Dental implant Bucharest - implantologist Dr Alexandru Georgescu

Dental implant at DENT ESTET

Dental implants are a modern and effective solution for replacing missing teeth, with a success rate of over 98% worldwide. In Romania, more and more patients are choosing this option due to its functional and aesthetic benefits.

A dental implant is the only treatment method that replaces one or more missing teeth, restoring 99% of the functionality and natural appearance of the teeth, according to the American Academy of Dental Implantology (AADI). Proper maintenance of a dental implant can significantly extend its lifespan, up to 30 years. 

What are the consequences of tooth loss and its effects on health? The loss of one or more teeth has a significant impact on quality of life. It affects chewing function and the aesthetics of the smile, with effects on the physical and mental health of patients. Missing teeth can lead to deterioration of the jawbone, changes in facial appearance, chewing disorders, speech problems and even a decrease in self-confidence.

The benefits of a dental implant

A dental implant is the safest and most effective solution for replacing a missing tooth, surpassing the benefits of traditional bridges or dentures. The main advantage is stability: the implant integrates into the bone and functions like a natural tooth, without affecting the surrounding healthy teeth. In addition, it offers increased comfort, superior aesthetics and prevents bone loss – a common risk when opting for traditional solutions. Unlike dentures, which can be mobile or uncomfortable, implants provide a long-term solution with lasting and natural results. 

Stages of dental implant treatment

Patient consultation and assessment

The implantologist examines the case, medical history, discusses the patient's expectations and explains the treatment options available within a personalised treatment plan.

The implantologist will perform a thorough clinical evaluation, based on X-rays and CBCT computed tomography, to determine the quality of the bone support for the future implant. If deemed necessary, the implantologist may recommend additional procedures for bone reconstruction (bone grafting).

If an implant is recommended to replace an irrecoverable tooth, it will be extracted under anaesthesia. The area will require a healing period of several months, depending on the case. During this period, it is necessary to follow the medical recommendations regarding home care.

 

Insertion of the implant

The procedure is performed under local or general anaesthesia. To place the implant, the doctor opens the gum and places the implant screw (which acts as an artificial root) and then the prosthetic abutment. During the osseointegration period, you will have a gap in your dentition. You can also opt for a temporary prosthetic solution, i.e. a temporary crown, so as not to affect the aesthetics of your smile.

 

Osseointegration (healing)

Depending on the treatment plan and the patient's oral health, the osseointegration process can take between 2 and 6 months, during which time the doctor's recommendations regarding diet and oral hygiene must be strictly followed for the dental implant treatment to be successful.

Approximately 10-14 days after the procedure, the patient returns to the clinic for a check-up and to have the stitches removed.

 

Attachment of the prosthetic abutment and crown

When the implant area is completely healed, the final prosthetic stage begins.

During the consultation, the prosthodontist will use modern digital technologies, such as the Trios 3Shape® digital intraoral scanner, the MODJAW® 4D scanner or the RAYFace® facial scanner, to take the digital impressions needed to design the prosthetic work.

The digital data obtained is sent to the ASPEN® laboratory.

To finalise the treatment plan, you will return for a visit to the prosthodontist. You will be able to try on the final prosthetic work so that the doctor can make the final adjustments. Once the final details have been finalised, the final dental crown is fixed to the implant.

Now, the prosthetic restoration is complete and you can enjoy a functional and aesthetic restoration.

 

Post-procedure monitoring

To maintain the excellent results obtained, it is necessary to maintain good oral hygiene at home. During the healing period, but also after receiving the final prosthetic work, it is important to follow your dentist's instructions regarding oral care.

In addition to brushing your teeth and using auxiliary means (oral irrigator, dental floss, mouthwash), it is necessary to return for a periodic check-up and a prophylaxis session once every six months, or as recommended by your dentist.

This way, you can enjoy the benefits of the Quality Assurance Certificate for all treatments performed at DENT ESTET clinics.

Although the classic dental implant remains the most widely used and recommended option in many cases, there are also modern solutions for patients who want faster results. One such option is the immediate load dental implant, which allows the temporary crown to be fixed immediately after the procedure, eliminating long waiting periods and restoring the functionality of your smile from the very first days. 

Dental implant structure

A dental implant consists of three main components, which work together to restore both the functionality and aesthetics of a natural tooth:

  • The implant screw - made of titanium or zirconium, biocompatible materials that integrate perfectly into the jawbone through the process of osseointegration.
  • The abutment - the connecting element between the implant and the prosthetic work, whose role is to support the crown or dental bridge.
  • Dental crown - the visible part of the implant, customised to perfectly match the rest of the teeth, both in shape and colour.

The prosthetic work offers the same appearance and functionality as a natural tooth. After treatment, patients enjoy proper chewing, and facial harmony and smile aesthetics are restored.

Dental implants not only restore the aesthetics of the smile, but also offer a durable solution for good oral health. The overall success rate of this treatment exceeds 98%, according to the US National Library of Medicine National Institutes of Health, making dental implants a lifelong treatment solution.

In Romania, 7 out of 10 Romanians have at least one missing tooth, and 93% of patients who opted for dental implants said they were satisfied with their choice, according to a study conducted by DENT ESTET together with the market research agency 360insights. 

Immediate loading implant protocol

Dental Implant - Specialist Consultation, Clinical Evaluation, and Provisional Crown Planning

Specialist Consultation,
Clinical Evaluation,
and Provisional Crown Planning

Dental imaging: OPG, CBCT, intraoral scanning
Blood tests

3–7 days
later

Dental Implant - Surgical Procedure

Surgical Procedure

Extraction (if needed)
Dental implant placement and stability
check with Osstell Beacon
Loading the implant with a provisional crown

10–14 days later

Dental Implant - Postoperative Check-up

Postoperative
Check-up

2 months
post-implant

Dental Implant - Impression for the Final Prosthetic Work

Impression
for the Final
Prosthetic Work

Approximately
7–14 days
later

Dental Implant - Cementation of the Final Crown

Cementation of
the Final Crown

Conventional dental implant protocol

Dental Implant - Consultation, Evaluation, and Treatment Planning

Consultation, Evaluation, and Treatment Planning

Specialist consultation
Clinical evaluation: OPG + CBCT scans
Blood tests

After
3-7 days

Dental Implant - Tooth Extraction

Tooth Extraction

(if necessary)

Healing period
3-6 months

Surgical Procedure with Dental Implant Placement

Surgical Procedure with
Dental Implant Placement

Osteointegration period: 2-6 months
Provisional crown in some cases

10–14 days
after surgery

Dental Implant - Postoperative Check-up and Suture Removal

Postoperative
Check-up and
Suture Removal

2-6 months
post-implant

Dental Implant - Prosthetic Consultation  and Impression for  the Final Crown

Prosthetic Consultation
and Impression for
the Final Crown

Approximately 7-14
days later

Dental Implant - Fitting and Cementation  of the Final Crown

Fitting and Cementation
of the Final Crown

Contraindications for dental implants and risks

Not all individuals are eligible for dental implant treatment. Patients suffering from uncontrolled chronic diseases, those with active oncological conditions or severe bone tissue problems may have major contraindications. Also, patients who refuse regular check-ups or cannot maintain proper oral hygiene are at higher risk of treatment failure.

Allergies, smoking, diabetes

Factors such as smoking, excessive alcohol consumption or allergies to the materials used (e.g. titanium) can compromise the osseointegration process and the stability of the implant. Uncontrolled diabetes is also a frequently mentioned problem, as it slows down healing and increases the risk of complications.

Minimising risks

To increase the success rate of the treatment, it is essential that the patient provides the implantologist with their complete medical history and up-to-date test results. In this way, any contraindications for dental implants can be identified in advance and the treatment steps can be adapted.

After the procedure, following the post-operative recommendations is crucial: avoiding hot or hard foods, giving up smoking and alcohol, proper oral hygiene and regular visits to the doctor significantly reduce the risk of complications. In the long term, good oral hygiene and regular check-ups help prevent inflammation and keep the dental implant in optimal condition. 

Frequently asked questions (FAQ)

How much does a dental implant cost?

A dental implant is a lifelong investment, so it is important to make the right choice from the outset. When deciding on dental implant treatment, you should consider a number of factors:

  • The dentist's experience and training are important for the safety of dental implant treatment.
  • What medical and dental imaging investigations are necessary to ensure the success of the treatment?
  • Make sure that the dental implant system you choose is based on scientific research and offers proven results.
  • Dental implant treatment also includes the prosthetic stage. Costs vary depending on the prosthetic accessories required and the dental crown. This can have different properties depending on the material and process used in the dental laboratory.

Dental implant treatment at any of the DENT ESTET clinics is always performed with premium materials, digital technologies and safe working protocols. At DENT ESTET, we never compromise on quality, offering the best types of dental implants available from premium manufacturers. Although prices may vary between clinics, our implantologists are well trained and prosthetic work is always carried out in our own dental laboratory to ensure the best possible results. 

How long does an implant last?

A dental implant can last a lifetime if it is done correctly and maintained through rigorous oral hygiene and regular dental check-ups. However, like natural teeth, implants can be affected by gum problems, retractions or systemic conditions that affect bone density and overall health. Factors such as smoking, poor hygiene or chronic diseases can reduce the durability of the implant. Therefore, careful assessment of health status and personalised treatment planning are essential for stable long-term results.

Does a dental implant hurt?

The procedure for inserting a dental implant is not painful, as it is performed under local anaesthesia. The patient may feel slight pressure during the procedure, but no actual pain. After the operation, there may be moderate discomfort or local inflammation, similar to that felt after a tooth extraction. These can be effectively controlled with medication prescribed by the doctor and gradually disappear within a few days. Most patients report that the experience is much easier than they expected. 

How long should I wait between stages?

The waiting time between the stages of a dental implant depends on the clinical situation of each patient. In general, after the screw is inserted, the osseointegration process takes between 3 and 6 months, which is the time required for the implant to become firmly fixed in the bone. Only after this stage can the final dental crown be attached. In certain cases, when bone conditions allow, an immediate loading dental implant can be chosen, which significantly reduces the waiting period.

Is a dental implant permanent?

Dental implants are not foolproof. Dental implants require precise surgery and meticulous oral hygiene to maintain them. In suitable candidates and with proper care, they can last a lifetime. However, just like natural teeth, if gum health is not maintained, bacteria can accumulate around dental implants, causing gum disease, bleeding, gum recession and exposure of the implant thread. The human body changes constantly throughout life, and serious medical conditions affecting the blood, bone density, or rare conditions such as cancer will influence the quality of the bone around the implants and reduce their durability.

In our report, we detail your oral health, comment on your general health, and list all relevant risk factors you should be aware of. When you come to DENT ESTET for dental implants, you can be sure you are in good hands. Contact us to discuss whether you are a suitable candidate. 

Advanced technologies for dental implant procedures

We use the most innovative technologies in dental implantology to ensure that you receive the most effective and comfortable treatment possible. From premium implants, such as Straumann® and Nobel®, to advanced digital techniques for precise planning and insertion, we provide you with everything you need for a beautiful and healthy smile.

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