A gap is created when a tooth is lost. This is not only unsightly but also has negative functional effects on the dentition as a whole. Removing a keystone from an arch will bring about its collapse – a similar effect occurs when a tooth is removed. The neighbouring teeth have the tendency to drift and tilt into the toothless socket. This triggers a domino effect. This subsiding horizontal occlusion alters the mandibular joint.
A further consequence is possible bone resorption. Bones are dependent on pressure otherwise resorption occurs, similar to muscles wasting beneath a plaster cast. If the patient agrees to the implant these factors must be included in the equation from the outset. This averts further costs and measures arising at a later stage should bone augmentation be necessary.
Thanks to decades of research in the field of implantology a single tooth implant is the nearset substitute for a lost tooth in terms of function and aesthetics. When fitting a dental bridge, neighbouring teeth have to be ground down in order to fix the bridge firmly. This of course means extra trauma and is unpleasant for the patient involved. When fitting an implant this can be avoided.
The only prerequisite for implant placement is clarification about adequate bone volume and exclusion of any possible residual inflammation within the jaw bone tissue (mandibular ostitis/osteomyelitis). After the implants have attained sufficient primary stability they are resilient and can be fitted with a provisional crown.
Depending on the initial situation the implant can either be immediately fitted with a crown or a healing phase of 2 to 6 months has to be adhered to. In the interim a provisional crown is fitted.