Does it hurt to insert a tooth implant
Does it hurt to insert a tooth implant and how is the surgery performed? What you have to prepare yourself after surgery? These issues are extremely important for those who intend to restore the beauty, functionality, and sometimes even speech and to eliminate defects caused by the absence of one or more teeth. Fear, explaining to ignorance, often do not make the decision to get rid of the problem. In turn, the deposition of prosthesis may eventually lead to deformation of the dentition and the occurrence of bone atrophy.
Types of anesthesia
Implantation has almost no contraindications, and today is the only way to preserve the jaw bone. Do not conduct this operation to children and adolescents, as they have not yet finalized the skeleton. With any surgery anesthesia is very important to provide psychological and physical comfort of the patient. The most suitable method of anesthesia in each case is determined by the physician. American society of anesthesiologists identifies the following types of anesthesia:
- local, in which the lost pain sensitivity small area of tissues as a result of injecting it with a solution of anesthetic;
- anxiolysis — minimal sedation to eliminate anxiety;
- average sedation in which the patient is completely relaxed, but remain conscious;
- oversedation when the patient is half asleep;
- General anesthesia.
The latter type is used if you want to install more than 10 implants with a simultaneous bone grafting, and if the patient is allergic to all types of local anesthetic, crippling dental phobia, uncontrollable gag reflex or a psychological disorder. Complete shutdown of consciousness requires continuous monitoring of the patient’s condition during surgery and for some time afterwards.
The vast majority of cases, the implantation of local anesthesia, an injection in the mouth allows for a few hours to eliminate the sensitivity. Intravenous sedatives contributes to the overall tranquility of the patient, however, he hears everything, understands, feels the same feeling as in normal dental treatment.
The installation of the artificial root
A dental implant is a metal screw that resembles root of the tooth. It is implanted in the jaw, after which it is worn on the upper part. Does it hurt to put the implant tooth? It was necessary to consider is surgery. It starts with rassekaya the soft tissues of the gums. After access to the jaw bone is possible, the doctor drills a hole in it for the implant, the size of which depends on the diameter of the drill. Generated during drilling process heat is bad for the bone tissue, so the mouth area is continuously cooled with water or saline.
Before to install the implants, the doctor assesses the degree of restoration of the bone, check if there’s any cracks. Often in the place where the tooth is long gone, the bone will atrophy and weight it is not enough for screwing the screw of the desired size. So its building up, filling voids and cracks with special material, regenerating the damaged areas of the jaw.
After preparing the holes in it, screw the selected implant. The greater its length and the diameter, the more pressure it can withstand. On the set screw put a temporary plug and the gum is stitched so that it covers the implant completely. This method is called classic. Pain during implantation the patient does not feel. It usually lasts 30-60 minutes.
Rooted to implant can take 3-6 months. The bone of the lower jaw is more dense, so the second stage of dental restoration, it is possible to be done earlier. The titanium implant surface consists of a cavernous recesses, in which is embedded the bone, resulting in greatly increased area of contact.
Sometimes just before the operation the doctor prescribes antibiotics and the day of surgery — pain medication. Be aware that any drug, even antidepressants should be taken after consulting a doctor. 2 hours before surgery should eat a little, enough 1 sandwich with sweet tea, followed carefully brush your teeth.
The postoperative period
At the end of the procedure, a nurse will offer the patient for the swelling ice wrapped in a towel. Hold it in for 15 minutes, you can go home. Usually immediately after surgery, take 1 tablet anaesthetic, 1 overnight. The next day, of the necessity for admission often do not. Often the doctor prescribes antibiotics. On the face of the possible emergence of not only the swelling, but the bruise. To quickly get rid of them, you need to apply cold for 5-10 minutes every half hour. If they do not pass within 2-3 days, you should contact your doctor. Edema, persistent for more than a week, bruising is a sign the inflammatory process.
Eat and drink only after 2 hours after surgery. Food should be warm and soft, better suited to soup. You can not eat spicy hot food and alcohol. Chew food should be so not to traumatize the wound and the embedded implant. Before eating the sutures applied, without rubbing, a thin layer of dental adhesive paste Solcoseryl. After eating needed oral baths, gentle rinsing with antiseptic solutions. Teeth begin to brush from the second day so as not to touch the stitches.
Immediately after surgery, do not drive or perform activities requiring concentration. It is best to take a vacation for a few days. In most cases, in 2-3 days after surgery, the person is their way of life, although with some limitations. The first 1-2 weeks you cannot lift weights, drink through a straw, drink alcohol, smoke and stoop low. It is not necessary to wash the floors, go to the sauna, take a hot bath. Harmful flying on airplanes and any physical activity. Shouldn’t sleep on the injured side. Especially dangerous in this period of hypothermia and colds. Sneezing and coughing should be very cautious, especially if the operation was carried out in the upper jaw.
When extensive surgical procedure associated with prior dental extractions, bone grafting, establishing simultaneously a large number of implants, post-operative discomfort is 3-5 days. If the soreness continues longer, it can be the consequence of inflammation of the soft tissues or damage to nerves. Bleeding sores can last up to 7-10 days if taking aspirin or other drugs that reduce blood clotting.
Different methods of implantation
The second phase of restoration of the teeth — prosthetics. It can be postponed for 2-3 months and if for any reason you cannot do it in time, was appointed surgeon. The doctor opens the gum and the abutment-the part that connects the implant and crown.
In addition to the most common classical method of implantation are as follows:
- Minimally invasive. Design to be screwed into tissue without pre-cutting the gums and drilling a hole and acquires the basic density and stability. Special implants are used, without the abutment. The crown is installed within a week. Such an operation is possible only when a sufficient volume of bone mass. In many European countries this method is used for more than 15 years and is called: the Express method, seamless, bloodless, one-step.
- Fixing in the hole of an extracted tooth. The metal root is set immediately after the removal of the natural. Let him settle down under the protection of the gingiva to him or just to wear a crown, the surgeon decides depending on the indication.
One of the advanced techniques of implantology — laser instead of a scalpel when the beam is used to cut the gums before placing the implant in a second stage. Tissue is minimally injured, the length of the incision for one tooth is 1 see the Laser instantly cauterizes blood vessels so less chance of infection. Does it hurt to put dental implants using laser?
On the contrary, the use of laser as a surgical tool limits the use of painkillers, and thus reduces the load on the body, and discomfort after surgery, less pronounced. With any method of implantation the patient feels the screwing of the screw in the jaw, but the pain does not feel. The lack of anesthetics harmful as well as excess. Physician provides reasonable and adequate anesthesia, and modern tools are used in a minimum amount and quickly removed their body.
Care for the oral cavity
Dental implants serve 10-20 years, depending on their location. Front artificial teeth longer. Care for the oral cavity is simple and is as follows:
- Teeth should be brushed morning and evening, as usual, focusing on the internal surface and the lower part adjacent to the gum. Will fit electric or ordinary toothbrush with soft bristles. Better clean the oral irrigator: subtle pulsing or solid stream with air bubbles is very effective for hard to reach places.
- After cleaning it is advisable to rinse your mouth with a special tool.
- 1 every six months you must visit your dentist for preventive examination.
Successful restoration of teeth depends on the qualifications of the specialist, quality of implants and instruments. Very important the mental attitude of the patient, the absence of his fears before surgery. Dental implantation has long been a rarity. Commonplace she was not allowed to become not so much the fear of pain as the high cost of operations and an impressive list of contraindications.