Drs. Buchholz and colleagues
Oral Surgery Specialists
Areas of expertise: endodontics
out-patient surgery

Tooth implants – for your most beautiful smile
The modern alternative to classic dentures for a solid foundation for your quality of life

Function and aesthetics of natural teeth
In addition to helping us chew, our teeth are essential elements of our harmonic facial expression and, thus, of our personal appearance. Many of an individual’s most distinctive and attractive characteristics are based on tooth structure.

Tooth loss – traditional methods and their disadvantages
Lost teeth can be replaced by bridges or prostheses.  To insert a bridge, the neighboring teeth must be ground, which means that healthy tooth material must be sacrificed. In addition, the jaw bone around lost teeth retreats with time. Prostheses also lead to bone atrophy and must be corrected at regular intervals. As a result, dentures often do not have sufficient grip. This can severely impair a patient’s quality of life and can lead to difficulties in chewing as well as to a loss of one’s sense of well-being and self-confidence, ultimately interfering with social contacts.

Tooth implants – the modern alternative to classic dentures
An implant is a full-fledged replacement for a lost tooth and a secure anchor for fixed or removable dentures. Implants are screws that are inserted into the bone to replace the natural root and provide support. They are made of pure titanium, a metal that is perfectly compatible with the body (bio inert), and grow together with the surrounding bone completely. Implants transfer the natural chewing pressure to the jaw bone and, thus, prevent bone atrophy in the toothless section of the jaw.
Shortly after the implant has been fixed, patients feel as if they chew, speak and smile with their own teeth – a significant increase in quality of life. Around the world, several million satisfied patients have been treated with implants.

Implant systems
We use the following implant systems in our clinic:

  • Branemark
  • NobelReplace
  • NobelActive
  • Straumann
  • Camlog

We select the system in accordance with the patients’ anatomy and needs. All these systems have been developed scientifically and have been in use for many years. Through research, development, production and distribution, they are continuously subjected to the most stringent quality controls.

If you want to replace a lost tooth with an implant, you need time and patience.  First, we will check your medical history and prepare models, take X-rays and, if required, conduct a digital volume tomography.
Implants typically are inserted under local anesthesia; for longer interventions, analgosedation or general anesthesia can be helpful.
During surgery, we open the mucous membrane over the jaw bone, prepare the bed for the implant with special drills, insert the implant and close the lesion with stitches.
This intervention usually does not take more than an hour. Afterwards you may experience swelling for several days. The stitches will be removed after eight to ten days.
After the implant has healed into the bone for two to six months, prosthetic restoration can commence.

Individualized implant treatment
In general, implants can be used for one or more or even all teeth.

  • Individual gap:
    Missing front or side teeth can be replaced by implant-supported crowns. In this case, removable partial prostheses or bridges are not required and healthy neighboring teeth need not be ground.
  • Edentulous space:
    If several teeth are missing in one row, implants can assume the function of supporting pillars for fixed dentures, making potentially problematic  removable dentures or wide-span bridges unnecessary.
  • Free-end situation:

If several molars in a row of teeth are missing, implants are an alternative treatment to removable partial prostheses. The number of implants required depends on the size of the gap, the pressure applied and the patient’s anatomy. Implants serve as secure supporting pillars for fixed bridges.

  • Toothless jaw:
    Even with no remaining teeth, implants can serve to hold fixed or removable dentures in place.

Fixed dentures are used if sufficient bone mass remains and the alveolar ridge is mostly intact. In general, between four and eight implants are inserted into the maxilla and between four and six into the mandible.
Implant-supported removable prosthesis can be an alternative to fixed dentures. They typically are fixed in the maxilla on four to six implants and in the mandible on two to four implants.

Bone augmentation in difficult cases
The success of an implant mainly depends on the bone that supports the artificial root.
If the natural bone material available is insufficient, it can be augmented in width and height. An alternative is to lift the floor on the sides of the maxillary sinus (sinus lift). In both methods, the patient’s bone or artificial bone material can be used.

In general, small bone deficits can be augmented during the implantation. To do so, the dentist extracts bone material from the immediate area of the implant to fill the cavity which then is covered with a membrane (protective foil). If required, artificial bone material is inserted in the process.
If a substantial part of the bone is missing, a separate operation is required to augment the missing jaw bone by extracting bone from the chin or the back sections of the maxilla or mandible. These operations, for example, Piezo surgery, are minimally invasive methods.
Very large bone defects may require grafting of bone from the pelvis or other areas. These operations are performed under general anesthesia.
The grafted bone parts are attached to the jaw bone using small screws and covered with a membrane. Several months of healing are required before the implants can be inserted.

Beautiful teeth for life
Implants can last a lifetime; they usually are in perfect condition even after ten years. According to scientific studies, the success rate of implants in the mandible are approximately 95% and approximately 90% in the maxilla after one decade.
Implants are seldom lost but if failure occurs, it is usually during the healing stage. If an implant fails at this stage, we will replace it without any additional cost to our patients.
Once the implant has healed into and is supported by the jaw bone, there is little danger of failure provided the implant is well cared for.

Costs for implants depend on the circumstances, that is, the number of implants and the level of difficulty of the intervention. In some cases, the costs for a computer tomogram, bone augmentation or general anesthesia must be taken into consideration. In addition, there are the costs for the dentures (crowns, bridges, removable prosthesis).
Public health insurance typically will not reimburse you for the cost of implants. Private insurance usually assumes a large part of the costs, depending on your policy.
Since every implantation is highly individual and is tailored to the patient’s specific needs, there are no general guidelines for cost. During a personal consultation, we will provide you with a cost plan for your specific implant treatment.

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