Dr. Sirbu Vadim, a practicing surgeon at Diadent Dental Clinic in IASI, with over 20 years of experience in dentistry, answers the most common questions about DENTAL IMPLANTS: 

What is a dental implant?

” It is a device similar to a ‘screw’ that is fixed in the thickness of the bone (maxillary, mandibular, zygomatic, etc. – depending on the clinical situation) over which a dental crown is attached. Currently, it is the best method to treat tooth loss.

The basic mechanism of this technique is the process called OSTEOINTEGRATION, in which materials such as titanium (from which these devices are made) form a close connection with the bone. In other words, bone tissue is formed around the dental implant. The result is the integration of the implant into the body, and replacing the root of the lost tooth.

In order to complete the osseointegration process, a period of time is most often necessary, therefore the implant is inserted initially and the dental crown is made and attached later.

 There are a multitude of factors that can influence the success and longevity of this treatment. The most important to consider are:

– oral health of the patient: bone integrity, gingival tissue,other possible oral diseases.

– the general health of the patient

– patient on medication that may affect the ossteointegration process

– the body’s healing capacity

– smoking

 An experienced clinician will also evaluate in advance details such as:

– the masticatory forces of the patient and the stress they will exert on the implant and the future prosthesis.

– the angulation and the ideal position in which the dental implant will be inserted (depending on the bone support, the neighboring teeth) using modern imaging techniques (Computer 3D Tomography) and digital simulation (CAD / CAM technology).

 Following the experience I gained over the years, I encourage the patient to opt for this method of treatment instead of the classic dental bridges that require preparation of the teeth “. 


Ce este implantul dentar 1

Who can get dental implants?

” Only the dentist is able to assess whether this intervention is viable or not for a particular clinical case.
Through modern 3D imaging techniques, the clinician will analyze the patient’s BONE TISSUE ( which is the most important factor in choosing this method of treatment) and will meet the patient with the optimal therapeutic approach.
It is important to know that when one or more teeth are lost, the complex system consisting of periodontium-tooth- bone-ligament is compromised, and a pathological process of bone atrophy is set in motion. In other words, the maxillary / mandibular bone in the affected area has lost its dental component and is beginning to retract. When edentation is minimal (1-3 teeth missing), bone retraction is localized, and the bone acquires a concave shape. When the teeth loss is extended, the bone loss is generalized and more prominent.
Although there are currently bone addition techniques that can correct the defect of bone loss, they are only suitable in some clinical situations. Thus, the patient must be aware of the negative effect of tooth loss over time, in order to benefit from the most favorable and long-lasting treatment. “

Why implants?

“The most important advantage of this treatment method is already well known beyond the medical field: PRESERVATION OF REMAINING DENTAL STRUCTURES.
The dental implant is inserted in place of the lost tooth without affecting the neighboring teeth, while the classic dental works involve the preparation (milling) of the near-by teeth that will be included under the dental bridge.
Other advantages worth mentioning:
– the appearance after the intervention is very natural
– preserving the integrity of oral and facial structures
– increased stability
– oral hygiene is easily achieved
– the quality of life is improved (eating without difficulties, preserved taste sensations, increased self-confidence) “

How painful is it to get a dental implant?

“The intervention is performed under local and/or loco-regional anesthesia (depending on the place of insertion and the number of implants) so the patient feels absolutely nothing. The duration of the intervention is on average between 1-2 hours and a day of rest at home is recommended. At the end of the operation, each patient at the Diadent Clinic is offered a list of indications and contraindications and is monitored by the surgeon in the following postoperative days, in order to encourage a healing process as quickly and correctly as possible. “

How much does a dental implant cost?

“The prices of this intervention vary primarily depending on the manufacturing company.
There are many companies on the market that produce these devices, among the best known are: DENTIUM, ALPHA BIO, MIS, BREDENT, MEGAGEN, BICON, etc. These companies produce different implants in terms of the material they are made of, the shape, the insertion technique and, therefore, the prices are just as varied.
In my years of experience, I discovered and understood the advantages and disadvantages of each type of implant.
Through a correct evaluation of the clinical situation of each patient and knowing from practice coefficients such as: hardness, elasticity, resistance in time of each brand, I am able to direct the patient towards the optimal choice of dental implant.
Also, it is crucial to correctly evaluate the type and number of implants needed, depending on the quality and quantity of bone support , the biomechanical forces during chewing and the patient’s lifestyle. “