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Dental implants

Complete dental implant FAQ

All the answers to your questions about dental implants.

Dental implants

Definition and basic principles

What exactly is a dental implant?

A dental implant is an artificial root, usually titanium or zirconia, inserted surgically into the jaw bone to replace the root of a missing tooth. It serves as a solid basis for attaching a crown, bridge or prosthesis. Thanks to a biological phenomenon called osteointegration, the implant is permanently integrated into the bone, ensuring stability and longevity to dental replacement.

What's a dental implant for?

The dental implant is used to restore a missing tooth in a fixed and natural way, without having to touch adjacent teeth as in the case of a classic bridge. It allows to regain masticatory function, aesthetics of smile and phonetic comfort, while preserving the bone volume, as it stimulates the bone as would a natural root.

How does a dental implant work?

The implant acts as an artificial root: once inserted into the alveolar bone, it integrates by a process of osteointegration, i.e. the formation of a direct link between the implant surface and the os. After a period of healing, a pillar (or beginning) is fixed on the implant to accommodate the prosthetic crown. This system reproduces the natural functioning of a tooth, both mechanically and biometrically.

What is the composition of a dental implant?

An implant consists of three main elements:

  1. The fixture, titanium or zirconia screw inserted into the os;
  2. The pillar (or beginning), which connects the fixture to the visible part;
  3. The prosthetic crown, visible artificial tooth.
Titanium is preferred for its biocompatibility and resistance, while zirconia is chosen for its aesthetic rendering and its total absence of metal.

What is the difference between implant, crown and bridge?

The implant replaces the root of an absent tooth, the crown is the visible part that mimics the tooth, and the bridge is a prosthesis that connects several teeth, natural or implantary. Unlike bridge, which often requires cutting the neighbouring teeth, the implant preserves the integrity of adjacent teeth and offers an independent and durable solution.

What is the difference between an implant and a removable prosthesis?

An implant is a fixed and integrated solution to the bone, providing the same sensation as a natural tooth. The removable prosthesis (drain) rests on the gum and can be removed, which sometimes causes discomfort, mobility or progressive bone wear. The implants offer superior comfort, better stability and a much more effective chewing.

Does an implant replace the natural root of a tooth?

Yes. The dental implant plays exactly the role of the natural root, transferring the chewing forces directly to the bone. This mechanical stimulation prevents bone resorption, a common phenomenon after extraction. Therefore, implants are the most physiological solution to replace a missing tooth.

How long does a dental implant last?

The average surgical implant placement lasts between 30 and 60 minutes The total duration of treatment depends on the d-osteointegration phase, which generally varies from one implant to another, depending on the complexity of the case. 8 to 12 weeks before the crown is laid.

Do you need several sessions to place an implant?

Yes, the implant treatment is carried out in several stages. The first session concerns the diagnosis and treatment plan, the second the surgical implant laying, then a healing period is necessary before the installation of the pillar and crown. In some cases, an immediate laying of the temporary crown can be considered if the bone conditions permit.

What are the steps of implant treatment?

The treatment is carried out in four phases:

  1. Pre-implant evaluation (oral examination, 3D radiography, digital planning);
  2. Implant surgery, with implant insertion into the bone;
  3. oosteointegration phase, during which the implant biologically integrates;
  4. Prosthetic phase, where the pillar and crown are laid.
Each step is customized according to the bone density, gum and aesthetic goals of the patient.

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Prices, refunds and quotations

How much does a dental implant cost in France?

In France, the average price of a complete dental implant (implant + pillar + crown) varies between 1 500 € and 2 500 € The cost includes surgical procedure, prosthetic components and custom-made crown manufacturing by a dental prosthetist. Personalized analysis is essential to establish a precise estimate.

Why is the price of an implant so high?

The cost of an implant reflects both the technicality of the surgical gesture, the price of biocompatible materials (titanic or zirconia), the sterile equipment needed, and the practitioner's know-how. To this, the prosthetic design is made to measure and the imaging tests (3D scan, digital planning). An implant is a highly technological medical device, designed to last several decades, which justifies its initial cost.

What is the price difference between an implant and a bridge?

A traditional bridge is often less expensive in the short term because it does not require surgery, but it involves cutting the neighbouring teeth, which can weaken the whole. An implant is more expensive at the unit, but it is more expensive at the unit, but it is autonomous, conservative and sustainable, without damage to healthy teeth. In the long term, the implant solution is generally more cost-effective and lasting.

Are dental implants reimbursed by Social Security?

No, dental implants are not not reimbursed The social security system, which is considered a comfort act, can only be partially reimbursed for the crown fixed on the implant, depending on the basis of reimbursement for dental prostheses. However, some mutuals or health insurances supplement this absence of care by specific packages.

Which mutuals best reimburse dental implants?

The best mutual societies are those which propose a annual or implant package, generally between 300 € and 1 000 € per tooth, depending on the level of warranty chosen. Some top-of-the-range complementarys (Harmonie Mutuelle, SwissLife, Apicillin, April, etc.) also include ancillary acts such as pillar or bone surgery. It is therefore essential to compare contracts on the basis of the global implant package and not the percentage of reimbursement.

How to get a quote for a dental implant?

An implantal estimate is established after a complete oral and radiological balanceThe dentist evaluates the quality of the bone, the position of the adjacent teeth, the aesthetic and functional needs of the patient. The estimate will detail the cost of each element (implant, pillar, crown), the necessary examinations and any complementary acts (bone graft, extraction, etc.). At the Dentaire Cabinet of Madeleine Paris, the estimate is given after a personalized numerical planning.

Does 100% Health cover dental implants?

No, the device 100% Health It does not support dental implants. It only applies to removable prosthetics or bridges on natural teeth, in certain ranges of materials and prices framed. However, an implant can be associated with a partially reimbursed crown as part of the classical prosthetic journey, according to the patient's mutual.

Can we pay for a dental implant in several times?

Yes, most firms, including the Smile Clinic, propose a payment in instalments In order to facilitate access to care, a 3- to 6-fold free settlement may be considered, or funding may be provided through a partner organization. These arrangements are specified when the estimate is submitted, in full transparency, before any patient commitment is made.

Is it possible to have an implant placed abroad cheaper?

Yes, some dental offices abroad (in Hungary, Spain or Turkey) have lower rates, but we must be vigilant about the traceability of implantssterilisation, post-operative monitoring and device guarantee. In case of complications, the resumption of treatment in France can cost more than an initial treatment performed locally under optimal safety conditions.

Are low-cost implants reliable?

Low-cost implants can hide savings on materials quality, surgical protocol or sterilization. CE-certified implants manufactured by recognized brands (Nobel Biocare, Straumann, Zimmer, etc.) benefit from decades of medical studies and international monitoring. It is therefore recommended to focus on the quality, traceability and competence of the practitioner rather than price alone, to ensure the stability and durability of the result.

Dental implants

Pain and comfort

Does the laying of a dental implant hurt?

No, the implant does not hurt. local anesthesia, in the same way as dental extraction, and the patient does not feel pain during surgery. Modern protocols, digital planning and atraumatic instruments allow a very precise and painless pose, often in less than an hour.

Do we suffer after an implant is laid?

After laying, one slight discomfort or sensitivity This sensation is due to the natural inflammatory reaction of bone and gingival tissue. Simple analgesics, prescribed in post-operative fashion, are sufficient to effectively control pain. The vast majority of patients resume normal life the next day.

What anaesthesia for a dental implant?

Dental implant is placed under local infiltrating anaesthesiaIn some cases (multiple implants, transplants, marked anxiety), one can propose a solution to the problem of the problem of the skin, which may be a problem. conscious sedation or a light general anaesthesia in specialized medical. These options allow maximum comfort and a totally controlled experience.

Can we do an implant under local anaesthesia?

Yes, in the vast majority of cases, a local anesthesia It ensures complete analgesia of the area operated while allowing the patient to remain conscious and relaxed. Modern anaesthesia techniques, combined with ultra-fine needles and slow injection, make the act almost painless, even for the most sensitive patients.

What do you feel after the surgery?

Within hours of surgery, the patient may experience a feeling of pull, pressure or heat These effects are transient and disappear gradually. An application of ice and prescribed anti-inflammatory treatment prevent discomfort. Most patients describe a surprisingly rapid recovery.

How long does the pain last after laying?

Post-operative pain, when it exists, is moderate and short duration It decreases significantly after 48 to 72 hours. Residual discomfort at the gingival or bone level may persist for a few days, but without impact on daily activities. If pain persists beyond a week, control is recommended to eliminate localised inflammation.

What if the pain persists for several days?

Persistent pain beyond 5 to 7 days should cause a control consultationIt may reflect peri-implant inflammation, bone compression or occlusal adjustment required. The practitioner will perform an oral and radiographic examination to check the stability of the implant and adapt the treatment (discharge, occlusion adjustment, antibiotic therapy if necessary).

Can you have fever after implanting?

One mild and transient fever In the 24 hours following surgery, a normal reaction to inflammation may be observed. However, persistent or high fever (over 38 °C) with pulsatial pain or significant swelling may indicate a new infection. In this case, it should be noted that the contact the firm quickly for proper control and management.

Is it normal to have the gum swollen after an implant?

Yes, one moderate swelling The icing of the gum is a natural postoperative reaction. It often appears 24 hours after laying and is absorbed in 3-5 days. The application of ice from the exit of the cabinet (in periods of 10-15 minutes) limits this edema. However, asymmetric swelling, painful or accompanied by a flow must be examined by the practitioner.

What to do if you are bleeding after you have implanted?

One slight blood sooting It is normal for the first few hours. Just compress the area with a sterile compress for 15 to 20 minutes. However, a heavy or persistent bleeding requires immediate control. It is recommended to avoid early mouthwashing, tobacco and physical effort for the first 48 hours, so as not to disturb coagulation and healing.

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Conditions and eligibility

Who can have a dental implant?

Any adult in general good health, with a jaw with sufficient bone volumeThe absolute contraindications are rare, but some unstabilised pathologies (severe diabetes, bone diseases, immunosuppression) require thorough evaluation. A 3D radiographic check and a medical check-up allow the feasibility of treatment to be verified safely.

From what age can an implant be placed?

Dental implant may be considered at the end of bone growtheither to 18-20 years, once the skeleton has matured by radiographic examination. Before this age, the maxillary bone is still in development and the implant may be in poor position over time. In adults, there is no upper age limit if bone state and general patient health permit.

Can we put an implant on an elderly person?

Yes, age is not a brake when overall health and bone density are sufficient. In elderly patients, implants provide a considerable gain in comfort and chewing A complete medical assessment is systematic to ensure good bone healing and to adapt anaesthetic or drug protocols.

Can smokers have implants?

Yes, but the tobacco significantly increases the risk of implant failurenicotine reduces blood microcirculation, slows healing and promotes peri-implant infections. It is strongly recommended to stop or at least reduce tobacco use before and after laying. In large smokers, a strengthened monitoring and hygiene protocol is systematically implemented at Smile Clinic.

Is diabetes a contraindication to the implant?

No, diabetes is not an absolute contraindication, but it must be balanced. Poorly controlled diabetes slows healing and increases the risk of infection. When blood glucose is stabilized and the patient is monitored medically, the rate of implant success is comparable to that of non-diabetic patients. Multidisciplinary follow-up between the dentist and the attending physician is recommended.

Can we put an implant in place after a recent extraction?

Yes, in some cases, an implant can be placed immediately after extraction, provided that the bone is intact and free of infection. This immediate implantation technique allows for preserve bone and gingival volume. However, if an infection or bone loss is present, it is better to wait 8 to 12 weeks for complete healing before implant placement.

What if the implant is too thin to place an implant?

If the maxillary or mandibular l bone graft or to a sinus elevation modern techniques, such as filling biomaterials or short implants, now allow for the treatment of the majority of cases of bone atrophy with high success rates.

What is a bone transplant before implant?

Bone transplant consists of reconstruct or thicken the alveolar bone The purpose of the implant is to restore a sufficient bone volume to ensure the mechanical and biological stability of the implant when it is integrated.

How long do you expect to wait after a bone transplant?

The time to heal after a bone graft depends on the type of material used and the extent of reconstruction. 4 to 6 months Before implanting, the time that the grafted bone is mineralized and consolidated can be shortened if the graft is small or associated with bioactive materials that promote regeneration.

Can we do an implant without a bone graft?

Yes, in many cases. Thanks to the progress of 3D imaging and computer-assisted planning, one can often optimize the axis and implant position Short, conical or zygomatic implants also help to avoid grafting in limited anatomical areas. The choice depends on each medical situation and the prior radiological diagnosis.

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Materials and types of implants

What is a titanium implant?

A titanium implant is the most common form of modern implantology. Made from pure titanium or a medical titanium alloy, it offers a excellent biocompatibility The material has a high mechanical strength, long life span and a medical success rate of over 95%. Titanium is now the most important of all. Reference standard implant surgery.

What is a zirconia implant?

Zirconia implant, or ceramic implant, is an alternative Metal-free, composed of zirconium oxide stabilized with l-yttrium (Y-TZP). white color close to natural toothIts excellent tissue tolerance and corrosion resistance. Used especially for patients allergic to metal or seeking maximum aesthetic result, it represents a major technological evolution in implant materials.

What is the difference between titanium and zirconia?

The titanium is a grey metal, more elastic and better documented medically, while the zirconia The titanium is slightly more resilient to mechanical stresses, making it ideal for later areas with high chewing. Zirconia offers an undeniable aesthetic advantage in visible areas, avoiding any metallic shadows under the gum. The choice depends on the size of the area, the size of the area, the size of the area, the size of the area, the size of the area, the size of the area, the size of the area, the size of the area, the size of the area, the size of the area, the size of the area, the size of the area, the size of the area, the size of the area, the size of the area, the size of the area, the size of the area, the size of the area, the size of the area, the size of the area, the size of the area, the size of the area, the size of the area, the size of the area, the size of the area, the size of the area, the size of the area, the size of the area, the size of the area, the size of the area of the area, the size of the area of the area, the size of the area of the area, the area of the area of the area, the area, the area, the area, the area of the area, the area, the area of the area of the area, the area of the area of the area of the area, the area, the area, the area of the area, the area, the area, the area, the, the, the, the, the, the, the, the, the, site, gingival biotype and aesthetic expectations patient.

Are ceramic implants as strong as this?

Yes, modern ceramic implants (Zirconia Y-TZP) have a fracture resistance comparable to titanium The current studies show that the flexibility of the two systems is slightly higher, but their fragility to flexion requires rigorous planning. mechanical and biological equivalent at five and ten years, subject to good hygiene and regular monitoring.

Can titanium implants cause allergies?

Titanium allergies are extremely rareThis metal is considered one of the most biocompatible in medicine, also used for joint prosthesis or pacemakers. In very rare cases, local or systemic hypersensitivity may occur, manifesting itself as an inflammation or skin reaction. A compatibility test (MELISA test) can be performed in patients with known allergic terrain.

Are zirconia implants better for aesthetics?

Yes, zirconia implants offer a superior aesthetic result In visible areas, thanks to their natural white colour which avoids the grey transparency of titanium under the fine gum. They are particularly suitable for the incisors and canine, where aesthetic requirement is maximum. Their gingival integration is also excellent, because zirconia promotes optimal adhesion of soft fabrics.

What is the standard size of an implant?

A standard implant measures on average 10 to 13 mm long and 3.5 to 4.5 mm diameter, but these dimensions vary according to the bone density and the location of the tooth to be replaced. Short implants (- 8 mm) or extra-long implants (- 15 mm) are used in specific anatomical cases, while the diameter is adjusted according to the available bone width. 3D planning allows you to choose the ideal dimensions for each patient.

What is a mini implant?

The mini implant is a small diameter (1.8 to 3 mm), mainly used for stabilize a removable prosthesis It is a simple and non-heavy solution, but it does not support the same loads as a standard implant. It is an effective back-up solution for patients who want to improve the maintenance of an appliance without the use of a bone transplant.

Can we replace a front tooth with an implant?

Yes, an implant is a good solution to replace an anterior toothIn this aesthetic zone, precise numerical planning is preferred to ensure perfect alignment and natural emergence of the crown. zirconia or titanium with ceramic pillar are often used to obtain a harmonious rendering with the nearby teeth.

Are molar implants different?

Yes, molar implants are usually used wider and more resistant, because these teeth are subjected to the highest masticatory forces. The choice of diameter and thread design is adapted to the posterior bone density, often more compact. Large platform titanium implants are preferred to ensure optimal primary stability and homogeneous distribution of stresses

Dental implants

Life expectancy and monitoring

What is the average lifespan of a dental implant?

The average lifetime of a dental implant is 15-25 years, but many implants remain functional over 30 years The long life of the implant depends on several factors: bone quality, oral hygiene, absence of tobacco, balance of occlusion and regular follow-up. In short, a well-placed and well-maintained implant can be considered as a quasi-final solution.

Can we keep an implant for life?

Yes, it is quite possible to keep an implant a lifetime, provided that the hygiene is maintained and regular professional follow-up is carried out. The implant itself is designed to last, but the health of the gum and surrounding l , is decisive. Appropriate hygiene and annual control prevent any peri-implant inflammation that may compromise its stability.

How do I know if an implant is still in place?

Stable implant does not cause no pain, mobility or discomfort The patient generally does not perceive anything abnormal. However, any signs of mobility, discomfort, bleeding or inflammation of the gum must lead to an examination. In practice, oral and radiographic control can be used to check the bone stability and the absence of resorption around the implant.

What if an implant moves?

Dental implant must never move. If mobility is found, it is either a detachment of the prosthesis (crown) or an osteointegration problem. In all cases, the practitioner should be consulted promptly. A control radio will be used to determine whether the implant should be removed or whether the prosthetic fixation can be simply tightened or replaced.

Do we have to check an implant regularly?

Yes, an implant requires an implant. regular follow-up, as well as natural toothThis control allows early detection of inflammation, marginal bone loss or occlusion imbalance. Visits also allow for cleanliness of hard-to-reach areas and for specific detarting around the implant crown.

How often are the controls after installation?

In the first year, a check is recommended every 3 to 6 months to monitor the healing and integration of the implant. Annual review This monitoring ensures the stability of the implant, the health of the gum and the quality of the prosthetic joint over the long term.

Do implants require a specific interview?

Yes, implants require a rigorous and adequate hygieneAlthough the implant cannot develop decay, the surrounding tissues can inflame (peri-implantite) in the event of inadequate hygiene. Careful brushing twice daily (minimum), combined with the use of interdentary brushes, special implant thread and antiseptic mouth baths, ensures the long-term sustainability of the treatment.

How to clean your dental implants?

The cleaning of an implant is based on a soft but complete mechanical brushing. A soft brush or an electrical brush, as well as a suitable one, should be used. Interdentary brushes to clean the outline of the pillar and under the crown. dental yarn specific for implants allow the plate to be removed in contact areas. Regular professional clearance completes maintenance.

Can we use an electric brush on an implant?

Yes, the electric brush is perfectly compatible If the implants are used, the head is soft and the pressure is avoided. The oscillation movements favour an effective cleaning of the gingival round. Some sonic brushes are even recommended for their gentle and precise action, especially in the later areas difficult to access.

What happens if you don't clean your implants properly?

Lack of hygiene around the implants may lead to inflammation of gums (mucositis), then one peri-implantitisThis infection causes progressive bone loss around the screw, which can lead to implant removal. Therefore, daily maintenance and regular monitoring are recommended to maintain the stability of the long-term result.

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Failure, infection and complications

What is an implant failure?

Implant failure is referred to as implant failure when an implant fails to integrate into the body for long or when it loses its stability after the healing phase. Early (absence of osteointegration) or late It is manifested by implant mobility, persistent discomfort or abnormal gingival inflammation. A medical and radiographic diagnosis helps to identify the cause of the disease.

Why can an implant fail?

An implant may fail for several reasons: post-operative infection, insufficient bone quality, mechanical overload, smoking, or uncontrolled systemic pathology (diabetes, osteoporosis). Sometimes, simple movement during the d-osteointegration phase is sufficient to compromise bone-implant fusion. Practitioner experience, sterility of surgical protocol and adherence to the treatment plan are crucial to avoid these complications.

What are the signs of an infected implant?

The signs of implant infection include a red gum, swollen, painful, sometimes with purulent flow, bad breath or metallic taste. mild fever If these signs appear, it is recommended to consult immediately, as an untreated infection can quickly evolve to peri-implantitis and compromise bone anchoring.

What to do if you have infection after implanting?

If infection occurs, consult immediately the dentist surgeonThe treatment is based on thorough site cleaning, sometimes associated with targeted antibiotic therapy and antiseptic rinsing. In advanced cases, surgical debridation may be necessary to eliminate infected tissues. Save the implant if bone loss is still limited.

What is a peri-implantitis?

Peri-implantitis is a chronic infectious inflammation tissue surrounding an implant, comparable to a periodontitis on natural tooth. progressive destruction of the bone The origin of the ligament is usually bacterial, due to poor hygiene or mechanical overload. Without treatment, it leads to loss of the implant.

How to avoid peri-implantitis?

Prevention is based on a oral hygiene is irreproachable, stop smoking and regular monitoring in the firm. A suitable brushing, the use of interdentary brushes and specific threads allow to eliminate the plate around the implant pillar. In consultation, the professional and radiographic screening allow for the detection of any beginning inflammation and early intervention.

Can the implant be rejected?

The term failure of osteointegrationThis failure may occur within weeks of the implant being placed. It is not a biological rejection but a lack of mechanical fusion between the implant and the bone.

What if an implant is rejected?

If an implant fails to integrate, it is removed under local anaesthesia, then the area is left to heal for a few weeks. Once l new location may be considered After radiographic evaluation. In some cases, local bone intake may be necessary to ensure better anchoring conditions when re-treatment is resumed.

Can we re-implant after a failure?

Yes, in most cases. 2 to 6 months, and depending on the remaining bone quality, a new implant can be rested with a success rate equivalent to that of a first implant. 3D analysis allows to determine the ideal new position and, if necessary, to plan a complementary bone transplant before re-implantation.

Is it normal to have pain several months after laying?

No, persistent pain several months after laying is not normal It can be used to test for peri-implant inflammation, occlusal overload or, more rarely, contact with a sensitive anatomical structure. rehabilitation or localized treatment I think that the problem is solved.

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Post-position diet and habits

What can be eaten after an implant is placed?

After surgery, it is advisable to give preference to a soft, lukewarm and non-irritating diet Soups, purees, compotes, scrambled eggs, tender fish or yogurt are ideal. You should avoid foods that are too hot, hard or crispy and that can cause pressure on the area. This gentle diet promotes optimal healing and reduces post-operative pain.

Should we avoid certain foods?

Yes, during the first week, we must avoid the Hard foods (bread, dried fruits, fibrous meat)These foods can irritate the gum, disrupt the healing clot or move the protective cap. It is also recommended to avoid soft or acidic drinks temporarily, which can damage the tissues operated.

When can we eat again normally?

The recovery of normal feeding is possible after 7 to 10 days, when the gum is well healed and no discomfort is felt at chewing. If the final crown is not yet laid, however, it is necessary to avoid overly soliciting the implantary zone in order not to compromise the current osteointegration. The practitioner will specify the ideal moment according to the stability obtained.

Can you drink alcohol after an implant?

It is strongly recommended that alcohol be not used in the 48 - 72 hours after surgery, because it delays healing and interferes with certain drugs, especially antibiotics. In the long term, moderate consumption does not pose any particular problem, but high-dose alcohol alters gingival vascularization and can weaken peri-implantal tissues.

Can you smoke after an implant is laid?

It is preferable to avoid tobacco completely for at least 7 to 10 days after the interventionIn the case of regular smokers, specific accompaniment and enhanced oral hygiene instructions are systematically offered to Smile Clinic.

Is coffee not recommended?

Coffee is not prohibited, but it is necessary to avoid the very hot drinks The heat can disrupt clotting and cause local inflammation. It is therefore advisable to drink lukewarm coffee and rinse the mouth with water after consumption, in order to avoid any staining of the gum or deposit of residues in contact with the area operated.

Can we chew on the implant side right now?

No, it is best to avoid any chewing on the side of the implant during at least one week, or even longer if the final crown is not yet in place. This caution prevents the transmission of mechanical stresses on the implant in the d-osteointegration phase. The practitioner will specify precisely when it will be possible to resume a balanced chewing on both sides.

How long does it take to resume normal diet?

In general, a complete diet can be resumed between 10 and 15 days After surgery, depending on comfort and gingival healing. If a pillar or temporary prosthesis is in place, the waiting time can be extended. It is always best to reintroduce the food gradually, starting with soft textures before returning to a complete chewing.

Should we have a special diet after surgery?

No specific diet is necessary, but a diet balanced, high in protein, vitamins C and D, calcium and zinc The soft foods rich in nutrients, such as fish, eggs, steam vegetables and ripe fruit, are recommended for bone and gingival regeneration. Good hydration and a limitation of simple sugars also help prevent post-operative inflammation.

Can we do sports after an implant is laid?

It is recommended that: suspend all intense physical activity for 5 to 7 days After implanting. The exercise increases blood pressure and may cause bleeding or swelling in the area. Gradual recovery is possible after this, depending on the patient's comfort. Contact sports or at risk of facial shock should be avoided for about three weeks.

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Aesthetics and results

Does the implant see you when you smile?

No, a well-designed and well-positioned implant I can't see you at all.. It is placed under the gum, invisible to the naked eye. What is perceived is only the prosthetic crown, made to measure to perfectly imitate the tint, shape and translucency of the nearby teeth. In very visible areas, precise aesthetic planning and the use of ceramic pillars allow to obtain an unsensable rendering of a natural tooth.

What is the aesthetic difference between implant and classic crown?

A crown on natural tooth rests on an existing root, while a crown on implant is fixed on an artificial root. From a visual point of view, the difference is almost non-existent If the prosthetic work is well done. L-implant even sometimes offers an aesthetic advantage, as the shape, shade and symmetry can be completely customized without depending on an underlying tooth weakened.

Can we put an implant on a front tooth?

Yes, this is one of the most common indications. However, the anterior implant requires a careful aesthetic planning In this visible area, a special emphasis is placed on the protection of bone and gingival. zirconia implant or ceramic pillar To avoid any grey shadow under the gum. A personalized emergence profile is created to ensure perfect harmony of smile.

Does the implant make the smile more natural?

Yes, a properly integrated implant improves the symmetry and continuity of the smile. It allows for recreate the aesthetics of a natural tooth The modern ceramic prosthesis, pressed or laminated, reproduces the translucency and brightness of the enamel. Combined with a well-modelled gum, the implant gives a harmonious and authentic smile.

What if the gum is too thin around the implant?

A fine gum may be reinforced by a connective tissue transplant or Gingival reconstruction This type of intervention not only improves the aesthetics, but also the durability of the result by protecting the implant neck. At the Smile Clinic, each aesthetic case is evaluated using the photogrammetry and 3D planning to anticipate the ideal gingival morphology.

How to harmonize the crown color on implant?

The colour of the crown is determined from a digital code or by a tint camera, to accurately reproduce the colour and translucency of the nearby teeth. Ceramicists use porcelain layers of different shades to imitate the reflections of natural enamel. If necessary, the final colour can be adjusted after fitting for a perfect chromatic alignment.

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Procedure and time limits

How long does it take to pull the implant?

The time depends on the state of the bone and the tissue after extraction. In a healthy site, the implant can be placed immediately after extraction If an infection is present or the bone wall is altered, it is better to wait until the infection is present. 8 to 12 weeks This time period ensures better stability and promotes optimal osteointegration.

How long does it take to lay the crown after implant?

In general, the final crown is laid between 2 and 4 months after surgery, the time that the implant completely integrates into the bone. This delay of osteointegration varies according to bone density, location (maxillary or mandible) and the technique used. In some cases, a temporary crown can be placed immediately for aesthetic reasons, before the final prosthesis.

How long is the total duration of the implant treatment?

The total duration of implant treatment varies on average from 3 to 6 months, including surgery, bone integration and prosthesis manufacturing. In case of a prior bone transplant, treatment may extend to up to 9-12 monthsEach step is planned individually to ensure biological stability and a sustainable aesthetic.

Can we put an implant in one session?

Yes, in some cases, it is possible to achieve a implant and temporary crown pose in the same session. This technique, called Implementation and immediate loading, allows the patient to leave with an aesthetic tooth from the day of surgery. However, it requires sufficient bone volume and perfect primary stability of the implant.

What is an immediate post-extraction implant?

A post-extraction implant is inserted immediately after the tooth is removedThis approach preserves bone volume and gingival contour, reducing the number of procedures and duration of treatment. However, it requires a total absence of infection 3D planning is essential to ensure the accuracy of the gesture.

What is a basal implant?

Basal implant is a specific technique using deep cortical lIt is more dense and stable than spongy bone. It helps to avoid bone grafts in patients with significant resorption. These implants are often immediately loaded, with a prosthesis fixed within 48 to 72 hours. They are used mainly in complete rehabilitations or cases of severe bone deficiency.

What is implant-guided surgery?

Guided surgery consists of the implant laying with the help of a 3D printed surgical guide, designed from a scanner (CBCT) and a digital footprint. This technology allows to position the implant with a Micrometric accuracywhile reducing incisions, operating time and post-operative suites. It significantly improves patient safety and comfort.

Is computer-assisted implantology safer?

Yes, computer-assisted implantology offers a increased security and predictabilityThrough digital planning, the practitioner visualizes the patient's 3D anatomy (bones, sinus, nerves) and determines the exact axis, depth and size of the implant before surgery. This approach reduces the risk of perforation, error in angulation or nerve injury, while ensuring an optimal aesthetic result.

What difference between classical implant and mini implant?

The classic implant is a standard implant of 3.5 to 4.5 mm diameter, intended to support fixed crowns or bridges. mini implant, finer (1.8 to 3 mm), is used for stabilize a removable prosthesis It does not support the same masticatory forces, but is an interesting alternative for patients who cannot benefit from more invasive bone surgery.

Can we do multiple implants at the same time?

Yes, several implants can be placed at the same meeting, provided that health, bone density and planning allow it. Place multiple implants simultaneously reduces the number of interventions and accelerates overall rehabilitation. In the complete cases (All-on-4, All-on-6), surgery is optimized to rebuild an entire arcade in one step.

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Advanced techniques and complete rehabilitation

What is the All-on-4 concept?

The concept All-on-4 consists of reconstructing a complete arcade (up or down) with the help of four implants strategically positionedBoth posterior implants are tilted to maximize bone contact and avoid sinus or nerve zone. This approach allows to anchor a fixed prosthesis immediately after surgery, without prior bone grafting. It is a fast, stable and aesthetic solution for patients with edentes.

What is the All-on-6 concept?

The Protocol All-on-6 follows the same principle, but with six implants per arcade, offering a wider support surface and a more homogeneous distribution of masticatory forces. It is preferred when bone density is sufficient and it is desired to achieve maximum durability. The All-on-6 is often recommended for high-end rehabilitations with fixed screwed prosthesis in ceramic or zirconia.

How many implants does it take for a complete jaw?

For a complete rehabilitation, it is usually necessary to between 4 and 8 implants per jaw, depending on the bone quality and the type of prosthesis desired (fixed or removable on bars). Four implants are sufficient for an All-on-4, but a higher number offers more stability in the long term, especially in areas with low bone density. The decision is made after a 3D scanner and custom digital planning.

Is a bridge on implants more stable than a prosthesis?

Yes, one fixed bridge on implants It is much more stable than a removable prosthesis. It is screwed or sealed directly on the implants, reproducing the sensation and function of natural teeth. Unlike removable prosthesis, it does not move, does not require adhesive and allows a powerful and comfortable chewing. It is the closest solution to natural teething.

Can we do a complete rehabilitation without a bone graft?

Yes, thanks to modern techniques such as the All-on-4, All-on-6 or basal implantsThese protocols exploit the cortical areas still available to ensure stability. 3D imaging allows implants to be positioned optimally even in cases of advanced resorption. The use of grafting is now becoming more rare.

What is the difference between unit and multiple implants?

One unit implant replaces a single missing tooth with an individual crown, while a single tooth is replaced by a single tooth. multiple implant The unit implant works as an isolated root, while the multiple implants distribute the forces between several pillars. The choice depends on the number of teeth absent, the space available and the aesthetic or functional constraints.

Can we put an implant on a tooth that has been missing for a long time?

Yes, even after several years of implantation, implant placement remains possible. However, alveolar bone has often undergone a progressive resorption, sometimes requiring partial transplant or bone reconstruction. A 3D scanner will allow to evaluate the remaining bone volume. In many cases, short or inclined implant techniques allow to place the implant without prior transplant.

What is immediate loading?

The immediate loading is to fix a prosthesis (often provisional) on the implants within 24 to 48 hours of their layingThis technique is indicated when the primary stability of the implants is excellent. It allows the patient to immediately regain a functional and aesthetic smile. The definitive prosthesis is then placed after the complete d-osteointegration phase.

Can we put a provisional prosthesis on the same day?

Yes, in the context of a Implementation and immediate loadingA temporary prosthesis can be placed on the day of surgery. This temporary crown or bridge is lighter and slightly disenclused so as not to overload the implants during the healing phase. This approach allows the patient to never stay edented, while ensuring controlled bone integration.

How long does surgery last with the definitive prosthesis?

The average time between implant placement and the final prosthesis is 2 to 6 months, depending on bone quality, location and type of implant. This time period corresponds to the time of osteointegration, i.e. the biological fusion between the los and the implant surface. Once this phase has been validated radiologically and clinically, the definitive prosthesis is performed with precise adjustment of the tint and occlusion.

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Long-term maintenance

Should we do implant screening?

Yes, one regular detarring The implant is essential to protect the health of the tissues around the implants. Even if the implant cannot develop decay, plaque and tartar can cause gingival inflammation or peri-implantitis. specific instruments of titanium, medical plastic or carbon fibres, in order not to scratch the implant surface. Professional testing every 6 to 12 months is recommended.

How to brush around an implant?

The brushing must be gentle but careful. Brush twice a day with a soft or electric brush, by making circular movements at the gum-crown junction. Adapted interdentary brushes (fine size and soft hair) clean the implant neck and interprosthetic spaces. The aim is to eliminate any plaque without irritating the gum.

What toothpaste to use with an implant?

It is preferable to use a non-abrasive toothpasteThe formulas enriched with fluorine, zinc or antibacterial enzymes promote gingival health. Toothpaste for sensitive gums or implant carriers are ideal, as they respect the balance of the oral flora and prevent peri-implant inflammation.

Do you need a special dental floss for implants?

Yes, implants require the use of specific dental yarn, as the Super Floss or wires with rigid ends and spongy zone. They allow easy passage under bridges or around implant pillars. These wires are designed to remove the plate without injuring the gum or damaging the surface of the crown. Their daily use completes mechanical brushing.

Is dental jet recommended?

Yes, the dental spray (hydropulent) is a good complement to brushing. It helps to remove food debris and reduce bacterial load around implants. Its use should be soft, without excessive pressure, by directing the jet along the gum and not directly on the implant neck. It does not replace brushing, but significantly improves the cleanliness of difficult access areas.

What products should be avoided with implants?

The abrasive toothpastesmouthwashes containing alcohol or aggressive bleaching agents, as well as metal toothpicks, can irritate soft tissue or damage the surface of the pillar. Similarly, prolonged antiseptic solutions are not recommended without medical advice, as they may unbalance the oral flora.

Can we do ultrasonic screening on implants?

Yes, provided the apparatus is equipped withPEEK specific tips, titanium or carbon fibre. Conventional metal tips may remove the implant surface and promote bacterial adhesion. The practitioner always adapts the power and frequency of ultrasound for effective but atraumatic cleaning. It is a perfectly safe act when performed by a trained professional.

How many times a year do you have to check?

An implant must be checked at least once a yearThe follow-up includes oral examination, occlusion control and, every two years or so, a follow-up of the patient's history. maintenance X-ray. This regular monitoring allows for rapid intervention in case of bone loss or inflammation.

Can we get a gingivitis around an implant?

Yes, we're talking about peri-implant mucositisIt is shown by redness, swelling or slight bleeding at brushing, without bone damage. If it is quickly treated by professional cleaning and improved hygiene, it is completely reversible. However, without treatment, it can evolve towards a more severe peri-implantitis.

What are the signs of a healthy implant?

A healthy implant is perfectly stable, painless, surrounded by a pink, firm and non-flammated gum. It does not present any bleeding at brushing, bad smell, or sooting. The prosthesis must be well adjusted, without mobility or discomfort to chewing. On the x-ray, the bones around the implant must appear dense and homogeneous, sign of a solid and lasting osteointration.

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Special cases / specific situations

Can we put an implant on after a periodontal disease?

Yes, but only once the periodontal disease stabilized and controlled. Patients with periodontitis are at increased risk of developing inflammation around implants (peri-implantitis). Before any implantation, complete sanitation treatment is essential, followed by a strengthened hygiene protocol and regular follow-up. When properly maintained, implants have a similar success rate to those of patients without a disease.

What if I have little bone available?

When bone volume is insufficient, several solutions exist: bone graft, filling with biomaterials, short implants or basal implants. The 3D tomography (CBT scanner) allows accurate assessment of bone height and width. Thanks to modern techniques, it is now possible to place implants even in situations of high degenerative intensity, often without heavy surgery.

Can we put an implant on after radiation therapy?

Yes, but with caution. Radiation therapy, especially in the head and neck, reduces the amount of radiation that can be used to reduce the amount of radiation that can be used. bone vasculization and increases the risk of delayed healing. Implant placement is possible after a delay of Minimum 6 to 12 months, and only after advice from the oncologist. In some cases, hyperbaric oxygen therapy or a progressive approach is recommended to promote bone regeneration.

Can we put an implant on a very thin jaw?

Yes, specific techniques can be used to treat fine jaws: short implants, conical implants, bone expansion, 3D apposition transplant or guided surgeryThe analysis of bone volume on scanner allows the diameter and length of the implant to be adapted to the anatomical profile. These modern protocols offer a reliable alternative without systematically resorting to a large transplant.

Can we put an implant in after a broken tooth or shock?

Yes, the implant is a solution after dental trauma, provided that the alveolar bone is not too damaged. In favourable cases, the implant can be placed immediately after extraction If the root is cracked or infected, complete healing (8-12 weeks) is required. A radiological assessment is always required to plan for replacement.

Is it risky during pregnancy?

Yes, any implant surgery is Not recommended during pregnancyEven if the anaesthetic risk is low, it is preferable to postpone the procedure after delivery to avoid unnecessary surgical or medication stress. or digital planning can be performed safely during pregnancy, in order to anticipate postnatal treatment.

Are implants compatible with scanners and MRI?

Yes, titanium and zirconia implants are fully compatible with imaging testsTitanium is a non-ferromagnetic metal, therefore safe in MRI. On the other hand, it can cause slight localized image distortions. This does not hinder the realization of a scanner, a panoramic X-ray or an MRI, except in the immediate area of the implant.

Can implants trigger an allergy?

Allergic reactions to implants are extremely rareTitanium and zirconia are highly biocompatible materials. In very rare cases, titanium hypersensitivity can cause chronic inflammation. For patients with known metal allergy, a high degree of hypersensitivity to titanium can cause chronic inflammation. compatibility test (MELISA) may be prescribed prior to surgery, and a proposed ceramic alternative (zircona).

Can we get an implant if we have heart disease?

Yes, provided the pathology is stabilized and followed medically. Implants do not pose a direct contraindication, but the practitioner adapts the anesthesia, the prescription and the duration of the procedure. Coordination with the cardiologist is systematic in case of anticoagulant or antiplatelet treatment, in order to avoid any bleeding risk.

Do implants require systematic antibiotic therapy?

Yes, one short antibiotic prophylaxis It is usually prescribed prior to surgery to reduce the infectious risk. It often consists of a single dose or treatment of 2-3 days, depending on the protocol. However, prolonged antibiotic therapy is not systematic and is only indicated in case of special risk: bone graft, diabetes, immunosuppression or an infectious history.

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PMadeleine-Tronchet (21 Pl. de la Madeleine, 75008 Paris)
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