Freagracha Oibre ó Milim Dental, Bursa

Is é seo ceann de na ceisteanna is coitianta agus is tuisceanaí a chloisimid ag Milim Dental i Bursa:

“Tá mo geniopy agus mo chnámh ag leá anuas.

Más rud é go bhféadfadh mo chuid fiacail fhéin fanacht, conas a choinneoidh implantfiacail?”

Féadann sé ceist a bheith ag guairí:

Galar na bhfáinní بىلەن laigeadh cnámha → fiacla beagán bog

Agus ansin déarimid: “Is féidir linn implantchothú a chur sa jaw seo...”

Sa alt seo, míneoimid i dteanga shimplí:

An difríocht idir galar na bhfáinní timpeall fiacla nádúrtha agus cnámh timpeall implantí

Nuair a bhíonn implantí indéanta i n-othair leis an liúntas géar agus an loit cnámha

Conas a thógfaimid nó conas a dhéanann muid ardú cnámha nuair is gá

Cad atá le déanamh roimh agus tar éis cur isteach chun a choinneáil ar a chothromaíocht

Tá gach míniú bunaithe ar an cur chuige cliniciúil a úsáidtear ag an bhfoireann shurgery ag Milim Dental, Bursa (Tuirc).

1. Cén fáth go bhíonn fiacla ag leá i galar na bhfáinní

Ar dtús, tuigfimid cad atá á dhéanamh nuair a bhíonn agat:

Liúntas géar

Caillteanas cnámha

Fiacla beagán bog

I galar na bhfáinní (galar na bhfáinní):

Bacteria agus fulaíocht Damáiste na tíortha tacaíochta den bhéal

Tógann an guma ar shiúl ón gclú agus cruthaítear pocanna

Tá an cnámh a chuidíonn leis an bhfréamh ag dul i méid de réir a chéile (ag leáiteadh de)

Tá ionchur bunúsach den bhéal a chothú ag:

a fréamh

Faoi cheann caol an periodontal ligament

Ionsuite sa cnámh

Nuair a bhíonn aloны fiacal gníomhach agus gan rialú:

Scriosann an ligament agus an cnámh

Tá an fréamh níos lú tacaíochta

Faoin am sin, tosnóidh an fiacail ag gluaiseacht agus bogadh

Mar sin, ní gur “do bhéal gan úsáid” atá do fiacail réidh, ach gur ionfhabhtú agus fulaíocht a d’ith an tacaíocht timpeall ar an bhfear fiacail sin (agus uaireanta na nduineádair fiacail).

2. Conas a choinnítear Implant sa Bhéal i gCéad

Ní choinnítear implant fiacail mar gheall ar an modh céanna le fiacail nádúrtha.

Tá freagra a fhaigheann fiacail ag fréamh + ligament + cnámh

Is implant ina sceáin titanium nó titanium-zirconium a chuirtear díreach sa chnámh

Níl líne periodontal timpeall an implant.

In indicative, the cnámho healθs dīrectly onto the implant surface in a process called osseointegration.

If:

The bone is healthy and stable, and

The implant is placed in the correct position, and

The patient maintains good oral hygiene,

then the bone can hold the implant very firmly – often more rigidly than it held the original tooth.

So the real question is not:

“If my tooth fell out, how will an implant stay?”

but rather:

“Can we create enough healthy, stable bone to support an implant – and can we keep that bone healthy over time?”

At Milim Dental Bursa, that is exactly what we evaluate and plan.

3. Step One: Stop the Disease Process First

If you currently have active gum disease, the first priority is:

Control the infection and inflammation before thinking about implants.

We never just “pull the tooth and put an implant into infected, unstable tissue”.

Typical first steps:

Detailed periodontal examination

X-rays and often a CBCT scan

Professional deep cleaning (scaling and root planing)

Improvement of home care (brushing technique, interdental cleaning)

Smoking reduction or cessation if possible

In some cases, teeth with advanced bone loss are not savable.

Then the plan becomes:

Treat and stabilise the gums

Remove hopeless teeth

Clean out infection and diseased tissue

Let the area heal and re-evaluate the bone

Only once the disease is under control do we move to the implant stage.

4. “But My Bone Is Already Gone – Where Will You Put the Implant?”

Good question – and this is where 3D imaging and bone regeneration come in.

At Milim Dental in Bursa, we use:

CBCT (Cone Beam CT) to see:

Exactly how much bone is left

The height and width of the ridge

The position of nerves, sinuses and anatomical structures

Based on this, there are several possibilities:

A. Enough Bone Remains – Implants Without Grafting

Sometimes, even with gum recession and some bone loss, there is still:

Sufficient bone in the right areas

Enough height and width for implants

In these cases we can:

Place implants directly into the remaining bone

Choose implant length and diameter to use the most stable regions

Use angulated implants or specific designs to optimise support

B. Borderline Bone – Small or Moderate Bone Grafting

Má ghlacann cnámh ní maith é ach fós ina oibre, d’fhéadfadh muid bone augmentation a úsáid, mar shampla:

Gnáth-gnáthbhrú na cnámha áitiúil (ag úsáid do chuid cnámha féin nó biomaterial)

Gníomh Cosaint Cnámh Treoraíochta le membrán speisialta

Ardghuaillíocht sinus sa chliabhán uachtarach chun airde toga vertical a fháil

Feidhmíonn na nósanna imeachta seo ar aisíocaíocht nó móide úsauring ar an mandibul chun é a dhéanamh:

Tá cnámh maith ag an implant sa todhchaí chun comhcheangal a dhéanamh leis

Fás an fiacail deireanach as an guma i suíomh nádúrtha

C. Cailliúint Chnámha Ard – Réitigh Speisialta

I gcásanna an-ard (mar shampla tar éis fliúnais aeistéitiúil fadámhair, blianta gan fiacla, nó cúpla teiripe theite), níl na implants traidisiúnta ina n-ádh.

Is féidir roghanna a bheith i gceist:

tretmannaya implanty a úsáidtear ar chuid den cnámh atá fágtha ar an tosaigh nó ar thaobhacha

Gairneamh Íseal i gcásanna roghnaithe

Sa chásanna an-aicme, zygomatic implants (lánú i bhfíochán na smaille) le haghaidh athchóiriú fuil-gníomhach

Tá na cóireálacha seo casta agus caithfidh siad a bheith pleanáilte agus féilire ag dochtúir le taithí.

Is é seo den chaoi is cruthaithí i gceart ag foireann na niúrsa tarrtháil ag Milim Dental Bursa.

5. “Má dhéantar m’cnámh dul i meascá air,” ní dhéanfaidh sé an rud céanna timpeall ar an implant freisin?”

Seo eile imní dhearfach agus macánta.

Tá riosca níos airde ag othair a bhfuil stair leochaileachta fiacla acu de réir an riosca na fásadh:

Peri-implant mucositis (inflamation in the gum around the implant)

Peri-implantitis (boneloss around an implant)

However, risk is not the same as destiny.

The main risk factors for future boneloss around implants are:

Poor plaque control (inadequate oral hygiene)

Uncontrolled diabetes

Heavy smoking

Uncontrolled biting forces (e.g., severe bruxism)

Lack of regular professional maintenance

So our approach at Milim Dental Bursa is:

We nó plaice implants unless we believe the disease can be controlled

We create a maintenance plan from day one

We educate you on cleaning around implants and prosthetics

We schedule regular check-ups and professional cleaning

Many patients with a past history of gum disease enjoy stable implants for years, provided they follow the maintenance programme.

6. What Treatment Might Look Like for a Patient with Gum Recession and Bone Loss

Let’s imagine a patient in exactly your situation:

“My gums have receded, my bone is melting, some teeth are already loose.

I am afraid if you remove them, implants will also not hold.”

A typical treatment sequence at Milim Dental, Bursa might be:

Full Assessment

Medical history, medications, general health

Periodontal charting and photographs

Panoramic X-ray and CBCT scan

Periodontal Phase (Disease Control)

Deep cleaning and debridement

Oral hygiene coaching

Smoking reduction programme if needed

Re-evaluation after healing

Decision: Which Teeth Are Savable?

Teeth with too much bone loss, mobility or poor prognosis: extracted

Teeth with more favourable conditions: treated and kept, sometimes combined with implants

Bone Regeneration / Site Preparation (If Needed)

Bone grafting, sinus lifting, ridge augmentation

Healing time (often several months)

Implant Placement

Guided or freehand surgery depending on case

Possible immediate temporaries in selected situations

Healing / osseointegration phase

Final Restorations

Zirconia or other prosthetic solutions on implants

Optimised bite and smile design

Maintenance Programme

Regular professional cleaning around teeth and implants

Periodic X-rays to monitor bone levels

Night guard if you grind your teeth

This is not a “quick fix” – but it is a path from:

Active disease and bone loss

to

Controlled health and stable implants.

7. Important Truth: Not Every Site Is Suitable for an Implant

Part of being honest is also saying:

In some specific spots, even after treatment, an implant may not be the best option.

In those cases we might:

Combine implants with bridges

Use a removable overdenture on a limited number of implants

Or sometimes choose a non-implant solution for that particular area

The goal is not to place as many implants as possible.

The goal is to create a stable, healthy, functional mouth that you can maintain for many years.

8. What You Can Do to Help Your Implants “Hold”

Your part is just as important as the surgeon’s.

To give your future implants the best chance to stay strong, you can:

Stop or strongly reduce smoking

Control systemic diseases (especially diabetes) with your physician

Brush twice daily with proper technique

Glan i measc fiacla agus implantáin le snáithín, brúsanna idirfiacla nó uirlisí speisialta a mholann dochtúir fiacla

Freagair gach cuairt shealadach agus nàdúrtha

Inis don phríomhoifig go luath má fhaigheann tú amach:

Fuiliú timpeall na n-implantáin

Faoiseamh

Blas cainte agus pian

Is féidir leis na hathruithe maireachtáil fada, go háirithe má tá tú agus do fhoireann fiacla ag obair le chéile.

9. Príomhthreoracha – “An gcinneadhaon a mholaim will má tá caillteanas cnámha agam?”

Ní chiallaíonn an reamhscaoileadh fiacla agus caillteanas cnámha go h-íseal go bhfuil na implantáin dodhéanta.

Tá implantáin ina sheasamh i gcnámh le osseointegration, ní le an gcóras ligament céanna leis fiacla nádúrtha.

Ní mór an t-agnó freisin tréadáil agus seasmhacht a bhaint amach ar dtús sular cuirtear implantáin isteach.

Nuair a bhíonn cnámh neamhiomlán, gnéasraí cnámha, ardáin sinuis nó teicnící speisialta implantáil is minic a thógann tacaíocht ar ais.

Ní mór do dhaoine a bhfuil taithí acu ar ghalar fiacla roimhe seo caomhantacht dhian, ach is féidir leo implantáin rathúla, fada buan a bheith acu freisin.

Ag Milim Dental i Bursa, is é ár gcuid oibre ná:

Anailís a dhéanamh ar staid do chnámha agus do ghunna go mionsonrach

Bi réalaíoch – níl ró-shuamach, ná ró-dhorcha

Tairgfidh tú an meascán is sábáilte d\u2019fhoirmiún a bhaineann le smál, athchóiriú cnámha agus pleanáil impalnt

Mar sin má tá tú ag smaoineamh,

“Tá mo chnaille ag leá – conas a bhfuil impalnt riamh dtabharfaidh sé?”

an freagra ná:

Le an diagnóis cheart, an gearradh ceart agus an cothabháil cheart, féadfaidh go leor othar le caillteanas cnámh a bheith in ann taitneamh a bhaint as impalnt seasmhach, feidhmiúil ar feadh blianta.