Dr. med. dent. Natalie Paulsen

Dentist for fearful patients

Aesthetics - Prophylaxis - Implantology

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Your specialist for treating

fearful patients in the area Bonn / Bad Honnef

3D Implants

Safe and stable dental implants with 3D implant procedure by dentist Dr. Paulsen in Bad Honnef near Bonn, certified implantologist
 

Zahnimplantate - festsitzender, langlebiger Zahnersatz bei Zahnarzt Dr. Paulsen in Bad Honnef bei Bonn

Thanks to the scientifically sound education with the German Society for Implantology (GSI) and subsequent certification, implants have been placed successfully for years in our dental practice.

In order to provide our patients with the best possible implantology care , we cooperate with the radiological institute for digital volume tomography as one of few practices in the area of Bonn as well as with the most experienced specialized laboratory in this field throughout Germany. The concept is based on three dimensional imaging of the bone, whereby the intervention is planned with a special 3D planning software. The low-risk placement of the implants is performed with the help of a drilling template that was created with computer-navigated assistance. This not only ensures the highest level of safety for our patients during the procedure, but also very well predictable esthetic results.


 

What are implants?

Implants are artificial tooth roots that are anchored securely in the jaw bone and replace the root of the lost tooth. As a rule, they consist of a cylinder-shaped pin or a titanium screw, tissue-friendly and physically compatible material that has been used successfully in surgery for quite some time. An implant post (abutment) is connected to this "screw," on which the so-called supra-construction, namely crowns, bridges or prostheses are attached. Thereby, the implant with the implant post ensures secure anchoring of permanent or removable tooth replacement.

As a rule, dental implants are used if teeth are lost through severe decay, diseases of the periodontium or an accident. In contrast to other tooth replacements, such as a bridge or a partial or full prosthesis, an implant prevents bone loss, because it stabilizes the jawbone. Another good reason for an artificial root is the fact that it meets the highest requirements of chewing functions and esthetic appearance and no healthy dental substance has to be sacrificed, as is the case with crowns, bridges and prostheses. With proper oral hygiene and regular professional teeth cleaning by your dentist implants have a high useful life. Therefore, they are very popular.

Implantat getragener Zahnersatz - Künstliche Zahnwurzeln, die fest im Kieferknochen verankert werden, Zahnarztpraxis Dr. Paulsen in Bad Honnef bei Bonn Implantat getragener Zahnersatz - Aufsetzen der Suprakonstruktion, Zahnarztpraxis Dr. Paulsen in Bad Honnef bei Bonn Fertiger Implantat-getragener Zahnersatz - festsitend und langlebig, Zahnarztpraxis Dr. Paulsen Bad Honnef bei Bonn

 

The advantages of dental implants:

  • Natural chewing function without limitations, as is sometimes the case with a conventional prosthesis. No need to worry about what you can eat.

  • Unimpaired sense of taste - food tastes good again. With conventional dentures, the sense of taste is frequently impaired because the palate is covered.

  • Dental implants are safe, durable, comfortable, easily tolerated and have an esthetic appearance.

  • No unnecessary grinding of neighboring teeth when only one tooth has been lost - healthy dental substance is preserved.

Successful 3D implantation through precise diagnostic measures:

Before one or several implants can be placed, the oral cavity has to be in a healthy state that allows this intervention. This means that any diseased teeth, periodontium and mucosa must be treated before an implant can be placed.

Furthermore, the following conditions must be met in order for implants to be possible:

  • Bone growth must be finished:
    as a rule, and implants can only be placed in patients whose bones have stopped growing. An artificial root cannot adapt to changes in the jaw during bone growth.

  • A healthy and stable jawbone:
    a further deciding factor is the condition of the jaw bone, because only a healthy and stable bone can give support to the new root.

  • Healthy gums:
    periodontal treatment of gum disease may be necessary before placement of an implant.

  • Overall good health.

  • A correct bite of both jaws:
    problems such as grinding of teeth (bruxism) or unresolved pain of the mandibular joint are corrected ahead of time via functional analysis and therapy;

  • Teeth must be free of decay:
    all teeth with decay must receive fillings prior to the placement of implants.

  • Patient's willingness to perform proper, regular oral hygiene at home:
    persons who neglect oral hygiene are not candidates for implants, because good oral hygiene is the basic requirement for implantation. With a lack of oral hygiene, bacteria, inflammations of the gums or even the jaw bone can develop, which endanger the support of the artificial root.

  • Regular professional teeth cleaning specifically for persons with implants, at least two times per year. This extremely important prophylaxis measure prevents implant loss.

  • Willingness to participate in regular follow-up monitoring after the implantation so that illnesses or changes of the oral cavity can be discovered and treated early on.

When is the placement of implants not possible?

Aside from the condition of the jaw bone, the general health status must also be determined. All illnesses that would prevent the integration of the artificial root must be ruled out. Therefore, implants are not possible or only to a limited extent for the following reasons:

  • Diseases of the immune system, such as HIV, rheumatism and arthritis

  • In cases of disorders of hematopoiesis and metabolic diseases such as diabetes, implants can be considered only to a limited extent. These clinical pictures are accompanied by a weak immune system that complicates wound healing or makes way for serious infections. Well-adjusted diabetes, however, does not necessarily preclude an implant.

  • Smoking is a serious limitation for the placement of implants. In patients who smoke more than 10 cigarettes per day the risk of failure increases.

  • Diseases of the jaw bone or insufficient bone density that can no longer be remedied are contraindications for an implementation.

To patients for whom implants are not possible based on the aforementioned reasons, we offer other high-quality tooth replacement, such as crowns, bridges, partial or full dentures or telescopic dentures. In our dental practice we always try to find the best solution for your individual situation, one that is functional and esthetically pleasing.

Computer-guided implant procedure - 3D implant procedure

3D Implantologie - sichere und präzise Implantate mit Bohrschablone, Implantologin Dr. Paulsen in Bad Honnef bei Bonn

Computer-guided implant procedures are based on the concept of 3D imaging of the bone; these images are used to produce an x-ray template and drilling template to plan and execute the implantation. To achieve the best possible results, close collaboration between the dentist and the laboratory is required.

Impressions of the upper and lower jaw are the basis for the computer-guided planning. With the help of these images, models and an x-ray template with x-ray opaque teeth are produced in the laboratory. Prior to creating the three-dimensional tomography of the jaw, the x-ray template is reviewed in the mouth of the patient.

Subsequently, the 3D images, which are the foundation for further planning, are produced in a special x-ray institute.

Definitive planning is performed with the aid of special 3D software. This 3D planning facilitates optimal placement of the individual implants from a surgical as well as prosthetic perspective, as it allows the best possible assessment of the bone supply in all three planes. Subsequently, this plan is transferred to the drilling template with the highest degree of precision.
This drilling template then allows predictable placement of the implant during the surgical procedure and
thus provides maximum surgical precision for the experienced implantologist.

 

The course of an implementation treatment

The fundamental examination prior to implantation

Mit 3D Implantologie eine sichere und präzise Implantation gewährleisten. Zahnarztpraxis Dr. Paulsen in Bad Honnef bei Bonn

Prior to implantation, the patient's anamnesis is collected. For instance, the dentist must be informed of possible illnesses and medications taken by the patient, in order to rule out possible complications from the beginning. In the context of a thorough examination, among other things, several x-rays of the jaw are taken. With the support of results from measuring the thickness of the mucosa and via planning models the dentist creates the best possible three-dimensional image of the bone supply at the implantation site. Furthermore, other elaborate preparation measures such as computer tomography with three-dimensional digital imaging may be necessary. X-ray images, impressions and model diagnostics reveal to the dentist whether implantation is possible.
Before the dentist can place the implant into the jaw bone, all other teeth must be sanitized and periodontal diseases must be treated.

Placement of the implant and integration phase

The surgical procedure only takes place after the initial examinations and preparatory treatments. Under local anesthesia, a pocket for the artificial root is created in the jaw bone, in which the implant is placed. This pocket must correspond precisely to the measurement of the implant to be placed, in order to ensure optimal initial stability with maximal bone apposition. Based on the diverse bone density classifications, it takes about three months for implants to integrate safely into the bone (osseous integration) in the lower jaw, and 4 to 6 months into the upper jaw, due to lower bone density values. During this integration phase no stress should be placed on the implant. Therefore, the patient may possibly be provided with a temporary prosthesis until the healing process is complete, so that esthetic appearance and chewing function are guaranteed as much as possible.

Supra-construction - tooth replacement supported by implants

An implant itself is not a tooth replacement. Rather, an implant post is affixed to it, to which in turn the visible tooth replacement, the so-called supra-construction, is attached. This can be a crown if individual teeth are lost, a bridge if several teeth are replaced, or a dental prosthesis if many teeth must be replaced. Which construction is considered for the patient depends on the number of implants and the number of teeth that must be replaced.

Only after the implant
has integrated completely into the jaw bone, can the dentist take several impressions so that the dental technician can create the actual tooth replacement.

A tip: Patients who have decided on high-quality implants should not compromise when selecting the supra-construction.
 

After the implantation

Which must be kept in mind after an implementation?

Implantation is a surgery associated with the usual risks, based on were the implant is placed and what preconditions the patient brings. To avoid complications immediately after surgery and during the integration face, patients should strictly follow the instructions of their dentist.

It is very important to practice consistent, good oral hygiene at home and visit the dentist for regular follow-up examinations.

In order for patients to enjoy long-term benefits of their implants, she must be optimally cleaned. A customized prophylaxis program sensibly completes a good oral hygiene program. It is also important to have implants checked by your dentist at regular intervals in order to detect the signs of inflammation and avoid or correct possible improper strain caused by alterations in the jaw in a timely manner - because the patient generally does not notice if strong chewing or improper strain have an effect on the implant.


Do you have questions? Please contact us - we will gladly advise you.
Telephone: +49 (0)2224 / 911033 or Email

Your dental practice team in Bad Honnef near Bonn