A dental implant is a modern and safe solution for replacing one or more missing teeth. The implant is a small titanium device similar to a screw, which is inserted into the bone, over which a dental crown is placed. After the procedure, it looks and behaves like a normal tooth, with no functional limitations.

The procedure takes approximately 15-30 minutes and is performed under local anaesthesia, and the patient feels no pain. For anxious patients, conscious sedation assisted by an ATI specialist doctor may be used.

In this article, we will learn more about the stages of dental implantation, the advantages of each stage, and what to do to manage discomfort or possible reactions after insertion. 

The first stage consists of a specialist consultation with a dentist specialising in dento-alveolar surgery. The patient is asked about their dental history, as well as whether they suffer from any chronic conditions or lifestyle factors (such as smoking).

Paraclinical investigations are performed, such as digital X-rays, dental arch scans or CBCT computed tomography. These investigations are designed to assess bone level, surrounding structure (gums-soft tissues) and occlusion in order to determine the type of prosthesis to be used.

"After taking the patient's medical history and performing the investigations, the coordinating doctor from the DENT ESTET team establishes the treatment plan, which also includes the answer to the question 'What type of implant is recommended for me?', explains Dr. Bianca Spătaru, dentist at DENT ESTET clinics.

The treatment plan, which is presented to the patient by the doctor, contains all the details related to the dental implant procedure: 

• The number of dental implants required (and whether extractions are necessary)
• The need for procedures such as bone grafting/sinus lift
• The approximate duration of the osseointegration period
• The option of applying a temporary crown/temporary fixed work

Also during this treatment planning stage, patients receive information about the different types of implants available at DENT ESTET clinics. They are presented with the advantages offered by, for example, Straumann dental implants, Nobel Biocare implants, ceramic dental implants, as well as the associated costs.

The aim is to choose the right solution for each patient.

There are situations when, prior to dental implant treatment, extractions of compromised teeth, other preliminary treatments, but also bone augmentation procedures may be recommended when bone volume is insufficient.

Also, treating any infections or performing prophylaxis sessions are important steps in reducing the risks of dental implants and ensuring optimal healing. 

"At this stage, many patients are concerned and wonder if dental implants are dangerous. When the treatment is properly planned and performed by a specialist, the risks of dental implants are minimal. In reality, the procedure is simpler and more predictable than tooth extraction, as everything is planned digitally prior to the actual intervention, with the help of a digital surgical guide," explains Dr. Bianca Spătaru.

Prior to the procedure, it is also necessary to perform tests or present the most recent results, no older than 7 months, provided that they are approved by the surgeon or by the surgeon together with the ATI specialist (in the case of procedures performed under conscious sedation).

The surgical procedure for inserting a dental implant takes, on average, between 30 minutes and one hour, depending on its complexity. It is performed under local anaesthesia, so the patient does not feel any pain. 

The procedure involves the following steps:

• Anaesthesia of the area being worked on
• Making an incision at the chosen site
• Preparing the bone with special drills to create a small hole
• Inserting the implant (titanium screw or ceramic screw)
• Suturing the gum

"During the procedure, the patient may feel slight pressure, but no actual pain. After the anaesthesia wears off, reactions such as slight discomfort, inflammation or local sensitivity may occur after dental implantation, which are considered normal in the post-operative period and can be controlled with the recommended medication," says Dr. Bianca Spătaru.

Currently, it is possible to load the dental implant immediately. This means that the temporary fixed restoration is applied during the same session, after the implant screw is inserted, so that the patient can enjoy a complete smile in a single day. 

The immediate loading procedure is an ideal solution for patients who need to replace 1-2 teeth (single implants), but also for those who need complex restorations, successfully performed thanks to the All-on-4 implant system.

Unlike traditional methods that involve long waiting periods and multiple interventions, the All-on-4 system ensures a complete smile in a single day, as it allows the restoration of a dental arch with only four implants and a fixed prosthetic work, often applied in the same session.

At the end of the procedure, a control X-ray is taken, and the patient receives clear instructions for healing.

After inserting a dental implant, the healing and osseointegration stage follows, which is the process by which the implant naturally attaches to the bone. 

This period usually lasts between a few weeks and a few months, depending on the quality of the bone and the patient's overall health. During this time, some reactions after dental implant placement are considered normal, such as mild inflammation, local sensitivity, or temporary discomfort. Warning signs, such as persistent pain, implant mobility, or severe inflammation, may indicate symptoms of dental implant rejection and require immediate medical attention.

For proper healing and to reduce the risks of dental implants, it is essential that the patient follows the post-operative recommendations:

• Oral hygiene must be maintained rigorously, but with gentle brushing in the implant area in the first few days and without rinsing the mouth for the first 48 hours.
• The diet should be based on soft foods at room temperature, avoiding hard or sticky foods.
• Intense physical activity should be limited.
• Applying cold compresses to the cheek for 10-15 minutes every hour for one day after surgery helps to reduce inflammation.
• Prescribed medication - antibiotic or anti-inflammatory treatment - must be strictly followed, without taking other medications without the doctor's consent.
• Avoiding smoking for at least 24 hours is extremely important, as it can affect the osseointegration process and increase the risk of complications.

The success of dental implant treatment (classic or immediate loading) depends on careful planning, close collaboration between the implantologist, the dental prosthetics specialist and the dental laboratory, as well as the modern technologies used.

"To ensure that the implant is well anchored in the bone from the moment of insertion, at DENT ESTET clinics we have state-of-the-art technology at our disposal, such as the Osstell Beacon® device. This indicates the stability of the implant and the possibility of fixing the dental crown immediately after insertion in a matter of seconds," explains Dr. Bianca Spătaru.

Thus, if the implant shows good primary stability during the procedure, a temporary dental crown can be applied, which the patient will wear during the osseointegration period.

After complete healing, the temporary dental crown is replaced with a permanent one, made in the ASPEN digital dental laboratory using CAD-CAM 3D technology and pure zirconium. 

Proper hygiene and regular check-ups are essential for maintaining the health of implants

Dental implants are cared for in the same way as natural teeth:

• Brush your teeth twice a day and use a mouthwash daily  
• Clean the spaces between your teeth with special floss for implants (super-floss) or interdental brushes
• Use the mouthwash recommended by your dentist, depending on your needs

"In addition to proper hygiene, eating habits are also very important. Hard foods should be avoided and foods rich in vitamins and minerals should be consumed in order to maintain healthy bones and gums. The patient's lifestyle is also very important. If the patient is a smoker, the risk of infection increases and healing is delayed, which can even lead to bone loss around the implant. Therefore, it is important for the patient to reduce or quit smoking before the procedure," says Dr. Bianca Spătaru.

To ensure that the osseointegration period proceeds properly, the doctor is responsible for periodically checking the status of the treatment, and the patient must inform him in case of persistent bleeding or inflammation or even unbearable pain that does not respond to painkillers.  

"Patients often ask how long a dental implant lasts, but proper care of dental implants ensures their long-term durability and functionality, allowing them to last for decades, even a lifetime," adds Dr. Bianca Spătaru. 

Like any medical procedure, dental implant treatment involves certain risks, but these are rare when the procedure is properly planned and performed by a specialist.

After the procedure, some reactions are considered normal, such as:

• mild to moderate pain
• local inflammation
• sensitivity in the operated area

"It is important for the patient to recognise situations in which medical consultation is necessary. Intense or persistent pain, severe inflammation that does not subside, continuous bleeding or implant mobility may be symptoms of dental implant rejection and require immediate evaluation," explains Dr. Bianca Spătaru.

Careful monitoring during the healing period and regular check-ups significantly reduce the risks of dental implants and contribute to the long-term success of the treatment.

Conclusion

A dental implant is a long-term investment that can provide lasting results for 10–20 years or even a lifetime when supported by regular check-ups and proper oral hygiene. It restores chewing function without limitations, improves the aesthetics of the smile and protects neighbouring teeth, unlike other prosthetic solutions. In addition, modern digital technology allows for precise planning of the procedure, reducing risks and significantly increasing the predictability and success of the treatment.

Frequently asked questions

How long do the stages of dental implantation take?

The total duration of treatment varies between a few months and a year, depending on the complexity of the case and the need for additional procedures, such as bone augmentation.

Is dental implant surgery painful?

The procedure is performed under local anaesthesia, so the patient does not feel any pain. After the procedure, there may be slight discomfort, which can be controlled with medication.

How much does a dental implant cost and what does the price include?

The price of a dental implant depends on the type of implant, the materials used and the complexity of the treatment. As a rule, it includes the implant itself, the surgical procedure and post-operative check-ups.

What are the risks of dental implants?

The risks are low when the treatment is properly planned. Temporary inflammation or pain may occur, and complications are rare if medical instructions are followed.

What type of implant is recommended for me?

The type of implant is determined by the specialist after a complete assessment, taking into account the patient's oral health, bone quality, and aesthetic and functional needs.