Implant

Food trapping around implants needs a cause-based check. Yeonhap Dental Clinic in Suwon explains when cleaning, adjustment or a new crown helps.

Around implants, the gumline of front teeth is reinforced with a connective tissue graft (CTG) and a procedure that moves the gum toward the crown, and the width of firm gum around back teeth is reinforced with an apically positioned flap (APF). This article outlines Yeonhap Dental Clinic's criteria, timing, recovery period, and fees.

Implants are possible in most cases even with diabetes, aspirin, or osteoporosis injections. Yeonhap Dental Clinic in Gwonseon-gu, Suwon decides the timing of surgery based on HbA1c and consultation with your physician.

Not every loose implant is removed. The response is completely different depending on whether a screw has loosened, the prosthesis has come off, or the implant body itself is moving. Yeonhap Dental Clinic in Gwonseon-gu, Suwon first checks what is loose, and when peri-implantitis is present, decides on removal by looking together at the degree of bone loss, changes in ISQ (a value showing how firmly the implant is held in the bone), and the response to inflammation treatment.

A 96% 10-year implant survival rate is only the share still remaining; it does not mean they are healthy. Yeonhap Dental Clinic checks the gums, bone, and prosthesis at 6-month check-ups.

An implant-assisted denture (IARPD) is a treatment in which implants support a removable partial denture. Yeonhap Dental Clinic fixes a bridge on the implants and hooks the partial denture on with clasps, using two implants (33 and 43) for a fully edentulous lower jaw and four for a fully edentulous upper jaw.

An immediate implant after extraction (immediate placement) places the implant in the same site on the day the tooth is removed. It removes the 2 to 3 months of waiting after extraction but does not shorten the 3 to 6 months it takes to bond to the bone. The 2-year estimated survival of 98.4% is a value calculated by pooling many studies, and in direct comparison studies, immediate placement had more early failures. We have laid out in numbers the conditions under which Yeonhap Dental Clinic places immediately and the conditions under which we wait.

The same implant size is not used uniformly for front teeth and molars. For upper front teeth, where the bone is thin, we use thin implants of 3.0 to 4.0 mm diameter, and for molars, where chewing force is high, thick implants of 4.0 to 5.0 mm (premolars 4.0 to 4.5, molars 4.5 to 5.0). Yeonhap Dental Clinic sets the diameter, length, and number for each site on the first day from the CT, and places upper front-tooth implants at a position that does not extend forward of the line of the incisal edges of neighboring teeth.

All-on-X is a one-piece fixed prosthesis, while Yeonhap Dental Clinic's full-mouth implants are a three-piece fixed prosthesis. We compare the two approaches by number of implants, repair scope, cleaning, placement sites, and cost, and outline how our clinic chooses between them.

When all teeth are missing, Yeonhap Dental Clinic compares five treatment options: complete denture, implant-supported denture, All-on-4, All-on-6, and three-piece fixed. The choice depends on remaining bone, whether the prosthesis is fixed, cost and insurance, and maintenance.

If sinusitis remains after an extraction and you are putting off your implant, what matters is less how long you wait than when it is rechecked and what the next step is. Three months after extraction, Yeonhap Dental Clinic uses CBCT to separate simple mucosal thickening from opacified lesions, and if the finding remains after one week of antibiotics, we open through a lateral approach and check directly.

When there is not enough height above the nerve canal in a lower molar, the choices are vertical bone augmentation followed by a standard-length implant, or a short implant placed within the remaining height. In meta-analyses comparing the two, the short implant side had fewer complications and less marginal bone loss, but there are also reviews in which long implants had higher survival. At Yeonhap Dental Clinic in Tap-dong, Gwonseon-gu, Suwon, we consider a short implant 4–6 mm long and 5 mm or more in diameter when a standard length cannot be placed with a 2 mm margin above the nerve canal, and when 5 mm of height remains we apply our clinic's exception of placing a 4 mm implant, leaving a 1 mm margin.

When you hear at an implant consultation that a bone graft is needed, the first worry is that the surgery will get bigger. Yeonhap Dental Clinic in Gwonseon-gu, Suwon first uses 3D CT to check whether a position can be found that leaves 2 mm of bone on the cheek side of the implant and 1.5 mm on the tongue side, and if so, we do not graft. A report that marginal bone loss decreased significantly as bone thickness approached 1.8 to 2 mm is the basis for this standard (Spray 2000), and when a graft is needed, we do it on the same day as placement in four steps: decortication, xenograft, barrier membrane, and fixation.

The crestal approach to a sinus lift is not always riskier than the lateral approach; the risk depends on the remaining bone, the condition of the membrane, and the instruments used. At Yeonhap Dental Clinic in Gwonseon-gu, Suwon, among crestal approaches we first consider the hydraulic lift that raises the membrane with saline pressure, treat unclear perforation signs as a perforation and switch to the lateral approach on the same day, and judge whether to place the implant separately based on primary stability.

Peri-implantitis is an inflammatory disease linked to plaque, and placement depth, gum thickness, and prosthesis shape are conditions that determine how easy the area is to clean and maintain. Yeonhap Dental Clinic in Gwonseon-gu, Suwon measures depth from the gum surface to the implant platform, plans 4 mm for standard placement and usually 5 to 7 mm for immediate placement after extraction, and aims to build the prosthesis with an emergence angle within 30 degrees.

Implant pain varies with individual sensitivity and anxiety, and with the condition and extent of the surgical site. Yeonhap Dental Clinic in Gwonseon-gu, Suwon uses gargle anesthesia, topical anesthetic ointment, and an automatic anesthesia device as the standard, adds pressure for sensitive areas such as the palate, and reduces discomfort with a low-speed drill at around 200 rpm, flapless or minimal-incision planning, and follow-up at 1 week and 1 month after surgery.

A sinus lift is surgery that raises the floor membrane of the maxillary sinus above the upper molars to create bone height for an implant. Yeonhap Dental Clinic in Gwonseon-gu, Suwon considers it when less than 7 mm of bone remains, and proceeds according to three criteria: approach, number of surgeries, and healing period. The estimated 3-year survival of implants at lifted sites is reported as 92.8% for the crestal approach and 90.1% for the lateral approach (Tan 2008, Pjetursson 2008).

If you have been advised to have a bone graft for an implant, start by separating whether what is lacking is thickness or height. This article summarizes, by the standards of Yeonhap Dental Clinic in Gwonseon-gu, Suwon, how far position and angle, placement depth, and short implants can reduce grafting, and the points where we do not skip the graft.

The worries patients most often have before an implant consultation are whether we will suggest pulling even healthy teeth, and whether the medications they take will be a problem for surgery. At Yeonhap Dental Clinic, we do not set a surgery date at the first consultation. First we evaluate whether the remaining tooth can be saved, using Q-ray and the Trios 6 intraoral scanner among other tools; we measure bone thickness and the distance to the nerve canal on 3D CT to confirm what is possible; and we check your medications and systemic conditions to adjust the plan. Yeonhap Dental Clinic in Gwonseon-gu, Suwon talks about a placement plan only after these three have been sorted out.

An implant price is not a single figure but the sum of items. Five items split the quotes: the number of implants, bone grafting, sinus lift, the type of abutment, and the follow-up schedule that runs from right after surgery to check-ups every 6 months. The quote changes with the number of implants, whether a bone graft or sinus lift is needed, the abutment configuration, and the scope of post-surgical care, and those decisions come from measurements, not from guesswork. At Yeonhap Dental Clinic in Gwonseon-gu, Suwon, our principle is to plan only the treatment that is needed, reducing unnecessary treatment based on 3D CT measurements. If you are 65 or older, still have some natural teeth, and meet the coverage conditions, National Health Insurance applies, and your burden differs.