Dr. Dr. Ferhat Dizen gave information about implant treatment.- What's a dental implant?To replace the extracted teeth in the mouth, the screw system replaces the tooth roots placed by a surgical intervention is called 'dental implant' or 'dental implant'. Today, dental implants are made of titanium, which is recognized as bone-friendly in the world. Titanium establishes a special bond with bone at the cellular level and easily adapts to biological tissues.- What is the likelihood that the body will not accept the dental implant?The implants are made of titanium. Inflammatory or allergic reactions that the body develops against foreign substances in normal situations do not apply to titanium. Therefore, our body does not reject the implant made of titanium. However, it is not possible to say that dental implant intervention will be 100% successful. An infection following surgery or poor oral care may result in loss of the implant. Therefore, it is more accurate to say that the success of the implant is 98% -99%.- How long is the dental implant?It is not appropriate to give a certain period of time for the life of the implant. If a natural tooth in the mouth needs to be taken care of in order to avoid loss of teeth and genetic factors are present, the dental implant will be affected by similar factors. The goal is for patients to use their implants for life. If good oral and dental care is provided, the implant will remain in the mouth for a very long time if oral controls are performed at the required periods.- Are dental implant interventions a difficult and painful treatment?This procedure is completed in a very short time in patients with sufficient bone volume and density. During the procedure, the area to be operated is anesthetized by local anesthesia. During treatment, the patient does not feel any pain. After the procedure is completed, the patient is advised of the necessary antibiotics, analgesics and mouthwashes.- Can the dental implant be applied to everyone?It is possible to implant any person with sufficient bone rate and good bone density. Of course, the conditions in which the person does not have a disease that interferes with this process are also important in the general health situation. Implant is not suitable for various bone diseases that prevent bone formation. In addition, diabetes is one of the diseases that need attention. However, if diabetes is under control, there is no harm in applying dental implants to these patients. In addition, it is necessary to be careful in routine cortisone users because of the deterioration of bone structure or susceptibility to infection, and if necessary, consultation with the physician of the person is required.-The number of implantsThe number of implants is related to the number of missing teeth. If only one tooth is missing, 1 implant will suffice. However, if 3 teeth are missing, one implant can be applied instead of each tooth, 2 implants can be made and a 3-tooth bridge can be mounted on these 2 implants.- Implants can not be done if the jaw bone is not enough?In patients with insufficiency of the jaw bone, the amount of bone can be increased by using artificial bone powders. If the bone is too thin then the bone dust will not be enough. In this case, by taking bone from the bone regions called donor sites in the mouth, that is, by taking the patient's own bone and transferring it to the implant site, an increase in the amount of bone can be formed there. In addition, in cases where the bone height is not sufficient, bone is lengthened by distraction method and new bone is gained. This technique, which has become very popular in recent years, cannot be applied to every patient and it is a method that should be in the upper stage of patient cooperation. Because in this application, a device placed in the bone deficiency area should be activated by the patient every day. In addition, various patients have reported discomfort due to the presence of this device. Bone augmentation can be performed in the same session with implantation, or in cases where the bone is very insufficient, it may be necessary to increase the amount of bone first and then to implant it 6 months later.- What are the stages of the dental implant?There are two techniques for the application of dental implants. In the first technique, the implant is performed in the same session as soon as the tooth is pulled out. This technique is called immedat application. In the second technique, the wound is expected to heal after the tooth is extracted and implant is applied after 1-2 months. There are, of course, advantages and disadvantages of both techniques. While the waiting time is short in the first technique, the success of the second technique is higher. The fusion of the implant with the bone is called osseointegration. For successful osseointegration, it is necessary to wait 3-6 months after the implant is applied. In new implants, the waiting period has decreased to 8 weeks. One week after the operation, the patient is recalled for suture removal and control- Can smokers get an implant?Smoking damages the hard tissues around the teeth and causes tooth and gum problems. The cigarette that melts the bone around the teeth can cause bone melts around the dental implants. It is recommended that patients do not smoke for 1 week after dental implant operation. The less cigarettes the patient smokes after the period of bone fusion, the longer the life of the implants. Implant is not recommended for patients who cannot give up smoking or smoke 1-2 packs a day.- Is the implant expensive?The main cost of implant treatment is due to the materials used. Dental implants, which have been increasing in recent years, have become increasingly economical. Today, it is a bit more costly than bridge or crown applications. However, if the implant application is considered successful, it will cover the cost over time.-What are the advantages of implant application?Lack of teeth is a condition that prevents the patient from talking and laughing. With implant treatment, the patient gets rid of the situation that causes him to move away from his social environment. Another alternative treatment of the implant application is the so-called bridges or crowns. In the area where there is a lack of teeth, bridges can be applied to the area by cutting and shrinking the teeth in front and behind the cavity. This shortens the life of the reduced teeth. Since the implant is applied only to the area where there is a lack of teeth, it does not cause any harm to the neighboring teeth. If the implant is placed as a support for a removable prosthesis, the prosthesis is prevented from moving in the mouth. In addition, after the tooth extraction, a physiological bone resorption occurs in that area. However, if implant is applied to the area of the tooth cavity, bone resorption is substantially prevented. See: What are the benefits of the implant?- How should the oral care be followed by the implant?Implants do not require special maintenance. It is enough to do the same care applied to natural teeth to implants. To do this, it is enough to brush teeth at least twice a day, floss between the teeth using floss at least once and use mouth showers. Apart from these, it is necessary to use the interface brushes used to clean the teeth between the teeth and specially produced dental flosses to clean the bottom of the bridge. Untreated implants around the implants cause gum inflammation and cause bone resorption. If this situation is intervened without delay, both the gingivitis which cause bad odors in the mouth are prevented and the situation is taken under control before any damage occurs to the implant.-Who does this operation?Dental implant intervention is a surgical procedure and there is no procedure for every dentist. The anatomy of the area where the procedure will be performed should be well known and the doctor should know which surgical method to use. The physicians who will apply this procedure should definitely have the necessary training and must be an expert doctor. This training is given during the doctoral education of the faculties of dentistry at the Department of Oral-Maxillofacial Diseases and Surgery or the Department of Oral Implantology in 4-5 years.