Implantation without sinus lift and bone grafting in the upper jaw

In this article we will look at all the advantages and disadvantages of one of the most progressive implantation systems from the Korean company Megadgen - AnyRidge. It is believed that AnyRidge implants are maximally identical to the anatomy of a human tooth and have no equal in the world. Let’s try to summarize and present information about implants called AnyRidge as objectively as possible.

What is special about AnyRidge implants?

AnyRidge dental implants are often called the “modern word” in dental prosthetics or new generation implants. The Eniridge system is the most popular in Europe. Many consider Megadgen's AnyRidge implants to be the best or premium implants among other similar systems.

A distinctive feature of this system is the presence of a special thread that allows these implants to be fixed even in bones with reduced hardness.

The Korean Eniridge system combines the advantages of modern innovations in the field of implantology. This implant design has any size of implants to satisfy the needs of any patient.

The orthopedic components of these designs are equipped with a line of zirconium dioxide products, which makes it possible to obtain aesthetically ideal dentures for even the most capricious clients.

Many people are afraid that installation of most implant systems requires a particularly complex surgical operation. This system by the South Korean company AnyRidge is devoid of these difficulties: for its installation, one single small drill is used, which minimally injures the bone tissue. If the implant is installed soon after dental extraction, then there is no need to drill or cut the gum at all.

The pronounced thread in the implant system makes it extremely reliable and accessible for use even in the most difficult clinical situations. Such situations include weak bone tissue or thinning of the alveolar bone due to prolonged absence of a tooth.

How much load can a short implant withstand?

The question arises: will such a short implant withstand the load? You can install anything, but will such an implant be durable? In order to answer this question, it is necessary to understand what determines the reliability of the implant.

In reality, the length and diameter of the implant do not matter much. The key factor is the area of ​​contact between the implant and the bone tissue. That is, the larger the surface area of ​​the implant that comes into contact with the bone, the greater the load the entire system can withstand.

Therefore, implantologists strive to place an implant of the largest possible diameter and length in order to increase the area of ​​contact between the implant and the bone. But the wider the implant, the larger the hole must be drilled into the bone for it to fit—which means more trauma and less bone left around the implant. If you take a narrow but long implant, you cannot do without vertical plastic surgery. So what should we do?

In 2003, a unique implant was developed that allows one to increase the area of ​​the implant without increasing the diameter of the implant. Thanks to its special design, the Eniridge implant has an area 2-3 times larger than conventional implants.

The essence of innovation of this method

Why does the AnyRidge system have no analogues in the world? Its special “advantage” is the ability to do without the tedious stage of bone grafting. Usually, implantation is not performed in “weak” bones, as it requires reliable fixation. Therefore, in case of bone defects, one has to deal with the tedious procedure of building it up and waste time on the healing of the implanted part of the bone. Not only can this process take several months, but foreign tissue may also be rejected, forcing the orthodontist to duplicate the augmentation procedure.

AnyRidge eliminates the need for such costly and time-consuming preparation processes. This fact is especially important for patients with a thinned alveolar bone crest.

This implantation system is installed with parallel splitting of the thinned ridge. In this case, dental restoration will take no more than three months. In addition to saving time, the load on the patient’s body is also minimized.

The fact that only one drill is used when installing an implant makes the installation process as comfortable as possible. And an additional “bonus” in the form of the absence of bone grafting allows you to make complete prosthetics of any complexity not in 10 months, but in just 3. After this, impressions are taken and permanent dentures are fixed.

Profile readings

• ridge splitting;
• wide hole;
• soft bone;
• a short implant is needed so as not to perform vertical augmentation of the alveolar ridge, sinus lift;
• immediate load;
• emergency implantation;
• lack of space;
• acceleration of osseointegration;
• minimal trauma;
• pin installation without drilling;
• high aesthetics.

Eniridge technology, used in dentistry, allows you to get rid of defects of a number of different origins. The design has virtually no flaws. The patient receives a finished tooth in the shortest possible time and without unnecessary stress.

A simple installation of Eniridge brand implants takes only 5-10 minutes.

If the bone width is normal, incisions can be avoided.

Advantages

Why are these Megadgen implant systems considered a breakthrough in dentistry? Let's look at the advantages that the installation of AnyRidge fixed prostheses provides. According to dental websites, these implants have advantages over other similar systems in the form of:

• the ability to avoid drilling the jaw bones and cutting the gums during installation;
• lack of bone grafting and the possibility of use for imperfect gums;
• use of material in the form of high-quality ultra-pure titanium;
• the ability to remove a tooth, implant an artificial root and install a temporary column in one visit;
• gradually increasing the thread on the implant to achieve stable fixation even in weak or soft bone;
• maximum comfort during installation thanks to the use of one filigree drill when implanting artificial roots;
• excellent survival rate of this implant and a lifetime warranty of the system;
• twice the surface area of ​​artificial roots than other models, which allows implants to be fixed in the upper jaw without sinus lift (if the bone is larger than 4 mm);
• availability for prosthetics for people who are contraindicated with other types of implants;
• almost 2 times larger implant area compared to standard models, which ensures the strength of the system and the possibility of installation even on low bones;
• the ability of the implant to independently expand the bone, which reduces the time it takes to engraft and grow new bone tissue;
• availability of 55 numbers of artificial roots, allowing you to select them for any patient and expand the indications for installation;
• possibility of instant loading after installation;
• predictable tissue regeneration;
• the fastest possible (up to 2 months) and high-quality engraftment of this implantation system thanks to a special nanocoating of the implant with calcium ions in its composition;
• maximum quality stabilization of the implant due to its special design and the ability to be installed in tissue of any density;
• reliability of the connection in the form of a cone between the abutment and the implant, which eliminates instability and untwisting of the product even when the screw is removed;
• high aesthetics of the implant and its smooth surface, which repels plaque;
• complete elimination of product defects due to multiple checks of manufacturing accuracy and quality at all stages.

pros

• better stabilization
  . With soft bone, unique threads of different diameters on a constant diameter of the body allow the installation of a product of large dimensions through a small hole. When solid, the system is mounted much easier than a classic pin;
• intuitive drilling protocol
  . The specialist independently selects a protocol to obtain the optimal amount of primary stabilization, taking into account the patient’s bone density;
• tight seal
  . Magic Five internal cone joint eliminates the possibility of screw loosening;
• biological S-line
  . Protects against recession (gum loss), provides natural aesthetics;
• strength
  . Thanks to the improved shape and thread/body design, the system's strength characteristics are significantly higher than traditional titanium pins.

How is the implantation process performed?

The installation of implants is preceded by a preparation period.

The preparatory stage includes activities from:

1. Examination of the oral cavity to identify dental problems.
2. The therapist's assessment of the patient's general condition.
3. Taking tests (general blood and urine tests).
4. Sanitation of the oral cavity.
5. Identification of structural features of the jaw and teeth (X-rays and tomography of the jaw).

Installation phase

To restore missing teeth, one of two methods is used: one-stage or classic. Prosthetics are possible both immediately after tooth extraction and several years after that. The method of implantation is chosen by the doctor depending on the complexity of the clinical situation. Implantation includes the following stages:

1. Preparing the hole (about 3 mm) for implantation. Local anesthesia is used here.
2. Selecting the shape of the future implant using computer modeling.
3. Installation of artificial root (duration 10-30 minutes). Cutting the gum and peeling it off is necessary if the tooth was removed a long time ago.
4. Screwing an artificial root like a gimlet into the bone tissue.
5. Fixation of a temporary crown (at the request of the patient) made of composite materials with preliminary modeling using computer programs.
6. Possibility of installing a ceramic prosthesis 2 months after implantation.

Advantages of installing Eniridge implants without bone grafting:

1. There is no interference in the maxillary sinus, which means there is no swelling, pain, bruising or other unpleasant consequences of sinus lifting.
2. There is no need to perform complex plastic surgery on the upper and lower jaw. Thanks to this, the implant is installed quickly and comfortably for the patient.
3. Prosthetics are possible in 3-4 months, and not in a year, as with classical methods.
4. Reducing the cost of surgery.

If you have been refused implants due to the need for bone grafting, do not despair.
It is quite possible that in your case, installing an Eniridge implant without bone grafting is the most optimal treatment option. The specialists of the Dental Guru Research Clinic were the first in Russia to introduce this technology, which has been used all over the world for more than 10 years, so you can safely contact us for advice on this issue.

There is another option to avoid a sinus lift. This is the installation of implants at an angle - on the sides of the walls of the maxillary sinus. In this case, it is recommended to use special surgical templates that allow you to install implants with sniper precision so that they do not fall into the maxillary sinus. Below is one of the clinical examples of dental implantation with immediate loading, when temporary crowns were fixed immediately after the operation. This technique (tilting implants) is usually used in cases of complete absence of teeth and total implantation.

The unique R2Gate technology allows you to plan the future orthopedic design in advance, place implants in optimal positions, produce a surgical template and all prosthetic components. The operation is carried out in one stage and the crowns are immediately fixed.

Thanks to the surgical template, the entire implantation operation, including the installation of permanent abutments and temporary crowns, took only one and a half hours. The patient left with temporary crowns, and three months later they were replaced with permanent ones. Without the use of a surgical template, such results are simply impossible to achieve.

Pay attention to the sniper precision of implant placement. The position of the implant completely coincides with what was designed in a special computer program. Permanent crowns are fixed onto permanent abutments three months after surgery.

If the clinical situation does not allow you to do without bone grafting, then you cannot do without a sinus lift. However, in most cases it is possible to combine sinus lift and dental implantation in one operation. Read about how sinus lifting and immediate implantation are performed here.

Contraindications

The use of these implants minimizes contraindications to prosthetics.

However, there are general disorders in the body for which any intervention is prohibited. Such situations occur in the following conditions:

1. Pregnancy.
2. Acute infectious diseases.
3. Oncological diseases.
4. Blood clotting disorders.
5. Allergies to the use of anesthesia.
6. Exacerbations of mental illness.
7. Acute inflammatory diseases in the oral cavity.

Many contraindications are temporary. To determine existing contraindications, before implantation, the patient must be examined by a therapist and a number of laboratory tests are performed.

About the timing of implant installation

When installing Eniridge systems, it is possible to significantly reduce the time required for prosthetics.

When using other types of implant structures, the process from bone growth to their final engraftment takes on average about a year. With these implants, the installation time is reduced to 3 months. Their implantation includes the following steps:

• tooth extraction procedures with installation of an artificial root – lasts about 1-1.5 hours;
• covering the implant with a permanent crown (with the process of fusion of the product with the jaw bone) – 3 months after installation;
• recovery period (taking into account the beginning of implant installation and until the functionality and aesthetics of the teeth are fully achieved) - includes about 3 months (instead of the traditional 9 months).

Rehabilitation

During the recovery period, you should adhere to the following recommendations

:

• take medications prescribed by a doctor;
• nutrition during the engraftment stage should be correct and healthy; more fruits and vegetables should be added to the daily menu;
• To clean the orthopedic structure and implant, you need to use a special brush or irrigator;
• If complications occur - heavy bleeding, swelling, high temperature, numbness, you should consult your doctor.

After successful implantation of the artificial root, preventive visits to the clinic should be made once every 6 months.

Flaws

Little is known about the disadvantages of these implants. These mainly include the high cost of these structures.

Let’s figure out whether these record-breaking installation times for these structures will really not affect the quality or service life of the implant.

1. It has been proven that 55 sizes of artificial roots provide every chance to choose an individual approach for each patient. If there is no need for a gum incision, then the minimum implantation time can be one minute. However, this period depends on the condition of the patient’s oral cavity.
2. The implant designs are as reliable as possible in use. The abutment serves as an intermediate link between the tooth and the artificial root. There are special “tricks” that provide special strength to the implant in the jaw and prevent it from loosening. An important feature of the Eniridge implant system, which prevents the fixing screw of artificial teeth from unwinding, is the connection of the implant to the abutment at an angle of 5 degrees.
3. The lifetime warranty of these implants further confirms their reliability. Thanks to this implantation system, it is possible to install removable, fixed, conditionally removable, bridge, single and other prostheses. Materials for manufacturing can be different: ceramics, metal, zirconium dioxide, etc.

Characteristics declared by the manufacturer

MegaGen provides a lifetime warranty on all elements of the Anyridge system - implant, abutment and fixing screw. Thanks to the conical contact of the abutment with the implant, a strong, hermetically sealed locking occurs, which, firstly, protects against peri-implantitis, and secondly, guarantees the rigidity of the assembly (the crown does not loosen over time).

Time for manipulations and the complete treatment process according to MegaGen protocols:

• Express implantation – 40 min.
• Single-stage implantation - 90 min.
• Complete osseointegration - no more than 90 days.

With a length of 5.5 mm, the Anyridge implant line includes options with outer diameters from 3.5 to 5.5 mm, which allows installation in all types of dental tissue (D1; D2; D3; D4).

Price

As for the price of AnyRidge implants, it is quite high. This is due to several factors:

1. The complex design of the system, in which the developers tried to provide for many nuances and disadvantages of most other implantation systems.
2. The installation procedure is complicated for the doctor, which increases the appointment time and places special demands on the doctor’s qualifications and professionalism.
3. A significant reduction in treatment time due to the absence of the need for sinus lift.
4. The ability to use implants without any risk of rejection or damage in those clinical cases where other implants cannot be selected (use for medium, low and low density bone biotypes).
5. Lifetime warranty from the manufacturer of these structures.

Regarding the average cost of these fixed prostheses, it can be stated that the process of surgical installation of one AnyRidge implant is about 30,000 rubles.

Many clinics indicate in their price lists the price range for different stages of installing Eniridge implants. For example:

• the cost of stage 1 is about 54 – 55,000 rubles;
• the cost of stage 2 is about 43 – 45,000 rubles;
• turnkey prices are about 97 - 99,000 rubles.

Our prices for Eniridge implants

The cost of restoring teeth with partial or complete edentia using the South Korean Implant MegaGen AnyRidge system in our dental clinic consists of the costs of anesthesia, installation of a pin, abutment fixation, and prosthetics. The final price tag is announced by the doctor after choosing a treatment protocol and studying the clinical picture.

To find out the cost of Anyridge implants, schedule a consultation with us by filling out the application form on the website or by calling.

* The prices indicated on the website are not a public offer. The exact cost of treatment can only be determined at an appointment with a doctor.

Prices for treatment in Korolev full price list

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Article Expert:

Marinova Larisa Nikolaevna

Implantology, surgical dentistry. Dental implantation systems: Astratech, Biohorizons, Bicon, Implasa Hochst, Miss, Straumann. Sinus lifting (open and closed), bone grafting. Periodontology: frenuloplasty and vestibuloplasty, lingual frenuloplasty, recession plastic surgery, flap surgery.

Work experience 25 years

Reviews

Let's look at several reviews from patients and doctors who have installed or are installing AnyRidge prostheses.

Nina Vladimirovna, Moscow

As a physician, I have been installing AnyRidge systems since 2001 and have been very pleased with them. These implants are not only extremely aesthetically pleasing, but are also ideal for immediate installation into bone tissue with defects.

Anna, Ulyanovsk

I received 5 AnyRidge implants. I'm very pleased with the result. The teeth turned out gorgeous and matched perfectly with the “native” ones. The installation was quick and painless. I use my new teeth and enjoy life.

Tamara Ivanovna, Simferopol

My dental situation was so critical that many dentists only suggested wearing removable dentures. But I managed to find a clinic that works with Eniridge implants. Everything went quickly and painlessly, although a little expensive for me. But now I’m showing off my new teeth and I’m just happy.

Summarizing the numerous positive reviews from the Internet, the conclusion suggests itself that AnyRidge implants really receive a lot of positive reviews among patients and doctors. We can say about this implantation system that it is simply devoid of any serious drawbacks.

The only thing that is high is the price, because of which not everyone can afford to install these fixed dentures. However, technologically, the price of Energy designs is largely justified, compensating for this minus with large “pluses” in the form of a lifetime warranty, speed of installation and the absence of the need for sinus lifting. Not all modern designs can boast as many advantages as these.

Sources used:

• Polupan P.V. One-stage implantation – a new horizon in implantology
• Spector, L (2008). "Computer-Aided Dental Implant Planning". Dental Clinics of N Amer.
• Orthopedic treatment based on dental implants / Karl E. Misch. — M.: Reed Elsiver

What do all these numbers say?

In order for the Eniridge implant to perform the same function as a conventional implant of the recommended diameter and length, only 4-5 mm of bone in height is sufficient. A conventional implant requires at least 10 mm in height to avoid the need for bone grafting.

In the lower jaw, this is also relevant and allows you to get rid of removable dentures even in cases where the patient was rejected everywhere due to severe bone atrophy.

Thus, having the new generation Eniridge implants in our arsenal, we can carry out implantation without bone grafting, while obtaining the same reliability and durability as with the classical technique using conventional implants and bone grafting.

It is also economically beneficial. The cost of a sinus lift is usually higher than the cost of implantation. Basically, the price of a sinus lift in Moscow ranges from 30,000 to 40,000 rubles. Plus the cost of dental implantation itself is from 15 to 40 thousand rubles. Thus, to install an implant with a sinus lift, you need to pay a minimum of 45 thousand rubles (with the installation of the cheapest implant), and on average the price of implantation with a sinus lift is 60-70 thousand rubles. In the case of Eniridge implantation, the cost averages 40-50 thousand rubles, while you receive a new-generation implant with a surface of calcium ions that accelerate healing, with a reliable conical connection that ensures reliable fixation of the crown and with a lifetime warranty from the manufacturer. You can read more about Eniridge implants here.

An example of successful Eniridge implantation without sinus lift: the patient is 76 years old, there are contraindications for major surgical operations. The Eniridge implant was installed in 10 minutes. After 3 months, a permanent crown was fixed to the implant, which has been serving for more than 5 years and will continue to serve.