The installation of the gingiva former is a complex format of surgical intervention, which should be carried out exclusively under the supervision of an experienced specialist.
Traditional implantation is not always as smooth as possible, because patients seek qualified help at different stages of the development of ailments. Because of this, some have to spend money not only on the implant, but also related procedures that guarantee its long life.
The most popular and at the same time effective preparatory stage is just the installation of a kind of gum substitute. It is necessary to support a directly new tooth if natural soft tissues of the oral region are absent, severely damaged, or have lost their former elasticity.
From a technical point of view, the shaper is an integral structure that is screwed into the artificial tooth root. The procedure is usually divided into two visits with a time interval of three months to six months.
The device resembles a conventional metal screw, which is equipped with a tight thread. It has a cylindrical tip, which in terms of size completely matches the parameters of the future tooth. Its appearance copies tooth contours and roots as realistic as possible.
The multi-turn thread is designed to firmly fix the integral metal structure in the artificial tooth root. The exact answer to the question about what shape, size and brand of the future implant is optimal does not exist. Here, one should take as a basis the individual characteristics of the oral cavity of each client, especially the tooth that was in the specified location initially. Together, this will allow to negate then serious inflammation, which in rare cases completely leads to the fact that the design has to be removed back.
The goal of the primary procedure is always the same - to create the correct contour of the hole that was previously damaged for some reason. The aesthetic side of the issue, as well as the degree of tightness of the fit of two parts between each other: the new artificial hole and the substitute for a natural tooth, will completely depend on the professionalism of the expert at this stage in the future.
The prosthesis allows the gums to take on natural fullness and volume, which guarantees the success of the whole thing. But for the successful completion of the manipulation, one will have to endure, because after the shaper is installed, enough time should pass before installing the selected implant on top of it.
The classics of the genre for the material of the main system are titanium. Its main positive feature is lightness, which avoids unnecessary pressure on the root of the tooth to be restored. In addition, titanium is resistant to corrosion. Given that they will install it in the oral cavity, where parts of it will have to be contacted either with food or with incoming fluids, it is difficult to find the best option.
Despite the fact that the presented material has several advantages, it also has a significant drawback. We are talking about the ability of such a rod to stand out clearly from the background of other holes due to transillumination. For the front problem areas this is a serious aesthetic difficulty.
But what should victims do in such situations? Experienced dentists recommend setting aside titanium for distant teeth, and use zirconium in front. It does not stand out in soft tissues, so aesthetics will remain. This is also confirmed by the numerous reviews of those who managed to use the service.
Separately, the price is considered, which is formed due to several parameters, including the same choice of material, the size of the future tooth, as well as the design brand.
Another important point is the stereotype of people far from medicine that the abutment and shaper are one and the same. Although both species are successfully used for implantation, the difference between them remains significant.
Operations to install them are painless, but during the recovery phase it will be painful both during the engraftment of the abutment and the gingival shaper. The first is a more complex mechanism that is mounted in the implant instead of the second after the hole has already successfully taken the desired shape. Its functionality is based on the creation of increased strength for the subsequent prosthesis used by the patient.
The abutment format has a wide variety of forms, which allows it to count on an expanded selection of concomitant prostheses.
Modern artificial teeth already have a special socket for mounting a gum substitute by default. Despite the fact that some details fit together, being a product of different manufacturers, experienced craftsmen recommend not to risk in this way. Otherwise, the chances of complications are greatly increased.
There are two options for the implementation of the shaper in the implant:
The first version is based on the need for implant introduction immediately after its implantation. The second variation relies on postponing the second step for several months. For a set time, the design manages to grow with soft tissues, reliably acclimatized. But in any case, you have to come to terms with the fact that pain immediately after anesthesia has subsided is a completely normal phenomenon.
If the injured gum hurts beyond the prescribed period for adaptation, then this is an occasion to schedule an appointment with a dentist for an appointment. It is also worth acting if the sore spot responds to a cold, or generally does not behave as promised by the doctor.
Surgery of this type belongs to the microoperation camp. This means that the manipulation time does not last particularly long, while not affecting the vast areas for correction. Schematically, the whole technique of this type will be divided into several stages:
- incision of fused soft tissues to increase the availability of attachment;
- removal of tissue excess;
- unscrewing the plug of the implant;
- shaper screwing in;
Moreover, screwing in can be done either manually or using a special ratchet wrench, depending on the location of the problem area.
Due to local anesthesia, the installation does not lead to any pain. But swelling or pain after leaving anesthesia is quite a common occurrence. It is believed that everything should pass over the next few days. If the pain does not go away even after a week, then it is likely that you will have to carry out a reverse disclosure.
If everything went according to plan with the installation, then it is allowed to install the crown after seven days with emergency indications. But usually dentists prefer to wait longer - about three weeks.
A special group of patients are considered pregnant. In some scenarios, a shaper can not be dispensed with, so an interesting situation has become a relative contraindication. It is forbidden for women to conduct microoperations in the first and third trimester, but in the second trimester the procedure is quite possible.
The difficulties at this stage for the most part come from taking concomitant medications. It is not only about medications for administration in anesthesia. Often painkillers and other conventional medicines have limitations for pregnant women. But it is they that will be needed to stop the discomfort. Because of this, the doctor must give permission for manipulation, based on each specific case.
If, in the course of the initial examination, it turns out that the situation is uncritical and the problem, rather, is purely aesthetic inconvenience, it is better to tolerate until the postpartum period.
Then it will turn out safe not only to insert a substitute, but also to safely carry out the second stage.
The average healing time for a relatively healthy gum is about a week. But even with this in mind, the dentist must first make sure that the oral cavity is ready for prosthetics, and not rely only on numbers. Bleeding after surgery is also a normal phenomenon, which depends on the distinctive features of blood with its coagulation parameters.
Since the service provided is not subject to emergency assistance, its implementation almost never happens for free. But do not assume that the clinic with a good reputation is one hundred percent protection against the development of possible deviations. The experience of employees significantly increases the chances of a successful outcome, but sometimes there are situations when the victim himself is to blame in a negative scenario. To avoid this, it is enough to familiarize yourself with the most common complications and methods of neutralizing them as soon as possible.
The first item on the list is an allergic reaction, which is manifested when the patient is silent about the fact that he has intolerance to some substance.
But since people are not always aware of how their body will undergo anesthesia, it is better to ask the medical staff to conduct an allergic test in advance. In the same way, it is worth acting when a doctor prescribes some previously unfamiliar medicines with a high threshold of allergenicity.
Among other types of complications, there are:
- loose or loose titanium base;
- sore throat and neck.
Usually swelling from the cheek after microoperation goes away by itself quickly enough. But when performing the manipulation by an inexperienced doctor, there is a risk of squeezing the gums, which provokes prolonged, non-decreasing jaw swelling. Here, only re-contacting the clinic with the requirement to redo the hack work will help.
The same should be done when the shaper was not installed tightly and firmly enough. If after installation the tooth loosens, or even fallen out, there are two solutions. When a patient has a loose bond with the bone, this indicates a lack of strength of the hardest tissue. Then it turns out to be limited to taking drugs that have a rich complex of calcium with concomitant vitamins.
But if rejection is associated with the inflammatory process, then there is no avoiding the dismantling of the substitute along with the root.
When bleeding at the seam site does not stop long enough, this usually indicates a low coagulability of the blood, to which the doctor is not to blame. It is important to discuss with an expert methods of improving the situation on the spot.
If the victim is concerned about bleeding gums, then it is better to use professional rinses, or decoctions of herbs. You need to consult a doctor to clarify the frequency of rinsing, as well as the name of the best drug or prescription for preparing a decoction.
Often people refuse to resort to modern dental treatment technologies for fear of getting at risk for those whom the method did not help or even hurt. But when using services in a proven clinic, such risks are reduced to almost zero.
A striking example is the loss of the shaper, which does not always mean the need for repeated surgery. Sometimes this only indicates that the screw was screwed into the bone too deeply. It will be possible to correct the situation by the usual cutting of bone tissue.
To extend the life of the structure, doctors recommend adhering to simple rules of personal oral hygiene. Do not give up preventive brushing, but only in the painful area will you need to be especially careful to brush the area.
Particularly noteworthy are the seams that can break if you are too zealous with pressure when cleaning. It will also be useful to rinse the oral cavity with a simple salt solution on a regular basis. To do this, you need to clarify the ratio of water and sea or iodized salt at the attending doctor. Thanks to such a simple recipe, it will be possible to protect a still weak hole from colonization by pathogenic microorganisms.
For the same purposes, you can buy a ready-made remedy at the pharmacy after consulting with your doctor. There, the dosage will be prescribed in the instructions with the rules of hourly rinsing.