple tooth crown made of plastic, is anchored on the implant. As a result, a removable temporary prosthesis (plastic or plastic rail) can be avoided. Precondition for the immediate supply is a very high primary stability of the implant. Immediate loading, ie the full chewing load on the implant, must be differentiated from the immediate supply. It is possible if several implants are set and the dentures made within a few days consist of a firmly interlocked construction. Immediate loading is mainly used in minimally invasive implantation.

2. Bone structure
If there are insufficient jaw bones for an implantation, bone reconstruction must be undertaken before or even with the implant surgery. Different methods can be used here. In the case of the "bone condensation", the bone is laterally compacted. The attachment of bone chips and / or bone substitute material is referred to as "lateral augmentation". "Bone spreading" means the spreading of the jaw bone into two leaves. Bone block transplantation is achieved by the attachment of a bone block before the actual implantation.

3. Sinus lift
After loss of the upper molars, the maxillary jaw expands downwards, while the remaining jaw bone shrinks. Often there is not enough space for implants. In order to be able to introduce them nevertheless, the jaw bone can be built up by a sinusoidal lift operation. One differentiates between the direct (open) and the indirect (closed) sinus lift. If only a few millimeters of bone are missing, the floor of the maxillary sinus can be raised above the implant hole. The implant is then inserted immediately.

3D navigated
By means of digital volumetomography (DVT) and computer tomography (CT) a three-dimensional image of the bone and the teeth in the jaw area can be displayed. The jaw bone can be examined and examined from all directions. Information on the exact position of important anatomical structures can be recorded in advance and are incorporated into the operation planning. The implantation can be performed virtually on the PC in advance. The exact implant position, its length and width as well as the axis inclination can be simulated in this way. Structures such as nerves, adjacent teeth and the maxillary sinus can also be assessed in relation to the position of the implant. The data and insights gained in this way are used to create an operation template. As a rule, this consists of transparent plastic and can be attached to the dental row during implantation, similar to a cruncher bar. Through the surgical template, the implant position determined by the computer can be transferred to the jaw bone during the actual implantation. It thus serves as a valuable aid to the surgeon. Often, however, an operation template is not necessary since the precise evaluation of the DVT image on the computer already provides all the information necessary for the implantation.

Fixed third teeth in one day
If there is a lack of all teeth, or if this loss occurs in the foreseeable future, the modern method "fixed third teeth" is a modern alternative to a conventional dentition, which usually requires no more than four implants per jaw The new teeth are pulled, the new implants are inserted, and the fixed third teeth are inserted.This operation method can be used to avoid the necessary, very complex, painful and time-consuming bone structure.The new teeth can be loaded on the same day after the operation The seams are removed, then the individually made steel framework is worked in (please schedule a 3-4 hour waiting period), and the next examination and the planning of the further steps are carried out six weeks after the initial inspection Healed situation. Two to three times a year, a cleaning of the implant should be carried out on a visit to the clinic. For this purpose the dentures are removed. Subsequently, the passages of the implants are cleaned with a special powder. Every one to two years, a radiograph is useful for control.

Can dental implants be used for smokers?

Of course. Smokers must know that they have a significantly higher risk of inflammation and disease than non-smokers, because they have practically no antioxidants in the blood and their immunodeficiency is weakened; They become lighter and more frequently ill. If they know this and accept it approvingly, they can get implants.

How to imagine the implantation?

Like a normal dental treatment: the corresponding region is anesthetized with the same anesthetic technique, as with any filling or other dental procedure. Afterwards, you can hear sounds, feel water spray on the non-anesthetized mucous membrane regions, realize that there is work.

Is the treatment painful?

Absolutely no way! After a normal dental anesthetic as with any simple filling, the patient only feels that his mouth is being worked, a slight feeling of pressure is the highest of emotions. Especially when minimally invasive implants are implanted, our patients regularly can not believe that implantation is already over and they have not felt anything of it.

How long does an implant treatment last?

This is not easy to answer. Appropriate preparation with our 3D diagnostics and template technique provided, a simple implantation can be over in 6-7 minutes. The setting of 16 implants with bone structure and extensive mucosal transplantation takes of course longer. This must be planned and discussed in the individual case.

How long does the healing phase take after implantation?

Depending on type of implant, number of teeth, bone supply and other factors, some implants can be loaded immediately, others require 3-4 months to be loaded. For more complex bone structures, so-called augmentation, one usually waits about 6 months until the final, implant-supported denture is integrated.

You would like an initial consultation?

With pleasure. Our Mrs. Bianca Fietze is looking forward to your call at 089 - 22 80 16 00 or use our contact form.

Address

MAX 36 - Dental practice
for esthetic dental medicine
and treatment Munich.
Dr. Mark T. Sebastian
Maximilianstraße 36  I  80539 München


Telephone: 089 22 80 16 00
Fax: 089 22 80 16 06
E-Mail: rezeption@max36.de

© Max 36 - Zahnarzt Praxis für ästhetische Zahnmedizin und Funktion in München.
(Veneers, Zahnersatz, Implantate, Bleaching, Invisalign, CMD, Kieferorthopädie, Implantate Zahnfleischbehandlung)

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