Dear Dr. Tomaž,
A week ago I lost the entire bridge on the right side (from the central incisor backward — 6 teeth). I sometimes had pain under the bridge, and 20 years ago Dr. Oblak operated on one tooth under this bridge because of a granuloma. I wore the previous crowns for 12 years, and I have had the current ones for 8 years. I still have the bridge on the left and it seems firm. I also have ceramic crowns on the lower teeth.
My dentist has now made me a temporary partial denture with a palate, so aesthetically I am taken care of.
I would like to know whether rehabilitation is possible by placing, for example, 2 implants on the right side and then making fixed prosthetics across the entire upper dental arch, as Dr. Oblak originally made for me, so that I could avoid a partial denture.
I am 52 years old, have never been ill, and my biggest problems throughout my life have been with my teeth.
Thank you and kind regards
Dentist Tomaž Rotar answers:
For every problem and every dental status there are always several different solutions. As you wrote, your problem has already been temporarily solved with a partial removable denture, which unfortunately usually causes greater or lesser problems.
Implants are always a desirable solution, as they represent a stable, fixed, aesthetically satisfactory and durable rehabilitation of the problem.
Considering the described location of the missing teeth, I allow for the possibility that implant placement would be combined with sinus floor elevation surgery. In the upper jaw in the premolar and molar region, there is usually not sufficient bone thickness for implantation. We increase the bone thickness by adding artificial bone through the implant bed or via a lateral approach directly into the paranasal cavity. The need for this procedure is certainly not a rule; for a precise answer we would need a panoramic X-ray image.
Even with the placement of two implants we can achieve stability of the construction, but this could be discussed more easily after a clinical examination. The number of implants required depends on the static conditions in the oral cavity, the number of teeth still present and some other factors.
The operation takes approximately just under one hour. The osteointegration period (the time required for the implants to bond with the bone) depends on bone density and ranges from three to six months. During this entire time you wear one form or another of temporary prosthetic replacement.
We look forward to your visit.