For a patient, a missing tooth is much more than a small gap in the mouth. The lost tooth signifies not only an incomplete smile but also a psychological barrier. However, modern dental medicine has a powerful weapon in the fight against this problem – dental implant treatment, also known as
WHY IS THE POPULARITY OF DENTAL IMPLANTS INCREASING?
In recent years, patients have had higher aesthetic and functional requirements. Along with this trend, the micro-invasive concept, which aims to preserve hard dental tissues, has become more prevalent in dental practices. Thus, implants have become an integral part of our daily lives as they allow us to fully restore edentulous jaws or individual missing teeth without the need to grind down healthy neighboring teeth.
WHAT IS THE RHEIN83 SYSTEM?
In this type of procedure, an abutment is placed immediately after implantation and later loaded directly after the integration of the implant into the bone. Unlike the classical system, which involves the initial exposure of the implant and placement of a healing abutment (a screw that shapes the gingiva), followed by impressions, abutment placement, and final crown placement, the Rhein83 system avoids excessive interventions on the implant and surrounding tissues.
Excessive screw tightening and loosening on the implant leads to a reduced ability of the crown to biologically and mechanically connect to the abutment, which holds the crown. The Rhein83 system allows the fabrication of structures that are directly screwed or “clicked” onto the abutment, and the important aspect is that cement is not used for fixation, which prevents inflammation of the soft tissues around the implants.
WHAT ARE THE REQUIREMENTS FOR A SUCCESSFUL IMPLANT?
In addition to osseointegration, or the integration of the anchoring part into the bone, the shaping of the soft tissues around the abutment and the adaptation of the prosthetic construction play an important role. The abutments can be individually fabricated for each patient in collaboration with a dental technician. This ensures excellent adaptation of the prosthetic construction to the soft tissues. It is important to emphasize that the individual approach serves not only an aesthetic function but also prevents the most common complications such as peri-implantitis (inflammation of the soft tissues around the implant).
WHAT IS REQUIRED BEFORE IMPLANT PLACEMENT?
Before proceeding with implant placement, a preliminary analysis of the soft tissues and the bone structure of the upper and lower jaw is necessary. The soft tissues are examined during the clinical visit, and the quality and quantity of the bone tissue are evaluated using a special X-ray called CBCT (dental cone-beam computed tomography).
WHAT IS THE APPROACH FOR INSUFFICIENT BONE TISSUE?
In cases of insufficient bone tissue vertically and/or horizontally, various procedures can be performed to compensate for the loss. One method involves the placement of synthetic bone and the use of platelet-rich plasma (PRP) – a blood product rich in growth factors that helps to promote faster and higher-quality bone formation. Another option is to combine PRP with bone material obtained from the patient themselves. The chin area is often suitable for obtaining bone material.