|Benefits:||no grinding of adjacent teeth, high-quality aesthetical treatment possible|
|Anaesthesia:||local anaesthesia, twilight sleep, general anaesthesia|
|Risks:||in rare cases loss of the implant|
Advantages of the Zahnklinik ABC Bogen
In our dental clinic, a team of experienced medical specialists is waiting for you with comprehensive consultation, individual therapy and superb medical treatments. When it comes to dental implants, we offer:
- More than 15 years of implantology experience
- Gentle microsurgical methods
- 3D-planning with state-of-the-art technology
- Modern materials
- Up-to-date science
The Design of Implants
Implants borrow their design and appearance from natural teeth. In total, an implant consists of three components.
Using a thread, the cylindrical artificial root or implant body is being implanted in the jaw bone. Here it will grow together with the jaw bone. The implant body is the fundament for the implant crown which is positioned on top of it once the healing time is over.
The implant-abutment is a tailored compound made of titanium or ceramic, that connects the implant body and the crown. Because of its two-sided interface it can also be called an adaptor. The implantologist screws the lower half into the implant body. Afterwards, he attaches the crown, dental bridge or dental prothesis on top it.
Next to this construction, there are one-piece designs. However, these constructions offer only little choice when it comes to different kinds of artificial teeth. That is why, they are less common.
The denture on the artificial root (a single crown, bridge or prothesis) is firmly attached to the implant-abutment. Materials used for artificial teeth are usually ceramic or metal. Next to a crown, there are other kinds of artificial teeth available like firmly attached bridges, so-called telescopic protheses and full dentures. These come in use when more than one tooth is missing or the whole jaw has become toothless.
By appearance and even functionality, artificial teeth can hardly be distinguished from your own teeth.
The Material of Dental Implants
Next to the thread-design of the implant body, the material plays an integral role for the implant to be able to heal together with the jaw bone and function as a reliable dental prothesis for many years.
Ceramic implants are in use for more than 30 years, although the treatment has been less successful in former years. Even the term “ceramic implant“ is somewhat misleading. In fact, the aluminium oxide that was used previously has little to do with ceramic, the same holds true for zirconium that is being used today. With their particular characteristics, these materials resemble metal more than ceramic. However, they are generally referred to as free of metal.
In the context of titanium intolerance or titanium allergy or when people are looking for alternative materials, the above occasionally enter the spotlight. But from a medical perspective, these materials are only a mediocre alternative to the tried and tested dental implants made of titanium.
Pros and Cons of Ceramic Implants
Until now, genuine allergic reactions to titanium have not been verified. However, due to the elaborate manufacturing process and higher costs titanium implants often don’t exclusively consist of titanium. For a very small number of patients, parts of titanium alloys are suspected to cause intolerances—other than zirconium implants. Apparently, with zirconium inflammations are less frequent too. But the data has yet to be confirmed by scientific studies.
An advantage of ceramic is its light colour which resembles natural teeth. For this reason, ceramic is used especially for anterior teeth.
A disadvantage is the relatively long healing time for ceramic implants: It can last up to six months; titanium on the other hand often doesn’t need more than three months to heal. Disadvantages also result from the construction of ceramic implants, as they are most commonly used as a single-piece implant. This makes it necessary to precisely position them in the jaw bone from the beginning on, which in turn precludes the possibility of later-stage adjustments.
On the other hand, two-piece-systems, that can be screwed or glued, can break more easily and are more susceptible to plaque in-between the implant parts. What is more, a ceramic implant can’t be grinded after it has been attached due to the risk of breakage. Under certain conditions they also tend to be less durable.
The following characteristics render titanium a reliable material for dental implantology:
- High skin and body compatibility: Generally, titanium is being accepted by the body as a dental implant material und heals harmonically together with the jaw bone. It requires a rather short healing time. There is a high probability that titanium has only little or no allergic potential at all. Especially for patients with other metal-allergies, titanium represents a good alternative.
- Little thermal conductivity: Titanium is not a good heat conductor, which mitigates the potential for pain when it comes to hot and cold food and beverages.
- X-Ray-permeability: After the ceramic implant has been implanted, x-rays that show the progress of the jaw bone don’t pose any problems.
- Versatility: From a medicinal standpoint, titanium can easily be dealt with and used for several dental purposes. That is one of the reasons, why current dental technology uses roots made of titanium, as well as bridges, crowns and casting plates.
The Procedure of Implantation
Precision is of the utmost importance. Otherwise, the implant can’t harmonically heal together with the surrounding jaw bone. After it healed, the artificial root is a solid base for the denture: a crown, bridge or prothesis.
Consultation & Development of Your Treatment Plan
First, we invite you to an in-depth consultation in order to carefully plan your implantation from beginning to end. During the consultation you can share your individual ideas and concerns in regards to the denture. Our priority is to give you guidance when it comes to the various possibilities of modern dental implants and to choose the treatment that best suits your needs. After a first diligent examination, we use the results to create your personal treatment plan.
With conventional diagnostic procedures, it is difficult to achieve a first-class result. That is why, we use state-of-the-art technology to precisely determine your individual situation. For example, we scan the complete jaw bone with three-dimensional X-ray to create a digital model of it.
This so-called digital volume tomography includes 3D-scans and a 3D-navigation, that allows for the most precise planning and the highest safety for each individual step of the treatment. Another advantage of the digital volume tomography is that it significantly reduces the risk of harming the nerve pathways in the jaw bone during the implantation because even the smallest structures can be seen in detail prior to the surgery. What is more, digital volume tomography reduces the radiation burden by 90 per cent compared to conventional X-rays.
Thanks to the 3D-scans of your teeth and jaw, we can identify the exact location for your implants, precisely plan the implantation and create an accurate template for the surgery.
Generally, any caries, gum infection and periodontitis need to be healed before the procedure. Otherwise, this would pose a risk to the dental implant. In some cases, preliminary bone grafting is necessary for the secure fixation of the implant—for example, when the jaw bone has regressed and the bone volume is reduced due to a long period without teeth. The prolonged use of a prothesis can also lead to a degeneration of the jaw bone.
In these cases, the necessary bone substance has to be made before the implant can be fixed on a suitable fundament. The bone grafting can be done with endogenous bone matter, i.e. with a sample from a different part of the jaw or the iliac crest. Special synthetic materials can be used as well.
Like the planning process, the actual implantation is performed with the help of computer-based navigation. For the usually pain-free process to start, there needs to be an access to the jaw bone. This is achieved by a small cut in the gum.
Afterwards, a precise and small opening is drilled into the jaw into which the implant body—made of titanium or ceramic—is placed. After the fixation, the small cut above the head of the bolt is closed with a few stiches. From this moment on, the healing process of the implant in the jaw bone starts.
Once the implant is fixed onto the upper jaw, the healing time can take between three and six months. Because the lower jaw is slightly more stable, this process only takes two to four months. During that time, the implant heals together with the jaw bone.
Until the denture can be placed unto the implant, we provide you with a fixed and aesthetically pleasing temporary appliance, that restores quality of life.
Fixation of the Implant
After the healing time is over and the engraftment of the implant is complete, the gum is being prepared for the denture. The aim is for the denture to be accepted and enclosed by the gum like a natural tooth.
For the attachment of the top part of the denture, the respective area of the gum again has to be opened slightly. Now, a kind of tiny post is added to the implant, the so-called ‘gum-former’.
In a next step, we make an impression of your teeth, with which the dental technician can begin to manufacture the denture. After around two weeks, the interims solution can be removed and the defined denture can be fixated onto the implant. From now on, you won’t be able to feel a difference between the denture and your natural teeth.
Aftercare for Dental Implants
Because our treatment with high quality dental implants is performed by experienced specialists, your implant—which is now healed into the bonebed and enclosed by healthy gum—will most likely last you for a long time.
In rare cases, dental implants get rejected—however, their durability directly depends on diligent care and regular dental check-ups. Dental implants are not only as functional as your own teeth, they also have to be taken care of as such.
Durability of Dental Implants
The term ‘durability’ suggests that an implant could have something like an expiry date. Fortunately, this is not the case. It depends on various factors, how long the quality of life and the joy in connection with your (artificial) teeth last. Your overall oral health plays an important role, as well as the craftsmanship and medical quality of your implant and the effort you put into oral hygiene at home.
You can count on a long lifespan of your implant if it healed successfully together with the bone and if you make sure to come in for regular check-ups. Given due diligence and the absence of any chronic diseases, the dental implants of around 90 per cent of patients remain free of any flaws even after ten years—they can even last for a whole life.
Experience with Dental Implants
Competent and Appealing Clinic with Great Offers
Today, I had a surgery for two implants at the recommendation of Dr. Brinkmann. Everything went according to plan and by the evening I am already pain-free. Very satisfied!
As a “dentist neurotic” I decided to get two implants. I received a pain-free and up-to-date treatment by Dr. Brinkmann, a renowned specialist for implantology. I was also treated by Dr. Friedrich. The best place for anxious patients. Very friendly doctors with a lot of understanding and empathy. Very reassuring and excellent at quieting anxieties.
Competent Doctors – Highly Recommended
Because of the bad state of my teeth and jaw, my treatment included a complicated bone grafting process, several implants and a very elaborate treatment with dental protheses. Due to the outstanding work of the doctors, the complicated treatment was successful. With its expert knowledge and interpersonal skills, the clinic and its doctors convinced me 100 per cent.
Absolutely reliable, competent and probably the best clinic in Hamburg.
Complete grafting of the upper jaw incl. implants of incisors etc.
All went perfectly well!
Everything Under One Roof!
In the Klinik ABC Bogen, I had a comprehensive treatment during which I dealt with dentists, orthodontists, implantologists and the friendly staff. At any time, I felt taken care of and informed. The result is very satisfying. Highly recommended!
For years, my teeth caused a lot of problems. Not always these problems were solved in a satisfying manner by doctors here in Schwerin. That is why, I decided to look for something new. I chose the ABC BOGENKLINIK. I never regretted my choice. I was met by a very competent team, especially Dr. Brinkmann and Dr. Adam. Atmosphere, friendliness and performance—all was brilliant!!!!
Costs of Dental Implants
The cost of your individual implantation depends on your health situation, the choice of implant system, the material, location and number of necessary implants.
After a comprehensive examination, we offer a detailed consultation including a quote for your dental implant after your insurance send over the according treatment budget. At any time, we are happy to assist with useful advice and alternatives.
Using this example calculation, we want to show you what the cost of an implantations is comprised of:
Costs for Diagnostic Analysis
|Service||Costs for Diagnostic Analysis|
|Detailed Examination, Initial Consultation, Panoramic Tomography||80 – 100 €|
|Computer-Generated Template for Planning and Surgery||200 – 450 €|
|Digital Volume Tomography||250 €|
Cost for Augmentation / Bone Grafting / Sinus Lifting
|Grafting of Alveolar Process Using Bone Tissue and Bone Substitutes (without Sinus Lift) in Incisor Region with Bone Block*||1.350 – 1.750 €|
|Unilateral Subantroscopic Laterobasal Sinus Floor Augmentation and Unilateral Alveolar Process Augmentation with Implantation of Bone Tissue and Bone Substitutes and Membrane||1.500 – 1.900 €|
|Unilateral Sinus Floor Augmentation and Alveolar Process Augmentation with the Implantation of Bone Tissue and Bone Substitutes and Membrane||2.800 – 3.200 €|
* Depending on Complexity of the Surgery and Necessary Material
Cost for the Insertion of the Implantation
|i.e. Camlog-Implant Including Implant Components and Surgery Materials||1.150 – 1.400 €|
|i.e. Camlog-Implant plus Simultaneous Bone Apposition Including Implant Components and Surgery Materials||1.500 – 1.950 €|
Cost for Single Crowns
|Tailored Ceramic Crown||700 – 900 €*|
|High-Gold (Depending on Current Gold Price)||900 – 1.250 €*|
|Single Crown (Zirconium/Individual Ceramic Veneer)||1.200 – 1.350 €*|
* Depending on Implant System
Cost for Bridge Treatment
3-Unit Bridge Treatment (2 Implants with Single Pontic)
|Tailored Ceramic Crown||1.950 – 2.400 €*|
|High-Gold (Depending on Current Cold Price)||2.300 – 2.750 €*|
|Zirconium / Individual Cerarmic Veneer||2.650 – 2.950 €*|
Bridge Treatment with Toothless Jaw
|Bridge Treatment on 8 Implants||14.000 – 16.500 €*|
* Depending on Implant System
Costs for Removable Dentures
|Gum-free Telescopic Bridge (Double Crown Galvano) on 8 Implants||11.000 – 13.500 €*|
|Telescopic Prothesis / Overdenture (Double Crown Galvano) on 6 Implants||9.800 – 13.000 €*|
|Overdenture plus tailored Link (Ball Attachment, Locator) on 4 Implants||6.500 – 9.000 €*|
* Depending on Implant System
Risks of Dental Implants
Many patients believe that a dental implant can hardly be distinguished from a natural tooth. This is true in functional and aesthetical terms—however, it is important to treat the implant like it was a natural tooth. Beyond common and oral-hygiene-related problems there is the risk of peri-implantitis, a rare but occasionally severe consequence of implantations.
It is important, to acknowledge that the dental implant—despite its similarity with natural teeth—remains a foreign body in the mouth. Your organism can react to it in different ways, even with a rejection of the implant that can develop slowly over several years or lead to a loss of the implant altogether.
Often unnoticed in the beginning, peri-implantitis can lead to bone resorption around the implant. Often, this can only be discovered with regular X-ray check-ups, sometimes long after the initial implantation.
Reasons for Peri-Implantitis Can Be:
- Significantly impared overall health
- Adverse conditions of gums and jaw
- Unsuitable or inferior implant system
- Surgeon or implantologist with little experience
- Adverse prothetic treatment with artificial teeth
- Smoking and overall lack of oral hygiene
A successful treatment of peri-implantitis can be difficult and pose a challenge even to the most experienced experts in the field of implantology. Depending on how advanced the peri-implantitis is when it is discovered, the implant can be saved—although the possibility of a loss of the implant can’t be excluded.
In any case, the treatment should be done by a highly experienced specialist. The Zahnklinik ABC Bogen is part of the ECDI (»European Centres for Dental Implantology«), an association of leading implantologists in Europe. ECDI-doctors have developed a special concept for the treatment of peri-implantitis that enables new kinds of therapy.
It is central to the treatment that the tissue next to the implant—i.e. gum and jaw bone—is stabilised. First the inflammation around the implant has to be treated. Depending on the result of the first step, a supporting hard or soft tissue surgery might be necessary. This will be decided according to a strict schema.
Frequently Asked Questions
Dr. Brinkmann is an experienced specialist for implantology and is happy to assist with advice and consultations.
In some cases, the implantation can happen immediately after that. That way, the jaw and especially the gum can be preserved and bone loss can be avoided. However, usually it takes six to eight weeks before one or more implants can be inserted.
Allergies against the materials titanium and zirconium (ceramic) are a very rare occurrence. A rejection of the implant by the body is usually caused by inflammations that can occur when the implant is being inserted.
3D-X-rays have a significant advantage, because implants can be positioned more precisely. As opposed to conventional X-ray, the implantation can be planned with a computer prior to the surgery. This way, the existing jaw bone can be used to a maximum. Conditions during the surgery can be improved as well, which helps the swift healing of the wound.
Generally, the survival rate of implants is very high: More than 90 per cent last ten years or longer. However, a high ratio shows chronic inflammations that usually proceed without any symptoms. That is why, it is extremely important to use experienced surgeons for the implantation. In the aftermath of the implantation, oral hygiene, regular check-ups and tooth cleaning are of the utmost importance.
Commonly, the implantation is a minor surgery that can be done straightforward and with local anaesthesia. In our clinic, any jaw surgery can generally be done pain-free. If the local anaesthesia is not enough or not wanted, we have alternative means of modern anaesthetisation like analgosedation (twilight sleep). General anaesthetics can be done as well.
Implants are less suitable for extreme smokers and diabetics with badly configured medication, because these factors increase the risk of a loss of the implant. If you are being treated with bisphosphonates, anticoagulant medication, immunosuppressors or a chemotherapy, we have to look at the individual case to decide if the implantation can be successful. Generally, there is no age limit for implants—given that you are generally in good health. The lower limit is determined by the end of the body growth.
Our highly professional treatment is based on many years of experience and makes sure you are provided with a high-quality and functional temporary appliance until your dental implant and jaw bone have healed together. Your ability to eat, talk or laugh won’t be affected at any point during the treatment.
Generally, the immediate loading of a dental implant increases the risk of a loss of the implant. It is common to heal at least for two months. However, in rare cases the immediate loading of dental implants is possible.