Simultaneous treatment of bite with braces and installation of dental implants. Surgical correction of the bite

Dental implants

Implantation is the best way to recreate the missing elements of the dentition. After a series of procedures, the bite looks aesthetically flawless, the functions of the chewing apparatus are fully restored. Unfortunately, the installation of implants is not for everyone. Let's take a closer look: How is implantation carried out? Who can't do it?

Implantation ban: who is contraindicated
operation?

There are a number of pathological conditions of the body, due to which it is impossible to carry out implantation of teeth. Doctors of the clinic "My Orthodontist" carefully study the anamnesis of each patient. What conditions should be excluded?

Violation of hemocoagulation (the process of blood clotting). Implantation is always accompanied by a little bleeding - this is normal. If you ignore the pathology of blood clotting, there will be serious complications.
Diabetes mellitus (today it is not an unconditional contraindication, but the operation can be performed only in patients with compensated type II diabetes. With type I diabetes, implantation is not indicated).
Autoimmune and inflammatory pathologies of connective tissue. These conditions will interfere with the healing of periodontal tissues.
Any malignant neoplasm.
HIV and venereal diseases.
Open form of tuberculosis.
Immune disorders (they will interfere with tissue healing and bone regeneration).
Osteoporosis.
Mental and nervous diseases, drug addiction. Implantation requires a restrained behavior from the patient, compliance with all medical recommendations. People with neuroses, mental and behavioral disorders may not be able to cope with this task.
Hypertonicity of the facial muscles (masticatory muscles).

There are relative contraindications that make it difficult to immediately carry out implantation. They can be removed surgically, cured therapeutically, or resolved naturally. These "temporary" bans include:

carious teeth, tartar;
inflammation of the gums, temporomandibular joint;
malocclusion and jaw defects;
infections and inflammation of the oral mucosa;
partial resorption of the bone tissue of the gums (for correction, bone grafting, sinus lifting is performed);
smoking, alcoholism;
pregnancy.

There are a number of general health contraindications. Implantation should not be carried out when the patient is exhausted, weakened by long-term illnesses, or has anemia. If you are intolerant to local anesthetics, you will not be able to perform the procedures either. Dental implants can lead to deterioration in the condition of "cores", rheumatic patients, people with CFS and chronic stress. Taking immunosuppressants and certain other medications can interfere with postoperative tissue healing.

Preparation for implantation - a reminder to the patient

Implant placement is a complex procedure, but it can be made as easy as possible by following simple guidelines.

Don't worry. Before the procedure, you can take a herbal sedative preparation: valerian extract, motherwort tincture or decoction.
Do not go to the procedure on an empty stomach, be sure to eat.
Check again if your teeth and mouth are healthy. Tell your doctor about any suspicions - infection at the time of surgery is unacceptable.
Do not smoke, do not drink alcohol even the day before.
Strictly follow medical prescriptions throughout all stages of implantation.

It is better to make an appointment with an implantologist at the beginning of the day: the human psyche copes with stress more easily in the first half of the day.

Stages of dental implantation

After studying your history and eliminating contraindications, you can proceed with the operation. If no preliminary surgical procedures are required for implantation, the procedure will consist of three successive stages.

First stage. Under local anesthesia, a recess is made in the jaw, where the implant is inserted. From all sides, the intraosseous element is covered with mucous. It takes up to six months for it to fully grow into the bone tissue of the jaw. The control of ingrowth is carried out by X-ray.

Second phase. Under local anesthesia, a gum shaper is placed to give the tissues a natural anatomical shape. After a few days, if there are no complications and the patient does not notice discomfort in the oral cavity, the shaper is replaced with a titanium abutment - a cylindrical screw that acts as a transition element between the implant and the artificial tooth. Prosthetics are appointed in one to two weeks.

Third stage. An orthopedic dentist takes a cast of the jaws, which serves as a model for creating a prosthesis. A dental technician makes a crown. You will be tried on the manufactured design several times; The prosthodontist will adjust the crown to a perfect match with the adjacent natural teeth.

The result of a series of procedures will be a completely restored dentition. High-quality implanted teeth cannot be visually distinguished from real ones.

Are there any complications?

The risk of complications or an unsuccessful result during implantation is possible - usually such an outcome is associated with mistakes by implantologists. Sign up for the procedure only in a trusted clinic with a good name, study patient reviews, do not be afraid to inquire about the licenses of the medical institution and the qualifications of doctors.

Implantation is considered a low-traumatic intervention. The intraosseous element takes root in 97-98% of cases. A successfully placed implant completely fuses with the surrounding jaw tissues. The specialists of the clinic "My Orthodontist", observing the treated patients, note the durability of the "new" teeth and the normal state of the surrounding tissues.

How long to see a doctor after implantation?

The success of the operation depends on the coordinated work of the team of specialists and the behavior of the patient. Before the operation, the doctor will consult you on oral hygiene, tell you what pastes, brushes, flosses you need to buy. Regular care of implanted teeth is easy.

At the end of the main procedures, a schedule of inspections is drawn up. You will visit the doctor once every six months (in some cases - every 3 months). At a preventive examination, the specialist will assess the quality of oral hygiene and the condition of the jaw tissues.

Dental implantation is a progressive method of restoring the chewing apparatus and a beautiful smile. This is a complex multi-stage process, but the result is worth it!

Incorrect bite is the incorrect closing of the teeth on the upper and lower jaws. As a result, there are deformations and displacements of the dentition. Prosthetics in conditions of malocclusion is a significant problem.

Why is it dangerous and risky?

With an incorrect bite, the force during chewing changes, there is an uneven distribution of the load on the teeth and jaws. Therefore, prosthetics in such conditions may not only not bring the desired effect, but even be harmful.

If the jaws are not properly closed on some teeth, the pressure force is greater, not some less, respectively, the load is distributed unevenly, due to which the implant may be defeated or broken. To prevent this from happening, the materials from which the artificial crown will be made must have sufficient strength. It is advisable not to perform implantation with ceramics, because. She is the most fragile.

In addition to uneven loading, there is also the problem of tooth wear ahead of time, orthopedic structures also suffer if the patient has them. If abrasion of the dentition is detected, it is important to contact a specialist in time to cover the teeth with an artificial crown. Such a crown must have sufficient strength.

If there is an anomaly of bite, there may be a tilt of the teeth in different directions. Such a defect will complicate the prosthetics procedure, because. it can be difficult to place an implant in the gap between the teeth. Then a special preparation is applied by a surgical or orthodontic method, during which either extra teeth will be removed or the dentition will be straightened.

Prosthetic procedure in conditions of malocclusion

If the defect is not very pronounced, then the procedure is carried out as standard. A plaster cast of the jaw is taken for the patient, then an artificial prosthesis is modeled.

If there is a significant curvature of the teeth, then the patient is shown wearing orthodontic structures for several years to straighten the dentition, and successful prosthetics become possible.

Where there is improper occlusion of the teeth, the future shape of the crown is carefully planned. The design should not cause difficulties in the movement of the jaws and not adversely affect the adjacent teeth. The method of preparation for each case is purely individual, depending on the clinical picture of each patient.

Experts distinguish two degrees of occlusion violation:

Jaw displacement. With a slight displacement, implantation is possible. Sometimes in such a situation, the problem can be corrected through the use of dentures. When there is severe misalignment of the jaws, implantation is likely to be denied.
Misaligned teeth. When the roots of adjacent units do not interfere with the installation of the implant, pay attention to aesthetics. If it is not possible to achieve the ideal look immediately, alignment with a bracket system is required. Another option is to remove interfering units.

To more accurately determine the clinical situation, a preliminary x-ray examination of the oral cavity is carried out and casts of the jaws are taken.

Minor deformities include:

lack of space in the dentition for the installation of a full-fledged crown on the implant;
inclination or incorrect rotation of some teeth;
large gaps between teeth.

With minor violations, implantation can be carried out. However, the patient is made aware of the possible risks. If he is ready to put up with it, the procedure is performed.

With a pronounced deformation of the bite, it is impossible to install titanium roots until the alignment of the dentition. For this purpose, preliminary orthodontic treatment is carried out. Otherwise, there is a risk of fixation and strengthening of the deformity, which can even harm the patient. Therefore, the implant surgeon may refuse to perform implantation.

What is the dentition and why deviations occur

The dentoalveolar system refers to the upper and lower jaws, as well as all their constituent elements:

temporomandibular joints;
gums;
chewing muscles;
teeth;
bone tissue;

When all the teeth are in place, the occlusion is correct, and there are no inflammatory processes in the oral cavity, then the dentition is normal and functions well. At the same time, the teeth are able to withstand maximum chewing loads and are not injured. In the presence of defects, chewing dysfunction occurs, which creates obstacles for the installation of implants. The most common abnormal changes in the dental system are:

bite deformity - displacement of the jaws relative to each other;
incorrect arrangement of teeth, the presence of gaps between them;
anomalies in the structure of the bone tissues of the jaw;
loose bone structure or its atrophy.

Experts distinguish five types of deformation:

deep- when the bottom row is almost completely covered by the top one;
distal- the upper jaw protrudes significantly forward compared to the lower;
mesial- sagittal anomaly of occlusion, when the chin (lower jaw) strongly protrudes forward;
open- partial or complete non-closure of teeth;
cross- a transversal anomaly, in which one of the jaws is only partially formed or is displaced to the side from the other.

Due to malocclusion, the load on the jaw is unevenly distributed, which leads to premature destruction of the units located in the zone of maximum pressure. If there is an implant, peri-implantitis may develop, which provokes rejection. Therefore, before the implantation of titanium roots, all problematic points are necessarily eliminated.

What could be the consequences if implants are installed and the anomaly is not corrected?

Before implantation, it is important to consult with an orthodontist in order to select methods for correcting existing defects in advance and plan the stages of treatment. Otherwise, the following complications may occur:

violation of the integrity of the temporomandibular joints (clicks, crunch, pain appear);
destruction of certain teeth subject to the greatest chewing load;
increased abrasion of tooth enamel;
premature loosening of the artificial root and the development of an inflammatory process (peri-implantitis);
psychological discomfort and internal discontent;
reduced service life of the implant due to uneven load on it;
chronic headaches resulting from compression of nerve endings and muscle spasms;
exacerbation of the deformity.

Can an overbite be corrected if the implant is already in place?

Correction of violations of occlusion after implantation is not carried out. The fact is that the artificial tooth root after osseointegration becomes absolutely immobile in the jawbone. This is its main difference from natural, which is a little springy or "damping" and can be artificially moved.

The implant after engraftment is motionless and cannot be moved

The titanium rod is implanted at a certain angle and repeats the position/tilt of natural teeth. When living units begin to move, the implant moves with them, which can provoke rejection. Therefore, bite correction is always carried out before implantation.

If the patient has implants in his mouth and occlusion correction is required, they are removed. This is followed by orthodontic treatment and re-implantation of titanium roots, taking into account the formed occlusion. There are single exceptions - when the implant is installed before the defects of the jaw closure are corrected, and then the own teeth are displaced, attracting or repelling them from the immovable metal root.

Price

Name of service	Cost, rub.
Correction of bite
Consultation with an orthodontist	For free
Tie an arc to one bracket	400
Fitting and overlaying the arc	500
Follow-up during treatment	1000
Impression with alginate mass	1000
Placement of one bracket on NO MIX material	1800
Making a diagnostic model (2 pcs.)	2500
Calculation of the diagnostic model	2500
Treatment of anomalies (bite correction)	70000
Implantation
Operation

Ideal closure of the dentition ensures harmonious, well-coordinated work of muscles and joints. With minor violations, it is possible to correct the bite with prosthetics - then the treatment can be completed as soon as possible. This method includes the replacement of a lost tooth or.

Dental prosthetics with malocclusion is carried out in the presence of the following defects:

large interdental spaces;
disharmonious tooth size;
the presence of chips and reversals.

In the latter case, with a mild severity of the pathology, it is possible to get by with the installation of veneers - thin plates of porcelain or composite material that replace the outer layer of enamel. A small turning is made so that the veneer does not stick out.

Crowns have a wider functionality, they can solve more problems, but a significant part is ground under them. They are recommended in cases where it is a question of saving a tooth with extensive lesions.

Larisa Kopylova
Dentist-therapist
Important! When a living tooth is destroyed due to or other damage, the entire row can move and disrupt the established bite.
To disharmony of the position of the jaws leads to:
early loss of milk incisors or permanent molars - back teeth;
bad habits - sucking a pacifier, a finger;
loss of teeth.

A crown or veneer installed in time will help preserve chewing functions.
Directly about bite correction with crowns
A crown is a product for micro-prosthetics, it is “planted” on a pre-prepared place. Orthopedic correction with crowns allows you to solve the problem quickly, but not in all cases. The main functions of crowns:
prevention of further destruction of living teeth;
implant protection.

Crowns can save in case of injury, too extensive caries.
The table below shows the types of crowns, their advantages and disadvantages:
Material Advantages Flaws Scope of application
Stainless steel Strong, inexpensive Unaesthetic appearance, with a stamped version, a loose fit to the tooth is possible Temporary closure of the damaged area, children's prosthetics (baby teeth)
Metals and their alloys Minimum thickness, durability unnatural color Permanent prosthetics
cermet Durability, aesthetic appearance Do not put in children and adolescents and with pathological abrasion of enamel Prosthetics of the anterior teeth
Ceramic without metal Suitable for those who are allergic to metal Less durable, more wear on teeth in contact with them Restoration of the upper incisors
Metal-plastic Low price Fragility, the possibility of allergic reactions Temporary option when removing crowns for correction with a bracket system
Prosthetics with crowns is performed when more than half of the tooth is destroyed.
The order of the procedure
To correct the bite with crowns, you will need to visit the dentist's office two or three times:
The first time a specialist will diagnose. It will determine the state of the oral cavity, whether it is possible to apply crown treatment in a particular clinical case. The treatment plan is agreed with the patient, after which impressions are taken and the teeth are polished - they are prepared for the installation of crowns. Temporary crowns are placed on the prepared sites.
After the creation of prosthetic structures, the patient visits a doctor to install them. This stage includes testing the dentition to correct the bite.
The third time you will have to visit the dentist only if necessary. The appearance of discomfort when chewing or pain.

Treatment of occlusion with crowns is one of the fastest ways to correct occlusion.
Indications for the procedure
One of the most painful and dangerous -. The upper teeth with such an anomaly go too far behind the lower ones, can injure the mucous membrane and provoke inflammation. Often the main task in prosthetics is to raise the bite. Required in the following cases:
short lower teeth;
incorrect position of the jaws, as a result of which the lower rows overlap with the upper ones by more than 2/3;
permanent injury to the mucous membranes of the oral cavity;
excessive abrasion of enamel;
protrusion of the lower lip;
fuzzy speech;
problems with the mandibular joint - crunching, pain;
difficulty in chewing food.

Larisa Kopylova
Dentist-therapist
Important! The decision to carry out prosthetics with malocclusion is made only by the orthodontist, together with the patient, depending on the clinical picture.
With complete adentia - loss of teeth - or the absence of a large number of them, for patients with malocclusion, the manufacture of complete or partial removable dentures is suitable. The full version is suitable for the upper jaw, it holds well due to the suction effect. In the lower jaw, in view of the anatomical features, they try to save at least one tooth for putting on a partial prosthesis.
Crowns remain the most common type and the preferred type of prosthetics for patients with malocclusion - this way you can save more living teeth. Before the procedure, it is necessary to check if there are any contraindications.
Who is contraindicated?
Before installing crowns or implants, the patient must receive a clear treatment plan and understand:
whether the teeth in contact with the crown will wear out even more;
how long the crown will last, how the load will be distributed on it.

Particular care should be taken with implants - rods implanted in the jaw. The main problem is that the patient, having decided on this procedure before installation, seriously complicates his treatment. Teeth can move in the bone under the influence of certain installations, but implants cannot. An exception is the installation of one implant or several at once in the correct position, agreed with the orthopedic dentist, in order to then use them to pull the teeth into the correct position. The decision is made only by a specialist, as part of orthodontic treatment.
There are contraindications for prosthetics to eliminate bite defects:
significant bite deformity;
exacerbation of chronic diseases and infectious diseases (for example, tuberculosis);

Dental diseases - periodontitis, periodontitis - are not a relative contraindication, but their treatment should be carried out before or during prosthetics.
Alternative bite correction options
Orthodontic treatment is aimed at correcting the bite, in its arsenal there are a number of structures that allow you to align the dentition. Among them:
Bracket systems. Fixed structures attached to the teeth and interconnected by arcs. They allow to achieve significant results, are used for the most severe cases, however, this type of treatment takes more time. It can be painful for the patient, especially at the beginning of wearing the structure, because the teeth are displaced in the bone tissue.
Caps, aligners. Removable structures made of transparent polymers. With them, teeth are easy to clean, discomfort is less felt, they preserve the enamel as much as possible.
Trainers. Removable metal structures for bite correction, they do not require a cast of teeth, but you cannot talk to them, which makes them difficult to use in everyday life.
Surgical intervention. It is used only in the most difficult cases, under general anesthesia. After surgery, the patient often wears braces to secure the result.
Special exercises. Well suited for children when the dentition is in the process of active formation.

All these methods are aimed at eliminating the cause of malocclusion, and not at masking flaws.
A little about care
After installing crowns, the patient needs to remember that covering a tooth with a crown does not mean that it does not need care. With insufficient hygiene, bacteria can penetrate between the tooth and the crown, causing caries. Necessary:
brush your teeth after breakfast and dinner;
avoid frequent snacking, especially sweets;
use dental floss after eating;
protect crowns from strong physical influences - do not bite your nails, pens, use nuts and other hard foods with caution, which can damage the installed elements.

Correcting an overbite with prosthetics is a quick and relatively inexpensive way compared to a whole arsenal of other orthodontic products. Unfortunately, it is not always effective, it is used for minor anomalous positions of the teeth.
Larisa Kopylova
Dentist-therapist
Important! Prosthetics does not eliminate the root cause of pathological occlusion - the incorrect position of the tooth roots in the bone tissue.
Conclusion
With severe defects in the position of the jaws, crowns and veneers will not help - it is necessary to resort to treatment with braces and only then carry out prosthetics. As a rule, with strong anomalies in the position of the teeth, the shortcomings are corrected with braces, caps, aligners, and only then, as a final touch, prosthetics are performed.

The unique structure is one of the distinguishing features of Conmet orthodontic implants. Special cutting of the screw allows you to securely fix it in the gum tissue without deep dissection. The head is made in the form of a bracket - this is the support for the ligature. She takes the load and does not loosen the abutment teeth.

In what cases is the Conmet technique used?

with serious anomalies of the dentition (fan divergence, distal bite, crowding);
significant protrusion of the molars;
for eruption of "delayed" fangs;
if the conventional system is ineffective;
to speed up the leveling process.

This system has a lot of advantages: effectiveness, ease of installation, minimal risk of rejection, no complications after implantation. There are no age restrictions either. In addition, the price of orthoimplants is three times lower than conventional ones.

The difference between mini-implants and standard implants is that soft implantation does not allow heavy loading of the titanium base. You cannot screw permanent crowns on it. But for the best work of braces, they are indispensable.