Dental implantation

Dental implantation can be performed using different protocols. The choice of technique depends on the condition of the bone tissue, the time since tooth loss, the presence of inflammation, and the plan for subsequent prosthetic treatment.

According to the timing of implant placement

The following implantation options are distinguished:

• Immediate implantation (instant). The implant is placed immediately after tooth extraction — into the socket of the freshly removed root, provided there is sufficient bone volume and no active inflammation.
• Delayed implantation. The implant is placed some time after tooth extraction, once the tissues have healed and a stable bone foundation has formed.

This classification makes it possible to choose the optimal time for placing the artificial root, taking into account tissue condition and the clinical situation.

According to the need for bone augmentation

Depending on bone volume, implantation is divided into:

• Without bone grafting. Performed when the existing bone tissue is sufficient for stable implant fixation.
• With bone augmentation. Bone grafting or sinus lift is performed before or simultaneously with implantation if bone tissue volume is insufficient.

This planning stage is important to ensure reliable fixation and successful osseointegration.

According to the timing of crown placement

Depending on clinical conditions, the following approaches are used:

• Immediate loading. A temporary crown is fixed within the first days after artificial root placement if sufficient primary stability has been achieved.
• Delayed loading. The crown is placed after the osseointegration period, usually after several months.

The timing of loading is determined by the doctor based on implant stability and healing processes.

According to the number of surgical stages

Implantation is also divided into:

• One-stage implantation. The implant is placed together with a gingival former without complete soft tissue closure, allowing avoidance of a second surgical intervention.
• Two-stage implantation. First, the implant is placed and covered by soft tissue, and after osseointegration a separate stage is performed to place the gingival former and crown.

This approach allows selecting the safest and most appropriate treatment option for each individual patient.

Implantation in Cases of Significant Tooth Loss

In addition to replacing one or several teeth, dentistry also uses methods for full dental arch restoration. These approaches are intended for patients with pronounced edentulism or in cases where placing a large number of individual implants is technically difficult or impractical.

One such solution is the All-on-4 protocol, in which a fixed prosthesis is supported by four implants placed in strategically important areas of the jaw. This approach makes it possible to achieve stable fixation of the prosthetic structure even with a limited volume of bone tissue and to reduce the extent of surgical intervention.

Another option for full-arch implantation is the All-on-6 protocol, which involves fixing a non-removable prosthesis on six implants. This method is used in clinical situations where anatomical conditions allow for the placement of additional supports, ensuring more even load distribution and increased stability of the structure.

The choice of a specific full-arch restoration method is made after diagnostic evaluation and assessment of the clinical situation, taking into account the condition of the bone tissue, the bite, and the overall treatment plan.

Implantation is popular not only due to the comfort and high aesthetic quality of the result, but also because of the durability of the implant — high-quality implants can last for decades. In some cases, patients’ natural teeth are less “durable” compared to a properly placed, high-quality implant.

Advantages of implantation:

• maximum comfort;

• aesthetic appearance;

• long service life;

• the possibility of restoring a tooth in a single visit;

• 100% restoration of chewing function;

• replacement of one tooth without grinding adjacent teeth;

• strengthening of neighboring teeth;

• placement of several implants in a row;

• prosthetic restoration on implants in cases of edentulism;

• easy maintenance.

A tooth restored with the help of implantation does not differ in appearance or sensation from healthy natural teeth. It does not require special care, withstands full chewing loads, and can even strengthen adjacent teeth.

The procedure can be performed both in cases of the loss of one or several teeth and in cases of complete edentulism (absence of the entire dental arch).

Preparation is an important stage before implantation, as it is during this phase that the doctor assesses the clinical situation and plans further treatment. A comprehensive approach makes it possible to place dental implants safely, taking into account anatomical features and the condition of the tissues.

The preparatory stage includes the following steps:

• Clinical examination. The doctor evaluates the condition of the teeth, gums, and oral mucosa, pays attention to the presence of inflammatory processes, and assesses the overall condition of the oral cavity.

• Computed tomography. CT makes it possible to determine the volume and density of bone tissue, the location of anatomical structures, and to assess the feasibility of placing the implant without additional procedures.

• Taking impressions or intraoral scanning. Depending on the clinical situation, conventional impressions or digital scanning are performed to accurately reproduce the anatomy of the jaw.

• Treatment planning. Based on the obtained data, the doctor determines the optimal position, size, and angle of placement, and agrees on the sequence of treatment stages.

• Oral cavity sanitation. Before implantation, treatment of caries, gum diseases, and elimination of inflammatory foci is carried out if necessary.

This approach allows all details to be considered in advance, reduces the risk of complications, and creates conditions for a predictable treatment outcome.

One of the advantages of implantation is a very small list of contraindications. Dentures can be installed even in elderly patients, people with cardiovascular diseases, diabetes and other chronic pathologies. But in some cases, a delay in implantation or preliminary treatment may be required, for example, caries or gingivitis.

It is not recommended to place an implant on a tooth only in cases of bone diseases, autoimmune disorders, malignant neoplasms, tuberculosis and some neurological pathologies. In such cases, the dentist makes an individual decision, taking into account the ratio of benefits and possible risks.

The process of restoring a missing tooth consists of several consecutive stages and includes the surgical phase of treatment and subsequent prosthetic restoration. The sequence of procedures and timing may vary depending on the clinical situation, the selected protocol, and the condition of the tissues.

Surgical stage

The procedure is performed under local anesthesia, and sedation may be used when indicated. During the intervention, the doctor places a titanium structure into the jawbone at a position determined during diagnostics and treatment planning. All actions are carried out with consideration of anatomical features to ensure stable fixation.

Osseointegration period

After the structure is placed, the osseointegration stage begins. During this period, the implant integrates with the bone tissue. The duration of healing depends on bone density, individual physiological characteristics, and the chosen treatment protocol.

Gum shaping

After implant placement or after completion of the osseointegration period (depending on the clinical situation), the doctor fixes a gingival former. It helps shape the correct contour of the soft tissues around the future crown and prepares them for the next stage of prosthetic treatment.

Abutment placement

After the gum has been shaped, an abutment is placed — a connecting element between the implant and the crown. It ensures proper positioning of the prosthetic structure and transfers chewing load.

Crown fabrication and fixation

At the final stage, an individual crown is fabricated. Before fixation, the doctor checks the bite and adjusts the restoration if necessary. After placement, the patient receives full restoration of the dental arch, taking into account function and anatomy.

After a dental implant is placed, the healing period begins. During this time, it is important to follow the doctor’s recommendations so that the tissues heal properly and osseointegration occurs without complications.

After the procedure, it is recommended to:

• take only the medications prescribed by the doctor;

• apply cold to the cheek in the area of intervention during the first day;

• refrain from eating and drinking until the anesthesia has completely worn off;

• avoid chewing on the side where the implant was placed for several days;

• follow a soft diet, consuming food at a moderate temperature;

• temporarily refrain from smoking and alcohol consumption;

• limit physical activity and avoid heat procedures;

• avoid touching the surgical area with hands or foreign objects;

• carefully maintain oral hygiene without traumatizing the gums;

• attend follow-up appointments at the times specified by the doctor.

If severe pain, increasing swelling, or other unusual symptoms occur, you should contact your doctor without delay.

The cost of dental implants in Ukraine can vary significantly depending on the selected implant system. The market offers various brands — from premium to more affordable options — each with its own features and indications for use. For this reason, the price of a dental implant is calculated individually and cannot be the same for all patients.

At the private clinic «Оксфорд Медікал», high-quality certified implants from trusted manufacturers are used. The doctor selects the implant system based on the clinical situation, the condition of the bone tissue, and the patient’s budget, ensuring that the treatment is both effective and financially comfortable.

The cost of dental implant placement depends on several factors:

• the number of implants;

• the brand of the selected implant;

• the type of implantation;

• the type of crown or bridge prosthesis.

The dentist can calculate the cost during the initial consultation after examination and diagnostic procedures. While discussing the treatment plan, the patient receives complete information about all stages of tooth restoration. At the same time, a “turnkey” cost can be calculated. Prices can be reviewed in advance here.

Dental implantation is an investment in health and comfort, as modern implant systems are designed for long-term use. To schedule a consultation, please contact the contact center or use the online appointment form on the website.