TOPICALITIES

Before explaining anything in detail let us emphasize the most important point: as soon as you become aware that the root of any of your teeth is broken or fractured, please visit the dentist at your earliest convenience, even if the tooth does not cause any serious pain.

And now let us give you the explanation and the reasons: unfortunately it sometimes happens that a root of a tooth gets broken or fractured and in this case there is no way to save or repair it; extraction is the only possible solution. The fracture creates a channel for bacteria from the mouth to the root and the jawbone, causing continuous and more and more serious infection in the bone. Antibiotics can give you temporary relief from the symptoms but if you feel you gain some time with the help of medications you should know that you lose more than you gain...

The jawbone is not innervated with sensitive nerves therefore you do not necessarily feel serious pain, still you will surely feel that „something is not right" with that tooth. The infection constantly suppresses the immune system, and as a consequence of that you may have some other symptoms that you would never guess to be related to your teeth: loss if hair, pain in the joints or frequent smaller diseases.

While the continuous inflammation puts the body under constant pressure, the bacteria in the bone cause further serious damage: they destroy the jawbone to reduce the chances that the tooth will be able to be replaced with a dental implant. There is a minimum necessary width, height and density requirement for the jawbone, which the dentist has to measure and examine before dental implants can be placed – therefore it is absolutely necessary to keep the jawbone as healthy and strong as possible.

And now let us see what the novelty is: in the traditional implant procedure the dentist first extracted the jawbone and recommended 3-6 months healing time before the dental implant is fitted. During the healing time the bacteria cleared from the jawbone and the bone-building tissues restored the jawbone at the place of the extraction. After the recovery period in most cases the bone recovered enough to be able to support the dental implant but there was one disadvantage as well: the gum lost its original shape and became „flat" following the line of the gum. When the crown was prepared at the final stage there was no way to restore the original and natural oval-shape gumline at the top of the crown.

With the latest implantation method the implant is fitted immediately after the extraction; when necessary the dentist adds artificial bone for extra support. With this technique the bone will not collapse as it did before as the implant and the artificial bone together keep the original bone level. Whenever possible, a plastic temporary crown is fitted on the implant at the same time, which is formed very thoroughly to make sure that the temporary crown follows the natural gumline.

One great advantage of the new technique is that the patient does not have to struggle with the temporary denture for months; in most cases some fixed solution can be provided immediately after the extraction. If not, the healing period is reduced so you have to put up with the temporary solution for a shorter time.
The other advantage is also obvious: the plastic temporary crown will preserve the oval-shape gumline and when the permanent crown is prepared, the new tooth will look absolutely natural.

The condition of success is that there should not be any infection at the root of the broken tooth; bacteria should have no time to attack the jawbone and destroy it. Even after a few months serious infection can occur and hinder reaching the perfect result... although this is what we always aim for!