All-inclusive dental implant treatment

Everything starts with a CT scan of the jaws. On the scan, we assess the volume and density of the bone, its width, and its proximity to the nerve or maxillary sinus. We assess how the bite works, whether there is overload, and whether there is active gum inflammation.

At this stage, we determine whether there is enough bone for implant placement, whether grafting is needed, and which protocol will be safe — one-stage or two-stage.

For the patient, this stage looks like a consultation and discussion of the plan. In reality, this is where the prognosis is established. The implant size, its position, and the loading protocol are selected.

The implant is placed under local anesthesia, although general anesthesia is also possible on request. Most patients describe the procedure as less unpleasant than they expected. Pressure is felt, but not sharp pain.

After placement, the implant is either covered (two-stage protocol) or immediately brought through the gum with a healing abutment (one-stage option — when indicated).

The procedure itself usually takes up to 30 minutes for one implant. After surgery, moderate swelling or discomfort in the first few days is possible — this is a normal tissue response.

After placement, the implant does not “hold on by itself”. It must integrate with the bone — this process is called osseointegration. Duration:

lower jaw — approximately 2–3 months

upper jaw — 3–6 months

During this period, the patient usually does not feel pain. It is important to follow the recommendations and avoid overloading the implant. Excessive micromovement can disrupt integration, so sometimes it is better to wait a little than to rush with the crown.

After integration, a healing abutment is placed (if it was not placed immediately). Its task is to create the correct contour of the soft tissues around the future crown. This is important not only for aesthetics. A proper gum profile makes hygiene easier, reduces the risk of inflammation, and ensures a close fit of the crown.

For the patient, this stage is calm and without significant discomfort. But from the standpoint of long-term stability, it is very important.

After this, the abutment is placed — the transition part between the implant and the crown.

Even a perfectly integrated implant can lose stability due to incorrect load distribution.

We analyze the bite not only visually. The clinic uses the Zebris facebow, which makes it possible to assess lower jaw movement and contact distribution in dynamics. This helps avoid point overloads that may lead to complications over time.

If the crown does not match the implant position or the bite, the load is distributed incorrectly.

We use a Primescan digital scanner and fabricate crowns on Sirona SL and X5 milling machines, which allows us to achieve high seating accuracy and minimize microgaps. Accuracy is not aesthetics. It is stability.