Strategic Implant ®

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TREATMENT CONCEPT

In the «Dent 32 Dental Studio» we are working according to the Simpladent method, the «Technology of the Strategic Implant ®». And we use the immediate functional loading protocol which allows us to deliver bridges within maximum 72 hours. Details about this technology are found here:

Typically all implants which are placed in our clinic will be equipped with teeth within 3 days at the maximum, often earlier. For the Simpladent ® method there are no cases which are «impossible to do». Almost everybody can be treated, however restrictions may apply for patients which have been treated with i.V. Bisphophonates and to patients with functional disabilities.

THE FOLLOWING GROUP OF PATIENTS WILL PROFIT MOST FROM THE TECHNOLOGY OF THE STRATEGIC IMPLANT ®:

  • patients requesting a quick and stable solution to their tooth problem
  • Patients who don't want to live with tooth problem or with teeth at all
  • Patients who have been told in other clinics, that they don't have enough bone
  • Also patients who have been told that their general health conditions are not allowing them to have conventional implants
  • Patients who have received implants in other clinics, but they are not happy with the results, for example because they have either still (after implants placement) not enough teeth (because the treatment provider didn`t place more implants because he needed more bone for conventional implants), or because aesthetic outcome is not beautiful/not as expected (we can correct this with our technology)
  • Patients who have recurrent infections around their conventional implants and would like to take them out if there are alternative implants without this problem (we have these alternative implants and know how to help them)

On regular base we treat diabetics, patients with hypertension and other medical issues. Likewise we treat smokers with the same chance of success like non-smokers. Also we treat regularly patients which were rejected for 2-stage implants because they did not have enough bone for the 2-stage-technology and because of various «increased risks».

When our technology is applied, painful bone augmentations and bone transplants are not necessary. Often we can help even if bone augmentations and Sinus-Lift were done already. Implants are placed according to the rules as described in the consensus on treatment modalities.

We apply the Consensus on 16 Methods of the International Implant Foundation (the competent scientific body) which are available here.

We have a solution for many patients who cannot find a treatment elsewhere. We use the Strategic Implant(R), because the implants which we use were designed to fit the bone from the beginning. For every bone situation we have a specific implant on stock.  Anchorage of our implants is done in the 2nd  or 3rd cortical (i.e. in stable bones which we all have regardless  of the athrophy). 

We use the technology of «osseofixation» instead of the older variant which was called «Osseointegration». The technology of osseointegration” is full of flaws and disadvantages.

How will the treatment be performed:  Patients comes to our clinic and in a pleasant and relaxed atmosphere we first choose the future teeth (we respect wishes of our patients regarding color and shape of teeth because patient satisfaction comes first). The tooth extraction is done (if necessary)  and implant placement follows immediately. All this in one visit. During next 2-3 days the patients has a few more appointments for try-ins. And on the 3rd day we cement bridges definitely. After this we will do control of the masticatory function and adjustments for one or two more days. Best will be to come for 5 full days or longer to Belgrade.

WE OFFER THE FOLLOWING BRIDGE - MATERIAL VARIANTS:

Material Advantages (in short) Disadvantage (in short) Comment & our recommendation
Metal-acryl
Lower purchasing costs
Acryl as such does not resist to abrasive forces well
Use only for short term temporararies (6 – 12 months)
Metal Composite
Very good aesthetics and pleasant material
These bridges can not be used with the opposing jaw holds ceramic or zirkonium restaurations
A very good long therm temporaray bridge with expected lifespan of +8 years
Zironium
Metal free material; can be designed very aestheticaly
Very hard material. It can break and it can create abrasions in the opposite dentition. Life expectation can be lowe, because the material becomes weaker after water-uptake.
Definitive workpiece; Life expectation can be lower, because the material becomes weaker due to water-uptake.
ISO-Fusion®
Fast and easy production; easy to adjust. Very good aesthetics.
Material may fracture if the verrtical dimension is low and if chewing forces are high.
Can be used as long term temporary for up to several years.
Removable bridges on bars
Can be taken out and put back in by patients (if they want this); a fixed bar remains in the mouth all the time
Higher production costs; not fully fixed teeth.
This variant is not recommended and rarely requested. The variant has very few medical indications.

OUR RECOMMENDATION

Temporary bridge Final bridge
In cases of tooth extractions
PMMA
Zirkonium bridge, or Metal Composite Bridges
In non-extraction cases
---
Metal-composite bridges or Zirkonium bridges

We do not offer brigdes made from Metal-to-ceramic, because this material is  sensitive and difficult to handle for large bridges. Ceramic bridges cannot be repaired in the mouth in most cases.

Direct contact

(+381) 063 330 601

Opening hours:

According to individual agreement

TREATMENT INFORMATION

Bone augmentations are absolutely not required any more in todays dentistry and Implantology!

Why? The answer is simple…. It is with our method enough, to utilize cortical bone areals. Large areas of  osseointegration (as in conventional dental implantology)   are not required.   Cortical bone  (2nd or 3rd cortex) doesnt show atrophy. We all have this bone during all life. Regarding teeth: we recomend extractions of teeth which have caries, root canal treatment, perio-disease, old crowds and all unaesthetic restorations. In general we see that the sucess rates are higher for full bridges compared to  segment bridges. We recomend  therefore to rather remove all teeth than to try to «save» single teeth (even if this would be possible and even it it would be payed by some health insurances).

Natural teeth have a limited life expectation and statistics show, that implants are more reliable than aged teeth. We would like to provide for you successful chewing possibility and as safe treatment with as little complications as possible. Frontal contacts will not be arranged in general. The patients get used to this new situation very quickly. Front teeth will hover be placed in an manner that biting off an apple will be possible.

We can help patients with Peri-Implantitis by exchanging the implants  in one surgical step and we finish the prosthetic treatment also in 3 days. Peri-Implantitis is a condition which  appears around conventional 2-stage implants with big diameter and with rough endossoeus implant surfaces.  Peri-Implantitis was not described at all around the Strategic Implant ®.

maintenance

After your initial treatment, regular controls are necessary.

After your initial treatment, regular controls are necessary.

There are a number of reasons for that: after implant placement  and  installation of the bridges some time is requred  to adjust to the teeth and new hight of the bite. Speaking becomes good within a few days.  If a full rehabilitation is done the position of the mandibular joints will be changed. The new position is not stable at the beginning and often the final position will not be reached immediately. We know from experience, that it can take 2 months or more until the joints fially relapse in the joint centric position.

It may happen that patients bite on cheeks or tongue in the beginning, but this is easily solved with small corections of bridges right after the treatment. Timing for controls are individual but in most of cases 1st control is 3 monts after the end of the initial treatment.  If you manage to stay a few days  more near the clinic after the inital treatment for a daily controll and adjustments, your first maintenance checkup can be postponed  a few months.

Patients who come from far away should consider this option. The 1st maintenance checkup is very important because we are able to do a precise correction of occlusion and achieve equal loading of implants in the sensitive phase when bone is still healing around the implants. During the  (control) maintenance appointment  we exam implants  and bone healing arownd implants clinically, and sometimes we will request an x ray for control. Its very important to adjust contacts between upper and lower teeth now, because the implants must be loaded equaly on the left and right side. Also we check hygiene and train patients aditionaly for cleaning if this seems necessary. Professional cleaning is done with the swiss EMS machine specialy designed for cleaning of bridges on our implants. Next controls are usualy within next 6 to 12  months.

This means if any problem with implants, it will be solved earliest possible by taking out problematic implant and usually by exchanging  that implant immediately.

All these adjustments must be done by a treatment provider who has the special training of  swiss  Simpladent GmbH and who can show a valid certificate of authorisation for the work with these special implants.  Bridges will be replaced only if it is necessary. It depends mainly on the  development  of soft tissues and bone, if the need arises.  In cases with tooth extractions we can expect retraction of gingiva and developing of gaps between bridge and gums. Since we dont have influence on gap developing and its individual, warranty doesnt apply on gaps. Bridges are designed to have borders beyond the lip line and gaps will not be visible while you talk or smile. Actualy gaps are even favorable for hygiene and they don`t create any danger for the implants. If patients want to exchange bridges because of gaps from aesthetical reasons, it can be done not earlier than 6 months after the end of the initial treatment. Its more safe however to wait even 9 or more months for the remineralisation fo the bone before bridges can be taken down. Only then it is safe to take  the bridge down and to replace it. The decision about this can be taken only by the authorized treatment provider. As modern materials like ISO-Fusion and Composite last very long, it is difficult to differentiate between a “temporary bridge” and a “final bridge”.

guarantee

In principle, no guarantee can be given for medical services, since the success of the treatment depends largely on the patient’s healing. Nevertheless, Dent32 Dental Studio usually provides free or inexpensive medical help for 4 years if individual implants have to be replaced unexpectedly. The period of this type of “guarantee” is 4 years.

Please note that regular check-ups in Dent32 Dental Studio or an authorized Simpladent clinic are necessary to maintain the «guarantee».

After the period of 4 years a payable guarantee extension may be offered to patients who have complied with the patients duties (regular checkup, meticulous cleaning of the  bridges in the mouth). Dent32 Dental studio is not obliged to offer this to all clients and the fees depend on the individual case.

Direct contact

(+381) 063 330 601

Opening hours:

According to individual agreement

Strategic Implant ® Faza Konvencionalni implanti

Pregled

Dijagnostički postupci (snimak zuba, kompijuterizovana tomografija, otisci, zavisno od slučaja)

Plan terapije

1

Pregled

Dijagnostički postupci (snimak zuba, kompijuterizovana tomografija, otisci, zavisno od slučaja)

Plan terapije

Priprema usne duplje: uklanjanje zuba i zaostalih korenova, ugradnja implantata, uzimanje otisaka neophodnih za izradu protetskog rada, kontrola snimka.
2
Priprema usne duplje: uklanjanje zuba i zaostalih korenova
Proba rama mosta (na dan ugradnje implantata ili sutradan)
3
Koštana augmentacija/ sinus-lift (Ako postoje indikacije)
Cementiranje protetskog rada (2-3 dana posle ugradnje implantata)
4
3-5 meseci "vreme zarastanja" za (postepenu) integraciju implantata u spongioznu kost.
-
5
Zarastanje kosti (3-5 meseci)
-
6
Otkrivanje implantata, ugradnja formera za gingivu
-
7
Otisci za protetski rad
-
8
Cementiranje protetskog rada

Trajanje tretmana:
od 1 do 5 dana

Broj poseta stomatologa:
3

Ukupno

Trajanje tretmana:
od 4 do 24 meseca

Broj poseta stomatologa:
8-25

Indikacije i kontraindikacije

Indikacije za Strategic Implant ®:

  • svi slučajevi u kojima nedostaje nekoliko zuba ili ih je potrebno izvaditi
  • ukoliko je postupak ugradnje dvofaznih implantata ili augmentacije kosti bio neuspešan
  • svi slučajevi atrofije kosti, od početnog stadijuma do veoma izražene atrofije
  • tretman za pušače je moguć sa istim šansama za uspeh
  • dijabetes I ostale teške bolesti koje usporavaju proces zarastanja rana

Kontraindikacije:

  • produžena oralna ili i.v. upotreba Bifosfonata (funkcija koštanog sistema mora biti proverena pre tretmana implantatima)
  • slučajevi u kojima nije moguća bilateralna, ujedačena mastikacija, tj. kada funkcija mastikatornih mišica ili njihova inervacija nisu očuvani. Za više informacija pogledati uputstva za Strategic Implant www.implant.com