Question 1

What is PRGF and is it included in the implant price?

Accepted Answer

PRGF (an advanced biological protocol) is included in our implant price — at most clinics it's charged separately. PRGF uses growth factors from your own blood to support faster healing and reduced post-operative discomfort.

Question 2

How is a multi-layered composite restoration different from a normal filling?

Accepted Answer

Unlike a standard filling (which repairs 1–3 surfaces of a tooth), a multi-layered restoration addresses the whole tooth — restoring all five of its surfaces and returning its full integrity.

Question 3

What is All-on-6 and when is it recommended?

Accepted Answer

All-on-6 is the most common option and is recommended for both the upper and the lower arch. It's the standard option recommended by the dentist in most cases.

Question 4

What is All-on-8 and how is it different?

Accepted Answer

All-on-8 is the ideal option for complex cases and offers the best distribution of chewing forces. The final recommendation is made by the dentist based on each patient's situation.

Question 5

Can I have fixed work on dental implants if I have diabetes?

Accepted Answer

Yes, in many cases this is possible, but the procedure must be carefully planned. Before placing the implants, a few tests are needed to check whether the diabetes is well controlled. Generally, glycated hemoglobin (HbA1c) should be below 7%, and blood glucose on the day of the procedure below 180 mg/dl. When the values are within appropriate limits and the treatment recommended by the treating physician is followed correctly, healing can proceed very well, similar to patients without diabetes.

Question 6

How soon after surgery is the provisional restoration placed, and when is the final restoration applied?

Accepted Answer

In most cases, the provisional restoration is fixed shortly after surgery, usually the next day or, in more complex situations, within up to 3 days. The final restoration is generally applied after approximately 4 to 6 months. During this interval, osseointegration of the implants and healing of the gum tissues take place. After this period, the provisional restoration is replaced with the final, fixed one.

Question 7

Is fixed work on implants suitable for people with periodontal disease?

Accepted Answer

Yes, in many situations this is one of the recommended solutions for patients whose teeth are affected by periodontal disease. The treatment aims to remove compromised teeth, clean the affected area, and rebuild the support needed for implants. Depending on each case, the dentist may perform the extractions, cleaning of infection sites, implant placement and, when needed, bone grafting to rebuild affected bone structure in the same stage. The treatment plan is always established individually, following a specialist consultation.

Question 8

Is it recommended for the provisional restoration to be placed the day after surgery? Wouldn't it be better to wait for the gum to heal?

Accepted Answer

Yes, in many cases, placing the provisional restoration shortly after surgery is a recommended step. It can help protect the treated area and guide better healing of the gum. Applied correctly, the provisional restoration helps stabilize the tissues and can favor a more predictable healing process. Of course, the decision is always made according to the particularities of each case and the dentist's recommendation.

Question 9

What reactions can occur after surgery for fixed work on implants?

Accepted Answer

After surgery, it is normal for mild swelling of the face to appear. In some cases, bruising or bleeding that lasts longer than usual may also occur. These manifestations can be part of the normal recovery process, but they must be monitored according to the recommendations received from the dentist. A very important aspect for the success of the treatment is following the instructions during the healing period. If the provisional restoration is overloaded too early, by eating hard foods instead of a soft or semi-liquid diet, there is a risk that the implants may not integrate correctly. Also, certain general conditions can influence healing. For example, uncontrolled diabetes can increase the risk of local infection and affect the integration of the implants. Likewise, some medications taken for osteoporosis, such as bisphosphonates, can be associated with bone complications. For this reason, before surgery, it is essential that the dentist knows the patient's complete medical history, the treatments followed, and any existing conditions, so the treatment plan can be established under the safest conditions.

Question 10

How is gum recession treated?

Accepted Answer

When gum recession occurs, treatment may include a gum graft, recommended to protect exposed tooth roots and to restore gum tissue. The procedure involves taking a small fragment of tissue, usually from the palate area, which is then applied to the area that needs correction. Through this intervention, the exposed root surface can be covered, or the appearance and quality of the gum around the dental implants can be improved. After the procedure, it is important to avoid spicy foods, carbonated drinks, and citrus. In the first week, a soft or semi-liquid diet is recommended to support proper healing of the treated area.

Question 11

What is a Sinus Lift and when is it needed?

Accepted Answer

A Sinus Lift is a bone-grafting procedure performed in the upper jaw, especially in the lateral area, where premolars or molars are missing. This procedure is recommended when, after older extractions, the bone has resorbed and no longer has enough height to properly support dental implants. Without adequate bone volume, implant placement can become risky, as there is a possibility of affecting the maxillary sinus. To avoid this situation, the dentist gently lifts the sinus membrane and adds bone-grafting material in that area, so that the support needed for the implant is created. Through this procedure, safer and more stable conditions are obtained for placing implants in the posterior area of the upper jaw. When there is a significant bone deficit, a Sinus Lift is one of the most effective solutions to make predictable implant treatment possible.

Question 12

Can an infection occur after surgery?

Accepted Answer

The risk of infection is generally low when all asepsis and antisepsis measures are strictly followed, both before and during surgery. In addition, following the recommendations received after treatment plays an essential role in good healing. However, if the operated area is contaminated or the dentist's instructions are not followed correctly, local complications can occur, including infections or abscesses. To reduce this risk, antibiotic and anti-inflammatory treatment is usually recommended after surgery, according to the regimen established by the dentist.

Question 13

What type of bone is used for bone grafts or for a sinus lift?

Accepted Answer

In most cases, bone-grafting materials of animal origin are used for these procedures, carefully processed to be safe and compatible with medical use. They are prepared through special processing methods and usually come in the form of fine particles. During surgery, the material can be combined with growth factors obtained from the patient's blood, through techniques such as PRF, to support healing and bone integration. The purpose of this treatment is to restore bone volume, either in thickness or in height, so the area can properly support the future dental implants.

Question 14

Is the work made of metal? Can I have an MRI, CT, or X-ray if I have dental implants?

Accepted Answer

Yes, prosthetic work and dental implants include metallic components, but these are not made of ferromagnetic metals. For this reason, they usually do not prevent imaging investigations such as MRI, CT, or dental and general X-rays. Patients with dental implants can generally have these investigations safely. However, it is recommended to always inform the doctor or imaging technician about the existence of the implants before the examination.

Question 15

Can dental implants be done if the patient has osteoporosis?

Accepted Answer

Osteoporosis does not automatically rule out implant treatment. In many cases, implants can be considered, but the decision is established only after a careful evaluation of the general health status and the treatments the patient is following. An essential aspect is the medication taken for osteoporosis. Certain treatments, such as bisphosphonates, can influence bone healing and increase the risk of complications after dental surgery. For this reason, before planning implant placement, the dentist must know exactly the patient's medical history and treatment regimen. In such situations, the correct recommendation is made only after a specialist consultation and, when necessary, based on additional investigations and collaboration with the treating physician.

Question 16

Do patients who choose dental implants receive a warranty for the procedure?

Accepted Answer

According to professional rules in dentistry, doctors cannot offer guarantees for medical procedures, including dental implant placement. However, this does not mean a lack of responsibility, but rather that the result depends on several medical and biological factors. The dentist takes responsibility for the correctness of the treatment and for following medical protocols, and the long-term success of implants is supported by very good results reported in numerous studies. At the same time, the outcome also depends on the particularities of each patient, on how healing occurs, and on following the recommendations regarding hygiene and periodic check-ups. For implants to have the best possible outcome, both correct performance of the procedure and the patient's cooperation during and after the healing period are essential.

Question 17

Is it recommended that extraction and implant placement be done in the same session?

Accepted Answer

Yes, in many cases, this approach is indicated, as long as the bone structure allows the implant to be placed safely. This solution can reduce the total treatment duration and shorten the period until the prosthetic restoration is applied. When needed, the dentist can combine this step with bone-grafting procedures to support better healing of the bone and gum. Also, modern technologies and careful treatment planning, based on imaging investigations, contribute to increasing the predictability of the procedure. However, there are also situations in which the implant cannot be placed immediately after extraction. For example, in the presence of an acute infection, an abscess, cysts, or significant bone loss, a healing period may be needed before implant treatment. The decision is always made individually, according to the particularities of each clinical case.

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