Part Eight: Clinical Case of Dr. Ueli Grunder
As promised, we would like to present you the last part of a step-by-step clinical case of an immediate implant placement:
The planning of the procedure depends on the individual dental situation and will be discussed in detail with your dentist before treatment begins. The length of the treatment depends on the type of procedure and the number of implants to be placed. Dental implants are typically placed in an outpatient procedure with local anesthesia. The area of the procedure is made numb so that the implant can be inserted into the bone without pain. According to the implant size, the implant site will be prepared with special drills. The implant will then be accurately inserted into the jawbone. Primary stability, which is the firmness of the implant in the jawbone after placement, confirms the perfect fit of the implant in the bone immediately following implant insertion. This is one of the most important factors determining the success of healing.
Following dental surgery, the time at which a load is applied during implant healing plays a decisive role. The load refers to the crown, bridge, partial or denture. Late subjection to a load takes place following a certain period of implant healing (a few weeks to several months). Immediate or early load is when a crown is immediately placed on the implant after placement. This requires very good bone conditions, optimal primary stability and adequate oral hygiene. Dental implants require the same diligent oral hygiene as natural teeth. This includes regular check-ups and professional cleaning at the dentist. The long-term success of the treatment and the implant can only be guaranteed with meticulous care and regular checkups.
The treatment plan and the cost incurred for the procedure depend upon the oral situation of the patient and the type of tooth replacement that is chosen. Factors which can determine the cost of the procedure include the number of implants to be placed, if bone grafting is necessary, just to name a few. Therefore, no general cost guidelines can be provided. The dentist will prepare a detailed treatment and cost estimate to discuss with the patient prior to the procedure. A greater initial investment may be involved for dental implants; however, in many instances implants are the more economical choice in the long run.
The precise, automated testing and inspection systems in our production facility check critical dimensions of each individual part and are capable of roundthe- clock operation for the highest degree of safety and reliability. Careful planning, professional treatment and the patient’s health are also determining factors for longterm success. This success also includes regular visits to the dentist, professional dental hygiene care and thorough personal dental care.
Any surgical procedure carries a potential risk and complications cannot be predicted. This is why extensive consultations and examination by the dentist are essential. The risks of a dental implant procedure can be assessed before the day of surgery, but not completely eliminated. Poor oral hygiene or preexisting diseases (e.g. osteoporosis, diabetes) can have an effect on wound healing.
To limit the pain during surgery, implants are usually placed under local anesthesia. If there is any discomfort after the procedure, it can usually be treated effectively with light- to medium-strength pain medication. Applying a cold compress to the area can prevent swelling and limit discomfort. Nevertheless, if pain occurs it is best to contact your dentist.