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There are different versions of total oral rehabilitation, from the full removable denture to the circular bridge secured to implants. The quantity and quality of existing bone stock, the health status of the patient, and financial considerations may all affect the design of the treatment plan. Thanks to the continuous development of dental implantology, our patients can choose from more and more alternatives.

Anyone who wants a dental implant should not delay the surgery for too long, as over time the bone will be absorbed in the region of the missing teeth. And if there is not enough bone for implantation, you will either need a bone graft or we won’t be able to make a fixed tooth replacement.

For those who are completely toothless, the most stable solution is provided by a fully fixed circular bridge built on 8 implants. This will result in dental implants that look and function like real teeth.

With 8 implants we can fix a circular bridge of 12-14 teeth, which creates the most natural and stable feeling, while in the case of 4 implants, the so-called All-on-4 solution can only support a denture of 10 teeth. The latter is used when there is not enough bone to implant in the area of ​​the posterior teeth.

The circular bridge fixed to 6 implants is also a completely accepted and common solution, however, it is important to mention that the posterior implants are subjected to a much higher load as we chew on the molars. If only 6 implants are used, the front teeth are held by 4 implants and the back teeth by only 2. Therefore, rehabilitation with 8 implants is a much more comfortable and stable solution in the long run, especially for the upper jaw.

The number of implants that are finally inserted depends on the size and curve of the dental arch, the quality of the bone, and the type of denture in the other jaw.

Since the goal is to create a naturally looking and functioning teeth or denture, the position of the implants must be planned first.

1) Step One: Consultation and Planning

During the personal consultation, you will get to know your doctor, who will put together a personalized, precise treatment plan for you. Based on the X-ray taken at the consultation, the oral examination and your needs, your doctor will compile a personalized, detailed treatment plan. In order to carefully plan the implantation, it is also essential to take and analyze a 3D CBCT (Cone Beam CT) scan in each case.

The treatment plan includes the steps and itemized costs of the dental prosthesis, the healing period between the required visits, as well as the recommended type of implant and where to place it.

2) Step Two: Implant surgery

Placing the implants in the jaw is painless; they may be placed under local anaesthesia or, if required, under general anaesthesia. After the oral surgery, the patient needs to wait for the recovery period required for osseointegration (bone formation or ossification) and bone recovery, following the appropriate advice and instructions.

If there is not enough bone volume or density to insert the implant, a bone grafting procedure is used to replace the missing bone tissue. This may occur at the same time as the implant surgery, but if too much bone needs to be replaced, a separate oral surgery is required prior to implantation.

3) Step Three: Making the final denture

During the 3 to 6 month healing period after the implant surgery, the dental implant merges with the jaw bone. During this time, of course, it is very important to maintain perfect oral hygiene according to the post operative instructions.

After the healing period has elapsed, the final denture is placed on the implants, which can be made of metal-ceramic, zirconium ceramic or monolithic zirconia. Of course, your dental specialist will assess your options and personal needs during the first consultation so that the material for your final denture will be selected accordingly.

Your treatment plan will include the most appropriate solution for you; it will be set up by the dentist after the personal consultation. If possible, our specialist will suggest several alternatives depending on your personal needs and preferences.

Do you have any other questions? Contact us!

Did you know?

With dental implants, regular dental check-ups are even more important than in case of other dental treatments!

The high risk of neglecting regular dental check-ups is that any gingival or pericardial infection or bone loss around the implant will not be detected in time.

That is why we strongly recommend attending at least one dental check-up each year.