Dental implant

Dental implant is the only treatment solution that replaces one or more teeth and restores 99% the functionality and natural aesthetics according to the American Academy of Dental implantology.

In recent years, many patients are asking for this rehabilitation solution, and worldwide, over 3 million patients opt for dental implants. 

The functional and emotional effects of tooth loss

 

The loss of one or more teeth has a particular impact on the quality of life, affecting not only the functionality and the smile asthetics, but also the physical and mental health.  

Dental implants change the way we live: designed as a basic structure to replace a missing tooth, which with the final dental crown prosthetic work looks, feels and function like the natural tooth.

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Elemente functionae

After the treatment with dental implants, the patient restores the masticatory function and regains the face harmony and the aesthetic of the smile. 

What is a dental implant?

 

The treatment with dental implant represents the most modern method of replacing the missing teeth or that are in an advanced state of deterioration and cannot be saved. 

Maintaining the long term integrity and the fact that it takes the functions and the characteristics of the natural tooth, make the dental implant the most recommended solution by the dentists all over the world. 

Worldwide, the success rate of dental implant is over 98%, transforming it in a lifetime treatment solution. (According to the US National Library of Medicine National Institutes of Health)

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Ce este

In our country, 7 out of 10 Romanians have at least one missing tooth and 93% of the patients that have chosen dental implants for their oral rehabilitation and satisfied with their choice (accordingly to a market study led by DENT ESTET and the 360insights research agency). 

Cristian Csapo-Martinescu
Dr. Cristian Csapo-Martinescu:

"Ceramic dental implants, latest premium solutions in dental implantology, represent the ideal fusion between aesthetics and biocompatibility, with natural adaptation to the biological material of the patient!"

The benefits of dental implant

Improves dental and general health

  • Dental implants prevent bone resorbtion. The natural atrophy of the alveolar bone starts when the tooth is lost, and if it's not acted upon immediately, it brings complications that can led to the loss of the neighboring teeth. Statistically, the bone volume decreases by 50% in the first three years from the dental extraction, which make the following interventions more complex. 
  • Dental implants look and work like natural teeth. Once inserted in the bone, these osseointegrate to prevent the loss of bone mass and to maintain the harmony of the face and the health of the soft tissues 
  • improves the general health of the body. With strong and functional teeth, patients can return to a healthy and normal diet. 

It is a reliable solution

  • Dental implants osseointegrate in 1-3 months from the intervention, so that they fusion with the bone, preventing the risk of mobilizing.
  • With an adequate oral care, dental implants can last for a lifetime, being considered as the smartest investment when talking about replacing missing teeth.
  • The success rate of the treatment with dental implants is over 98% - depending on the implant quality and the case complexity. 

Restores the confidence of the smile

  • The complete dental work consisting of the implant and the final prosthesis has a facelifting effect: it corrects the asymmetries of the face and gives the face a rejuvenated appearance (especially in patients with multiple edentations, with an aged facial appearance).

  • It boosts the self esteem and help maintain an optimum oral health state.

  • Your implants are unique. Every new tooth (permanent dental crown) is personalized with the shape, form and dimension similar to the natural teeth in order to bring back the natural look of the smile. 

Masterplanul DE Implantologie Digitală Protocol Unic în România aplicat în cadrul clinicilor DENT ESTET

DE Digital Implantology Masterplan is a working protocol ment to facilitate the dental implant treatments and to offer to the patient a complete experience in all DENT ESTET clinic. 

The new medical techniques and digital technologies allow us to shorten the waiting period, to reduce the discomfort in the dental office and with minimum invazive interventions. 

The integrated DENT ESTET implantology center: 

  • Multidisciplinary team
  • Types of premium dental implants
  • Digital technologies
  • Dental prosthetic department - ASPEN digital laboratory 
  • Implants maintenance
  • Related special services

Together, all the components of the DE digital implantology Masterplan ensure a clear and efficient flow for the treatment. 

So, this protocol aims to follow all the stages of the treatment, starting with the initial investigations, the surgery protocol and ending with the long term maintenance of the dental implants. 

The benefits of dental implant treatment at DENT ESTET

DE All-In-One ClinicDE All-In-One Clinic

All the stages of the treatment and the digital clinical investigations are performed under the same roof. In each DENT ESTET clinic you can find all the dental areas, so that, the patient can benefit of faster and more efficient treatments. 

DE Strong TeamDE Strong Team

The success of the treatment is guaranteed by a performant medical team with internationally certified specialists, carefully selected and with proved expertise. 

DE GuaranteedDE Guaranteed

All dental implant treatments are performed through an impeccable medical act and guaranteed by a unique document of the DENT ESTET clinics that certifies the quality of the treatments - the QUALITY ASSUMPTION Certificate.

Furthermore, every dental implant has an extended guarantee offered by the producer and reffers to the constituant material, from 20 years to lifetime guarantee. 

DE360SafetyDE360Safety

The DENT ESTET clinics follow strict patient safety and sterilization protocols Clinicile DENT ESTET urmează protocoale stricte de sterilizare și siguranță a pacientului updated with the regulations of the Romanian college of Dentists and enriched with elements from the dental clinics protocols from Germany, UK, USA and France. 

DE TransparencyDE Transparency

After the first visit, during which the coordinating doctor performs the oral clinial examination and the digital radiology investigations, each patient receives a complete treatment plan, evaluated by a medical comission with specialists from various dentistry areas.

This way, the patient knows, in a transparent manner, the alternatives and the treatment options, the stages, the final costs and the duration of the treatment. Furthermore, the patient cand discuss with his dentist and they can choose together the best suited treatments.

DE CareDE Care

The communication and establishing a trusting relationship between the doctor and the patient are the first steps towards a successful treatment. 

Before starting the treatment, the doctor presents to the patient a real overview on his dental health and explains the full process of the design leading to the new smile.

The initial invetigations Iand the complex medical anamnesis of the patient are the mandatory pillons for creating a correct and complete treatment plan. 

Moreover, the Patient Care CoordinatorsR  team keeps a continuous open relation with the patients, to offer them the safety and support needed to complete the treatment and for the future maintenance program. 

Alexandru Georgescu
Dr. Alexandru Georgescu:

„We choose Nobel implant for its premium quality, but also for the benefits offered for single implants or for All-on-4 systems. Nobel Biocare dental implant offers more than a smile, it is actually the chance to a new life. It's a choice that offers safety and international validation through scientific studies published in certified jurnals.”

DENT ESTET Echipa

The medical specializations and the vast expertise are the basis criteria for the selection of our dentists in the implantology team.

Our doctors are both the specialists and the artisans with the competence to transform the smile and to improve patients' life. The coordinating doctor takes time to understand the patient's needs, desires and fears and looks for optimum treatment solutions. The personalized care offered has the purpose to build a strong lasting relationship between the doctor and the patient.

The treatments we perform represent the effort of a team of specialists: implantology specialist, prosthetic doctor and dental technician in collaboration with the patient, actively involved in choosing the aesthetics of the new smile. Continuously connected to postgraduate studies and courses, with great experience in complex cases and empathy towards the patient are completely dedicated to the long term health.

The elements of the complete dental implant

The screw / the actual implant: plays the part of the artificial root and is inserted in the bone. This one represents the basis of the tooth and can sustain one or more artificial teeth (crowns). The screw, made of titanium, titanium alloy  with zirconia or ceramics, can be used to replace one tooth when supporting one crown, or can be geared in bridges on implant. 

The abutment  connects the screw (implant) with the artificial tooth (dental crown). the abutments are specific to each type of implant and it is extremely important for these to be original and not from other producer, other than the company of the used implants. Poor adaptation, even at a microscopic level, can lead, over time, to imflammation of the peri-implant tissues of rupture of the abutment. 

The dental crown represents the aesthetic aspect of the artificial tooth. This is made in the dental laboratory, so that it is as close in shape and color with the natural tooth. 

Dental implant vs. other treatment options

 

Since its launch in 1952 and until now, the dental implant has been perfected so that it has become the first choice of specialists for the replacement of missing teeth.

In addition to the dental implant, there are also temporary treatment solutions, less expensive, but with undesirable implications on the long-term dental health:

  • Dental bridge is the traditional solution that involves replacing the missing tooth with a dental work that is supported on neighboring teeth. The prosthetic work consisting of the 3 crowns involves the grinding of the 2 healthy teeth on which it is fixed.
  • Mobilizable denture is a mobile prosthetic work that rests on the gums to replace missing teeth. This can be done for the entire arch or partially for a few teeth.

This accentuates bone resorption, and then an operation with dental implants becomes a complex case.

Below you can find a table comparing the 3 types of treatments for missing teeth:

Dentures

Dentures

Bridges

Bridges

Dental implant

Dental implant

Longevity

5 - 7 years

7 - 10 years

15 years - lifetime

Maintaining healthy neighboring teeth

sometimes

no

yes

Transfer of masticatory force to

teeth / gums

neighboring teeth

bone

Prevent bone loss and maintain facial appearance

no

no

yes

Need of periodical adjustments

yes

yes

no

Accelerate neighboring teeth loss

yes

yes

no

DenturesDentures

Longevitate

5 - 7 ani

Menținerea dinților vecini sănătoși

uneori

Transferarea forței de masticație către

dinți/gingii

Prevenirea pierderii densității osoase și menținerea aspectului feței

nu

Necesitatea ajustărilor periodice

da

Pierderea accelerată a dinților vecini

da

BridgesBridges

Longevitate

7 - 10 ani

Menținerea dinților vecini sănătoși

nu

Transferarea forței de masticație către

dinți vecini

Prevenirea pierderii densității osoase și menținerea aspectului feței

nu

Necesitatea ajustărilor periodice

da

Pierderea accelerată a dinților vecini

da

Dental implantDental implant

Longevitate

15 ani - nelimitat

Menținerea dinților vecini sănătoși

da

Transferarea forței de masticație către

os

Prevenirea pierderii densității osoase și menținerea aspectului feței

da

Necesitatea ajustărilor periodice

nu

Pierderea accelerată a dinților vecini

nu

When is dental implant recommended

 

If you have lost at least one tooth or if you have a tooth that cannot be saved by using any conservative treatment, the first recommendation of the dentist will be dental implant.

It is very important for you to take the decision on time to prevent bone loss, teeth migration and other negative effects that can influence your oral health, facial look and the quality of life. 

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Implant dentar
Implant

 

Full mouth dental implants

Patients that need to replace a dental arch or both arches with a new set of teeth can opt for fixed prosthesis systems, with temporary dental work within 24 hours.  

Implant

 

Multiple dental implant

In many cases, the patient is missing more teeth, or he can lose them due to the extended degree of deterioration, but the gums and the soft tissues remain healthy. In order to maintain the integrity of the neighboring teeth, the implantology dentist will choose a multiple dental implant solution. 

Implant

 

Single dental implant

In case of tooth loss due to an advanced decay, an accident or periodontal disease, that tooth can be replaced with dental implant that looks and feels like a natural tooth. 

Alice Gavrilescu
Dr. Alice Gavrilescu:

„With a modern design, the Bredent implant has an excellent primary stability, fact that make it suitable both for the cases in which we replace one tooth, but also for complex and complete dental arch oral rehabilitation. It is a reliable solution for immediate restauration and implantation, so that the masticatory function can be regained in only one day. ”

Tipuri de implant dentar

Nobel Pearl dental implant

Nobel Pearl dental implant

  • 100% metal free
  • International lifetime guarantee offered by the producer
  • Zirconia – an alternative to titanium
  • Internal connection that does not require cimentation
  • Natural aesthetics – in harmony with the soft tissues
  • Adhesion to the level of soft tissues
  • Low affinity for bacterial plaque deposition
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Straumann® Pure Ceramic dental implant

Straumann® Pure Ceramic dental implant

  • Metal free, mechanical tested before insertion
  • Aesthetics similar to natural teeth - ivory color
  • Immediate temporary prosthesis possibility, fast healing
  • ZLA® unique surface with revolutionary characteristics of fast osseointegration
  • International lifetime guarantee offered by the producer
Vezi mai multe
All-on-4, All-on-6 Nobel Biocare implant system

All-on-4, All-on-6 Nobel Biocare implant system

  • Special for complete edentuous patients
  • Lifetime warranty for the components offered by the producer
  • 100% esthetic  and functional
  • 24 hours treatment
  • Can eliminate bone addition in some cases
Vezi mai multe
Straumann PRO Arch® dental implant

Straumann PRO Arch® dental implant

  • Destinated to people without teeth
  • 100% pain free procedure, thanks to digital technologies
  • Eliminates bone augmentation
  • Lifetime warranty offered by the producer
Vezi mai multe
Bredent® Fast & Fixed - 4-6 implants system

Bredent® Fast & Fixed - 4-6 implants system

  • Created for patients that donțt have teeth anymore
  • 100% pain free medical solution
  • Short treatment duration
  • 20 years warranty offered by the producer
Vezi mai multe
Straumann® dental implant

Straumann® dental implant

  • Premium dental implant
  • Fastest osseointegration process (Straumann SLA Active)
  • The Roxolid material allows interventions with low invasiveness by using implants with small diameter, but with increased resistance
  • Lifetime guarantee offered by the producer
Vezi mai multe
Nobel Biocare dental implants

Nobel Biocare dental implants

  • The premium dental implant with the longest research history and development in the world
  • It includes the latest technology 
  • Fast osseointegration
  • Versatility
  • Number one in USA 
  • International lifetime guarantee offered by the producer
Vezi mai multe

Tehnologii folosite în tratamentul cu implant dentar

Osstell Beacon® Device
  • Osstell Beacon® Device
3Shape Implant Studio®
  • 3Shape Implant Studio®
Digital Surgery Guide
  • Digital Surgery Guide
The Wand® Digital Anesthesia
  • The Wand® Digital Anesthesia

Dental implant treatment stages

Planning and the specialized consultationPlanning and the specialized consultation

The first step to find out if you are a suitable candidate for dental implants is the medical consultation. Based on the oral examination performed by the doctor in the dental office, the digital radiology investigations (CBCT computed tomography) the coordinating dentist will create the personalized treatment plan that includes the stages of the treatment and the prioritized treatments.

For complete accuracy  and precision during the insertion of the dental implants, a 3D digital simulation will be created based on the CBCT images. Using these results, the doctor will establish the intervention flow. chirurgicală.

Before the intervention, for the safety of the patient, the doctor will require a standard set of investigations. In the particular case that the investigations are not compliant, the doctor has the responsibility to inform the patient and reschedule the intervention.

Cavities, root canal infections and Cariile, infecțiile de canal sau periodontitis are treated before the insertion of the dental implant.

Before the intervention, it is mandatory that the patient to make the routine prophylaxis session, so that the teeth and the soft tissues to be cleaned in a professional manner and the bacteria removed.

Anesthesia and the patient preparationAnesthesia and the patient preparation

Before the patient enters into the dental office to be prepared for the intervention, he will sign the surgery consent (with all the details of the procedure) and the pre-anesthesia questionnaire so that he is correctly informed on the procedure he will take.

In order to offer the patient with a more comfortable setting, we will perform a digital anesthesia with patented technology to control the flow rate and pressure of the anesthesia during the injection. Three speeds are tailored for each injection type to ensure optimal comfort and effectiveness. Furthermore, the implantology doctor will be assisted by the anesthesiologist during the intervention.

In case of complex intervention (sinus lifting, bone addition) it is advised to use the PRGF kit, to create membrane from the patient's blood in the dental office for a faster healing process.

Implant insertion and the final prosthesisImplant insertion and the final prosthesis

In the day of the intervention:

  • In the possible cases, the patient benefits of temporary prosthesis in the same session with the implant insertion.
  • Nobel Biocare, Straumann and Bredent dental implants allow the insertion of the implant immediately after the extraction, decision that can be made only by the implantology doctor, at the extraction time.
  • The case of edentulous patients that receive implant systems like All-on-4, Straumann Pro Arch and Fast & Fixed by Bredent the temporary prosthetic work is made in 24 hours.
  • After the intervention, the patient will receive the medication scheme from the implantology doctor and will perform an OPG (digital panoramic radiography) and CBCT (computed tomography).

 

 7-10 days from the intervention:

After the dental implant has been successfully inserted into the bone, based on the digital surgical guide made by the implantology doctor, 7-14 days apart from the intervention the sutures are removed - depending on the case complexity.

 

The final prosthesis takes the specific time depending on the implant type and the complexity of the case:

  • Implants with fast osseointegration like Nobel Active and Straumann SLA ACtive receive the final prosthetic work two months after the intervention.
  • For the complex cases, with laborious interventions with bone addition and sinus lifting, the final prosthesis is performed after 6-9 months from the intervention.
  • For the implant systems such as Nobel All-on-4, Straumann Pro Arch and Fast & Fixed by Bredent the final prosthesis is made after 4-6 months from the intervention.

After the final prosthesis, DENT ESTET is offering to the patient a Quality Assumption Certificate that includes controls and periodic prophylaxis sessions, certifies the quality of the medical act and also offers extended guarantee for the performed treatment.

During this period of time, keeping a good oral hygiene at home, following the recommended periodic dental visits and the prophylaxis sessions is mandatory.

Recovery and recommendations after the dental implant intervention

For the majority of patients with simple interventions the postoperatory discomfort is minimum. These patients have to strictly follow the doctor's recommendations to prevent further complications.

In the case of more complex interventions, patients can feel a local discomfort, swollen gums, bruising, edema and minor bleedings.

The doctor will recommend medication to ease the pain and to calm down the local inflammation and even antibiotic treatment.

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Recuperare

To avoid further complications, the patient has to follow the specific recommendations of the doctor:

  • After the intervention the patient has to keep a cold compress on the cheek to reduce inflammation.
  • The patient respects the medication recommended by the doctor.
  • Don't touch with the tongue the area of the intervention to avoid the swelling.The sensitivity will slowly decrease during the recovery period.
  • Brushing can be done at doctor's indications from the first day after the intervention in order to avoid the bacterial plaque accumulation, but it is advised to use a soft bristle brush and in no case the electric brush. 
  • Avoid hot food and beverages until the effect of the anesthesia dissapears and avoid coffee or alcohol consumption in the firts seven days after the intervention, due to the risk of bleeding
  • I's not recommended to eat fluory foods because they get sticked on the gums and can lead to inflammation. Instead, soft foods can be eaten until the sutures are removed.
  • Avoid smoking, it can lead to serious complications and to treatment failure.
  • Regulary visits to the dentist are mandatory, as accordingly to the coordinating doctor's recommendations

Caring for your dental implants

Dental implants look, feel like and can be taken care like real teeth.

A dental implant treatment correctly done should not lead to future complications if the patient has a correct oral hygiene ritual, including brushing twice a day, flossing, using mouthwash and oral irrigator.

The prophylaxis and the regular visits to the dentist are, also, mandatory.

Dental implant - contraindications and risks

Dental implant might not be recommended to patients with uncontrolled diabetes, bone affections or oncological conditions.

There are, nevertheless, cases in which a patient with diabetes can opt for dental implants if the blood sugar is kept under control and dthe patient has a controlled diet.

Regarding the age, dnetal implant can be inserted after the bone growth ending, meaning after adolescence.

Risk factors that negatively influence the success of the treatment:

  • Prosthetic overload
  • Local infections
  • Nerve, blood vessels and sinus damage
  • not respecting the after intervention indications

Symptoms of dental implant loss

​​​​​​​appear in 2% of the worldwide implant cases:

  • Acute pain and discomfort
  • Gums inflammation
  • Teeth mobility on implant
  • Eating difficulty
  • Implant mobility
  • Gingival retraction
  • Purulent secretion

Te price of dental implant - what includes

The cost of dental implant - a lifetime investment

Dental implant is the closest match, functional and aesthetic, to your natural teeth.

It is the solution that brings back the joy of a normal life, no efforts or restrictions.

When taking the decision to make a dental implant you should consider:

  • Taking all the necessary investigations (CBCT computed tomography, blood investigations) based on which the dentist creates an accurate treatment plan, no extra costs.
  • The necessary dental implants number and the implants type (standard or premium, single or fixed implant system).
  • The experience and the expertise of the implantologist and of the medical team that is in charge of the case.
  • Technologies - there are many treatment options that help to faster healing of the local affected area or that reduce the treatment duration.

When you compare different prices for the dental implant, take into consideration all treatment stages. The minimum you should consider is the implant (screw) price, the abutment price, the dental crown price and the biomaterials used in the given case.

At DENT ESTET, the principles we apply when communicating treatment rates are:

DENT ESTETInterdisciplinary evaluation of the case:

treatment plan made by an interdisciplinary medical team, so that we make sure the patient gets the needed treatmentsare nevoie

DENT ESTETEnsuring the patient with the best option:

treatments and implant solutions

DENT ESTETTransparency:

all costs are transparently communicated from the begining

DENT ESTETAdditional benefits:

that include certain free investigations and a two years free maintenance program

DENT ESTETThe guarantee of the investment:

After the implant, DENT ESTET offers a Quality Assumption Certificate

Every patient is unique, our body is unique, that is why, a correct treatment plan is made exclusively based on the medical particularities and on patient's desires.

The treatment plan is personalized based on:
  • the biological material of the patient
  • medical history and preexisting conditions
  • other necessary treatments to ensure the optimum dental health
  • corrective procedures in the case of severe bone loss - bone addition
  • the materialsthe implant is made of
  • the number of implants
  • the technologies used for investigations, diagnosis and treatment

See the prices for all the dental implant types:

Prof. Dr. Paulo Malo
Prof. Dr. Paulo Malo

“The All-on-4 technology comes as a solution to a great challenge, to oral rehabilitate the edentulous patients, especially those without bone and teeth. So that, after several years of research we discovered that if we insert only 4 implants with a specific angulation and in a certain position, we can create a fixed prosthesis with a high success rate, in many cases of 100%. The success is huge only by taking into consideration the feeling of telling to a patient that has been offered the alternative of a mobile prosthesis, that you can offer him fixed teeth in a day without bone addition and with a success rate higher that in the case of grafting. Furthermore, this new technique that doesn't imply bone addition has lower costs, almost half of the total cost of a complete standard procedure (that includes bone addition) and represents a kind of miracle for the patients."