Am i a candidate for dental implants?

Almost everyone who lost a tooth, several teeth or even all teeth is a candidate for teeth implants. In fact, the profession has undergone great advances in the capabilities of dental restoration. Conventional restorative dental crowns, bridges and partial and full dentures are now considered old-fashioned. In many cases, the use of crowns, bridges and partial dentures does not present an acceptable solution. A dental implant can be very natural in appearance. Current implant restorative techniques are the best alternative to your original teeth! Of course, each patient has specific needs. The doctors at Ortoimplant fully evaluate each candidate to determine the most appropriate plan of dental treatment. Dr. Trampuš assesses specific dental conditions of each patient and determines the right dental treatment for best long-term functional and esthetic results.


How long has ortoimplant been performing implants?

Dr. Trampuš, certified Master of Oral Surgery/Implantology, and his team of prosthodontists have advanced degrees and clinical residencies along with decades of experience in implantology. Dr. Trampuš was certified in the USA (UCLA) and most of our doctors are specialists certified abroad.


Why does ortoimplant use “keystone dental” implants and components?

Dozens, if not hundreds of companies from around the world, manufacture dental implants and related components. However, “Keystone DENTAL” is the industry leader in delivering high quality, reliable and safe teeth implant products, especially for “immediate function” applications (implants and teeth in one day).


Who is a candidate for all-on-4™ surgery?

Candidates for All-on-4™ surgery are often elderly people and those not able to undergo extensive bone graft surgery. This same group is generally osteoporotic and as described above, there is usually presence of some jawbone atrophy. “There is nothing left,” one patient said to us recently. Patients in this condition have unstable dentures and great discomfort while eating. But what that patient said is not true. “Actually, there is always something left.” meaning: unless a person had a tumour or a severe accident in which the jaw was actually completely lost, there is always “something” left for us to work with.


How long does it take to recover from an implant procedure - all-on-4™ as well as single-implants?

As with any surgery, the recovery period varies depending on the procedure and patient’s individual tolerance. For the All-on-4™, the question can be answered as follows:
1) prescription pain medication is usually necessary for 2-3 days;
2) swelling associated with the procedure varies but usually peaks within 24-36 hours then steadily returns to normal in 3-5 days;
3) patients are often able to return to work 2-3 days following the surgery if facial swelling is not a concern;
4) normal physical activity and exercise can also resume at about the same time based on personal tolerance. For single implant cases, there is generally no swelling, a minimum of pain requiring pain medication the day of the procedure only and patients are able to return to their normal routine the following day. In both cases, slight tenderness may persist for 1-2 weeks as the tissues heal.


What is the total healing time for my gums after an implant procedure?

After your implants have been set in place, the wound in your gums will be closed with sutures. Your body will fuse together the sides of the incision within 10 days. It will take several months for your gums to completely heal and for all swelling to completely disappear. The initial healing time can be increased if you had extractions of your molars. It is almost impossible to decrease your healing time, but healing can be delayed if you smoke, eat poorly, do not clean your teeth properly or if you have a controlled medical condition such as diabetes.


Is the all-on-4™ procedure new or experimental?

The All-on-4TM procedure (AO4) has been successfully performing in Europe for over 15 years and in the U.S. for about 4 years. Approximately 10 years ago, the world’s leading dental implant manufacturer, „Keystone DENTAL“, joined implant specialists and researchers in Europe to study computer simulations and bio-mechanics in order to create the optimal use of implants for patients with almost or all of their natural teeth missing.


Are there any instances in which the all-on-4™ procedure cannot be applied? Do I have more options?

Many patients seeking our advice have been told by other surgeons or their dentists that they were not candidates for implants. Their doctors were either not aware of the All-on-4TM procedure, did not have enough experience to comfortably recommend the procedure or were unaware of implants as the standard of care in replacing missing teeth. At dental clinic in Croatia "Ortoimplant" we will examine each case individually and give recommendations for all viable treatment options, helping each patient make an informed decision.


Can both jaws, the entire top and bottom be done the same day?

Thanks to our all-in-one facility and our technological advantages, we can easily perform a “double arch” case in one day with the same outstanding results. Dr. Trampuš as a expert in this field, will greet you first thing in the morning and stay chair-side throughout the procedure until you have your new teeth and the first steps towards your renewed quality of life. Our clinicians and technical support team are well versed in the patient's comfort and will see to it that you are treated like family while under our care.


How painful is the all-on-4™ procedure?

Like all surgical procedures, there are varying degrees of discomfort. We at unique dental clinic in Croatia at Ortoimplant prefer to use oral anesthesia when performing the All-on-4™ procedure, simply for the comfort of the patient. We will, however, give you exceptional care during your visit to our Dentals spa and the days following. Now, many implant patients comment on how surprised they were with the minimal discomfort they felt during the procedure, and most returned to work within days of the procedure, if not the next day. There will be some swelling, but for the most part nothing that cannot be controlled with ice and over-the-counter pain relievers for any discomfort. In addition, unlike dentures and partial bridges, your new teeth rest on the implants and not on the gum tissue, therefore avoiding any associated tenderness from the affected area.


How does an all-on-4™ treatment option differ from dentures?

A denture is a removable device that is controlled by the patient and needs to be removed for cleaning and maintenance. It sits on the gum line or is supported by “prepared natural teeth”, normally natural teeth that can no longer function as nature intended. In the case of a partial denture, it is attached using metal hooks to adjacent teeth - leading to later deterioration as it grinds against natural dentition and the gum line. Patients who are missing most or all of their natural teeth and use dentures know the pain and discomfort caused by these appliances. Most of them seek alternative treatment. In addition, dentures do not replace the tooth root, which in turn will cause the jawbone to further deteriorate due to lack of stimulation, causing even more pain and embarrassment for denture users.
Now there are viable options to help restore your smile. A cost effective, proven option is the All-on-4™ procedure. New teeth are affixed to 4 implants per jaw to look, feel and function like naturally healthy teeth. In fact, dental implants are the closest thing to natural teeth. Also, implants stimulate bone growth, just like your natural tooth roots, helping to eliminate that sunken facial collapse that is so prevalent on denture users.


How strong will my new teeth be, and will i be able to eat more easily than with a denture?

You will be able to eat just about anything without worrying about slippage or your teeth falling out. Your new implant-supported bridge can be cleaned in your mouth through brushing and flossing like natural teeth. Only your clinician can remove the prosthesis for periodical maintenance if it becomes necessary. You now have a permanent alternative to dentures and/or partials, as well as a lifelong guarantee of worry free success.


I was told that i have so much bone loss i require bone grafting, and that i would not be able to wear my new teeth for months. Can you provide treatment that would not require me being without my denture?

Because of the design and nature of the implants used with the All-on-4™ technique, bone grafting will be necessary only in extreme cases. If so, we have developed and successfully use a unique protocol for patients experiencing the most severe instances of bone loss that does not require a patient to go without their teeth.


What can i eat right after the procedure?

A modified diet is required until you receive your final fixed titanium reinforced framework. The timeline will be determined by your clinician, but it is normally about 8 weeks. In the meantime, you can eat anything that can be cut with a fork and does not involve biting or tearing with your front teeth. Avoid hard foods and foods that require tearing.


Recommended follow-up visits and examinations?

The All-on-4™ procedure calls for the implants and provisional restorations to be done the same day. Your first check-up will be in about one week’s time, with follow-up monthly appointments for the next 4 months.


Why don’t all dentists recommend the all-on-4™ for people with missing or compromised teeth?

Most dental implant specialists (oral surgeons and periodontists) lack the experience and the facilities, including an in-house All-on-4™ trained dentist, a dedicated dental implant lab or the high-end technological advances needed to perform the All-on-4™ in one place the same day. In addition, Ortoimplant has a complete team of surgical and restorative assistants, implant coordinators and a customer service team ready to ensure that your experiences with us are as comfortable and rewarding as possible.


What is the overall success rate of the all-on-4™ technique?

With the All-on-4™ technique, fifteen years of studies indicate a success rate of 99.2% in the upper jaw and up to 99% in the lower jaw – and that is with only 4 implants per jaw. These numbers are consistent with implant procedures using 6 or more implants per jaw, showing that the success rate does not falter when only 4 strategically implants are used vs. 6 or more.


What is the difference between a “provisional” and “final” restoration?

A provisional restoration, commonly referred to as the “implant-supported bridge”, is fabricated using acrylic resin at our in-house dental lab on the day of the implant placement. Acrylic resin is a soft material that will not harm your implants nor cause any irritation to your jawbone while the healing process is taking place. It is strong enough for you to start your active life again. Don’t hold back, but just watch what you eat – keeping to a soft diet until directed otherwise by your clinician. The provisional is designed to last 8 solid weeks, and we guarantee the workmanship during that time.
Your final restoration is made using a titanium framework for strength and is placed after sufficient healing, about 8 weeks post op. This restoration allows for extra support and long-term form and function for your permanent teeth. The final restorations will be adapted to your new smile, look great and act like your natural teeth for a lifetime.


What is biomimetic dentistry?

Biomimetic dentistry is tooth conserving dentistry. Biomimetic dentistry treats weak, fractured and decayed teeth in a way that keeps them strong and seals them from bacterial invasion. It reduces cutting teeth down for crowns and root canal treatments. In essence, it is using the latest in dental materials and technology to preserve what we’ve got for as long as we’ve got it – just as nature intended. Biomimetic means to copy or mimic nature.
Nature is our ideal model in Ortoimplant. In order to mimic nature, we must understand what nature looks and feels like. We need to know how it moves and functions. In other words, we study nature’s properties so that we can better duplicate it. We at Ortoimplant want stronger dental units – tooth and restorations – not just stronger crowns. Now it is possible to rebuild teeth with newer materials and techniques that more closely simulate natural teeth and hold up better to the hearty demands of life. Our patients can testify that biomimetic restorations feel and look much better than traditional dental restorations.


How is biomimetic dentistry about conservation?

By using advanced adhesive techniques and properly fashioned inlays and onlays, dentists can help save their patients’ teeth, time and money. We can say that preservation and conservation lie at the heart of biomimetic dentistry. It is a win-win situation for everyone.