A dental implant is a replacement for an entire tooth that is attached directly to the jaw. It is fused to the jawbone and serves as a base for a replacement tooth, bridge or denture. Implants can be used to replace one, several or all teeth. After some months from insertion, the implant becomes integrated with the jawbone, which helps the replacement teeth feel quite natural. Patients for implants need to have healthy gums and adequate bone to support the implant.

Preparation: Involves consultation and x-rays, extraction of the tooth (if necessary), and clearing of gum disease (if necessary).

Insert implant: The implant is surgically inserted into the bone below the gums in the spot of the missing tooth. The gum is stitched over it and the area is left to heal. Stitches are normally removed after about a week or two (most people use their regular dentist at home who is happy to cooperate). The procedure is routinely carried out under local anesthesia and is not complicated and takes maybe 30 minutes. The implant is monitored for 2-6 months during which time a tight connection is created between the bone and implant. Sometimes a temporary crown is attached on the day the implant is done.

Install crown or bridge: A small surgical procedure is used to uncover the gum over the top of the implant and then an abutment is screwed onto the implant. 48 hours later once the gum around the implant has healed, the dentist can take impressions to allow the crown or bridge to be made. It takes 5-7 days to produce the crown or bridge at the lab. Then at another appointment it is installed by attaching to the abutment.

Bone augmentation: In occasional cases, it is necessary to correct the volume or quality of the bone before installing the implant. In around half of cases this can be done in the same visit as the implant.  In the other half of cases 2-4 month waiting period will be required before the implant can be inserted.

Process: The whole process takes 2-4 visits to Prague over a period of 2-12 months.

• Preparation. It may be possible to do preparation and insert implant in the same visit.
• Insert implant. Requires one short visit to Prague. Wait 2-6 months.
• Install crown or bridge, involves; (1) attach abutment, wait 48 hours for healing; (2) take impression, wait 5-7 days to produce crown or bridge at lab; (3) install crown or bridge. Requires one visit of a week or two short visits to Prague.
• If bone augmentation is required and if that cannot be done at the same time as implant, then another visit to Prague and another waiting period may be required.





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