Tandimplantaten in Turkije: soorten, prijzen, procedures en patiëntbeoordelingen

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Tandimplantaten in Turkije verwijzen naar een chirurgische ingreep die wordt uitgevoerd in Turkse tandheelkundige klinieken, waarbij een titanium pin in het kaakbot wordt geplaatst om een ontbrekende tandwortel te vervangen tegen betaalbare prijzen. Turkije is de populairste locatie met moderne klinieken, internationaal opgeleide tandartsen, historische steden en all-inclusive pakketten.

Wat is een tandimplantaat?

Een tandimplantaat is een chirurgische ingreep die wordt uitgevoerd om de ruimte van een ontbrekende tand op te vullen. Hierbij wordt een implantaatlichaam (dat uit titanium of een keramisch materiaal genaamd zirconia kan bestaan) chirurgisch in het kaakbot geplaatst; dit dient als de kunstmatige wortel en wordt vervolgens enige tijd gelaten om met het botweefsel te versmelten, zodat het stevig op zijn plaats wordt verankerd. Daarna wordt een verbindingsstuk, een zogenaamde abutment, op het implantaat geplaatst. Deze abutment verbindt het implantaat met de kroon (kunsttand). De kroon wordt vervaardigd en aangepast om eruit te zien en te functioneren als een natuurlijke tand.

Wat zijn de fasen van een tandimplantaat?

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Een tandimplantaat vindt plaats in drie fasen.

1. Plaatsing van het implantaat: Het tandvlees wordt opengesneden en het implantaatlichaam (meestal titanium) wordt in het kaakbot geplaatst.
2. Osseointegratie: Het implantaat geneest terwijl het botweefsel zich met het titanium integreert om het stevig te verankeren.
3. Plaatsing van de kroon: Een abutment wordt op het implantaat bevestigd en een op maat gemaakte kroon wordt geplaatst om de functie en het uiterlijk van de ontbrekende tand te herstellen.

Types of Dental Implant

There are two common types of dental implants:

• Endosteal: This type of dental implant is the most frequently used. It requires that you have sufficient bone in your jaw, which can anchor the implant. The implant body, which usually looks like a screw, cylinder, or blade, is inserted surgically within the jawbone, and an abutment is placed over it, which connects the crown to it.
• Subperiosteal: In this type of dental implant, the implant body is surgically inserted on top of the jawbone but below the gum tissue. After the tissues of the bone are integrated with the implant body, then the abutment is placed over it, which connects the crown to it. This type of dental implant is mostly used for patients with insufficient jawbones. They undergo bone graft procedures to support the implant.

Other types of dental implants based on the location of the bone the implant is inserted include:

• Zygomatic implants: They are placed into the zygomatic bone (cheekbone). These are often used in individuals with insufficient upper jaw bone. 
• Alveolar implants: These are placed on the alveolar bone around the socket of the teeth.
• Pterygoid implants: These types of implants are inserted into the pterygoid bone.
• Basal implants: For these types of implants, they are placed into the cortical bone at the base of the jawbone.
   

Based on teeth coverage, we have:

• Full mouth implant: This is also known as a full arch implant. Sets of implants, usually between 8 to 10 per jaw are inserted into the jawbone, and prosthetic teeth are placed on them. It is used in people who have lost all or most of their teeth.
• All-on-4 implant: This is also used in people who have lost most or all of their teeth. Four dental implants are placed into the jawbone per jaw to support all the prosthetic teeth that will be placed.

What Does the Dental Implant Procedure Look Like?

If you are planning on doing a dental implant, the procedure for it involves the following processes:

• Consultation with your dentist or dental surgeon: Discuss things you should know about dental implants, and talk about the various options there are and the one that best suits you. Also, evaluation of your oral health, performing oral examinations including x-rays to observe the condition of your jawbone.
• Bone grafting: If you do not have sufficient bone in your jaw, bone grafting is required.
• Placement of the Dental Implant: During this process, you may be given anaesthesia to control the pain. Your dental surgeon cuts open your gum and drills the implant deep within your jawbone.
• Osseointegration: After placing the dental implant, a process called osseointegration occurs. In this process, the tissues of the bone integrate or fuse with the implant, securing it firmly in place. This process takes about three to six months, and in some cases, it takes more than six months.
• Placement of the Abutment: The abutment is a connecting piece that binds the implant to the artificial teeth. After the dental implant is integrated with your bone, the abutment is attached to it. This may require a minor surgery. The gum is left for about two weeks to heal, then the crown is placed on it.
• Placement of the Crown: After the abutment is attached to the implant, the next step is to place your crown or artificial teeth on it. To make the artificial teeth, you will be given a mould to bite into to make an impression of your teeth. This impression will then be used to produce your artificial teeth. You may decide to choose artificial teeth that are replaceable, irreplaceable (fixed), or a mixture of both.

What is Bone Grafting?

If you do not have sufficient bone in your jaw, it can affect the success of the implant. Bone grafting can help to address this issue. It is a surgical procedure that involves transplanting bone tissues or substitutes to rebuild or repair bone loss. The bone tissues used could be;

• Allograft: Donated from a bone tissue bank.
• Autograft: Taken from any part of your body.
• Xenograft: Derived from animal bones.
• Synthetic graft: Made in the laboratory.

Which Specialists Are Required for Dental Implants?

Dental implant surgery is not a surgery that can be performed by only one specialist; it requires the specialists listed below.

• An Oral and Maxillofacial Surgeon: A dental specialist who focuses on oral and maxillofacial surgery - surgery relating to the jaw.
• A Periodontist: A dental specialist who focuses on and treats diseases in the gum and jawbone.
• A Prosthodontist: A dental specialist who focuses on tooth replacement.

What Are the Advantages of Dental Implants?

Dental implants provide a lot of benefits, some of which are;

• Durability and longevity: Dental implants are highly durable, can last for a long time, about ten to thirty years, and if properly taken care of, may last for a lifetime.
• Dental implants are made to look, feel, appear and function like natural human teeth.
• They are strong and can withstand wear and tear.
• They do not need filling or shaping.
• Dental implants can enhance the quality of life.
• They can restore the ability to bite and chew.
• They can also restore the ability to talk.
• They prevent bone loss.
• They preserve and protect jawbone tissues.
• They can improve or enhance your physical appearance.

What Are The Disadvantages of Dental Implants?

Although a dental implant is a very useful way to replace tooth loss, it has its own disadvantages. Some of them are;

• Cost: It is highly expensive.
• The process is a surgical one that involves risks such as inflammation of the gum, nerve damage, gum infection, et cetera.
• It takes a lot of time to accomplish.

What Are Complications That May Arise From Dental Implants?

In any surgery, there is a likelihood of risks of complications. Dental implants are no different; some complications arise from them as well.

• Nerve damage
• Damage to the adjacent teeth, the nearby tissues, and blood vessels during placement of the dental implant
• Gum bleeding 
• Sinus damage 
• Fracture of the implant 
• Fracture of the jawbone 
• Gum infection 
• Infection of the implant 
• Implant failure 
• Allergic reactions either to the titanium implant or the anaesthesia. Although allergic reactions are usually rare.

How to Care for My Dental Implant

To ensure the longevity of your dental implant, it is sacrosanct that you care for it as you would your natural teeth. Here are a few tips on how to care for and maintain your dental implant:

• Maintaining good oral hygiene: Keep your gums and teeth clean by brushing twice a day and flossing at least once a day.
• Toothbrush: Use a soft toothbrush, such as an interdental brush, to clean your teeth.
• Avoid chewing hard food materials.
• Avoid caffeine products.
• Avoid smoking. Smoking can hinder the success rate of dental implants, increasing the risk of implant failure.
• Ensure you do not miss your dental checkups. You should have at least two dental checkups in a year.

Candidates for Dental Implant

How do I know if I am suitable for dental implant surgery? A consultation with your dentist will provide the ultimate answer to this. However, here are a few pointers that make you an ideal candidate:

• If you have tooth loss and you want to replace it.
• If you possess a well-developed jawbone.
• If you possess sufficient bone in your jaw, which can anchor the implant. 
• If you do not have enough jawbone you are eligible for a bone graft.
• If you do not have certain health issues such as diabetes, periodontal disease, etc., which may affect the success of the surgical process

Cost of Dental Implant in Turkey

The cost of a dental implant varies; it depends on the type of material used for the implant, the clinic, the location, and the dentist's expertise. However, the average range in Turkey falls between 350 and 1350 euros.

Why Should I Choose Turkey for My Dental Implant?

Turkey is one of the best places to have your dental implant; in fact, it is one of the leading countries in dental cosmetics. The following reasons are why Turkey is the right destination for you to have your dental implant:

1. Low Cost: Turkey has several clinics that perform dental implant surgery at a lower and more affordable price than other Western countries.
2. High-Quality Dental Care: There is a vast number of clinics that provide top-notch dental implants with high-quality instruments.
3. Top-notch professionals: There is an availability of experienced and highly qualified professionals.
4. Tourism: Turkey is a beautiful place with a lot of tourism centres. After getting your dental implant surgery, you can relax and have fun, visiting the tourism centres and treating it as a vacation.

Frequently Asked Questions (FAQs)

• What is a dental implant? 

A dental implant is a surgical procedure done to replace a missing tooth or teeth.

• Why should I do a dental implant? 

If you have a missing tooth, a dental implant can help to fill the gap of the missing tooth.

• Does the process of dental implants hurt? 

Before the placement of the titanium or zirconia implant, anaesthesia is given to you to control the pain, so the surgery is painless.

• Is a dental implant a healthy option?

Yes, a dental implant is a healthy option, as the success rate is over 92%.

• How long does a dental implant last?

The dental implant lasts for about ten to thirty years and, if properly taken care of, may last for a lifetime.

• How long does it take to complete the process of getting a dental implant?

The implant placement stage takes about three to six months, the abutment about two weeks, and then the crown is immediately placed on it. So everything combined takes months.

• What is a dental implant procedure like? 

The procedure involves consultation with your dentist, implanting the zirconia or titanium post and abutment, and finally placing the crown.

• Can dental implants damage my nerves? 

Yes, nerve damage is a possible complication of dental implants. However, a qualified cosmetic dentist will minimize this risk.

• Can a dental implant procedure lead to infection? 

Yes, infection is a possible complication of dental implants. However, a qualified cosmetic dentist will minimize this risk.

• Am I a candidate for a dental implant?

You are a candidate if you have a missing tooth and possess a well-developed jawbone.

• At what age can I get my dental implant? 

Age is not a barrier, but it is advised to be at least 18 years old; this is because, at this age, your jawbone would have become more developed to be able to withstand the implant.

• How do I care for my dental implant?

You must care for your implant by having good oral hygiene, avoiding smoking, and keeping a regular dental checkup routine.

• After getting a dental implant, is it easily distinguishable from my natural teeth?

Not at all; since a dental implant is made to mimic your natural teeth, it is not easily distinguishable.

• How much does a dental implant cost?

The cost of dental implants in Turkey ranges between 350 and 1350 euros.

• Does insurance cover dental implants?

Some insurance may cover your dental implant, but it mainly depends on your insurance plan.

• Does smoking affect my dental implant? 

Yes, it does; smoking affects the success of dental implants.

• What does a dental implant look like?

A dental implant is made to look as natural as human teeth; the colour, shape, and texture mimic your other teeth.

• Can dental implants affect the way I eat? 

No, dental implants are made to function like your natural teeth, so it does not affect the way you eat.

• Where is your clinics ? 

We have Istanbul Dental Clinic and Rotterdam Dental Clinic.

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References;

1. AAID Credentialed Dentists. (2023b, November 14). What are Dental Implants? - The Dental Implant Experts - AAID-Credentialed Dentists. The Dental Implant Experts. https://aaid-implant.org/what-are-dental-implants/
2. AAID Credentialed Dentists. (2023, November 14). Types of implants & techniques - The Dental Implant experts. The Dental Implant Experts. https://aaid-implant.org/what-are-dental-implants/types-of-implants-and-techniques/
3. Dental Implant Procedures - American Academy of Periodontology. (2022b, March 4). American Academy of Periodontology. https://www.perio.org/for-patients/periodontal-treatments-and-procedures/dental-implant-procedures/
4. Liaw K, Delfini RH, Abrahams JJ. Dental implant complications. InSeminars in Ultrasound, CT and MRI 2015 Oct 1 (Vol. 36, No. 5, pp. 427-433). WB Saunders.
5. Pye AD, Lockhart DE, Dawson MP, Murray CA, Smith AJ. A review of dental implants and infection. Journal of Hospital Infection. 2009 Jun 1;72(2):104-10.
6. Tanner A, Maiden MF, Lee K, Shulman LB, Weber HP. Dental implant infections. Clinical infectious diseases. 1997 Sep 1;25(Supplement_2):S213-7.
7. https://www.perio.org/for-patients/periodontal-treatments-and-procedures/dental-implant-procedures/full-mouth-dental-implants/
8. Zygomatic Implant Image- Adisandu, CC BY-SA 4.0 , via Wikimedia Commons