Dental implants: a solution to missing teeth
Implantology deals with restoring the use of their missing teeth to patients by using implants: titanium screws and bio-compatible elements that are inserted into the mouth to replace lost teeth. The implants used in our dental clinic are manufactured by the company MIS, certified ISO 9001, and the mini-plants by the company MDL Intralock System, equally certified. In cases where there is little bone available, mini-implants are a practical, fast and economical solution for short-term stabilization of implants without the classic three months for integration and, they can also be used as soon as they have been inserted into the mouth. Where it is not possible to use either the classic approach or the mini implants, a maxillary sinus lift or bone grafts to the jaw can be used. Dr. Riccardo Mannoni has always dealt with implantology. He has followed, and continues to follow, numerous training courses on this subject and he has extensive case histories. Dr. Antonino Puccio, who studied at the prestigious dental school of Prof. Nocini University of Verona, deals instead with maxillo-facial cases, operating successfully on maxillary sinus lifts and mandibular bone grafts.
The implant also allows the restoration of chewing.
Two screw implants placed in the mouth to restore chewing at the level of the posterior molars.
Plaster cast and intermediate stages of processing.
Thanks to the implant, the patient was able to recover chewing on a molar.
Overview of the case before the treatment.
Overview of the finished clinical case: severely compromised teeth were removed, and steps were taken to implant in the most suitable areas, performing a fixed prosthesis at the bottom and a combining fixed and mobile denture at the top.
The bridge restores chewing function and aesthetics.
A patient totally toothless in the upper jaw and partially toothless at the bottom. With the insertion of implants, the denture has been stabilised.
An implant placed for agenesis of in a 35-year old: lower second premolar
Overview of the case before treatment.
Overview of a finished case: it was decided to extract the unusable teeth, to insert implants in toothless areas and to place fixed ceramics bridges.
Immediate implant, post extraction, in first premolar area (14).
Don't worry, with implantology you can salve all your problems. This patient hadn't very much bone, and the implant, hadn't a good axix, but working with precision we solved all tecnical problems.
Fixed prosthesis: restoring the crown of the teeth.
Whereas dental implants are used to restore missing teeth by the use of artificial titanium roots, fixed prosthodontics focuses on restoring the tooth crowns with capsules, crowns or bridges. Capsules can be manufactured using various methods and materials. Traditional techniques use impression-making, plaster-casting and modelling of the product by a technician, or employ newer methods such as the use of CAD-CAM technology. The materials range from the composite resin to porcelain or zirconium. Composites are suitable, together with the latest generation of porcelain, to achieve inlays on the back teeth.
Zirconium is the material for producing all-ceramic crowns on the front teeth, but it can only be used in posterior bridges of no more than three teeth. Resin is a relatively soft material that can be used for the construction of a temporary bridge or of a definitive bridge for teeth that, due to the lack of supportive tissue (bone), could not support as rigid prosthetic as would be possible with porcelain. Porcelain is the material of choice to achieve all our implants. It combines flexibility of application to a colour rendering, excellent aesthetics, and, contrary to what the term might indicate, it is very durable. The dental technician models it and then bakes it in an oven at a high temperature. In our dental practice, Dr. Anna Mazzaglia and Dr. Riccardo Mannoni use, for the construction of prostheses, the experience and expertise of two dental technicians with a long family tradition behind them: Luca and Stefano Rabacchi. The clinical case is always discussed together with the technicians, and often also in the presence of the patient, in order to assess the best method and material for the resolution of the case. Porcelain, composite resin, and zirconium have profoundly different characteristics and cannot be used interchangeably on the same people or on the same teeth. So patients can be made aware why specific prosthetic solution is proposed rather than another and they can express their expectations.
Post and core and ceramic veneers on the first upper right molar.
The perfect finish is achieved by working with a dental technician.
They look like natural teeth.
With inlays, even the most complex cases are resolved.
Excellent results in no time! Just before the holidays...
A ceramic crown on the left central incisor.
A broken lower central incisor. In four sessions the broken tooth was restored.
- First session: an impression of the post is taken.
- Second session: the post is cemented. An impression is sent to the laboratory. A provisional resin is inserted and remains in the mouth until the work is ready.
- Third session: the metal cap is tested. It should perfectly close the edge of the tooth. A resin impression of the bite is taken.
- Fourth session: the capsule is permanently cemented.
An economic solution to allow the use of a severely compromised lower molar without resorting to implantology. A capsule of resin is built on the two roots of the molar. In two sessions, the patient can get back his chewing function.
The surgery is quick, minimally invasive, and inexpensive.
A ceramic bridge carried out on the canine and premolars on the right.
The second premolar is rebuilt with a post.
The models are always mounted in the articulator.
Add two implants to your natural teeth and your denture will never moves again.
Removable dentures: other alternatives
The removable denture has almost completely gone, having been replaced by implants. There are, however, cases in which the patient does not want to, or cannot be submitted to, implant surgeries. So we must resort to dentures. The mobile implant consists primarily in the creation of chrome-cobalt removable prostheses or dentures. For a long time now, dentures no longer present those inconveniences that made them disliked by many patients. The reason is that they can be stabilized with mini-implants and the hooks of the denture can be camouflaged with attachments placed on natural teeth. These small details give the patient a better quality of life because they make sure that the prosthesis moves little or not at all during chewing, so enabling even the toughest food to be eaten. In cases of dentures, Dr. Anna Mazzaglia and Dr. Riccardo Mannoni follow the same processing criteria they use for fixed prosthesis, namely to study the case in conjunction with the dental technician and the patient to find the best adoptable solutions.
A partial removable denture for the lower jaw.
Work placed in the mouth: frontal and lateral view left and right.
In this patient, the lower movable denture was made stable with two implants placed in the canine area. On the implants, the dentist has been screwed a gold bar to which the main denture is hooked using precision attachments.
This solution allows the patient to regain safe and comfortable chewing.
A movable partial denture that replaces the molars and premolars on the right.
For aesthetic reasons, a precision ball attachment has been made on the canine.
You can see that the hook is completely covered and is not visible despite being right at the front.