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NOTHING Lasts Forever

Prim. Dr. Tome Tasevski

It is really amazing how people think about our dental work, especially when having done dental implants […]

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Minimally Invasive Antral Membrane Balloon Elevation in the Presence of Antral Septa: A Report of 26 Procedures

Efraim Kfir, DMD, Moshe Goldstein, DMD, Ronen Rafaelov, DMD, Israel Yerushalmi, DMD, Vered Kfir, DMD, Ziv Mazor, DMD, Edo Kaluski, […]

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Risks of Corrosion With Titanium Dental Implants

Dr. Sammy Noumbissi, D.D.S, M.S.

For more than four decades titanium implants have been and continue to be mainstream in implant […]

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Preliminary Report

Dr. Radosław Jadach

Young lady… 12 years after replantation of incisors in upper jaw. caries and resorption arround the roots, fistulas, […]

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Artificial Beauty

By Dr. Dimitar Tasevski

Every single human being notice when people Smile and feels the positive energy coming from that but […]

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If it looks like bone, if it feels like bone, if it smells like bone…. is it bone?

Dr. Darko Veljanovski, oral surgeon OPTIMUM DENTAL

INTRODUCTION
The anatomical conditions of the implant recipient site are very often less than ideal.
To […]

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B.O.P.T. in Implant Abutment Design

By Dr. Aleksandar Trajanoski

Cemented implant restorations are widely used by many dentists. The traditional abutment design resembles a natural tooth […]

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Socket Shield

By Dr. Riste Panajotu

Implantology is a very exciting science.More exciting than the implantology is “Implantology in the frontal visible part […]

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Minimally Invasive/Atraumatic Immediate Implantology -AII

AII Finalization

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Implants FAQ

Yes, implants are safe for most people and your dentist will be able to tell if treatment is safe for you. People who smoke or are have a medical condition (diabetes, compromised immune systems, osteoporosis, etc.) may be at higher risk of failure as these conditions/habits can affect bone quality and the body’s ability to heal (tissues are slower to heal after treatment).
They are inserted into the jawbone during a short surgical procedure. Your dentist will cut into the gum tissue, exposing the jawbone before carefully drilling a small hole. The implant post is then screwed into the bone, and the gum is replaced over the implant and stitched back in position so the bone and gum can heal. Once healing is complete, an abutment is attached to the implant and this supports the replacement tooth. For more detail, you can read our step-by-step description of a typical implant procedure.
Most patients are surprised at how little discomfort they feel after having a dental implant. It is possible to have the procedure done under local anaesthetic or you can request additional sedation if you think it will be necessary to calm you down. Once the anesthesia has worn off, discomfort should be minimal. If necessary, your dentist can prescribe pain medication but over-the-counter medication is often sufficient. If the pain is unbearable, lasts for more than a few days or you notice any of these unexpected issues, contact your dentist immediately. For more on this subject, check our guide on how painful implants are.
Recovery is typically quite quick, and most people will be able to return to work the day after having a single implant placed. If you have multiple implants placed then you may need to wait a few days before returning to your normal activities, particularly if extra sedation was required.
You should experience few, if any side effects after implant surgery other than the low levels of soreness and swelling that should be expected after any invasive surgical procedure. If a dental implant is placed incorrectly then it is possible to experience numbness or a tingling sensation, or possibly sharp pain. If the symptoms continue for more than a couple of days then you should consult your implant dentist. It is possible it could settle down, but otherwise the implant may need to be removed. This is incredibly rare as risks are minimized through careful planning prior to surgery using x-rays and a CT scan so any nerves and blood vessels are avoided.
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Post-op Instructions – Implant Placement

Small amounts of blood in the saliva can make your saliva appear quite red. This is normal and may be noticed the rest of the day after the procedure.
Smoking should be stopped following surgery. Healing and success of the implant will be substantially reduced by the cigarette smoke chemicals in your body.
Some discomfort is normal after surgery. To minimize pain, take Analgesics or similar non-aspirin pain reliever every 3 to 4 hours until bedtime to maintain comfort. Take it before the anesthesia wears off. If prescription pain medication is prescribed, take it as instructed on the label. Don’t exceed the dose on the label. Taking with food or milk will help reduce upset stomach. Avoid driving or operating heavy machinery when taking pain prescriptions. Do not drink alcohol while taking prescription pain medications.
This is most often caused by taking pain medications on an empty stomach. Reduce nausea by preceding each pain pill with soft food, and taking the pill with a large glass of water.
Applying an ice bag to the face over the operated area will minimize swelling. Apply for 15 minutes, then remove for 15 minutes. Continue this for the first day.
The local anesthetic will cause you to be numb for several hours after you leave the office. Be very careful not to bite, chew, pinch, or scratch the numb area. Sometimes the implant procedure causes residual numbness or tingling for six weeks or longer.
Do not brush your teeth for the first 8 hours after surgery. After this, you may brush your teeth gently, but avoid the area of surgery for 3 days.
Avoid all rinsing or swishing for 24 hours after your procedure. After 24 hours you may begin gentle rinsing with a saltwater solution (1/2 teaspoon salt + 1/2 teaspoon soda + 8 ounces warm water). Avoid commercial mouthrinses. You may be instructed to use a prescription antimicrobial mouthrinse.
Eat soft foods for the first two days. Maintain a good, balanced diet. Return to normal regular meals as soon as you are able after the first two days. Drink plenty of water. Avoid alcohol for 48 hours.
After leaving the office, rest and avoid strenuous activities for the remainder of the day. Keeping blood pressure lower will reduce bleeding and aid healing.
If you were given an antibiotic prescription, take all of them as directed until they are gone. Women: some antibiotics can reduce the effectiveness of birth control pills. Use alternate birth control methods for two months.
If your sinus was involved in the procedure, you should avoid blowing your nose or playing a wind musical instrument for one week. Use of decongestant medications might be recommended.
Your dentist will give you specific instructions about your prosthesis. To avoid putting any pressure on the new implants before they have healed, your denture might be adjusted or significantly modified. In certain cases you will need to go without your dentures for a period (days or weeks) after the implants are placed. Sometimes a temporary removable appliance is made for cosmetic purposes, until a new non-removable one can be made.
You may need to return to the office within the first 7-14 days to have sutures removed, or just for a brief follow-up healing check. You may need to return after the implant has integrated for a small second procedure to expose it in preparation for the final restoration.

Please call your dentist if you have:

  • uncontrollable pain
  • excessive or severe bleeding
  • marked fever
  • excessive warm swelling occurring a few days after the procedure
  • reactions to medications, especially rash, itching, or breathing problems

Following these instructions very closely will greatly help your comfort, and promote uneventful healing of the area. If any of the instructions are not followed, you might have significantly more discomfort, and the success of the procedure may be affected.

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