Implantology Preparazione intarsio

Insertion and single implant prosthetization

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Implantology Conservativa estetica

Rehabilitation of the
upper toothless jaw

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Implantology Conservativa estetica

Total rehabilitation
of upper arch
and partial rehabilitation of lower arch

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An implant stops the clock

Goodbye to mobile prostheses, with all the problems of maintenance, imperfections and difficulties that these entail: the W&F surgery is specialized in what is considered the greatest revolution in dentistry in the past 30 years: implantology. Implantology is an optimal solution in many cases to restore the chewing and aesthetic functions in subjects suffering from edentulism (partial or total loss of teeth). With this technique, the prostheses are fixed directly to the bone of the mouth through titanium implants which play the role of artificial dental roots in order to obtain fixed teeth which are perfectly integrated into the oral cavity. There are numerous advantages with respect to traditional prostheses: patients once again have teeth of their own to all effects, which are solidly fixed to the jaws in complete safety and biocompatibility. Obviously in those cases where endosseous implants are not possible, total or partial aesthetic prostheses are used as well as the traditional metal-ceramic bridges where technical progress allows increasingly accurate and aesthetic solutions.

Immediate load-bearing implants

In recent years, implantology has made enormous progress. The objective of scientific research in this field has been to minimize the discomfort of the patients through reducing the time required for rehabilitation. This has led to the concept of immediate load-bearing: in the cases where teeth have to be extracted, today it is possible to immediately insert the implants, and in the same session, take an imprint that will allow the technician, in only 48 hours, to make a temporary fixed prosthesis, solidly fixed to the implants so that the patient can get back his smile straight away. Once the time necessary for the tissues to heal has passed, the permanent prosthesis will be made, with the aim of restoring the best function possible together with an aesthetic appearance.

Professor Weinstein and Professor Francetti have been pioneers in this technique, which is not consolidated and accepted by all the international scientific community: Professor Weinstein is the author of many publications in the most prestigious international journals and Professor Francetti is the Director of the Centre for Research into Oral Implantology of the University of Milan.
The safety and competence with which this technique is offered to patients is the latest example of how the surgery has always wanted to offer the best treatment possible based on scientific evidence.

Panoramic X-ray showing the positioning of some implants

Osseous integration

The prostheses inserted according to the principle of immediate load-bearing are completely fixed straight away, as they are screwed to the implants which, once they are positioned, form the new roots of the new teeth. However, for the operation to be considered concluded, the full osseous integration of the implants has to be checked, which usually takes place within two/three months. At this stage, the first prosthesis that is inserted (temporary) is replaced by the definitive prosthesis made using the most sophisticated odontotechnical technologies: the basic structure is produced through a high precision system of computerized milling, starting from a block of solid titanium on which the dental technician will then apply the aesthetic coating (teeth and possibly gums) using the best that exists on the market today in terms of quality. In some cases, when the aesthetic requirement is greatest, the basic structure can be produced, taking advantage of the same technology, in a white material with very great mechanical properties: zirconium.

The benefits of immediate load-bearing

With procedures of immediate load-bearing implantology, the patient can have complete and functional teeth after 2-3 days. The time required for treatment and rehabilitation are very short and the permanent teeth are inserted only a few hours after the operation, to the evident satisfaction of the patients. In addition, there is usually no need to have recourse to pre-implant surgery, in other words, there is less need to prepare the patient for the insertion of the implants through bone reconstruction. The implants are positioned in the front areas of the jaws in order to take advantage of the areas of the best bone quality and at the same time respect the mobile anatomical structures such as the inferior alveolar nerves and the maxillary sinuses.