Dentistry focuses on diagnosing, preventing, and treating conditions of the teeth, gums, and oral structures, supporting oral health and overall well-being.

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Dental Implants Treatment and Care

At Liv Hospital, dental implant treatment combines precise surgery with a focus on helping the body heal. The process starts by carefully preparing the site for the implant, using special drilling techniques and plenty of cooling to protect the bone. This helps ensure the bone stays healthy and ready to bond with the implant.

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Regenerative Surgical Protocols

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For patients with severe bone loss, we may use regenerative techniques before or during implant placement. Guided Bone Regeneration uses special membranes and bone grafts to rebuild the jaw. We can also use Platelet-Rich Fibrin (PRF), made from your own blood, to speed up healing and improve bone quality.

Immediate Loading and Biomechanics

The concept of same day dental implants has transformed patient care, particularly for those facing total edentulism. Protocols such as all-on-4 dental implants allow the placement of four strategically positioned implants, two anteriorly axial and two posteriorly tilted to support a full-arch prosthesis immediately after surgery. This technique relies on the principles of cross-arch stabilization and maximizing the use of available native bone, often avoiding the need for complex sinus grafting. The biomechanical advantage of tilting the posterior implants increases the anterior-posterior spread, reducing cantilever forces and enhancing the prosthetic support. This approach not only restores function instantly but also provides immediate psychological benefit to the patient.

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Energy Dynamics and Piezosurgery

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Modern osteotomy preparation increasingly uses piezoelectric surgery, which employs ultrasonic microvibrations to cut bone selectively while sparing soft tissues such as nerves and membranes. This technology alters the energy dynamics of the procedure, reducing thermal injury and preserving the vascular supply to the bone. The ultrasonic frequency induces cavitation, keeping the surgical field blood-free and enhancing BMP release from the bone matrix. This bio-stimulation effect leads to faster healing rates and reduced post-operative edema, aligning with the bio-intelligent clinical pathways favored in global biotechnology.

Prosthetic Interface and Mucosal Seal

The last step is making and placing the final teeth. Whether using Zimmer or other top-quality implants, it’s important that the part connecting the implant to the gum is safe for the body. The gum attaches differently to implants than to natural teeth, so the design must protect this seal. Materials like zirconia are often used because they help create a tight seal that keeps bacteria out, which is key for long-term success.

Biochemical signaling during surgical intervention

  • Release of Bone Morphogenetic Protein-2 (BMP-2) is triggered to induce the differentiation of stem cells into osteoblasts.
  • Activation of the Wnt signaling pathway occurs, which is crucial for bone mass regulation and repair.
  • Secretion of Fibroblast Growth Factor (FGF) stimulates angiogenesis, ensuring oxygen supply to the healing site.
  • Upregulation of alkaline phosphatase activity serves as a biochemical indicator of the onset of mineralization.
  • Modulation of inflammatory cytokines TNF-alpha and IL-1beta is managed to prevent chronic inflammation and promote healing.
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Physiological stages of osseous healing

  • The hemostatic phase involves the formation of a fibrin network that acts as a preliminary scaffold for cell migration.
  • The inflammatory phase sees the recruitment of macrophages to clean the site and release growth factors.
  • The proliferative phase is marked by the formation of new blood vessels and the deposition of osteoid tissue.
  • The modeling phase involves the mineralization of woven bone, providing the initial biological stability.
  • The remodeling phase is the long-term process where woven bone is replaced by organized lamellar bone.

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Assoc. Prof. MD. Elif Dilara Arslan Assoc. Prof. MD. Elif Dilara Arslan Dentistry
Group 346 LIV Hospital

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FREQUENTLY ASKED QUESTIONS

What is the advantage of the All-on-4 treatment concept?

The All-on-4 technique allows for the rehabilitation of a completely edentulous arch with just four implants. By tilting the posterior implants, surgeons can avoid anatomical structures such as the sinus and nerves, often eliminating the need for bone grafting. It also allows for the immediate placement of a fixed set of teeth on the same day as surgery.

Healing occurs through osseointegration. Blood clots form around the implant, bringing stem cells that differentiate into bone-forming cells called osteoblasts. These cells lay down a bone matrix that mineralizes and locks the implant in place. This process takes several months to mature fully.

The procedure is performed under local anesthesia, often with sedation, so the patient feels no pain during the surgery. Post-operative discomfort is generally mild and manageable with over-the-counter pain relievers. Many patients report less pain than with a tooth extraction because the wound is closed surgically.

The visible teeth, or prosthetics, are typically made from high-strength ceramics such as zirconia or porcelain fused to metal. Zirconia is increasingly popular due to its extreme durability, resistance to chipping, and natural esthetic appearance that mimics the translucency of real enamel.

Yes, osteoporosis is not an absolute contraindication for dental implants. While the bone may be less dense, the success rate is still very high. Clinicians may adjust the surgical protocol, such as extending the healing time or using specialized implant surfaces, to ensure stability.

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