Oral Surgery and Implantology

Simply put, it is an artificial root made mainly of titanium which, properly placed in the jaw, supports the teeth that for whatever reason are missing from the mouth. At Policlínica Dental Dr. Vilariño we carry out everything from single implants to bridges, full oral rehabilitations and complex multidisciplinary cases.

At our clinic we have the experience and the most advanced technology in this field. These treatments are performed by members of our team, recognised experts in implantology endorsed by the University of Santiago de Compostela. We use computer-assisted 3D design, which shows us the exact position and depth of the implants before surgery, providing greater surgical precision and safety.

With this information, our laboratory manufactures a surgical guide that steers us during the procedure, reducing the risk of bleeding as well as surgical time.

Today it can be considered that there are no absolute contraindications, that is, circumstances that prevent an implant from being placed at the first attempt, except:

• Presence of acute infection.
• Lack of primary stability.

In these cases, the evolution should be assessed and the possibility studied later, once the condition of the tissues improves.

Undoubtedly the best choice to treat missing teeth, as their advanced design offers us a wide range of possibilities adapted to the needs of each patient.

• It is the most conservative option, as the prosthesis is attached to the bone and not to other teeth.
• Comfort and chewing capacity are similar to natural teeth.
• It prevents bone loss by keeping the bone in function and avoids deterioration of the adjacent teeth, preserving not only dental but also facial aesthetics.

• They preserve bone and soft tissue.
• They reduce surgical times.
• Shorter treatment time.
• The extraction provides very favourable vascularisation for the healing and bone regeneration process.
• It allows an ideal implant position.
• As there is no need to drill through cortical bone, less heat is generated by the rotary instruments, even with cooling.

Immediate post-extraction implants are indicated for:

• Traumatic avulsion.
• Apical root resorption of primary teeth when the permanent tooth is congenitally missing.
• Failure of endodontic therapy.
• Unrecoverable dental fractures.
• Teeth with unrecoverable periodontal disease.

The advantages can be summarised as:

• They guarantee the absence of pathological tissue at the implant site.
• They facilitate the primary anchorage of the implant.
• They have a better final aesthetic result.

The extraction of wisdom teeth is very particular to each patient, although in general we can agree that the most frequent reasons are:

1. To avoid or reduce the risk of periodontal disease.
2. If they have partially erupted, they allow bacteria to enter between the tooth and the gum, causing decay and infection. The result can be pain, swelling, trismus (jaw immobility) and general malaise.
3. If they keep erupting without enough space, they will damage the adjacent teeth and may move them.
4. They frequently develop cysts and tumours, destroying nearby structures such as the jawbone or the roots of nearby teeth.
5. They can cause pain for which no explanation is found.
6. Sometimes they make it impossible to fit a prosthesis.
7. They can cause occlusal interference or a bad bite.
8. In 70 % of cases they cause trauma to the cheeks.
9. They are associated with jaw fractures in 65 % of cases.
10. 40 % of adults aged 45 develop periodontal disease, repeated infections or decay in the area near the third molar.

Inadequate insertion of the FRENULUM fibres produces dental and even speech alterations that must be corrected. They are usually diagnosed at paediatric ages, but it is not until puberty, and specifically when the permanent dentition is in place, that this intervention should be performed. The genetic or hereditary factor is very important: if we have relatives with this alteration, we should be more attentive.