Implantation of chewing teeth - which implant and crown is better to install?

Implantation of chewing teeth – upper and lower. Which implant and crown is best for chewing teeth? Which is better, a bridge or an implant? Specialists at the Implantmaster clinic will select the best option for implanting chewing teeth using the latest diagnostic equipment. We use premium implantation systems at affordable prices.

Despite the increased strength of teeth in the chewing area, they are more susceptible than others to carious lesions, inflammatory processes and losses. Moreover, when units are lost in this area, serious aesthetic problems and disturbances in the functioning of the gastrointestinal tract can occur. All of the above negative manifestations are due to the direct participation of teeth in the process of chewing food and, as a result, excessive load. To eliminate such a pathology, it is necessary to urgently contact dentistry to perform implantation.

At the Implantmaster clinic, the process of recreating teeth in the chewing department is carried out by experienced specialists, based on modern protocols, using special surgical templates and innovative digital equipment. This significantly increases the accuracy of the procedures, minimizes pain, shortens the period of implementation and ensures a successful and long-term result.

Next, we will talk in more detail about implantation of chewing teeth , consider the specifics of performing the procedure in the maxillary and mandibular regions, and also introduce you to the pricing policy and existing reviews. We hope that the information received will help you draw the right conclusions about the need to install implants on your chewing teeth, and you will learn to understand its intricacies.

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Content

1 What are the consequences of losing teeth in the chewing area?

2 Implantation of chewing teeth on the upper jaw

3 Implants of the lower chewing teeth

4 Which implant is better to place on chewing teeth?

5 Bone grafting for implantation of lateral teeth

6 Which crowns are best fixed to a chewing tooth implant?

7 Methods of implantation of chewing teeth

8 Which is better – a bridge or an implant for chewing teeth?

9 Prices for implantation of chewing teeth

10 Reviews about implantation of chewing teeth

11 Alternative options

Cost of implantation of molar teeth in Moscow

The cost of treatment depends on the clinic, brand of implants and implantation technique. On average, installing one classic implant costs 30,000 - 50,000 rubles. Bone grafting surgery (from 27,000 rubles) and the manufacture of a crown or prosthesis (from 27,000 rubles) are paid separately.

The cost of basal implantation of 3-4 chewing teeth is 80,000 - 120,000 rubles. This price already includes the required number of implants, fixed prosthesis and doctor’s work.

What are the consequences of losing teeth in the chewing area?

Despite their reliability, molars and premolars are among the most susceptible teeth to pathogenic bacteria. This is due to their active participation in the process of chewing food products. Severe pathologies in the chewing area can provoke tooth loss. This, in turn, can cause such serious problems as deterioration of the anatomical characteristics of the face, disturbances in the functioning of the maxillofacial system, disruptions in the functioning of the gastrointestinal tract and other undesirable changes.

Currently, the most effective method of eliminating the defect is the implantation of chewing teeth. However, the procedure for reproducing molars and premolars differs in its specific features, which we will discuss later.

Clinical cases

Dentists emphasize the need for timely restoration of molars and premolars. The absence of teeth in the chewing area does not allow you to fully chew food, which provokes problems with the gastrointestinal tract. Atrophic processes lead to loss of volume of the jaw bone, on which soft tissues rest.

If the dentition is not restored for a long time, deformation changes in the anatomy of the face occur. The facial muscles stretch towards the defect, sag, and patients note the premature appearance of wrinkles. Cosmetic procedures are ineffective if you have an incomplete set of teeth! Only a dentist who will select the appropriate method of prosthetics can help get rid of these problems.

1. Single and scattered defects (if the tooth has been missing for a long time or needs to be removed)

For single restorations, two-stage or one-stage implantation is used. If a unit of the dentition has been missing for a long time, the classical technique is often used. Reliable ingrowth of the implant guarantees its resistance to chewing loads. When a tooth is to be removed, the doctor will suggest placing a titanium support in a fresh socket with immediate loading with a crown.

2. Missing teeth in a row on one side

For multiple restorations, a single-stage protocol with immediate loading is suitable. To do this, install two or more supports. If the defect is extensive, 3-4 implants with special abutments are installed on which the orthopedic structure will be supported. The adaptation prosthesis is reinforced with a titanium arch. Thanks to it, the implants do not loosen and grow into the jaw. The prosthesis can be fixed using cement or screws.

3. Missing teeth on both sides

To replace molars and premolars located on opposite sides of the dentition, classical implantation systems and techniques with simultaneous loading of the prosthesis are used. But the health of the front teeth should be assessed. If they are in poor condition, surgical removal with simultaneous placement of implants is recommended. Several more artificial roots are installed in the side zone. Their loading with the prosthesis occurs after 2-3 days.

Implantation of chewing teeth in the upper jaw

It should be noted that the maxillary and mandibular sections have their own unique specific structure. In this case, an important point when losing a tooth in the upper jaw is rapid atrophy. That is, if several years have passed since the loss of such a unit, then a necessary condition for successful fixation of implants will be raising the lower part of the maxillary cavity (performing a sinus lift).

If the tooth is subject to extraction or its loss occurred not so long ago, you can resort to instant methods. During them, the fixation of the prosthetic device is carried out immediately after the insertion of the chewing tooth implant. Due to instant loading, an accelerated period of osseointegration is achieved, equal to 12-16 weeks (3-5 weeks with Straumann implants).

The implant of the upper chewing tooth can also be fixed using the traditional method, which involves step-by-step treatment. However, the load in this case can be carried out only after the end of the engraftment period.

When deciding to install an upper posterior dental implant, you should be aware of the risks associated with this procedure. They are caused, first of all, by the proximity of the maxillary cavities. With an incompetent approach, there is an increased likelihood of injury and the appearance of inflammatory processes.

In our dentistry, consultations are conducted by competent specialists who know all the intricacies of fixation of dental systems in the maxillary region. This guarantees the safety of the manipulations and ensures a prolonged result without complications.

What complications may arise?

• Postoperative bleeding.
• Swelling of the gums.
• Seams coming apart.
• Failure to achieve primary stability of the implant.
• Paresthesia (loss of sensation in the area of ​​implantation)
• Exposure of the implant.
• Peri-implantitis.
• Rejection of the artificial root.

Work examples

How often do you visit the dentist?

Our team of doctors

Maxillofacial surgeon, Implantologist

Bocharov Maxim Viktorovich

Experience: 11 years

Dental surgeon, Implantologist

Chernov Dmitry Anatolievich

Experience: 29 years

Orthopedist, Neuromuscular dentist

Stepanov Andrey Vasilievich

Experience: 22 years

Endodontist, Therapist

Skalet Yana Alexandrovna

Experience: 22 years

Orthopedic dentist

Tsoi Sergey Konstantinovich

Experience: 19 years

Dentist-orthodontist

Enikeeva Anna Stanislavovna

Experience: 3 years

Implants of the lower chewing teeth

If you require implantation in the lower jaw in the area of ​​chewing teeth, then there is a high probability that this procedure will be carried out using a two-stage method. During the first step, the specialist will perform surgery, after which he will suture the gum tissue. At the second stage, the prosthetic device is fixed, a prerequisite for which is complete engraftment of the dental implant.

It should be noted that if implants of the lower chewing teeth are installed using classical technology, this requires the presence of bone tissue with sufficient density and height. If a CT scan reveals a lack of bone tissue, osteoplasty is an integral part of the implantation. This manipulation involves the transplantation of donor or artificial bone blocks.

The treatment period in this case can be significantly delayed, which is explained by the need to restore bone tissue and achieve the required parameters. But in some situations, the osteoplastic procedure can be performed simultaneously with the introduction of dental structures.

In our dentistry, you can get advice from qualified specialists, which will allow you to determine the need for osteoplastic procedures. In addition, we use the latest oral scanners, which guarantees highly accurate diagnostics and proper planning of further treatment measures.

Where to go for molar implantation in Moscow

Dental implants eliminate discomfort, stimulate bone tissue and gums, and provide a stable base for artificial teeth. Implantation of molars provides comfort to patients and normal performance of chewing functions. Implants are biocompatible, guarantee long-term prosthetic reconstruction, preserve healthy teeth and are an excellent means of preventing bone loss.

• The absence of one chewing tooth is one of the indications for implantation. The advantage is that the adjacent teeth remain intact. In traditional bridge making, the teeth have to be prepared. While implantation of molars does not require intervention in neighboring units, the crown on the implant completely replaces the lost tooth in terms of functionality.
• If several natural teeth are lost, implants can be used to form the basis of a bridge. Healthy teeth remain intact, and the prosthesis is firmly fixed to the implants. There is no need for inconvenient clasps and other supports for orthopedic structures. A bridge prosthesis on implants 100% restores impaired chewing functions.

Contact specialists in the implantation of chewing teeth in Moscow if you have single or multiple defects. Approximate prices for such services are shown in the table below. Remember, the choice of dentistry and doctor is the key to a successful result!

We remind you that treatment with implants is one of the most modern solutions used in dentistry. They restore the correct function of the masticatory system and avoid grinding down healthy teeth. Using implants, you can find an individual and comfortable solution to your dental problems. But there are also contraindications to the procedure.

• Relative contraindications: allergies, cardiovascular diseases, advanced periodontitis, inflammation in the oral cavity, kidney disease, smoking.
• Absolute: pregnancy, age under 16 years, diabetes, AIDS, tumor diseases, alcoholism, epilepsy.

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Which implant is best for chewing teeth?

It is a mistake to believe that doctors use the same type of implants to recreate all teeth. For each individual situation, a different method of prosthetics and implantation system are used, which guarantees the success of the procedure in terms of aesthetic and functional parameters.

First of all, in order to understand which implant is best to place on chewing teeth, you should take into account the anatomical parameters of the jaw structure. Taking into account these features, the doctor selects the size of the implant for the chewing tooth.

If we talk about methods of recreating teeth in the lateral region, most often the traditional method is used here, which involves a step-by-step procedure. In this case, the dental system is initially fixed, and only 12-24 weeks after this, the orthopedic structure is installed. The unique SLActive surface from ]Straumann[/anchor] reduces this period to 3-5 weeks. This is due to the need for high-quality osseointegration of the system with bone tissue. During the healing period, the patient usually wears a temporary prosthetic device.

Almost all modern manufacturers have dental implants in their arsenal, designed to restore teeth in the chewing area. Both premium quality systems and budget models are suitable for this purpose. However, products from the Swiss brand Straumann allow you to get the best aesthetic effect and achieve the necessary functionality. In any case, only a competent specialist in a trusted dental clinic can Which implant is better to place on chewing teeth?”

We offer significant discounts on the installation of top-end implantation systems, which allows you to get an impeccable result with a long guarantee. You can also get competent advice from our doctors regarding which implants are best placed on chewing teeth. Our specialists have impressive experience in restoring the aesthetics and functionality of the side section.

Rating of dental implant manufacturers »

In what cases is it used?

One-stage implantation is possible in the absence of one tooth and with complete restoration of the jaw.
The protocols have fundamental differences. Loss of one or more teeth
One-stage implantation with single restorations is suitable for teeth with one root - these are incisors and canines that are visible when you smile. The crown performs more of an aesthetic function to disguise the defect. It should not create excessive load on the installed implant so that it remains immobilized and does not move during chewing. For this reason, one-stage implantation is rarely suitable for posterior teeth.

When restoring one tooth, the following conditions must be met:

• Sufficient volume of jawbone and gums for reliable fixation of the implant
• The presence of teeth nearby to transfer part of the load to them and prevent loosening
• The crown should extend out of the bite (be shorter than the adjacent teeth) so that the pressure is minimal

Complete absence of teeth
All-on-4, All-on-6 complete dental prosthetics protocols are used. In this case, 4-6 implants are installed on the jaw, which are combined into one system by a temporary prosthesis. The implants are securely fixed and therefore do not become loose. You can and even need to chew with new teeth right away in order to start feeding the cells for rapid restoration of bone tissue.

In most cases, it is possible to do without bone grafting - if there is a lack of bone in the chewing areas, implants are installed at an angle for a larger area of ​​​​contact with the bone and to bypass anatomically important structures (maxillary sinus, mandibular nerve).

We work exclusively with premium implants from Nobel Biocare ®

The model range includes various types of implants, including for one-stage implantation of one tooth or a full jaw. Together with the manufacturer we provide a lifetime warranty .

Levin Dmitry Valerievich Chief physician and founder of the Doctor Levin center

Bone grafting for implantation of lateral teeth

It is not possible to fix molar implants in the chewing area if there is a deficiency of bone tissue; an osteoplastic procedure is mandatory. We discussed this point in the previous paragraphs of the article. The process of increasing the size of bone tissue is performed by raising the lower part of the maxillary cavities (in the maxillary region), or by transplanting bone contents (in the maxillary region).

It will not hurt to know that only implantation can stop the process of bone tissue resorption. That is, if the question arises: “ Crown or implant for chewing teeth?”, we can definitely speak in favor of the latter option. As for the removable orthopedic structure, the process of bone loss continues to progress even after its installation.

Read more about bone grafting for dental implants »

Are there any contraindications to installing molar implants?

Are there any contraindications to staged implantation of molars (molars)? Despite the high survival rate of the systems, their use is not always possible. Surgical intervention is contraindicated in case of hypertonicity of the masticatory muscles, diseases of the blood and connective tissue. Adolescence, malignant neoplasms, type I diabetes mellitus, some diseases of the oral mucosa and pathological types of occlusion can also become an obstacle to the implantation of an artificial tooth(s).

If you need molar implantation, please make an appointment by calling. Our specialists draw up a step-by-step plan for surgical intervention and invite you to Yuzhnoye Butovo for consultation and subsequent surgery.

Publication date: 2021-11-15

Author: "Medicast Editorial"

Which crowns are best fixed to a chewing tooth implant?

The final step, accompanied by the fixation of orthopedic systems, is permanent prosthetics. To understand which crowns are best fixed to a chewing tooth implant , it is necessary to take into account the degree of load on it in the future. As a rule, crowns made of zirconium material or metal-ceramics are preferred in such a situation, due to their increased reliability.

If cost is the deciding factor for you when fixing a molar implant , then a more budget-friendly option for you would be a procedure followed by installation of a metal-ceramic prosthesis.

If it is necessary to achieve an impeccable aesthetic effect, along with increased strength, it is advisable to focus on crowns made of zirconium material or glass ceramics.

As for ceramic dentures, this is not the most suitable material for restoring the lateral zone, since it is not resistant to increased loads.

Read more about the types of implant crowns »

Stages of treatment

1. Diagnosis and choice of treatment regimen

The doctor performs an examination of the oral cavity and a CT scan to assess the volume and density of the jaw bone. The patient is sent for general clinical tests to exclude possible contraindications.

2. Preparation

Before the operation, the oral cavity is sanitized. The purpose of the procedure is to eliminate pockets of caries, get rid of persistent plaque and tartar, which are a potential source of infection.

3. Implant installation

The operation is performed under local anesthesia. With classic implantation, after installing the implant, a plug is placed and the gum is sutured. If a one-piece implant was used, then the abutment is already included in the structure, it is located above the gum level.

4. Fixation of the abutment

The adapter for attaching the crown is installed only on the classic implant after its engraftment (after 4-6 months). 2 weeks before, a gum former is installed on the artificial root.

5. Installation of the prosthesis

Depending on the protocol, loading of the artificial root with a prosthesis is performed immediately or after osseointegration. With a one-stage protocol, the prostheses are installed on the third day after surgery. In the classic case, after the implant has been implanted.

Methods of implantation of chewing teeth

When it comes to the need to reconstruct molars and premolars, the implantation process can be implemented using one of the following methods:

1. Traditional way. Restoration measures are carried out in two steps. Fixation of the prosthetic device or crown is carried out 16-24 weeks after the implantation of the dental structure. This is explained by the need to complete osseointegration and achieve full contact of the structure with bone tissue. During the engraftment stage, it is possible to use a temporary orthopedic structure. It is possible to implement the method in case of bone tissue deficiency with preliminary osteoplasty.

2. One-step method. In this case, loading with a metal-plastic prosthetic device is performed immediately after surgery. In addition, when implementing this method, it is possible to fix dental structures in case of bone tissue deficiency. In this case, the implant is introduced into distant layers of the jaw that are resistant to atrophic processes.

3. One-step procedure. It involves fixing a dental implant immediately after tooth extraction. Moreover, simultaneous installation of a prosthetic device made of metal-plastic is allowed. In some situations, a specialist can fix a classic type implant, on which a permanent crown is installed after the end of the osseointegration period.

As for the use of implantation technology, it is selected in accordance with the clinical situation:

• If one tooth is missing, a traditional two-step procedure is usually used. A prerequisite is the passage of an engraftment period, after which the load is carried out with a prosthetic device. In order to eliminate the aesthetic defect during the period of osseointegration, it is possible to use removable orthopedic structures;
• In case of multiple deficiencies, the priority option is to carry out a one-stage procedure with simultaneous fixation of an adaptation-type prosthesis.

Requirements for implants and crowns

There are high demands on materials for restoring molars and premolars. These areas bear the chewing load. Dentists do not use implants that are too thin and short. Our specialists use:

• Classic implants

• Compression implants

• Basal implants

The product line includes models for all clinical cases. Prostheses for replacing several teeth in a row - with a titanium arch that splints the implants and prevents them from loosening under load.

When installing several implants in one clinical case, all metal components of the structure are made of the same material. Impurity metals of various grades of titanium do not combine in the acidic environment of the oral cavity, causing allergies, galvanic syndrome, and rejection of the structure.

The surface of ROOTT premium implants does not contain foreign impurities. All metal products are made from the same grade of medical titanium, which eliminates galvanic syndrome.

What is better – a bridge or an implant for chewing teeth?

When several teeth are lost in the chewing area, the patient is faced with a difficult choice : to fix a bridge or an implant on the chewing tooth. Of course, the preferred choice would be the introduction of a dental implant, followed by the installation of a transition element and a prosthetic device. But such a technique cannot always be implemented, since it requires significant costs - in the absence of sufficient bone tissue.

An alternative option in such situations is the fixation of a bridge-like orthopedic structure involving the patient’s own teeth. The negative aspects of this procedure include the need for significant preparation of supporting units and increased pressure on them, which in the future can provoke serious degenerative processes.

Work examples

All works

Basal implantation for end defect

One-stage implantation for end defect

Implantation with screw fixation of chewing teeth

Implantation of chewing teeth

Restoration of chewing teeth using ROOTT system implants

End defect

Classical dental implantation

Implantation on multi-unit posterior teeth

Dental restoration using classic ROOTT system implants

Installation of one-stage implants with screw fixation in 3 days

One-stage implantation of three chewing teeth

One-stage implantation in 4 days

One-stage implantation with immediate loading (masticatory group)

Classical implantation of the chewing teeth

All works

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Prices for implantation of chewing teeth

Prices for dental implantation on a turnkey basis »

To accurately determine how much a molar implant fixed in the chewing area costs, you need to take into account a number of points.

First of all, the price of services depends on the number of dental units involved and the rating of their manufacturer. In addition, the cost of osteoplastic procedures may be included in the total costs.

A separate cost item is the installation of permanent prosthetic devices. In this case, the material used in the production of crowns and the type of structure play a decisive role. Also, the cost of the procedures may include related medical procedures, including professional cleaning and treatment of teeth with carious lesions.

Stage 4: rehabilitation after implant installation

The rehabilitation period is the time during which the implant root takes root in the patient’s own tissues. Only after osseointegration is completed can one proceed to the orthopedic stage and place permanent crowns.

It is impossible to shorten the healing time of implant roots, even if you take special calcium supplements and other medications. Depending on individual characteristics, it can average 3-6 months, although in most cases it takes at least six months.

The implantologist may recommend regular visits to the clinic to monitor the survival of the implant root (or roots). However, in the absence of discomfort and complications at the rehabilitation stage, the patient makes the next visit to the clinic at the very end. Next, a date is set for placing a gum former on the implant.

Reviews about implantation of chewing teeth

In general, people leave many positive comments about posterior restoration. Negative opinions are mainly associated with an unprofessional approach to treatment and a low level of competence of specialists.

Therefore, if you dream of getting an ideal result when fixing dental structures in the chewing area, it is better to deal with trusted dentists and qualified doctors. In this case, you should pay attention to the technical equipment of the clinic and the degree of trust in it from patients who have already undergone treatment there.

Causes of loss of lateral teeth

Chewing teeth are more likely to suffer from caries than other teeth. This is due to the larger surface of the tooth on which bacteria form and the difficulty of cleaning it. If a person is missing at least one lateral tooth, the remaining teeth are no longer positioned correctly, and the chewing load is distributed unevenly. This can lead to bone atrophy. If the problem of missing teeth is not eliminated for many years, a person will face ankylosis - a limitation in the performance of the lower jaw.

Causes of tooth loss:

• Pulpitis, caries, other dental diseases.
• Inflammation of the gums (periodontal disease, periodontitis).
• Large growths near the roots of the teeth.

Alternative options

If there is a lack of teeth in the chewing region, an alternative treatment option may be the installation of removable orthopedic structures. However, it is not always possible to fix a bridge-type prosthetic device. Sometimes the patient only has supporting units on one side of the defect, which explains the need to use a removable prosthetic system that is fixed to these teeth and gums.

Removable prosthesis. This is a fairly low-cost system that is accessible to the vast majority of patients. However, along with the effectiveness of this design, there are some negative aspects associated with its operation:

• Uncomfortable to wear. Due to the presence of a massive acrylic base, the prosthetic device can cause irritation of the gum tissue;
• Insufficiently strong fixation. Many patients resort to the use of additional gels, ointments and adhesives;
• Light load. Due to the lack of necessary pressure on the bone, it undergoes further resorption. Over time, this deteriorates the strength of the prosthetic device and leads to the need for its relocation.

Taking into account the above disadvantages, we can judge the advisability of installing dental implants instead of removable prosthetic devices using one’s own teeth as supports.

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Alternative prosthetic methods

The lateral dentition can be restored using bridges or removable dentures. A bridge is placed if one or two units are lost and there are healthy supporting teeth on which it can be attached. The main disadvantages of the technique are that it increases the load on adjacent molars and premolars and grinds down their crowns. Since the chewing load increases and the integrity of the dental tissue is compromised, the teeth can become loose and become affected by caries.

If there is no support, for example with an end defect, then besides implantation there is only one option left - removable prosthetics. The denture is fixed on the gums and remaining teeth. These are massive, uncomfortable structures that can rub gum tissue and cause psychological discomfort. To fix them, special means are often required: gels, glue.

Both types of prosthetics do not completely restore the chewing load, by a maximum of 80%. The bone does not receive pressure, so it atrophies.