Molar implant is an artificial dental roots used to support the restoration of missing teeth or severely damaged molars, helping to stop or prevent jawbone loss. The implant procedure is classified as a form of replacement prosthetic dentistry, but it is also considered as a form of cosmetic dentistry.
Molars are probably one of the indispensable parts for grinding food well before it goes down into the stomach. Therefore, any defect in these molars may lead to major problems in terms of digestion and stomach efficiency because the food has not been grinded as required.
Molar implantation may be a procedure similar to traditional dental implants, but it requires some special procedures in order for the operation to be carried out according to the correct scheme.
People who have lost teeth may feel anxious about smiling or eating more often. In addition, the harsh irregularities of tooth loss can have a negative impact on eating habits, leading to secondary health problems such as malnutrition.
By replacing the roots of missing teeth, dental implants provide the patient with the strength and stability needed to eat all the foods they love, without crunching as they chew. In addition, they help stimulate and maintain the jawbone, prevent bone loss and help support facial features.
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Dental implant consultation
To determine if implants are suitable for you to replace a tooth or molars, a pre-operative consultation with your dentist, periodontist or orthodontist is required. During this appointment, your dental professional will carefully examine your teeth and gums and assess the density and amount of bone that lies below the implanted molar.
This may include X-rays and CT scans to make sure there is enough bone structure to place the implant, and to determine exactly where it should be placed.
Based on the condition of the oral tissues, oral hygiene, personal dental habits, and adherence to aftercare instructions, the dentist will advise you on the most appropriate treatment plan. Some patients with a lack of bone or gum tissue require dental bone implants before implantation itself or small bone grafts.
Depending on the position of the molar or tooth to be replaced, your dentist will advise you on how long the entire treatment process will take, how many appointments will be necessary and what to expect after each procedure.
During the initial consultation, local anesthesia options will be discussed to numb the affected areas and surrounding areas. The estimated cost of a tooth implant or molar implant will also be discussed during this meeting. Costs can vary greatly based on the type of transaction you choose.
before implantation
Any health problems related to oral health must first be controlled before a molar implant can be considered. Common issues such as tooth decay and gum disease can make treatment less effective, especially if it involves back or wisdom teeth.
If you are a smoker, your dentist will advise you to quit, as smokers have a higher risk than non-smokers. Smoking can affect the osseointegration process between the dental implant and the jawbone, which is the process by which the dental implant attaches to the jawbone.
Once your dentist deems your mouth healthy enough for treatment, your customized treatment can begin, whether for a molar or dental implant.
Types of dental implants
More than 60 companies specializing in dental implants and materials used to create restorations are working on the production of many types of dental implants used in molar implants. As a result, dentists have many options for determining the right treatment for a patient’s specific needs.
However, be aware that if you have an implant procedure performed by a professional dentist the results will be great in the end. Dental implants are often categorized based on the type of procedure used to place them, whether it is two-stage or one-stage.
Molar implant in two stages
The two-stage molar implant procedure involves surgery to place the implant in the jawbone and close the gum tissue. After several months of recovery, a minor surgery is performed to attach a stent and a temporary restoration. A dental implant is placed in the jawbone.
It is made of stainless steel and is the most common type of two-stage molar implant procedure. Implants are primarily used as a replacement for a bridge or removable denture.
Molar implant in one stages
A single-stage procedure involves making a longer cut in the jaw so that it is over the jawbone, level with the gum tissue, after which the gum tissue is closed with sutures, leaving the surface of the implant visible. As a result, after several months of healing, the abutment and temporary restoration can be attached without the need for minor surgery to expose the implant surface.
Although most dental implants are made of titanium, the surface area that affects the long-term integration and stability of the treatment can vary. The porous surface contributes to more contact with the bone than the smooth surface of titanium.
Other surfaces include a grainy, acid-etched or coarse surface, a rock-hard or titanium-aired surface, and can be coarse-coated for better contact. Dental implants can also be classified according to the shape and type of head implanted in the bone. All implants require the placement and restoration of an abutment or head at the end of the implant.
Dental implant sizes in molar implants
Another way to classify implants is based on their size, also called the platform, which dictates where they can generally be placed in the mouth. However, every situation is different and may determine individual spacing needs, orthopedic and how a different size is used.
Standard platform: Standard dental implants range in size from 3.5 mm to 4.2 mm in diameter. These relatively shorter and narrower implants are most commonly found in the front of the mouth.
Wide implants: Wide dental implants range in size from 4.5 mm to 6 mm, and are placed in the back of the mouth. These implants are considered the best in the process of implanting a molar.
Mini or narrow implant: Mini or narrow dental implants range in size from 2 mm to 3.5 mm and are mainly placed in patients who have insufficient space between the roots of the teeth to accommodate a larger size. It may also be placed when the patient’s bone density is insufficient. These small implants are suitable for a tooth implant, as they are sufficient to hold the head of the crown in a small space.
How to perform a molar implant
Dental restorations today are indistinguishable from the original natural teeth. This appearance is partly aided by the structural and functional link between the implant and the living bone. The procedure is usually performed in a single session but requires a period of foundation before the operation.
The most important thing in the process is the osseointegration between the dental implant and the jawbone, as it is the process by which the implant is anchored to the jawbone. It takes three to six months for a molar implant to set in and heal, at which point your dentist can complete the process by placing a crown or final veneer over the dental implant. If this does not happen, the implant will eventually fail.
Tooth implants or molar implants, which are done to replace missing teeth, can be done any time after adolescence or when bone growth is complete. Certain medical conditions, such as active diabetes, cancer, or gum disease, may require additional treatment prior to the procedure.
Preparing the jaw for implantation
Dental implant restoration usually consists of a titanium implant and a final upper crown. A small diameter hole is drilled in the toothless jaw sites in order to guide the titanium screw that holds the implant into place. To avoid damaging vital maxillo facial structures such as the inferior alveolar nerve in the lower jaw, the dentist must use considerable skill and experience when making the pilot hole and sizing the jawbone. In many cases, dentists use surgical guides created on the basis of CT scans when placing implants.
surgical site
After the initial pilot hole has been drilled at the appropriate jaw location, it is slowly widened to allow placement of the screw. Once in place, the surrounding gum tissue is secured to the implant and a protective cap screw is placed on top to allow the site to heal and osseointegration to complete. Up to six months after healing, the dentist will expose the implant and attach an abutment, which holds the new crown or replacement tooth.
In some cases, a stent may be attached during the initial procedure. When the abutment is in place, the dentist will create a temporary crown. The temporary crown acts as a template around which the gums grow and form themselves in a natural way. The process is completed when the temporary crown is replaced with a permanent one.
Hospitalization and aftercare
The recovery period after a molar implant depends on a number of factors, one of which includes the various procedures required to complete the treatment. However, it is generally accepted that once an implant has been placed, it is necessary to maintain continuous oral hygiene habits to ensure proper fusion with the bone structure.
Negligent cleaning of the thread and brush is a major cause of failure, and infection can occur if the implant and surrounding areas are not cleaned properly. Smoking is also one of the factors that lead to the failure of molar implants and should be avoided after implant procedures.
If you place temporary restorations with an implant, it will be important to clean them as you would your own natural teeth to ensure the best possible treatment and fusion.
After the initial surgical procedure, discomfort should be minimal. Swelling of the gums and face may occur, as well as minor bleeding and bruising at the implant site. Your dentist may prescribe pain medications to relieve any pain or discomfort you feel after the procedure.
For five to seven days after surgery, your diet should be limited to soft foods. If stitches are present, you may need to visit the dentist again. However, self-dissolving stitches that do not require removal are usually used.
Recovery from the implant placement surgery takes up to six months, while the final crown fitting can take up to two months. Again, this time frame depends on the individual cases and the treatments followed with a molar implant.
Follow-up appointments with treatment coordinators are essential to monitor your progress and recovery. If the process is taken care of properly, a molar or dental implant can remain in place for more than 40 years.