Implantology services

Do you want to know information and details about a dental implant in Cluj-Napoca? Want to benefit from the latest technology?
We have prepared for you some information to help you make the right decision.

What is a Dental Implant?
The dental implant is a surgical component made of titanium and more recently of zirconium, inserted at the bone level, which mimics a root and has the role of supporting a dental crown, a bridge or a prosthesis along with other implants.

Appointment

What are you looking for as a patient?

Not necessarily the implant, but the end, that is, the tooth or crown as we call it. That is why we must understand that the implant-crown assembly is made up of 3 components:

Dental implant
Bont ptotetic
- Standard
- Customized / individualized
Dental crown
- Cemented
- Insurubata

SCREWED CROWN

Surgery is quite important and most often patients are faced with a difficult choice, namely the type of dental implant chosen. We must keep in mind that we choose the implant only once and the choice must be the right one if we want that implant to last over time. There are a large number of companies producing dental implants worldwide, but at the Ortho Implant Center we tried to select for you, as a patient, some brands not only known on the market but also studied and with good results over time. .

Although you may be tempted to choose a cheap dental implant , or vice versa, a more expensive one, we recommend that patients do not look for a dental implant by price but on the advice of an oral surgeon, who sometimes can get just as good results regardless of the brand or cost of the implant. Of course, there are well-known brands on the implant market, which have better statistics and a lower failure rate, but which come with a higher price for dental implants.

The experience of the surgeon is from our point of view more important than the price of the dental implant, and in Cluj-Napoca, at Ortho Implant Center you can find a dentist specializing in oral surgery with over 10 years of experience in implantology, with several thousand dental implants inserted and with tens of advanced training courses internationally (New York, London, Tokyo, Bucharest, Sydney, Vienna, Seoul, Zurich, Amsterdam, Maastricht and others).
The dental implant in Cluj-Napoca in 2024 must be made in a sterile environment, as comfortable as possible for the patient and with as high a predictability as possible.
That’s why in the Ortho Implant Center clinic you can find, besides the 3 dental treatment offices, a dental radiology prepared including for CBCT (3D radiographs) and especially an operating room > equipped with high level equipment, namely:

Air treatment plant, which produces sterile air
Sterile water installation
Oxygen station
Pre and postoperative therapy room
LED surgical ceiling lamp
Apparatus for intravenous and inhalation sedation
Centrifuge for PRF, PRP
Piezotom
Physiotherapist

All this offers us the possibility to perform interventions as minimally invasive as possible and with minimal risks for patients.
For patients who prefer additional mental comfort, the anesthesiologist present during surgery can offer different options for sedation: intravenous sedation, drug sedation or inhalation sedation, as appropriate.

Necessary steps for making a dental implant in Cluj-Napoca and the crown (tooth) on the implant

A. The surgical stage of implant implantation

B. The prosthetic stage of making the crown (tooth)

A. Surgical Stage

First step:

The first and most essential step is primary consultation .
Because in the clinic we also have dental radiology , including CT, we evaluate the bone supply after a simple 3D radiography. For your convenience, the x-ray is done on the spot, in our clinic, in less than 30 seconds, no need to go anywhere else, after which the oral surgery doctor interprets it in front of you.

In addition to a radiological evaluation, it is important to have a clinical evaluation , ie a consultation related to the remaining teeth, the quality of the gums and of course the bite. Often a set of photos helps us make the right decisions;
In the same session, a consultation between the surgeon, the prosthetist and the orthodontist is sometimes necessary in order to prefigure the type of work, the way of accomplishment and the final aesthetics.

3D Radiography (CBCT)

Radiology device: CBCT

Another way to prefigure the position of the implant and even the crown is the digital version which creates a surgical guide :

Surgical guide prepared for the insertion of 7 dental implants

During a consultation in our clinic we can make a classic fingerprint on the spot or a digital fingerprint with the help of the intraoral scanner;

Intraoral scanner

After viewing the therapeutic plan in digital format, the guide is manufactured and supplied to the office;

Also at this stage, a set of temporary works can be planned that can be fixed on implants in the same session with their insertion; in other words, the patient leaves the office on the same day with one or more implants and with the tooth / teeth fixed on the implants, a concept called Dental implant in one day.

Digital planning

Second step:

The insertion of the dental implant itself is a surgical procedure, with a low degree of difficulty, especially if the bone supply is good. Basically, a small incision is made at the level of the gum, although in some cases the implant can be inserted without any incision, and at the bone level it is milled with special cutters and an alveolus is created adapted to the size of the desired implant.

Everything is done without pain because at Ortho Implant Center we use modern techniques and devices. After the operation, the surgeon will prescribe a prescription with analgesics and anti-inflammatories to ensure that your post-surgical discomfort will be minimal.

Bone milling protocol

In the case of surgical guides, in the first phase the guide is fixed in the patient’s mouth and later the dental implants are positioned, only in the position allowed by the guide, thus minimizing the errors that may occur during such an intervention.

We recommend you to come with confidence, because in 2020 the dental implant in Cluj-Napoca is not a difficult job and more importantly it is painless for the patient.

Implant insertion

Surgical guide in the oral cavity prepared for the insertion of 4 implants

FAQ

Is there a concept of a dental implant in a day / ONE DAY IMPLANT?

Dental implant in one day in Cluj-Napoca or quick implant is a reality at Ortho Implant Center because with us you can perform the extraction, the implant and even the temporary tooth in 24 hours. If before you had to wait 6 months for bone healing after extraction, nowadays we already know that the results of an implant performed on the same day with the extraction, can be the same, or even better than the classic methods. Of course, it is not possible in any situation to make a dental implant on a day of extraction. The decision belongs to the surgeon, who will evaluate the place of extraction, the bone walls and the remaining gum, after which he will decide if the respective case is suitable for the implant in one day. Most often in cases where an implant is chosen at the same time as the extraction, a bone addition will be needed to ensure that the volume of bone around the implant will be sufficient over time. Even if this increases the price of the dental implant, and as a patient you may be tempted to choose a cheap dental implant, our recommendation is always dictated by obtaining a durable dental implant over time, with good predictability.

In the same session with the extraction and the dental implant, the fingerprint will be taken or the classic one and the teeth will be made temporarily, preferably screwed and not cemented at the level of the implant.

See IMPLANT CASES IN ONE DAY

What is the classic option?

In the two-stroke version, or the classic one, the first time is expected for the healing of the bone between 4-6 months if an extraction has been performed. Subsequently, the implant is inserted, after which it is waited between 4-6 months for osseointegration (welding between the bone and the implant). If the extraction was performed more than 6 months before, it means that we have a healed bone and we can go directly to the implant insertion. Only after this healing can we move on to the prosthetic stages.

B. The prosthetic stage of making the crown (tooth)

The prosthetic stage is represented by all the steps necessary to perform a work on implants. It can begin when the osseointegration of the implant in the body is completed and involves a series of steps to obtain a prosthetic work that will restore lost functions, especially physiognomy and mastication, while taking into account the patient’s wishes. The prosthetist together with the implantologist and the dental technician will choose the right type of work for each case.
Before starting these steps, the dental implant will be discovered, and this means that at the level of the implant we will insert a healing screw, which will already be visible at the gum and which has the role of healing and guiding the gum around it.

Healing screw

Types of prosthetic works on dental implants

Prosthetic works on implants are divided into 2 categories: fixed works and mobilizable works.

Fixed works
Mobilizable works

Fixed works

Fixed work can be done in the absence of a tooth on the arch, until the absence of all teeth and involves work that is attached through various systems to dental implants integrated into the bone. These types of works cannot be removed from the oral cavity by patients but only by the doctor and are also generically called fixed teeth.

Mobilizable works

Mobilizable works are works that the patient must remove from the oral cavity for sanitization and are used in cases of lack of all teeth on an arch provided that the patient’s bone volume does not allow the insertion of a large number of implants. We also call these works dentures.

Fixed prosthetic works on dental implants

Dental crown – is used in the absence of a tooth on the arch, when the neighboring teeth are healthy, the major advantage being the preservation of natural teeth, which will not have to be polished in order to make a bridge to support the missing tooth. . The crown can be attached to the dental implant either by screwing or by cementing.

The crown screwed implies the existence of a single prosthetic body (abutment + crown) which is screwed into the implant, the screw channel being subsequently covered with composite material.

Cemented crown is cemented on the prosthetic abutment, previously screwed into the implant, similar to the cementation of a prosthetic crown on a natural tooth.

Screwed crown

Cemented crown on standard abutment

Cemented crown on individualized abutment

Prosthetic abutment can also be standard or custom .
Standard abutments are made of titanium and are available in various sizes and angles.
Custom abutments are made in the dental laboratory, individualized for each implant, depending on its location and inclination. These are digitally designed and then milled by milling machines, made of titanium or zirconium. Titanium abutments are widely used, have a very good strength and increased biocompatibility and can be used for any type of work on implants. Zirconium abutments have appeared more recently and are used especially to improve the aesthetics of a work on implants. Zirconium has both a very good resistance and a special aesthetic, being a white metal. If you are designing an all-ceramic work or on a zirconium frame, zirconium abutments can be an excellent option. In such situations, the problem of “hiding” the darker color of a metal abutment is avoided.

Bonturi
Custom

Custom zirconium abutments and physiognomic crowns

Screwed crowns are always preferred instead of cemented ones, when the situation allows, they have the advantage of being able to be removed in any situation. When the patient comes to the control, the work is removed, cleaned and then screwed back on. A cemented work must most often be destroyed if a problem occurs in that area. In conclusion, the maintenance of fixed screw prosthetic works is much easier than in the case of cemented fixed works.

Dental bridge – is made in case of missing several teeth. It can also be fixed to the dental implant by screwing or cementing. It is not recommended to make dental bridges with support on both implants and teeth to avoid compromising the implant due to the physiological mobility of the natural tooth.

All on four / All on six- is the system for restoring a dental arch in the absence of all teeth. It is a very appreciated solution by patients due to the comfort it offers, it is not necessary to remove the work by the patient but only at the periodic control by the doctor. This type of prosthetic work on implants can be performed both on the maxilla and on the mandible, after the prior insertion of 4, respectively 6 implants depending on the available bone density.
At the Ortho Implant Center dental clinic, you can benefit from systems such as All on 4 / All on 6, using the concept of Dental Implant in a Day . In other words, on the same day with the extractions, 4 or 6 implants can be inserted and in 24 hours, the temporary work on the implants can be done, which is fixed and should not be taken down by the patient.

All on 4

All on 4

All on 6

Mobilizable prosthetic works (prostheses) on dental implants

This type of work, performed when the bone support is deficient, can provide increased comfort to the patient similar to a fixed work. The mobilizable prostheses are made on at least 2 and 4 implants, respectively, and are attached to the implants through various special anchoring systems, such as: staples, backstage or metal bar. These prostheses must be removed daily by the patient for sanitation. Unlike the classic total prosthesis that rests only on the gums, the implant prosthesis has a clearly superior stability, being able to provide the patient with a much more efficient mastication, a clear phonation and an aesthetic similar to that of natural teeth.

The choice of prosthesis type on implants is based on certain factors, including:

Number and location on the arch of the inserted implants
Aesthetic and functional preferences of the patient
The financial possibilities of each patient

General health and age of the patient
Recommendation of the specialist doctor.

Other information

Benefits

Advantages / Benefits of dental implant treatment:

Aesthetics are improved, increasing the patient’s self-esteem because replacing the missing tooth with a tooth on the implant, it will give the feeling of natural tooth
The quality of life increases: you can eat what you want, you can smile, you can talk, because you will have fixed teeth on implants, and these works behave similarly to natural teeth.
We protect healthy teeth, because with a dental implant we eliminate the need to grind teeth adjacent to the dental space
The cost of a dental implant for a missing tooth is very similar to the cost of a dental work / bridge supported on neighboring teeth.
The materials from which both implants and implant works are made have a high biocompatibility with oral tissues, thus minimizing the risk of rejection or allergy.
It is a treatment that has a longer guarantee over time because its lifespan is long, provided that the doctor’s instructions, proper oral hygiene and regular check-ups are observed.

Disadvantages

Disadvantages of dental implants

Surgery is needed to insert the implant into the maxillary bone
There is a minimal risk of not accepting the dental implant
The healing period, respectively the total duration of the prosthetic work can be longer and differs from case to case.
The cost of working on several implants is higher than that of working on natural teeth, that’s why we always advise patients to pay maximum attention to their own teeth, in order to keep them on the arch as long as possible.

Contraindications

Contraindications to dental implants

Dental implants are contraindicated absolutely in general conditions such as: heart disease, recent heart attack, severe heart failure, malignancies, immune disorders, radio and chemotherapy, severe mental disorders, in which the risks of bleeding, infection or reaction to Anesthesia are increased.
There are also relative general contraindications in conditions such as diabetes, hypertension, smoking, etc., conditions that if kept under control, implant treatment can be a success.
In addition to these general contraindications, there are several local related to personal hygiene, bone volume, gum quality, severe dental bruxism.

Frequent questions

Does the dental implant hurt? What symptoms can I have after?

We can assure you that the labor of inserting the dental implant in Cluj Napoca, at the Ortho Implant Center, is a painless one, because it is done under local anesthesia, and in some cases we can use sedation of patients. The pain and subsequent inflammation are small and subside under painkillers and anti-inflammatory drugs in a few days.

What material are dental implants made of?

Dental implants most often used in implantology are made of titanium, but there are also zirconium implants.

How long does dental implant surgery take?

The dental implant insertion procedure can take from 15 minutes for an implant, if there is enough bone, to an hour if bone addition is needed. Although the crown (tooth) is usually made 4-6 months after the insertion of the implant, there is also the concept of Dental implant in one day , ie in less than 24 hours we can do the extraction, the implant dental and temporary tooth.

Up to what age can a dental implant be made?

The dental implant can be made at older ages. In the Ortho Implant Center Dental Clinic in Cluj we have patients with a beautiful age of 83 years, who have benefited from treatment with implants, thus greatly increasing their quality of life in terms of mastication, aesthetics, social. In young people, we recommend dental implants after the end of the growth, ie around the age of 18.

How long does a dental implant last for me / what guarantee does a dental implant have in Cluj Napoca?

The dental implant has a lifespan that depends on several factors. The most important are: personal hygiene of the oral cavity; general health, because we know that certain diseases can affect the bone and gums around the teeth and implants; periodical control at the dentist;
If the patient’s life is balanced we can have dental implants that last a lifetime , just as if there are big imbalances both in terms of health and personal care, we can have implants that last only a few years .

What is the price of a dental implant in Cluj-Napoca?

The price of a dental implant in Cluj Napoca at the Ortho Implant Center Clinic varies depending on the chosen implant model. You can choose between a dental implant with 400/450/500/750 Euro. In addition to this cost there is also the cost of the crown (tooth) which can be of several types, of which the most commonly used are the following:

Cemented metal-ceramic crown-300 euros
Screwed metal-ceramic crown-400 euros
Cemented zirconium crown-400 euros
Screwed zirconium crown-500 euros

The list of all prices can be found on our website under the heading rates, and the final cost of the more complex works is established after the prior discussion with the patient.

Can your body reject the dental implant?

Implant rejection is rarely due to titanium allergy or intolerance. There are more general or local factors that influence its rejection. The failure rate of the dental implant is quite low at the Ortho Implant Center. We have a failure rate below 5% , although globally the average failure rate is 10% or even higher.

Do I have to come for another checkup after I have a dental implant?

Of course it is very important to come to the control because around the implant, as well as around the natural teeth, plaque and tartar are deposited, which must be professionally cleaned by descaling, air flow; on the other hand, any problem that occurs near the implant in the bone or gum and is detected in time, is much easier to treat.

What is the healing time required until the final work is applied?

The period of integration of the implant in the bone usually varies between 3 and 6 months, but the optimal moment is determined by the doctor in each case.

What materials are used for implant work?

There is a wide range of materials used in implant work, depending on the indications of each case, the patient’s aesthetic requirements and costs. In the case of small works, you can opt for metal-ceramic or zirconium-ceramic, both having a high resistance given by the metal or zirconium skeleton and a very good aesthetic given by ceramic, this imitating very well the appearance of natural teeth and transparency. them. Zirconium is a more up-to-date material, offering extra aesthetics as well as increased biocompatibility. In the case of complex works, which target an entire arch or both arches restored only with implants, the materials used must be more flexible, such as composite. When a large force is applied to a natural tooth, it is cushioned by the periodontal ligaments around the root of the tooth that absorb this force. In the case of dental implants that do not have these ligaments, their connection with the maxillary bone being a rigid one, the absorption of shocks is achieved by these more elastic materials, thus protecting the implant and prolonging its lifespan.

Is it mandatory to carry out a temporary work?

Temporary work is recommended especially in the frontal area to preserve the patient’s physiognomy while also contributing to the conformation of the gum profile, so the crown on the implant will look very good with the natural tooth. In larger edentations, temporary work helps to restore the aesthetic appearance, while improving the mastication and quality of life of the patient.

What is the time required to perform a work on implants?

There is no standard time, generally valid for performing a prosthetic work on implants. It can extend from 24 hours in the case of a single crown made by the modern CAD-CAM technology that our clinic has and up to a few weeks in the case of more complex works.