What do I do if I have a missing tooth?
int(1)
object(WP_Query)#4843 (51) {
  ["query"]=>
  array(4) {
    ["posts_per_page"]=>
    int(6)
    ["post_status"]=>
    string(7) "publish"
    ["paged"]=>
    int(0)
    ["author"]=>
    int(4)
  }
  ["query_vars"]=>
  array(65) {
    ["posts_per_page"]=>
    int(6)
    ["post_status"]=>
    string(7) "publish"
    ["paged"]=>
    int(0)
    ["author"]=>
    string(1) "4"
    ["error"]=>
    string(0) ""
    ["m"]=>
    string(0) ""
    ["p"]=>
    int(0)
    ["post_parent"]=>
    string(0) ""
    ["subpost"]=>
    string(0) ""
    ["subpost_id"]=>
    string(0) ""
    ["attachment"]=>
    string(0) ""
    ["attachment_id"]=>
    int(0)
    ["name"]=>
    string(0) ""
    ["pagename"]=>
    string(0) ""
    ["page_id"]=>
    int(0)
    ["second"]=>
    string(0) ""
    ["minute"]=>
    string(0) ""
    ["hour"]=>
    string(0) ""
    ["day"]=>
    int(0)
    ["monthnum"]=>
    int(0)
    ["year"]=>
    int(0)
    ["w"]=>
    int(0)
    ["category_name"]=>
    string(0) ""
    ["tag"]=>
    string(0) ""
    ["cat"]=>
    string(0) ""
    ["tag_id"]=>
    string(0) ""
    ["author_name"]=>
    string(0) ""
    ["feed"]=>
    string(0) ""
    ["tb"]=>
    string(0) ""
    ["meta_key"]=>
    string(0) ""
    ["meta_value"]=>
    string(0) ""
    ["preview"]=>
    string(0) ""
    ["s"]=>
    string(0) ""
    ["sentence"]=>
    string(0) ""
    ["title"]=>
    string(0) ""
    ["fields"]=>
    string(0) ""
    ["menu_order"]=>
    string(0) ""
    ["embed"]=>
    string(0) ""
    ["category__in"]=>
    array(0) {
    }
    ["category__not_in"]=>
    array(0) {
    }
    ["category__and"]=>
    array(0) {
    }
    ["post__in"]=>
    array(0) {
    }
    ["post__not_in"]=>
    array(0) {
    }
    ["post_name__in"]=>
    array(0) {
    }
    ["tag__in"]=>
    array(0) {
    }
    ["tag__not_in"]=>
    array(0) {
    }
    ["tag__and"]=>
    array(0) {
    }
    ["tag_slug__in"]=>
    array(0) {
    }
    ["tag_slug__and"]=>
    array(0) {
    }
    ["post_parent__in"]=>
    array(0) {
    }
    ["post_parent__not_in"]=>
    array(0) {
    }
    ["author__in"]=>
    array(1) {
      [0]=>
      int(4)
    }
    ["author__not_in"]=>
    array(0) {
    }
    ["meta_query"]=>
    array(0) {
    }
    ["ignore_sticky_posts"]=>
    bool(false)
    ["suppress_filters"]=>
    bool(false)
    ["cache_results"]=>
    bool(true)
    ["update_post_term_cache"]=>
    bool(true)
    ["lazy_load_term_meta"]=>
    bool(true)
    ["update_post_meta_cache"]=>
    bool(true)
    ["post_type"]=>
    string(0) ""
    ["nopaging"]=>
    bool(false)
    ["comments_per_page"]=>
    string(2) "50"
    ["no_found_rows"]=>
    bool(false)
    ["order"]=>
    string(4) "DESC"
  }
  ["tax_query"]=>
  object(WP_Tax_Query)#5318 (6) {
    ["queries"]=>
    array(0) {
    }
    ["relation"]=>
    string(3) "AND"
    ["table_aliases":protected]=>
    array(0) {
    }
    ["queried_terms"]=>
    array(0) {
    }
    ["primary_table"]=>
    string(8) "wp_posts"
    ["primary_id_column"]=>
    string(2) "ID"
  }
  ["meta_query"]=>
  object(WP_Meta_Query)#5317 (9) {
    ["queries"]=>
    array(0) {
    }
    ["relation"]=>
    NULL
    ["meta_table"]=>
    NULL
    ["meta_id_column"]=>
    NULL
    ["primary_table"]=>
    NULL
    ["primary_id_column"]=>
    NULL
    ["table_aliases":protected]=>
    array(0) {
    }
    ["clauses":protected]=>
    array(0) {
    }
    ["has_or_relation":protected]=>
    bool(false)
  }
  ["date_query"]=>
  bool(false)
  ["request"]=>
  string(684) "SELECT SQL_CALC_FOUND_ROWS  wp_posts.ID FROM wp_posts  JOIN wp_icl_translations wpml_translations
							ON wp_posts.ID = wpml_translations.element_id
								AND wpml_translations.element_type = CONCAT('post_', wp_posts.post_type)  WHERE 1=1  AND wp_posts.post_author IN (4)  AND wp_posts.post_type = 'post' AND ((wp_posts.post_status = 'publish')) AND ( ( ( wpml_translations.language_code = 'en' OR 0 ) AND wp_posts.post_type  IN ('post','page','attachment','wp_block','wpcf7_contact_form','cookielawinfo','faqs' )  ) OR wp_posts.post_type  NOT  IN ('post','page','attachment','wp_block','wpcf7_contact_form','cookielawinfo','faqs' )  )  ORDER BY wp_posts.post_date DESC LIMIT 0, 6"
  ["posts"]=>
  array(6) {
    [0]=>
    object(WP_Post)#5348 (24) {
      ["ID"]=>
      int(4048)
      ["post_author"]=>
      string(1) "4"
      ["post_date"]=>
      string(19) "2021-09-20 08:05:43"
      ["post_date_gmt"]=>
      string(19) "2021-09-20 08:05:43"
      ["post_content"]=>
      string(4484) "What do I do if I have a missing tooth? When a tooth is lost, patients often only go to the dentist for aesthetic reasons without taking into account the functional problems of chewing that this loss entails.

This loss can have consequences, which is why we must act quickly. These problems are above all the extrusion of the antagonist tooth (the tooth with which it was in contact moves up or down) and the mesialisation (the posterior teeth move forward). Another complication that could occur is the irreversible enlargement of the tongue towards the edentulous or toothless area.

What is the ideal treatment for a missing tooth?

All these problems will create difficulties in finding a solution and that is why it is necessary to act quickly. The best solution to a missing tooth would be to place a crown supported by a dental implant. This treatment allows for excellent oral hygiene, as the area between the tooth and the implant or between the teeth (interproximal) can be cleaned well with dental floss and prevents caries and gum problems (periodontal). In addition, with this treatment it is not necessary to prepare the neighbouring teeth and they can be kept as they are in the mouth.

What is the advantage of this treatment?

What happens when an implant is placed in the mouth is that the gum, bone and teeth around the implant are stabilised. In other words, the neighbouring teeth will no longer move and the implant will remain "fixed" in the bone. Another advantage of placing an implant-supported crown is that the dentist can, at any time, unscrew the crown in case of a fracture or if any repairs have to be made. It is a long-term solution and has a high success rate and generates a lot of patient satisfaction. In fact, 98% of patients at Nart Clínica Dental Barcelona recommend dental implant treatment to their friends and family (statistics from 2016-2018).

what factors must be taken into account in order to have an implant?

In order to carry out this treatment, several factors must be taken into account, such as the amount of bone in the area, the patient's health and their commitment to lifelong care and hygiene. If there has been bone loss in the toothless area and there is not enough bone to place an implant, a bone regeneration treatment could be carried out to gain bone in the desired area and then the implant could be placed. Another option would be the placement of a narrower implant that allows us today to avoid bone regeneration in most cases.

What if I can't get an implant?

If it is not possible to place an implant for medical or economic reasons, there are other treatment options. An alternative would be the placement of a bridge or a fixed denture. If this option is chosen, it must be taken into account that the neighbouring teeth must be in good condition to be able to withstand the forces of the bridge.

Advantages of a dental bridge

An advantage of this treatment is that it is quicker, as with the placement of an implant it will be necessary to wait two months for proper healing and good aesthetic results before the crown can be placed.

Alternative treatments to bridging

Maryland type adhesive prosthesis Another treatment that could be carried out would be a Maryland type adhesive prosthesis (fixed prosthesis that replaces a single tooth using the neighbouring teeth as support), where it is not necessary to grind the neighbouring teeth, as it will be cemented to the inside of the neighbouring teeth. Removable prosthesis This treatment is usually temporary. Finally, there is also the option of a removable prosthesis, which is usually the least comfortable for the patient. Regardless of the treatment chosen, its success will be determined, in part, by the patient's oral hygiene and maintenance visits. The importance of maintaining good oral hygiene should be explained to the patient and they should be shown in detail how to achieve this.  " ["post_title"]=> string(39) "What do I do if I have a missing tooth?" ["post_excerpt"]=> string(0) "" ["post_status"]=> string(7) "publish" ["comment_status"]=> string(4) "open" ["ping_status"]=> string(4) "open" ["post_password"]=> string(0) "" ["post_name"]=> string(13) "missing-tooth" ["to_ping"]=> string(0) "" ["pinged"]=> string(0) "" ["post_modified"]=> string(19) "2021-09-20 08:33:01" ["post_modified_gmt"]=> string(19) "2021-09-20 08:33:01" ["post_content_filtered"]=> string(0) "" ["post_parent"]=> int(0) ["guid"]=> string(37) "https://nartclinicadental.com/?p=4048" ["menu_order"]=> int(0) ["post_type"]=> string(4) "post" ["post_mime_type"]=> string(0) "" ["comment_count"]=> string(1) "0" ["filter"]=> string(3) "raw" } [1]=> object(WP_Post)#5338 (24) { ["ID"]=> int(3668) ["post_author"]=> string(1) "4" ["post_date"]=> string(19) "2021-07-29 07:37:35" ["post_date_gmt"]=> string(19) "2021-07-29 07:37:35" ["post_content"]=> string(4851) "

If we ask people who are not familiar with the dentistry or with the health field if It is good to get a dental implant, we can obtain different answers. From "I guess it's not good but I don't know why", to "if you're missing a tooth why not."

On the other hand, if we ask this question to different dentists, most of them would answer that the dental implant is the best way to replace a tooth when it is missing, but that before extracting a tooth, all treatment options should be explored in order to try and save the tooth. That is, putting an implant is not the most recommended procedure to replace teeth with problems, but rather before you should opt ​​for other solutions to save teeth.

The importance of good dental care

We know that teeth are something important to preserve, since without them there is no we can chew, crush, cut well or speak properly.

Also we have a periodontal ligament (space between bone and tooth) that is capable of controlling chewing forces so as not to exert more than is necessary, so it is important to take proper care of them and not wait until the last minute to treat them.

Good oral hygiene

Having good oral hygiene is not a difficult procedure, it simply consists of brushing your teeth at least 2 times a day (brushing before going to sleep is very important), floss and / or interdental brushes, and use some type of mouthwash recommended by our dentist.

Preserve teeth until needed

We consider that the best answer to this question is that we should not put an implant until it is really needed, or the tooth cannot be treated or maintained.

As dentists, our goal is to preserve teeth and we will always look for solutions to be able to keep them in the mouth and treat them until possible, and at that time we will resort to extraction and later to the placement of a dental implant, preferably, or a prosthesis, depending on the case and according to the patient's preferences.

Negative consequences of tooth extraction

Once we have extracted the tooth, if we do not act with a certain speed, there may be negative consequences such as the extrusion (growth) of the antagonist teeth (those that contacted the extracted one), since they will not stop until they find a contact; and mesialization (forward movement) of teeth after extraction.

If we let these occurrences happen, it will be much more difficult to place an implant or dental prosthesis and we will have another problem to consider.

Whether It is good to have a dental implant in the absence of a tooth

The moment we have the absence of a tooth, placing a dental implant will be the best option. Scientific studies show that implants have high long-term success and are preferred by patients compared to bridges or removable dentures.

Advantages

Before placing an implant we must study each patient, it is necessary to individualize each case, and take into account the advantages of implants such as safety and success rate, aesthetics, etc…

Furthermore, we do not damage the adjacent teeth. Implants can help preserve bone and allow good oral hygiene when done well.

Disadvantages

Their disadvantages could be the economic cost and the loss of the implant due to lack of osseointegration or infection (peri-implantitis), although they have a high success rate.

Peri-implantitis consists of an inflammatory process that affects the bone around the implant and that will cause a loss of bone that we can detect on an x-ray and by probing the implant where we will detect an inflammation of the gum surrounded by frequent suppuration.

Once we have explained all the risks to the patient, it is clear that the dental implant is the best option to replace a missing tooth.

Conclusion

In conclusion, we must try to explain and make patients understand that the best option will always be our own tooth and that is why we must take rigorous care to be able to preserve it throughout life.

If the tooth has been lost, the best option will be to place an implant and a tooth or crown on it two months later.

" ["post_title"]=> string(35) "Is it good to get a dental implant?" ["post_excerpt"]=> string(0) "" ["post_status"]=> string(7) "publish" ["comment_status"]=> string(4) "open" ["ping_status"]=> string(4) "open" ["post_password"]=> string(0) "" ["post_name"]=> string(23) "good-get-dental-implant" ["to_ping"]=> string(0) "" ["pinged"]=> string(0) "" ["post_modified"]=> string(19) "2021-09-08 08:36:11" ["post_modified_gmt"]=> string(19) "2021-09-08 08:36:11" ["post_content_filtered"]=> string(0) "" ["post_parent"]=> int(0) ["guid"]=> string(37) "https://nartclinicadental.com/?p=3668" ["menu_order"]=> int(0) ["post_type"]=> string(4) "post" ["post_mime_type"]=> string(0) "" ["comment_count"]=> string(1) "0" ["filter"]=> string(3) "raw" } [2]=> object(WP_Post)#5336 (24) { ["ID"]=> int(1772) ["post_author"]=> string(1) "4" ["post_date"]=> string(19) "2020-11-02 17:10:24" ["post_date_gmt"]=> string(19) "2020-11-02 17:10:24" ["post_content"]=> string(21159) " At Nart Dental Clinic Barcelona dental implants are placed by Professor Jose Nart Molina, a reference and opinión leader in implantology at a European level, who is also a teacher and researcher in oral implantology. His clinical cases are shown at the most important congresses in implantology in the world (EAO, AAP, SEPA, Osteology, Quintessence), and his research on dental implants is published in the scientific journals with the greatest scientific impact (JCP, COIR, JP, CIDRR, CLOI, IJPRD). The protocols used at Nart Dental Clinic Barcelona combine the best planification, materials and patient´s consideration. The commitment is to carry out the simplest, quickest, least painful and efficient treatment, using the world's leading brand of implants.

Is it necessary to have a dental implant if I am missing a tooth?

Generally speaking, we place dental implants to replace the loss of 1 or more teeth. We can replace all the teeth except for the wisdom teeth. It is important to replace the lost teeth to maintain the masticatory function avoiding digestive problems, and to avoid the movement of the back teeth into the space or the top or bottom tooth with which you would chew as they get extruded (move up or down). We also recommend replacing the lost teeth with implants to maintain the bone and the position of the gum and aesthetics.   It is an international scientific consensus, due to the high level of success and satisfaction after treatment, that dental implants are the best option for replacing our lost teeth, avoiding the grinding of healthy neighbouring teeth as we would do with a bridge, or the discomfort and overloading of neighbouring teeth that a removable prostheses would generate. [caption id="attachment_22718" align="aligncenter" width="898"] In the image you can see the different changes and harmful movements in the teeth neighbouring the lost tooth.[/caption]

What is a dental implant?

An implant is a device made of titanium, but it can also be made of zirconium, which placed inside the bone is used to screw a tooth on.  The dental implant and the bone are joined by a process called osseointegration that takes 6 to 8 weeks. When the implant and the bone are joined, the implant acts like a female and we proceed to make the crown or tooth and screw it onto it. We can also make bridges or prostheses for all the teeth if more than 2 or more teeth are missing. [caption id="attachment_22751" align="aligncenter" width="678"] Placing an implant; its abutment and tooth on it.[/caption] [caption id="attachment_22754" align="aligncenter" width="683"] Absence of one or more teeth replaced with one or two implants, on which we screw a tooth (crown), or a bridge.[/caption]

How many implants can I have in one day?

You can have as many implants as you need in the same surgery. The insertion of dental implants nowadays is a very minimally invasive procedure and in the majority of cases it generates very little discomfort and rarelypost-operative inflammation.

How many implants do I need to replace all my teeth?

In general, a patient who has lost all his teeth needs 6 implants in the upper part and 6 implants in the lower part in order to replace the lost teeth with a fixed prosthesis. It is true that in some situations 4 implants in the upper part and 4 implants in the lower part could be enough to replace all the teeth. On other occasions in older patients we could stabilise a lower denture with only 2 implants. [caption id="attachment_22733" align="aligncenter" width="960"] When all the teeth are missing, we can place 6 or 4 implants with a fixed prostheses, or 2 implants in the jaw to better hold a removable prosthesis (removable and put in).[/caption]

Does it hurt to get a dental implant?

The insertion of a dental implant should not hurt as it is carried out under local anaesthetic. Furthermore, the post-operative period of the following 2 or 3 days should not generate any pain or discomfort either, and in most cases the patient is expected to need only 1 or 2 painkillers after the placement of 1 or several dental implants. The patient should understand that dental implant surgery is minimally invasive by making a very small incision in the gum after planning the intervention in the 3D CT. Of the more than 2000 implants placed by Dr. Nart in the last 4 years, 95% of the patients only needed 1 or 2 analgesic or anti-inflammatory tablets. In cases where we have to perform bone or gum regeneration at the same time as placing a dental implant, the use of anti-inflammatories will be extended by 2 or 3 days, but not beyond that.

Which specialists can place dental implants?

All dentists can place dental implants. Although it is true that those who have specialist training in implantology or implants have higher success rates, fewer complications and better maintenance of dental implant treatments over time. The trained or specialist in periodontics and implants have the training and capacity for the surgical part of the treatment (the placement), to have adequate gingival around, to diagnose and treat the diseases of the dental or peri-implantary implants, and to carry out the maintenance of the healthy implants in the long term.

Is a dental implant forever? How long does it last?

The success of dental implants in the short term is around 98%, the long term success varies depending on the type of prosthesis on the implant and the results at 15 and 20 years of follow-up show a success between 92 and 96%, depending on the brand of implants placed. There are patients with a higher risk of losing implants in the short term and among them smokers, diabetics, those with poor oral hygiene, those who have not been treated for periodontitis, as well as those allergic to amoxicillin. Those who are more at risk of losing implants in the long term are smokers, those who do not go to the dentist for professional maintenance every 6 months, those who have poor hygiene and those who have on their implants non hygienic prostheses, which do not allow access to hygiene.

Is there any patient who cannot have a dental implant?

The only patients who could not have dental implants would be those allergic to Titanium to whom we would recommend Zirconium implants. Allergy to Titanium has been described in an invaluable percentage. Patients who smoke should reduce or quit smoking, and diabetics should have their glycaemia controlled with glycated haemoglobin below 6.8%. Patients taking oral bisphosphonates should evaluate with their physician the risk-benefit of continuing or suspending their treatment. Also, recently irradiated patients will have to wait for some time to have their implants placed.

Can I refuse a dental implant?

Dental implants are not rejected, they can fail initially before the teeth are placed or they can fail late once the teeth are already on the implants. The initial or early failure is usually associated with an infection or some surgical difficulty such as limitations in the quantity and quality of the bone, stability in the implants, incorrect planning of the implants or absence in the preparation of the patient. Late failure is usually associated with infection of the dental implants, called periimplantitis, or situations of overloading the dental implants through their prostheses. It is worth remembering that both early and late failures are exceptional situations due to the very high success rate offered by dental implants today, although it is clear that dental implant treatments must be very carefully planned, correctly executed and properly maintained over time. The patient should also know that if an implant fails it can be placed a second time and according to the available scientific studies the success rate of the second implant is still over 90%.

How do you know if the implant is well integrated or attached to the bone?

Traditionally, it takes between 3 and 4 months to place a tooth on an implant. The integration of the implant was checked by means of an x-ray by tapping the implant itself and listening to a matt sound. Nowadays, the implant-bone connection or osseointegration can be measured with an apparatus by means of resonance (ISQ values). This device provides values on a scale from 0 to 100, and the existing scientific evidence indicates that implants are successful with values above 65. Values above 65 are usually obtained 6-8 weeks after the placement of the implants (for some brands of implants).

How long should I wait to put my teeth on the implants?

For many years it was usual to wait between 3 and 6 months before being able to put teeth on the implants. Today the process of integration of the implant into the bone has been greatly accelerated thanks to the new surfaces of the dental implants. In most cases the teeth can be placed from 6 to 8 weeks after the placement of the implants. 

Are all implants the same?

The reality is that not all implants behave in the same way. Very few brands of implants report medium or long term results, and we have almost no comparative studies between the different brands. The main differences between the implant brands are: the design, the surface, the connection and prosthetic components, and the composition of these. These 4 factors make the implants behave very differently in terms of success rates, short and long term survival and complications.

How long does it take to place a dental implant?

The surgery of placing an implant is simple and usually lasts about 20 or 30 minutes if it has been planned correctly beforehand. In situations where we place the implant after the extraction of the tooth, the procedure is a little longer. It is also longer when we have to regenerate the bone or gum at the same time as we place the implant; on these occasions the procedure can take around 60 minutes. If the surgery has been properly planned and the placement of the implants has been done in the CT, the placement of the implants is usually very fast. It is important to emphasize that the faster and simpler the surgical procedure is, the fewer complications and less postoperative pain there is. Therefore, preparation and planning are essential to make dental implant surgery simple and well executed.

How are dental implants cleaned?

Implants need good oral hygiene, thorough and detailed every 12 hours. The gums around the implants swell very easily and are more vulnerable than the teeth. Implant-supported prostheses must allow access to hygiene, that is, they must allow the patient to sanitise them 360º around them, ideally with an electric toothbrush and with interdental brushes twice a day. In prostheses that replace all the teeth, the use of irrigators can be added without replacing the interdental brushes. In addition, every 6 months the implant patient should visit the dental clinic for maintenance or professional hygiene. If the oral hygiene around the implants is not correct the patient will develop mucositis and if this is not treated probably periimplantitis. Periimplantitis is an infection of the gums and the bone around the dental implants caused by bacteria that generate loss of bone and in the end the loss of the implant itself.

Can I work after getting an implant?

The post-operative period after the insertion of dental implants is gentle and does not compromise the daily routine. The vast majority of patients do not need to take anti-inflammatory or analgesic medication. In some particular cases where bone or gum regeneration has been carried out, or where many implants have been placed in the same surgery, a relative rest of 24-48 hours may be recommended.

What if I do not have enough bone to place an implant?

In the immense majority of cases we can place implants even when there is limited availability of bone, using short implants or narrow implants. In situations where even using narrow implants there is little available bone we can regenerate bone at the same time as placing the implant. In those exceptional situations where it is not possible to place the implant regenerating bone at the same time, we will carry out the bone regeneration prior to the placement of the implant and we will have to wait about 4 to 6 months to place them. In bone regenerations we usually use cow or corpse bone substitutes. These particles are covered by collagen membranes in most cases.

Do I need gum around a dental implant?

Clinical studies show that having keratinized gums around implants is very important for your long term health, and also to obtain an ideal aesthetic in time. When we have gum around the implants we can brush them better, there is less inflammation, less bleeding and therefore we prevent the diseases of the implants from occurring. On the other hand, and to obtain the best aesthetic result we need to have a certain thickness of gum so that the appearance of the tooth on the implant is natural. We can carry out gum grafts at the same time as we place the implants or once they are in place. In the majority of cases this gum will come from the palate or from the area of the patient's own wisdom tooth.

What will I feel when I have the implant?

The sensation that the patient perceives must be very similar to that of a natural tooth both in chewing and in aesthetics. Teeth on implants allow you to chew and eat in a very similar way to natural teeth, and aesthetically they can be indistinguishable from them. Studies report very high patient satisfaction after having been treated with dental implants, more than 95% of them would repeat the treatment and recommend it.   Images 7 and 8. A central incisor in each photo was fractured and replaced by a dental implant and its ceramic tooth. As can be seen in the photographs, the aesthetics are ideal and cannot be differentiated from the neighbouring natural tooth. With teeth on implants you can also eat in the same way.

What is immediate loading?

It is when we place the implant and the provisional tooth on the implant at the same time or within the first 24 hours. And by protocol at Nart Dental Clinic Barcelona we carry out immediate loading, that is, we place the implants and the provisional teeth at the same time when it is a question of teeth in the aesthetic zone or before, and when we replace all the teeth in the mouth in the upper or lower zone. These provisional teeth placed on the same day as the implant surgery fulfil their aesthetic function, but we do not recommend eating with them for the first month and a half. We do not usually place provisional teeth in the back teeth at the same time, as eating there during the first month would mean a greater risk of losing the implant. [caption id="attachment_22757" align="aligncenter" width="678"] Placement of a screwed-in provisional tooth after minimal implant surgery.[/caption]

What is an immediate implant?

An immediate implant is one that is placed at the same time as the extraction of a tooth, i.e. just after the removal of a tooth in the remaining space. When the patient loses a tooth, there is usually bone left on the sides or on the upper/lower part in order to anchor and stabilise the implant. In this way the patient is spared another subsequent surgery, shortening the treatment and the number of visits to the dentist. On the other hand, the placement of the implant after the removal of the tooth can be technically more complex and will need bone and sometimes gum regeneration in the aesthetic zone if we want to achieve the best result.

What is guided surgery?

It is the placement of the implant through or by means of a surgical resin splint that directs the position of the implant in an unalterable way, according to the planning previously carried out in the CT scan or 3D radiography, and therefore guaranteeing its ideal position. Implant surgery in general must be guided to ensure the best position of the dental implants. This guided surgery can be performed with a closed or open splint, and can be performed by raising the gum a little or through it. Depending on the case, we will choose one or another treatment option.

Do I have to go without teeth or can I take a provisional one after having an implant?

You should always be able to wear a provisional after having an implant. Furthermore, in the case of implants placed in the aesthetic zone you can wear a fixed provisional tooth, screwed to the implant, from the moment of surgery. If you have had implants inserted to replace all the teeth in your jaw, you can also have fixed provisional teeth inserted to replace them all at once. Your aesthetics should not be altered. If you already have a removable, removable pre-dentures, in many cases you can adapt to a fixed prosthesis on the implants just after insertion.

What are dental implants complications?

The most important complications can be early or late. The early ones include infection or loss, not osseointegration, of the implants during the first 3 months after surgery. It is usually rare if we have planned the treatment correctly and the patient is hygienized and prepared. It can occur more frequently in patients allergic to amoxicillin, and in those who have subjected dental implants to heavy chewing loads during the first month and a half. Late complications can be mucositis, inflammation of the gum around the implants; periimplantitis, inflammation of the gum and loss of bone around the implants; and loss or failure of the implants due to overloading (squeezing) or loss of osseointegration over time.

Do I have to take antibiotics for the implant surgery?

Currently and according to the scientific evidence available, it is recommended to take 1 gram of Amoxicillin 1 hour before implant surgery, to reduce the possible early infection. There is no evidence that taking the antibiotic after the placement of the implants will help. Nor is there any evidence of indication for antibiotics other than amoxicillin. If we place implants with bone regeneration we may prolong the antibiotic intake a few days after placing implants.

What are one or two-stage implants?

In the past, implants were placed in two stages; they were covered with the gum on the day of the surgery and the gum was uncovered after 3 months, in another surgical intervention. Nowadays, implants are placed in a single surgical phase which means that a healing cap is placed over the implant and the gum heals around it, saving the patient the second surgery, making the treatment less morbid and longer. [caption id="attachment_22760" align="aligncenter" width="678"] Placement of an implant in one phase, with a single operation in which the gum heals around the plug.[/caption]  " ["post_title"]=> string(52) "Everything to know about dental implants by Dr. Nart" ["post_excerpt"]=> string(0) "" ["post_status"]=> string(7) "publish" ["comment_status"]=> string(6) "closed" ["ping_status"]=> string(4) "open" ["post_password"]=> string(0) "" ["post_name"]=> string(65) "all-you-need-to-know-about-dental-implants-by-professor-jose-nart" ["to_ping"]=> string(0) "" ["pinged"]=> string(0) "" ["post_modified"]=> string(19) "2021-09-08 08:32:20" ["post_modified_gmt"]=> string(19) "2021-09-08 08:32:20" ["post_content_filtered"]=> string(0) "" ["post_parent"]=> int(0) ["guid"]=> string(96) "https://nartclinicadental.com/all-you-need-to-know-about-dental-implants-by-professor-jose-nart/" ["menu_order"]=> int(0) ["post_type"]=> string(4) "post" ["post_mime_type"]=> string(0) "" ["comment_count"]=> string(1) "0" ["filter"]=> string(3) "raw" } [3]=> object(WP_Post)#4877 (24) { ["ID"]=> int(1758) ["post_author"]=> string(1) "4" ["post_date"]=> string(19) "2018-07-27 05:36:00" ["post_date_gmt"]=> string(19) "2018-07-27 05:36:00" ["post_content"]=> string(4692) "

The retiring gums or recession of gums agree one of the problematic most assiduous in what concerns dental health. This pathology must treat about suitable form, not only for reasons related to the aesthetics but to avoid more serious problems as future recession compromising the forecast of the tooth.

Principal reasons of the retraction of the gums

1. Graze of the gums like consequence of a brushed evil

The fact of the teeth brushing itself using a hard brush  you last and realizing "aggressive" movements it can derive to the destruction of the fabric that shapes the gum and provoke a recession gingival.

In these cases, one is in the habit of proceeding to modify initially the technology of oral hygiene and later to the placement of a graft of gum that has for purpose cover the root or affected roots. Once overcome the treatment, the aspect of the gum must be the habitual one.

2. Periodontal disease

The Periodontitis they are in the habit of being the mainspring retraction of the gums. We can distinguish two diseases depending on the evolutionary condition in which the patient is:

  • Gingivitis: known also as inflammation of the gum, it shapes the slightest stadium inside the diseases periodontales. It is accustomed to be a bacterial affection that provokes the inflammation and the bled one of the same ones. With the passage of time, if it does not treat itself, the disease will produce a gradual downswing of the gum that, in consequence, will increase the probability of suffering loss of gum and bone, already in periodontits. In this stadium it is when the recession of the gums will be caused.

In Nart Clínica Dental Barcelona we think that it is important to alert our patients since we speak about a very frequent disease between the adults, affecting 90 % of the population.

We recommend that when they start noticing the first symptoms (principally bled dental during the brushed one) come to our consultation to realize a review and to initiate the treatment.

  • Periodontitis: it is the disease that continues to a not treated gingivitis. It has different stadiums, but, in the most advanced it is where there takes place a loss of bone that might finish with the loss of the tooth.

3. Gums damaged as consequence of  bad orthodontics

The orthodontics and the movement of the teeth does not have why to provoke a retraction of the gum, but if they are positioned out of the bony structure they increase the probabilities of which the recession takes place.

4. Consumption of tobacco 

The smoking can suppose the loss of gum due to the fact that the components of the tobacco block the blood irrigation in the mouth cavity and concern negatively the system inmunitario, facilitating the action of bacteria and external agents and provoking the advance of the disease periodontal.

Factors of risk for the retraction of the gums

There exist several factors that affect directly in the health of our gums:

  • Hygiene: a correct dental hygiene can help us undo of the plate accumulated in the teeth, avoiding the formation of deposit and eliminating this way, one of the principal reasons of Retraction of the gums.
  • Genetic factorsthere exist persons more inclined to suffer some type of disease periodontal, whereas others it is possible that they do not take a correct hygiene and that on the contrary they do not meet affected.
  • Tobacco: as we have commented previously on the tobacco it is different of the factors of risk that they affect to the health in general and specifically to the gums.
  • Thickness of the gum and bone: when the fabrics of support of the teeth are thin the risk of recession is very much major. The majority of Caucasian patients have biotipos or thin gums.
 " ["post_title"]=> string(29) "Why have I the retiring gums?" ["post_excerpt"]=> string(0) "" ["post_status"]=> string(7) "publish" ["comment_status"]=> string(6) "closed" ["ping_status"]=> string(4) "open" ["post_password"]=> string(0) "" ["post_name"]=> string(28) "why-have-i-the-retiring-gums" ["to_ping"]=> string(0) "" ["pinged"]=> string(0) "" ["post_modified"]=> string(19) "2021-09-08 08:41:52" ["post_modified_gmt"]=> string(19) "2021-09-08 08:41:52" ["post_content_filtered"]=> string(0) "" ["post_parent"]=> int(0) ["guid"]=> string(59) "https://nartclinicadental.com/why-have-i-the-retiring-gums/" ["menu_order"]=> int(0) ["post_type"]=> string(4) "post" ["post_mime_type"]=> string(0) "" ["comment_count"]=> string(1) "0" ["filter"]=> string(3) "raw" } [4]=> object(WP_Post)#4876 (24) { ["ID"]=> int(1754) ["post_author"]=> string(1) "4" ["post_date"]=> string(19) "2018-07-25 05:33:22" ["post_date_gmt"]=> string(19) "2018-07-25 05:33:22" ["post_content"]=> string(4687) "

Many patients wonder if the dental implants are for the whole life.

The dental implants are medical devices that are placed surgically in the alveolar bone, of the maxillary one or jaw. They offer an artificial and stable support to the teeth or crowns. To be a good candidate for the placement of dental implants, the patient must have a series of certain characteristics. If these are not fulfill the probability of the implant success diminishes. The aims on having placed a dental implant might be different from the patient and dentist prospectives. While the patient wants to recover the function and the aesthetics, the professional adds some parameters of success inside his aims. In the placement of an implant one tries to manage a success so much in the biological stability, bone and gum levels with health in the time, as the mechanics and function besides the fact that it should be cleanable.  Throughout the time different classifications have existed on the success of the dental implants. A consensus exists between authors that the success of dental implants depends on the presence and maintenance of the bone that surrounds the implant. In the studies on the success of dental implants the most used parameter is the rate of survival of the implant that indicates if the implant remains in mouth or has been removed.  The success of the treatment can be defined in different ways depending on the parameters used. Albrektsson in 1986 defined the success in the following way: the implant could not have mobility, and could not demonstrate radiolucency areas (shades between the implant and bone in the X-ray). The loss of bone in vertical sense after the first year must be less than 1.2 mm and it should not be any symptomatology (pain). A few years ago in the literature the loss of bone around the implant was accepted of up to 1,2 mm in height during the first year in function. After the first year in function the loss of bone had to be a minor of 0,1 mm for every passed year. This is not acceptable any longer. One of the last classifications of the success of implants divides them in 3 clinical different situations: success (implant in health), survival or failure of the implant. The survival of the implant divides between a satisfactory survival and failing survival. A failing implant should be treated to minimize the risk of failure and the failed implants are those which have to be removed. Knowing these classifications we can see that the dental implants can remain in mouth without being a successful treatment. This way so, the duration and success of a dental implant not only depends on the dental implant being in mouth but its bone and gum being healthy.  The studies have demonstrated that the rate of survival of the implants is very high but not of 100 %. It exists a small percentage that fail. In addition, there are a series of risk factors as the medical history of the patient, to smoke, periodontal disease or periodontitis, iatrogenic factors (bad or poor dental practice) or the hygiene of the patient that will influence in the prognosis of the implant and thus in his duration. In addition, scientific evidence has shown that the rate of periimplantitis (infection of the bone and gum around dental implants) is very high. Thus, the duration of the dental implants is not an even and equal for all the patients. There is a small percentage of failure of the treatment. For those that are inside this percentage the implants will last little. As the teeth of a patient who needs dental implants have not lasted forever, the implants are not a solution for the whole life either. It will depend on how they care these implants and on the regular professional maintenance. No dental implant should hace a lifelong guarantee. The majority of patients can expect for a survival of their dental implants of more than 10 years of function with a high rate of success (above 96% after 15 years). It is not possible to give the certainty of which implant will have this rate of success after its placement since a small percentage of failure exists and its maintenance in mouth will depend on many different factors that the dentist or periodontist cannot control and are dependent on the patient." ["post_title"]=> string(33) "How much do dental implants last?" ["post_excerpt"]=> string(0) "" ["post_status"]=> string(7) "publish" ["comment_status"]=> string(6) "closed" ["ping_status"]=> string(4) "open" ["post_password"]=> string(0) "" ["post_name"]=> string(32) "how-much-do-dental-implants-last" ["to_ping"]=> string(0) "" ["pinged"]=> string(0) "" ["post_modified"]=> string(19) "2021-09-08 08:41:53" ["post_modified_gmt"]=> string(19) "2021-09-08 08:41:53" ["post_content_filtered"]=> string(0) "" ["post_parent"]=> int(0) ["guid"]=> string(63) "https://nartclinicadental.com/how-much-do-dental-implants-last/" ["menu_order"]=> int(0) ["post_type"]=> string(4) "post" ["post_mime_type"]=> string(0) "" ["comment_count"]=> string(1) "0" ["filter"]=> string(3) "raw" } [5]=> object(WP_Post)#4873 (24) { ["ID"]=> int(1750) ["post_author"]=> string(1) "4" ["post_date"]=> string(19) "2018-07-16 05:39:25" ["post_date_gmt"]=> string(19) "2018-07-16 05:39:25" ["post_content"]=> string(4883) "A modern minimally invasive treatment that improves the prognosis of teeth. The gum grafts are a surgical procedure that is performed taking a piece of soft tissue from a donor to use it in another place, called recipient site. The donor tissue can be obtained from the palate, the maxillary tuberosidad (zone of the wisdom teeth when they are not present), from the adjacent gum to the affected teeth, even from a tissue bank from humans or animals, or from artificial substitutes. The recessions are essentially a condition in which the gum begins to recede leaving the root exposed to the mouth. With time, this process can continue forming small pockets between the tooth and the gum. This promotes the accumulation of bacteria in this zone and if they are not eliminated adequately complications can carry with time. Before getting to these situations, the gum recessions can be prevented without needing a surgical procedure. Some of the signs that can appear in an early way are an increase of the dental sensibility (hypersensitivity), perception of longer teeth, and gum clefts which is a gum wear in the free gingival margin or where the tooth joins to the gum. The recessions can be caused by different reasons. The principal reason is the bacteria of the disease periodontal. The treatment of the gingivitis prevents the formation of initial recessions since in more advanced phases of periodontitis these are almost an inevitable condition. Another causing factor can be the trauma provoked by different agents as brushed aggressively (horizontal or circular) or the presence of a piercing. The bruxism might be another reason due to the fact that the nearest part of the tooth to the gum fractures as a wedge or abfracción, exposing the root of the teeth that are weakening with time. Another factor that predisposes to the recessions of the gums is to have a gum and bone thin in the outer (buccal) part of the teeth, and it is given specially in the patients of Caucasian race. In addition, another factor that facilitates and can cause recessions in patients with thin bone and gum is the teeth movement with orthodontics; evidently an expansive movement of orthodontics or towards the outside since it might be in the cases of severe crowding or compressions of the maxilla. The surgical treatment of gum grafts are a valid treatment for the recessions in more advanced phases. We can divide the types of grafts in three groups: grafts of connective tissue, free gingival grafts and pedicle grafts. The grafts of connective tissue are the type of graft mostly used and that according to the studies obtain the best results. To obtain it a small incision is performed in the palate in such a way that the periodontist could obtain the connective tissue from the interior of the palate (as if we were taking the cheese of a sandwich and closing back the bread). Hereby it generates a minimal inconvenience in the palate and heals internally. Later it is placed covering the exposed root and it remains covered by the gum of the patient. The free graft is taken directly from the palate including the skin and the internal tissue up to 2mm, and it is placed on the root exposed without covering it. The pediculated graft would be the displacement of the gum of neighboring zones to the affected one. After the surgery it is important to follow the instructions explained by the dentist or periodontist (dentist specialist in gums). It is important that the graft receives neither any type of trauma nor movement until it is healed (from 4 to 15 days) so brushing will be avoided in this zone and the use of the dental floss, too. To support a correct hygiene and to avoid possible infections the dentist will recommend the use of mouthwashes or antibacterial gels. Also the diet will be affected being soft and cold diet. The pain that the patient could experience is very slight, being greater the inflammation that depends on different factors as the complexity of the surgery and the quantity of implied teeth. The anti-inflammatory medicines post surgery will help to control the pain and the inflammation. The gum grafts allow to reduce the progression of the recessions and this way to improve the prognosis of teeth; to reduce also the sensitivity of the root to cold or warm stimuli protecting the roots of the teeth; to improve the aesthetics leveling the gum of the different teeth. In addition it allows to treat some consequences of the periodontal disease." ["post_title"]=> string(24) "What are the gum grafts?" ["post_excerpt"]=> string(0) "" ["post_status"]=> string(7) "publish" ["comment_status"]=> string(6) "closed" ["ping_status"]=> string(4) "open" ["post_password"]=> string(0) "" ["post_name"]=> string(23) "what-are-the-gum-grafts" ["to_ping"]=> string(0) "" ["pinged"]=> string(0) "" ["post_modified"]=> string(19) "2021-09-08 08:41:53" ["post_modified_gmt"]=> string(19) "2021-09-08 08:41:53" ["post_content_filtered"]=> string(0) "" ["post_parent"]=> int(0) ["guid"]=> string(54) "https://nartclinicadental.com/what-are-the-gum-grafts/" ["menu_order"]=> int(0) ["post_type"]=> string(4) "post" ["post_mime_type"]=> string(0) "" ["comment_count"]=> string(1) "0" ["filter"]=> string(3) "raw" } } ["post_count"]=> int(6) ["current_post"]=> int(-1) ["in_the_loop"]=> bool(false) ["post"]=> object(WP_Post)#5348 (24) { ["ID"]=> int(4048) ["post_author"]=> string(1) "4" ["post_date"]=> string(19) "2021-09-20 08:05:43" ["post_date_gmt"]=> string(19) "2021-09-20 08:05:43" ["post_content"]=> string(4484) "What do I do if I have a missing tooth? When a tooth is lost, patients often only go to the dentist for aesthetic reasons without taking into account the functional problems of chewing that this loss entails. This loss can have consequences, which is why we must act quickly. These problems are above all the extrusion of the antagonist tooth (the tooth with which it was in contact moves up or down) and the mesialisation (the posterior teeth move forward). Another complication that could occur is the irreversible enlargement of the tongue towards the edentulous or toothless area.

What is the ideal treatment for a missing tooth?

All these problems will create difficulties in finding a solution and that is why it is necessary to act quickly. The best solution to a missing tooth would be to place a crown supported by a dental implant. This treatment allows for excellent oral hygiene, as the area between the tooth and the implant or between the teeth (interproximal) can be cleaned well with dental floss and prevents caries and gum problems (periodontal). In addition, with this treatment it is not necessary to prepare the neighbouring teeth and they can be kept as they are in the mouth.

What is the advantage of this treatment?

What happens when an implant is placed in the mouth is that the gum, bone and teeth around the implant are stabilised. In other words, the neighbouring teeth will no longer move and the implant will remain "fixed" in the bone. Another advantage of placing an implant-supported crown is that the dentist can, at any time, unscrew the crown in case of a fracture or if any repairs have to be made. It is a long-term solution and has a high success rate and generates a lot of patient satisfaction. In fact, 98% of patients at Nart Clínica Dental Barcelona recommend dental implant treatment to their friends and family (statistics from 2016-2018).

what factors must be taken into account in order to have an implant?

In order to carry out this treatment, several factors must be taken into account, such as the amount of bone in the area, the patient's health and their commitment to lifelong care and hygiene. If there has been bone loss in the toothless area and there is not enough bone to place an implant, a bone regeneration treatment could be carried out to gain bone in the desired area and then the implant could be placed. Another option would be the placement of a narrower implant that allows us today to avoid bone regeneration in most cases.

What if I can't get an implant?

If it is not possible to place an implant for medical or economic reasons, there are other treatment options. An alternative would be the placement of a bridge or a fixed denture. If this option is chosen, it must be taken into account that the neighbouring teeth must be in good condition to be able to withstand the forces of the bridge.

Advantages of a dental bridge

An advantage of this treatment is that it is quicker, as with the placement of an implant it will be necessary to wait two months for proper healing and good aesthetic results before the crown can be placed.

Alternative treatments to bridging

Maryland type adhesive prosthesis Another treatment that could be carried out would be a Maryland type adhesive prosthesis (fixed prosthesis that replaces a single tooth using the neighbouring teeth as support), where it is not necessary to grind the neighbouring teeth, as it will be cemented to the inside of the neighbouring teeth. Removable prosthesis This treatment is usually temporary. Finally, there is also the option of a removable prosthesis, which is usually the least comfortable for the patient. Regardless of the treatment chosen, its success will be determined, in part, by the patient's oral hygiene and maintenance visits. The importance of maintaining good oral hygiene should be explained to the patient and they should be shown in detail how to achieve this.  " ["post_title"]=> string(39) "What do I do if I have a missing tooth?" ["post_excerpt"]=> string(0) "" ["post_status"]=> string(7) "publish" ["comment_status"]=> string(4) "open" ["ping_status"]=> string(4) "open" ["post_password"]=> string(0) "" ["post_name"]=> string(13) "missing-tooth" ["to_ping"]=> string(0) "" ["pinged"]=> string(0) "" ["post_modified"]=> string(19) "2021-09-20 08:33:01" ["post_modified_gmt"]=> string(19) "2021-09-20 08:33:01" ["post_content_filtered"]=> string(0) "" ["post_parent"]=> int(0) ["guid"]=> string(37) "https://nartclinicadental.com/?p=4048" ["menu_order"]=> int(0) ["post_type"]=> string(4) "post" ["post_mime_type"]=> string(0) "" ["comment_count"]=> string(1) "0" ["filter"]=> string(3) "raw" } ["comment_count"]=> int(0) ["current_comment"]=> int(-1) ["found_posts"]=> int(29) ["max_num_pages"]=> float(5) ["max_num_comment_pages"]=> int(0) ["is_single"]=> bool(false) ["is_preview"]=> bool(false) ["is_page"]=> bool(false) ["is_archive"]=> bool(true) ["is_date"]=> bool(false) ["is_year"]=> bool(false) ["is_month"]=> bool(false) ["is_day"]=> bool(false) ["is_time"]=> bool(false) ["is_author"]=> bool(true) ["is_category"]=> bool(false) ["is_tag"]=> bool(false) ["is_tax"]=> bool(false) ["is_search"]=> bool(false) ["is_feed"]=> bool(false) ["is_comment_feed"]=> bool(false) ["is_trackback"]=> bool(false) ["is_home"]=> bool(false) ["is_privacy_policy"]=> bool(false) ["is_404"]=> bool(false) ["is_embed"]=> bool(false) ["is_paged"]=> bool(false) ["is_admin"]=> bool(false) ["is_attachment"]=> bool(false) ["is_singular"]=> bool(false) ["is_robots"]=> bool(false) ["is_favicon"]=> bool(false) ["is_posts_page"]=> bool(false) ["is_post_type_archive"]=> bool(false) ["query_vars_hash":"WP_Query":private]=> string(32) "8290135028dffd3db8f0796489b65116" ["query_vars_changed":"WP_Query":private]=> bool(true) ["thumbnails_cached"]=> bool(false) ["stopwords":"WP_Query":private]=> NULL ["compat_fields":"WP_Query":private]=> array(2) { [0]=> string(15) "query_vars_hash" [1]=> string(18) "query_vars_changed" } ["compat_methods":"WP_Query":private]=> array(2) { [0]=> string(16) "init_query_flags" [1]=> string(15) "parse_tax_query" } }

Dr. José Nart Molina

Dr. Jose Nart Molina is a specialist in periodontics and dental implants. He holds a degree in Dentistry from the UIC (2006). He is also a PhD in Dentistry from the UIC, certified in periodontics and implants by Tufts University (2007), accredited by the European Federation of Periodontology, Vice-President of the Spanish Society of Periodontology and Osseointegration and Vice-Dean of Research.

Currently, Dr. José Nart directs the master's degree in Periodontology at the UIC and writes regularly in prestigious dental journals (such as Journal of Periodontology, Journal of Clinical Periodontology, Clinical Oral Implant Research, Clinical Implant Dentistry and Related Research, Clinical Oral Investigations).

Dr. José Nart Molina is a specialist in periodontics and has more than 15 years of experience working on countless cases and treatments.

Videos of Dr. José Nart Molina

Latest news from Dr. José Nart Molina

20 Sep 2021

What do I do if I have a missing tooth?

What do I do if I have a missing tooth? When a tooth is lost, patients often only go to the dentist for aesthetic reasons without taking into account

...

29 Jul 2021

Is it good to get a dental implant?

If we ask people who are not familiar with the dentistry or with the health field if It is good to get a dental implant, we can obtain

...

02 Nov 2020

Everything to know about dental implants by Dr. Nart

At Nart Dental Clinic Barcelona dental implants are placed by Professor Jose Nart Molina, a reference and opinión leader in implantology

...

27 Jul 2018

Why have I the retiring gums?

The retiring gums or recession of gums agree one of the problematic most assiduous in what concerns dental health This pathology must treat about suitable form, not only

...

25 Jul 2018

How much do dental implants last?

Many patients wonder if the dental implants are for the whole life

The dental implants are medical devices that are placed surgically in the alveolar bone, of the maxillary one

...

16 Jul 2018

What are the gum grafts?

A modern minimally invasive treatment that improves the prognosis of teeth

The gum grafts are a surgical procedure that is performed taking a piece of soft tissue from a donor

...

Member of topdoctor certificado

© 2021 Nart Clínica Dental.
Legal notice - Privacy policy - Cookies policy

Web design and development:
Duplo Agencia de Marketing Digital