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Triše Kaclerovića 6a Voždovac, Beograd

Dental implants Cvejanović, Belgrade, Serbia

Dental implants

6 stages of ALL ON 6 restoration

ALL ON 6 is the state-of-the-art medical solution for toothlessness, and in order to prepare for the procedure, it is advisable to familiarize with the six stages of the ALL ON 6 restoration.

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Are you candidate for dental implants?

Dental implants have emerged as the best long-term solution when you are missing one or more teeth, including the loss of all teeth in a jaw. Although dentists tend to distinguish the terms for dental crowns and implants, the term “implant” is commonly used to talk about all three parts of the system: the crown, which is the only visible part of the implant; the abutment, which is the bond between the screw and the crown; and the screw, which is embedded into the bone.

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Types of implants

Dental implants have been evolving for 40 years now. The best solutions emerge to become dominant, making the most popular implant types at any given time very much alike. Nowadays, titanium implants have taken hold of the market, with its shape resembling the tooth root and its surface microscopically uneven, so as to make it easier for the bone tissue cells to bond with the implant, in turn speeding up the process of full integration. The most significant difference in types of implants is the shape of the screw, type of connection between the abutment and the crown as well as the dimensions.

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How are dental implants placed?

The placement of dental implants today is a routine procedure with over 96% success. Nevertheless, it is useful for patients to get acquainted with the process, in order to be able to better organize their time, finances and to enter the surgery without stress. We would like to stress here that the process of placing implants

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All on 4

All-on-4 is a technique of placing implants into completely toothless jaws. More precisely, it is intended for handling complex cases of complete toothlessness when standard solutions cannot help. The All-on-4 concept is used when patients which do not possess sufficient quality of jawbone (thickness, width, height, density, large sinuses…) to place 6 or more implants at a right angle, which is what is required in a standard implant procedure.

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All on 6

All-on-6 is an approach used to deal with complete edentulism (toothlessness) which is a technique most commonly used in Cvejanović Clinic. We are typically approached by patients who are either completely toothless or who only have a few teeth which cannot function properly and need to be extracted anyway. These patients want the most effective solution which will grant them a presentable smile and a full set of artificial teeth. The simplest, fastest and safest way to achieve this is the All-on-6 technique.

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Oral and intravenous sedation

In the past few years sedation has increasingly become less of an exception and more as a rule when it comes to complicated operations at our clinic. This development has mostly been influenced by patients’ demands, because the top priority for any patient is the absence of pain, which is unfortunate for the doctors, whose priority is the responsiveness of the patient.

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Computer guided implantology

Želite hiruršku ugradnju implanata bez bola, otoka?
Neverovatno preciznu i brzu ugradnju implanata?
Guided Implant Surgery je opcija za vas!
Do sada se ugradnja implanata rešavala klasičnim hirurškim putem što je podrazumevalo pravljenje reza, ugradnju i šivenje hirurške rane. Sledstveno ovoj proceduri, pacijenti su trpeli postoperativni bol i otok, koji kod nekog može biti veći ili manji, ali opet je morao proći određeni period oporavka, nekad i do 2 nedelje.

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Hygiene around implants

A dental implant completely substitutes the tooth, not only functionally and aesthetically, but also biologically, since the screw plays an important role of strengthening the jaw bone. Artificial teeth make your speech more articulate, and there is also the priceless psychological gain in a form of self-confidence and better self-image, which are key elements in maintaining mental health. Simply put, implants fully restore all functions that have been hampered or completely absent due to the loss of teeth.

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Installation of one tooth

A dental implant completely substitutes the tooth, not only functionally and aesthetically, but also biologically, since the screw plays an important role of strengthening the jaw bone. Artificial teeth make your speech more articulate, and there is also the priceless psychological gain in a form of self-confidence and better self-image, which are key elements in maintaining mental health. Simply put, implants fully restore all functions that have been hampered or completely absent due to the loss of teeth.

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Dental implants are our work

ALL-ON-6 in upper jaw and crowns in lower jaw

ALL-ON-4, a solution for complete toothlessness

ALL ON 6 – Re-making Ceramic Work

Hollywood smile – a solution for difficult cases as well


Frequently Asked Questions

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  • 1. What are the basic health requirements to get dental implants?
    If you are a healthy person without major systemic or chronic illnesses and if the x-ray (CBCT) shows that you have enough bone tissue, you may freely choose to have dental implants placed.
  • 2. Can I get implants if I am a smoker?
    Yes, you can. Smokers are regularly treated with implants with great success. However, there is a somewhat higher risk of implant rejection.
  • 3. Is there an age limit for placing implants?
    No, there is no age limit for placing implants. The most important issue is the general health of a patient and absence of serious illnesses and other risk factors which, unfortunately, naturally occur in elderly patients.
  • 4. Can an implant be rejected by the body?
    Dental implant rejection, or failure to integrate into the bone, is a very rare occurrence. It happens in about 1% of cases, and if it indeed happens, we can easily place a new implant where the rejected one was, which is done as soon as possible after a rejection occurs. All major implant manufacturers issue lifelong warranties on their implants, which means that the replacement is free of charge, along with being fast and simple.
  • 5. What is the life span of dental implants?
    After placing a dental implant and its integration into the jawbone, it should last you a lifetime. However, just like with natural teeth which should ideally have no expiration date, there may occur certain issues with implants. We cannot stress enough how important the hygiene around dental implants is, along with regular checkups. If this is done properly, there is no reason why an implant should not be stable in the jaw and last for a lifetime. Of course, the patient’s general health is another major factor. For example, at times it may happen that in case of an acute illness both natural and artificial teeth deteriorate. An interesting fact is that the first Nobel Biocare implants placed on a patient in 1965 lasted until the patient died a few years ago.
  • 6. Is the procedure of placing an implant painful?
    No. The placement procedure is always performed under a local anesthetic, much like when treating a natural tooth.
  • 7. What kind of anesthetic is used in the procedure?
    The dental implant surgery is performed with local anesthesia, using special surgical anesthetics with an extended effect. For more complicated surgical procedures of placing dental screws, sedation is advised, either orally applied via tablets or intravenously in the presence of an anesthesiologist. The dental implant surgery itself is performed in a special operating room with maximum sterile environment.
  • 8. How long does the placement procedure last?
    The procedure of placing a dental implant lasts 15-20 minutes per dental implant and up to two hours for placing eight implants in one jaw. This period includes administration of anesthetic, placement and stitching.
  • 9. Are there any special rules to go by after placing an implant?
    After placing a dental implant, the musts and must nots are the same as with any surgical procedure: eat soft and pureed food, use cold wet cloth for cooling, avoid physical straining and hot beverages. Patients mostly complain about the stitches, because they irritate the surrounding tissue. Stitches must be there and, for our part, we will ensure that the threads are as short as possible, but if they are too short, they may fall out.
  • 10. How many implants do I need?
    The answer to that question depends directly on how many teeth need to be replaced. For example, if three teeth are missing, then two dental implants need to be placed, later to be topped with three crowns.
  • 11. How long do I have to wait for dental crowns once the implants are placed?
    After placing a dental implant, you have to wait at least 3 months to place crowns in lower jaw, or 4 months for the upper jaw. This waiting period is necessary to let the implant integrate into the bone.
  • 12. How long does the fabrication of crowns take?
    The process of fabricating a crown takes 3 days for a single crown and up to three weeks for all crowns in both jaws.
  • 13. How are a crown and an implant bonded?
    First, an abutment is screwed in the dental implant, and then the dental crown is cemented onto the screwed-in abutment. Also, there is an option to fabricate a crown using the CEREC CAM/CAD machine. This type of crown is itself a screw-on, so it can be later taken off without damaging it, whereas a cemented crown has to be cut into in order to take off.
  • 14. Do I get a warranty on the implants?
    Indeed! The manufacturers issue special warranties for their implants, and some of them, like Nobel Biocare, will give you a worldwide warranty, which means that if you have any problems with implants, an authorized local dentist will receive you free of charge anywhere in the world. This does not mean that problems with implants are expected, aside from minor ones dealt with in the first months after the procedure, with significant issues present in less than 3% of cases (these are mostly implant rejection cases, having nothing to do with either defective material or errors made by specialists). All patients having any problems in the functionality of their implants are immediately checked into our clinic to perform corrections free of charge, and, if need be, a free replacement of the implants.

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Nobel Biocare is one of the world’s largest companies for the development and production of dental implants. It is the first company to design a modern dental implant and has maintained a leading position on the market for half a century. Its roots date back to 1965, when a Swede, Per-Ingvar Brånemark, discovered the process of osseointegration (integration of bone and metal). He was the first to place a titanium screw into a patient’s jaw, his friend who was a volunteer during this endeavor, and who wore Dr. Brånemark’s implants for over 40 years, until his death. In that same year, 1965, Brånemark achieved commercial success with his implants, and today’s Nobel Biocare emerged from his company.

Today, Nobel Biocare is headquartered in Switzerland, and in the past decades the company has continued to introduce revolutionary concepts in implant dentistry, such as the All-on-4 system, which Nobel Biocare developed in cooperation with Dr. Paulo Maló, to solve the problem of complete toothlessness, which is continues to be the most widely used method for dealing with toothlessness today.

The Nobel Procera system for making dental crowns and all the necessary components has been developed since 1983 and represents a superior and precision method of making dental restorations on implants. Under this arrangement, all specifications are sent directly to Nobel Biocare headquarters, where the commissioned crowns and supporting material is made and then returned to the clinic that has ordered it.

Since 2008, Nobel Biocare offers patients the NobelActiv dental implant, which is considered one of the best dental implants for immediate loading of a temporary crown. Owing to its special design, NobelActiv achieves great primary stability and can easily withstand the forces experienced by temporary crowns during their everyday life.

In our dental practice, we use two types of Noble Biocare implants:

1. NobelReplace
The Nobel Replace implant system is the most common dental implant in the world. This type of implant has a special TiUnite surface that greatly accelerates and enhances the integration of the dental implant to the jawbone, and also features a tri-lobe connection with the abutment that enables easy positioning and fabrication of dental crowns. In practice, this means that there are only three positions for setting the abutment in the dental implant, so the margin of error is far less than with other implant systems (which can have six or even eight abutment positions). The very design of the Nobel Replace implant is an exact copy of the natural tooth root, which is in part the secret of its success.

2. NobelActive
Owing to its special screw thread design, NobelActive allows for placement immediately after tooth extraction and the creation of an immediate temporary crown. NobelActive is made in a very small diameter of 3 mm, so it can be placed in thin and narrow jawbone ridges, where it is impossible to place other implants. Thanks to the latest “platform switching” abutment-implant connection, the loss of dental bone over time is significantly reduced and is superior to any other implant system.

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