Return to eating and smiling with fixed teeth on implants in a maximum of 48 hours
The dental surgery developed by Dr. María Antonia Cirer at Juaneda Dental allows for the replacement of all failing teeth by placing implants in the jaws with high-quality dental prostheses. And it can be done immediately, outpatient, and painlessly.
"We encounter patients who have lost or are about to lose all or part of their teeth. The option we can offer them is to perform a fixed rehabilitation on implants, thus restoring the function and aesthetics of their jaws," explains Dr. Cirer.
This procedure is an improvement over dentures for patients who prefer to have fixed teeth on implants, which are placed in two phases, achieving high aesthetic quality in the first phase and full functionality in the second.
The treatment is ideal "for those who have already lost all their teeth, come to the consultation with a denture, and want to improve with a rehabilitation on implants, which avoids having to remove teeth after eating or before sleeping..."
When the patient decides they want to undergo this fixed rehabilitation on implants treatment, "there is preparation, diagnosis, tests, and case planning, as it may take 4 to 6 implants, or bone regeneration might be necessary."
At Juaneda Dental, "we can treat many patients by placing fixed teeth on the same day as the surgery or within a maximum of 48 hours after the implants, so during that time, they will transition from dentures to fixed teeth, which are more aesthetic and functional."
All this is made possible thanks to the modern immediate load implant procedure, "which results in more functional outcomes, with fixed teeth from day one, making the patient much more comfortable during the healing process," explains Dr. Cirer.
In any case, "we must be aware that a patient with partial or total tooth loss has not gone through the best health conditions in their mouth, and even though we are going to place implants, we need to obtain and maintain a good health foundation."
"If the patient comes in without teeth," she continues, "there is already healed bone, with no infection or pathological processes. But in patients with periodontal disease, we must maximize the health of that mouth before placing the implants."
"The immediate implant differs in that it can be placed at the same time as the tooth extraction during surgery, unlike the traditional implant, which is done when the bone is healed after a new hole is made to place it."
Dr. Cirer points out that "for the patient undergoing an immediate load procedure, we have placed temporary teeth with aesthetic improvement, which won't reach full functionality until several months later, after an adaptation process."
"From the moment we place the provisional prosthesis on the implants until those implants are 100% functional, there is a healing period for the bone itself and the adaptation of the tissues," explains Dr. Cirer, adding:
"For about four months, the teeth are more aesthetic than functional, and while they allow eating soft foods, they should not be overburdened. After four months, when healing is complete, permanent teeth will be placed, fully functional."
This second intervention, replacing the temporary teeth with the permanent ones, is performed once the entire implant area has healed and stabilized: "Placing the final dental prostheses is practically painless," says Dr. Cirer.
She adds, "This process is done without anesthesia because the tissues involved have already adapted to the conventional prosthesis we made, and we now have a bed prepared for the final stage of the permanent dental prosthesis."
From that point on, "a follow-up is necessary; the patient needs to visit regularly to ensure there are no tensions, that the tissues remain healthy around the implants, to ensure that the rehabilitation lasts a lifetime."
To achieve this goal, "the most important thing is maintaining the health of the tissues around the implant, as no matter how well we take care of the prosthesis, it will deteriorate if the implants, which support it, become surrounded by inflammation.
"If we don't take care of the implants, which are the support for the rehabilitation, the prosthesis won't last. It is very important to attend maintenance appointments and checks to ensure these implants are healthy and prevent peri-implantitis, which could lead to failure."
Dr. Cirer explains that "for this type of treatment, we encounter two patient profiles: one is the elderly person who has been losing teeth over the years and has had a full denture for some time and wants to improve.
The other profile is a younger person who, due to advanced periodontal disease, has had so much mobility in their teeth that they have lost them. Being a young patient, they want a fixed, functional, and aesthetic solution."
Regarding the quality of materials for the final prosthesis, Dr. Cirer emphasizes that "today there are very high standards of aesthetic quality, so the solution we are providing to the patient is much more durable and safe."
This can be a solution for patients who have lost or seen significant deterioration in their teeth and, with this procedure, will gain security and stability, thus overcoming the fear of smiling and being able to eat with confidence."