0:03 Every day in in Russia, hundreds of
0:05 people get implants. Some lose a single
0:07 tooth. Others lose an entire row of
0:10 teeth. People save up money, go through
0:13 surgery, endure pain, wait 2 or 3 months
0:15 for everything to heal and are confident
0:16 that their problem is solved for a long
0:19 time. But after a year or two,
0:21 complications begin and sometimes even a
0:23 second surgery is needed. And all this
0:24 happens because they weren't told the
0:27 most important thing that implants are
0:29 not suitable for everyone. In this
0:31 video, I'll briefly explain when you
0:33 should get an implant and in which cases
0:35 it might not take. First, let's figure
0:37 out what an implant is and what it
0:40 consists of. It's what's called um an
0:44 artificial root which will support our
0:46 future structure or our future tooth. It
0:49 is placed directly into the bone. If I
0:52 turn it like this for you now, so for
0:54 example, our patient is missing a tooth.
0:57 We can easily place an implant and no
0:59 one except our patient will see or
1:02 notice it. After two or three months or
1:05 in rare cases after six months, we place
1:08 a special connector on it called an
1:10 abotment which is screwed directly into
1:12 the implant we've installed. The future
1:14 crown is placed directly onto the
1:17 abotment. This is uh what implantation
1:20 is. What do you absolutely need to know
1:22 before getting dental implants? The
1:23 first thing is of course the healing
1:26 period. After the implant is placed, we
1:29 need to wait before making the tooth is
1:33 2 to 3 months or in rare cases up to 6 months.
1:33 months.
1:35 >> You mentioned on average implant healing
1:37 takes 3 to 6 months. What determines
1:38 this time frame?
1:40 >> For the implant to take hold, well in
1:43 everyday language we say take hold, but
1:45 in medicine it's called integration.
1:47 This means that osteoccytes which are
1:50 small bone cells begin to grow into the
1:52 threads of the implant. they actually
1:54 grow right into the threads and it's
1:57 thanks to this uh process that we we
1:59 achieve fixation. So initially when we
2:01 screw in the implant there is no such
2:03 connection yet the implant is held in
2:06 place only by the threads. Then
2:09 gradually these osteocytes the bone
2:12 cells start to grow into the threaded
2:14 connections. Another important thing to
2:16 to know before implantation is that of
2:18 course you will have to go without the
2:20 tooth for some time. So after the
2:22 implant is placed, you will have to go
2:24 without a tooth until it integrates.
2:26 >> If I'm missing my upper central tooth,
2:28 the one in the middle, does that mean
2:30 I'll have to go two or 3 months without
2:31 a tooth?
2:33 >> There are different situations.
2:36 Sometimes we place the implant and
2:39 immediately put on the abotment or let's
2:41 say the healing cap and we can make you
2:43 a temporary plastic tooth to cover the
2:46 gap. That is possible. But sometimes we
2:48 can't immediately make a restoration on
2:51 it. In that case, we also have several
2:53 options. Option number one, you will go
2:56 without a tooth. Option number two, the
2:58 doctor tries to come up with something
3:01 like an adhesive bridge where we attach
3:04 a kind of bar to the neighboring teeth
3:06 and the doctor creates an artificial
3:08 tooth right on that bar. You should be
3:10 prepared for the fact that you really
3:12 might have to go without a tooth for
3:15 some time. You should also be prepared
3:18 if you decide to get an implant for
3:20 significant swelling. Swelling of the
3:22 mucous membrane and visible tissue
3:25 swelling. Of course, the intensity and
3:27 severity of the swelling depend on
3:29 various factors both on the individual's
3:31 body and on the specific nature of the
3:33 procedure performed on the patient. The
3:35 swelling reaches its peak on the third
3:38 day. So, after we've placed the implant,
3:41 the swelling is at its maximum on the
3:44 third day. But after that it gradually
3:46 subsides. In fact, in my experience,
3:49 there's a clear trend. Uh the more
3:52 intense and severe the swelling and
3:54 especially the bruising, the better the
3:56 healing. The stronger the body reacts to
3:58 the intervention, the better. Because
4:00 during any surgery or trauma, the body
4:02 directs not only its reserved
4:04 capabilities, but all its protective
4:06 resources right to the affected area.
4:08 The healing is really good. A strong
4:10 bone color forms, especially after bone
4:13 grafting. We take an X-ray and after
4:16 just six months there's already a huge
4:18 amount of new bone growth. You also need
4:20 to be prepared before the implantation
4:23 procedure and before deciding on
4:25 implantation for the possibility that
4:27 the implant might not take. Why might an
4:30 implant be rejected? Well, actually
4:31 there are quite a few reasons for that.
4:34 Uh the first reason is the individual
4:36 characteristics of the body when it does
4:38 not accept or does not tolerate the
4:40 alloy either titanium itself or the
4:42 small impurities that remain in the
4:44 titanium even though modern titanium is
4:47 now purified from additional metal
4:50 impurities which by the way used to be a
4:52 factor in rejection. The second reason
4:54 is of course any additional already
4:56 existing coorbidities. At the end of
4:58 this video, I'll tell you exactly which
5:00 diseases make dental implantation
5:02 impossible. If the implant is still
5:05 rejected or fails to integrate or in
5:08 simple terms falls out. In this case, of
5:09 course, there's a specific protocol that
5:12 must be followed, we contact the
5:14 manufacturer and order additional test.
5:16 As soon as we understand the cause, we
5:19 calmly reinstall the implant. We simply
5:21 take it out and put in a new one. We
5:23 observe again to see what happens. You
5:25 can reinstall the implant or place a new
5:29 one on the very same day. Most often, of
5:31 course, an implant will never just fall
5:33 out of your mouth like that, but we can
5:36 see it on the X-ray. You come in, we see
5:39 this problem on the X-ray, and basically
5:42 we unscrew it ourselves, clean the area,
5:44 and place a new one if possible.
5:46 Sometimes, on the contrary, we unscrew
5:48 it, clean it, and then let the patient
5:50 go for 3 to 6 months so everything can
5:52 heal and form properly. and then after
5:54 three to six months we place a new one.
5:57 I would like to emphasize very often
6:00 even when coming to our clinic the
6:02 patient has already been to more than
6:05 one clinic or seen more than one doctor
6:07 but there is still no full understanding
6:10 not just of the price itself but it
6:11 seems to them that they need to pay
6:13 everything here and now and then indeed
6:16 the total amount seems quite
6:18 overwhelming and intimidating. When we
6:20 explain that you don't have to pay the
6:23 entire amount at once. First the patient
6:26 pays for the uh implant placement and
6:28 then we let the patient go for two or
6:30 three months without any worries. Then
6:32 they come back pay for the placement of
6:34 the healing abotment and only after that
6:36 in about two to four weeks they will
6:39 have the crown placed and pay for it. So
6:42 essentially the total cost is divided
6:44 into three payments over the course of 3
6:46 months. Of course I understand that
6:49 situations and clinical cases can vary.
6:51 Everybody is highly individual, even
6:54 unique. So, if you still have questions,
6:55 write them in the comments or join my
6:57 Telegram channel. I'll be happy to
6:59 answer them. The link is in the
7:01 description. I've told you what to
7:03 prepare for before the implantation
7:06 procedure and what to expect. And now
7:08 I'll tell you about the less obvious
7:11 advantages of implantation. For me, the
7:13 main advantage of implantation is of
7:15 course the so-called preservation of the
7:18 neighboring teeth. So if we are talking
7:20 about this kind of structure or rather
7:22 this kind of clinical case where one
7:24 tooth is missing in the past we would
7:26 have had to place a bridge and grind
7:29 down the two neighboring teeth to
7:31 replace this defect. But now thanks to
7:33 implantation we can simply place an
7:35 implant put on a crown and our two
7:38 neighboring teeth remain completely
7:40 untouched healthy and will last for a
7:43 very very long time. That's why for me
7:45 this is one of the main advantages. The
7:47 second advantage is the high and
7:49 predictable success rate which is very
7:52 high in percentage terms. In fact, it's
7:55 really between 98 and 99.8%.
7:57 And can you imagine? Another advantage
8:00 of course is comfort. If we compare
8:03 removable dentures that a patient wears
8:05 with implants, the difference is
8:08 enormous. With implants, we can make a
8:11 fixed non removable structure. This
8:13 means the patient will be as comfortable
8:15 as possible and won't have to worry
8:17 about anything falling out. Thanks to
8:20 implantation, we can stop the process of
8:22 bone atrophy or bone loss. When there is
8:24 no load on this area, the bone can
8:26 become softer and indeed it starts to
8:28 recede. That's why when we place an
8:31 implant, our bones start to function. In
8:33 other words, it recognizes that there is
8:35 a load on it and bone loss does not
8:38 occur. The next point is the guarantee.
8:42 What does that mean? For each implant,
8:44 you are given a special certificate with
8:46 an individual identification number.
8:49 There is extensive coverage worldwide
8:51 and you can always take this certificate
8:53 with you and show it at any clinic in
8:56 the world. Here I have this implant.
8:58 Here is its number and you will be
9:00 assisted in any kind. Another advantage
9:03 to add to the list is speed and
9:06 durability. The procedure of installing
9:09 even a single implant like this takes at
9:12 most 20 minutes. And as for durability,
9:15 of course, with proper care and regular
9:18 checkups, at least once a year, ideally
9:20 every 6 months, this implant will last
9:23 you a lifetime. Who is definitely not a
9:26 candidate for implantation or getting
9:28 implants? First and foremost is
9:32 diabetes. Specifically, it's the
9:35 compensated form. When medications are
9:37 no longer effective in controlling your
9:39 blood sugar, if you have such
9:43 uncontrolled diabetes, implantation is
9:45 not suitable for you. The next contra
9:47 indication is cancer. That is if a
9:49 patient is under the care of an
9:51 oncologist, implantation is contraindicated.
9:53 contraindicated.
9:54 The next contraindication for
9:58 implantation is patients who are taking
10:01 so-called bisphosphonate medications.
10:03 These medications are taken by patients
10:06 during the treatment of osteoporosis
10:09 and also in the treatment of cancer.
10:12 Another contraindication is immuno
10:15 deficiency conditions or diseases such
10:17 as AIDS. And the final contra indication
10:20 is age under 18 years. It may seem
10:23 completely unexpected, but for patients
10:25 who are under 18 years old and in
10:28 exceptional cases even up to 21,
10:30 implants are contraindicated.
10:33 This is because the formation of final
10:35 development of the dental and jaw system
10:39 is still ongoing at that age. Be sure to
10:41 tell your family and loved ones about
10:44 these contraindications. Or better yet,
10:46 share this video so that as few people
10:48 as possible make mistakes when getting
10:50 implants. and I would be very grateful
10:53 to you. Give this video a like if it
10:55 helped you learn more about implants and
10:57 make the right choice. Subscribe so you
10:59 don't lose this video. Take care of
