Implantology (Dental implants)

Everybody can be struck by the loss of a tooth.
Are you missing one or even more teeth, dental implants can be the solution, designed to provide cosmetic benefits close to nature and invisible for others.
Even the complete provision of the maxilla or mandibular can be realized with dental implants. In the dental and oral surgery group practice Dr. Fichna & Kollegen patients can profit of the skills of experienced implantologists and advanced technologies.

Cone Beam Imaging (3-D X-rays)

A dental implant procedure requires multiple visits, starting off with a consultation, diagnostics and x-rays. We provide conservative 3-D x-rays with the technique of cone beam imaging, which allows us to have a three-dimensional image of the jawbone. With this information we can plan the position of the implants and predict whether we need a bone graft (bone augmentation) or not.

Bone Augmentation (Bone graft)

Is there not enough bone for placing an implant it is necessary to do a bone graft. Depending on the loss of the bone we do the augmentation simultaneous with the placement of the implant or in a separate surgery. An innovative and approved graft technique in the upper jawbone (maxilla) is the external lift of the maxillary sinus. In the region of the bone graft we place an access to the maxillary sinus and lift up the thin membrane in the sinus. The created space is filled up with autogenic bone or synthetic bone graft material. Autogenic bone will be collected most of the times in the lower jawbone (Angulus mandibulae) and transplanted into the region where it is needed. Bone augmentations assure more stability when placing implants.

Guided Implant Surgery

To guarantee the perfect position for dental implants even in difficult cases we work with computer navigated surgery (guided surgery). Based on DICOM data we derive from the three-dimensional x-ray (cone beam imaging) we create an individual drilling template for guided placement of the implants. The drilling process is controlled by the template and ensures the correct position of the implant. This allows us a very gentle and safe drilling procedure.

Implant Surgery Procedure

Only perfect anatomical and physical conditions allow an immediate placement of the implant right after the extraction of a tooth. Most of the times the implants are placed a few weeks after the extraction. The healing process for an implant takes, depending on the bone structure of the upper or lower jaw, three to six months to assure Osseointegration. After this period the implants will be uncovered and prepared for impressions, followed by the placement of individual abutments which connect to crowns, bridges or dentures.

Implant surgery can be done in local anesthesia, sedation or general anesthesia.