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The insertion of a gingiva former is a complex surgical procedure that should be carried out exclusively under the supervision of an experienced specialist.
Traditional implantation does not always go as smoothly 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 on related procedures that guarantee its long service life.
The most popular and at the same time effective preparatory stage is the installation of a kind of gum substitute. It is necessary to directly support a new tooth if the 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 a one-piece structure that is screwed into an artificial tooth root. The procedure is usually divided into two visits with a time interval of three months to six months.
Design features
The device resembles an ordinary metal screw, which is equipped with a dense thread. It has a cylindrical top, which, in terms of size, fully corresponds to the parameters of the future tooth. Its appearance copies the dental contours and roots as realistically as possible.
The multi-turn thread is aimed at firmly fixing the integral metal structure in the artificial tooth root. There is no exact answer to the question of what shape, size and brand of the future implant is optimal. Here it is necessary to take as a basis the individual characteristics of the oral cavity of each client, the features of the tooth that was in the indicated place initially. Together, this will negate serious inflammation later, which in rare cases completely leads to the fact that the structure has to be removed back.
The goal of the primary procedure is always the same – to create the correct contour of a 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 the two parts to each other: a new artificial hole and a substitute for a natural tooth, will completely depend on the professionalism of the expert at this stage in the future.
The prosthesis allows the gum to take on the natural fullness and volume, which guarantees the success of the whole business. But for the successful completion of the manipulation, you will have to be patient, because after the installation of the shaper, enough time must pass so that the selected implant can then be installed on top of it.
The classic of the genre for the material of the main system is 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. Considering that it will be installed in the oral cavity, where its parts will have to come into contact with either food or incoming liquids, it is difficult to find a better option.
Despite the fact that the presented material has a number of advantages, it also has a significant drawback. We are talking about the ability of such a rod to clearly stand out against the background of other holes due to translucence. For the anterior problem areas, this turns out to be a serious aesthetic difficulty.
But what should victims do in such situations? Experienced dentists recommend setting aside titanium for the back teeth and using zirconium in front. It is not released in soft tissues, so the aesthetics will be preserved. This is confirmed by 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 brand of construction.
Another important point is the stereotype of people far from medicine that the abutment and the shaper are one and the same. Although both species are successfully recruited for implantation, the difference between them remains significant.
Operations to install them are painless, but in the recovery phase it will hurt both when engrafting the abutment and the gum shaper. The first is a more complex mechanism that is mounted in the implant instead of the second after the well has already successfully taken the desired shape. Its functionality is based on creating increased strength for the subsequent prosthesis used by the patient.
The abutment format has a greater variety of shapes, which allows it to count on an expanded choice of associated prostheses.
Step by step installation
Modern artificial teeth by default already have a special socket for mounting a gum substitute. Despite the fact that some parts fit together, being the product of different manufacturers, experienced craftsmen recommend not to take risks in this way. Otherwise, the chances of complications increase significantly.
There are two options for inserting the shaper into the implant:
- one-time;
- standard.
The first version is based on the need to insert the implant immediately after its implantation. The second variation relies on postponing the second step for several months. During the set time, the structure manages to acquire soft tissues, reliably taking root. But in any case, you will have to come to terms with the fact that pain immediately after the withdrawal of anesthesia is quite normal.
If the victim has a sore gum over the set period for adaptation, then this is an occasion to unscheduledly sign up for a consultation with a dentist. It is also worth doing if the sore spot reacts to cold, or generally behaves differently than the doctor promised.
Surgical intervention of this type belongs to the camp of micro-operations. This means that in terms of time, the manipulation does not last particularly long, while not affecting large areas for correction. Schematically, the entire reception of this type can be divided into several stages:
- conducting anesthesia;
- incision of fused soft tissues to increase the availability of attachment;
- removal of tissue excess;
- unscrewing the implant plug;
- screwing the shaper;
- suturing.
Moreover, screwing can be done both manually and with the help of a special ratchet-type 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 recovery from anesthesia is quite a common occurrence. It is believed that everything should pass within the next few days. If the pain does not go away even after a week, then it is likely that a reverse opening will have to be performed.
If everything went according to plan with the installation, then it is allowed to install the crown in seven days in case of emergency indications. But usually dentists prefer to wait a longer period – about three weeks.
Risks for pregnant women
Pregnant women are considered a special group of patients. With some developments of the scenario, it is not possible to do without a shaper, so an interesting situation has become a relative contraindication. It is forbidden for women to perform micro-operation in the first and third trimester, but in the second trimester the procedure is quite possible.
Difficulties at this stage for the most part come from the use of concomitant medications. It is not only about drugs for the introduction of anesthesia. Often, painkillers and other conventional medicines are limited just for pregnant women. But it is they who will be required to relieve discomfort. Because of this, the doctor must give permission for the manipulation, based on each specific case.
If, during the initial examination, it turns out that the situation is not critical and the problem, rather, is purely aesthetic inconvenience, then it is better to be patient until the postpartum period.
Then it will be safe not only to insert a substitute, but also to painlessly 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 the blood with its clotting parameters.
Possible complications
Since the service provided is not an emergency service, it is almost never provided free of charge. But you should not assume that a 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 for the negative scenario. To avoid this, it is enough to familiarize yourself with the most common complications and methods for their neutralization in the shortest possible time.
The first item on the list is an allergic reaction, which manifests itself when the patient is silent about the fact that he has an intolerance to some substance.
But since people are not always aware of how their body will tolerate 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 the doctor prescribes some previously unfamiliar medicines that have a high threshold of allergenicity.
Other types of complications include:
- edema;
- staggering or falling out of the titanium base;
- bleeding;
- tumor;
- pain in the throat and neck.
Usually, swelling from the cheek after micro-operation goes away on its own quite quickly. But when performing manipulations by an inexperienced doctor, there is a risk of squeezing the gums, which provokes a long-term, non-falling cheek swelling. Only a repeated appeal to the clinic with a demand to redo the hack work will help here.
The same should be done when the shaper was not installed tightly and firmly enough. If after installation the tooth loosens or even falls out, there are two solutions. When a loose adhesion to the bone was fixed in a patient, this indicates a lack of strength of the hardest tissue itself. Then it will turn out to be limited to taking drugs that have a rich calcium complex with concomitant vitamins.
But if rejection is associated with an inflammatory process, then it is impossible to avoid dismantling the substitute along with the root.
When bleeding at the suture site does not stop long enough, this usually indicates low blood clotting, which is not the doctor’s fault. Here it is important to discuss with the expert how to improve the situation on the spot.
If the victim is concerned about bleeding gums, then it is better to use professional rinse solutions or herbal decoctions. Clarify the frequency of rinsing, as well as the name of the best drug or a recipe for preparing a decoction, you need to see a doctor.
Postoperative advice
Often people refuse to resort to modern dental treatment technologies for fear of falling into the risk group of those who have not been helped or even harmed by the method. But when using services in a proven clinic, such risks are reduced to almost zero.
A vivid example of this is the prolapse of the shaper, which does not always mean the need to perform a second surgical operation. Sometimes this only indicates that the screw was screwed too deep into the bone. To correct the situation, it will turn out to be the usual cutting of bone tissue.
To extend the life of the structure, doctors recommend adhering to simple rules for personal oral hygiene. You should not refuse preventive brushing of your teeth, but only in the painful area you will need to brush especially carefully over the area.
Particularly noteworthy are the seams, which can come apart if you apply too much pressure when cleaning. It is also useful to rinse your mouth 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 from your doctor. Thanks to such a simple recipe, it will be possible to protect a still weak hole from colonization by pathogens.
For the same purposes, you can purchase a ready-made remedy in a pharmacy after consulting a doctor. There, the instructions will prescribe the dosage with the rules for hourly rinsing.