During their lives the majority of people loose some teeth, some people loose all of them. The causes of this phenomenon are complex: injuries, excessive sweets consumption, hygienic negligence, problems with teeth these are only some of them. The consequences of teeth loss are unpleasant and they are connected not only with aesthetics, but also (which is obvious) with chewing of food effectiveness. Lack of teeth influences a person’s mood in a bad way and worsens her / his functioning in the society. For several years stomatology has been searching for the best methods of supplementing missing teeth. Modern stomatological prosthetics can solve most of the problems arising from toothlessness. There are, though, some situations in which, despite good denture prosthesis, its user feels a discomfort. A firmly fixed prosthesis is close to the ideal, because it is similar to our natural teeth and it does not differ in appearance from them. But to make such prosthetic restoration an appropriate number of so-called pillar teeth must be present. But what to do if the number is not enough or there are no pillar teeth or if they are arranged in a bad way? This problem is solved using stomatological implants. The breakthrough was done more than thirty years ago in Sweden where the first system using titanium a totally neutral for our body metal was developed. False teeth made on implants bring back the ability to chew and, what is also important, they bring back self-confidence in different life situations.
Although the process of teeth reconstruction is not quick (it lasts from two to nine months), it is worth being patient due to its being very successful (about 95%) and due to the increase of comfort. Nowadays there are about 200 different implant systems. Some of them are available in Poland, but it should be mentioned here that because of an extremely high price of imported systems they are not and they will not be commonly used. Therefore, I believe that Osteoplant the system developed by the Medical Academy in Poznan has got the chance to become successful. It will enable an effective rehabilitation for patients with average incomes. The wing lack of teeth in the jaw restored on two Osteoplant implants using patient’s own tooth as an additional pillar. Using a single implant lets us make fixed prosthetic restoration instead of skeletal prosthesis.
Using implants we can restore the lack of a single tooth, but the benefit of the method is especially visible in the case of toothless jaw rehabilitation. Classical methods of supplying toothlessness are not always successful. Lower jaw is set on delicate tissues not adjusted to carry loads. In spite of using modern silicone materials (Molloplast) and complex prosthetic procedures (neutral surface technique), a few per cent of patients do not tolerate prostheses. In such cases it is advisable to use endosteal implants. The most comfortable, but the most difficult and the most expensive method is the implantation of 4 to 6 implants, and then fixed supply using a bridge. When it is anatomically or economically impossible to use 4 to 6 implants we propose to use two implants, and then join them by so-called Dolder’s footbridge and supply with prosthesis, taken off and fixed on a footbridge using precise poppers. The alternative solution is to use ball poppers fixed on implants.
- Is implantation a painful operation? The operation is done with local anaesthesia, which makes it painless. On the first or second day the patient may suffer from some discomfort, but it is easy to overcome with medicines. Generally, implantation is not a more burdening operation than tooth extraction.
- Is it possible to establish an implant just after extracting one’s own tooth? There are systems that allow such procedure. But Osteoplant needs a healed bone bed, which happens after about 3 to 6 months after the extraction. In some cases it is possible to put an implant in an unhealed dental alveolus, but the result of treatment may be worse.
- Is the patient’s age a limitation in using the method? Age is not a limitation. My oldest patient is 83 years old. The operation cannot be done in the case of diabetes, osteoporosis, neoplastic illness and mental illnesses. For Osteoplast the crucial bone height is 9 mm.
- Is there a guarantee for the service? In medicine there is no guarantee of 100% success. The guarantee may be given by a cheat, not by a doctor. Basic on statistical data it can be foreseen that the risk of failure is only about 5% (data concerning 3-year research of Osteoplant done in the Department of Dental Surgery of Medical Academy in Poznan). The lowest risk of failure is when using implants in the mental segment, a little bigger – in the lateral segment of the jaw, the biggest in the lateral part of the upper jaw.