English

toldiWe have been executing dental implant treatments for over 40 years. The implant borne fixed and removable prosthesis is the primary profile of our practice to date. In prosthetics we aim for high aesthetics appear, this is why we prepare full metal free ceramic crowns and bridges.

Our Dentalwellness program and the Toldi Implantology dental surgery are almost 40 years old. Our methodology and protocols are based on this 40 years practise and professional development.
The essence of our approach: we practise the progressive professional dentistry and operative dentistry to go by our patient’s current health and life situation in harmony.
We hope that our approach meets your requirements.

Address: Dr. Toldi Implantologia H-1039 Budapest, Kalászi u. 20. Entrance from the Bocskai street side.

E-mail             Telefon: (+36-1) 368-3850        Fax: (+36-1)437-0164

Opening hours: Monday, Tuesday, Thursday 3pm-7pm        Wednesday 9 am-12 am

Please call us for an appointment.

Implantation

A description of dental implantation

Dental implantation is a well used method throughout the world for the replacement of lost and missing teeth. By employing this method, the wearing of traditional false teeth becomes unnecessary and it becomes possible to make a fitted plate even if there are no teeth in the mouth. At the same time, this method enables to keep the remaining healthy teeth in good condition.

The basis and main element of this method is the so-called implant which is based on bone integration. This expression means that the organism does not only accept the titan part covered with bioactive material but by appropriate operating techniques it is also possible for the implant to unite with the bone.

How does an implantation operation look like?

The implantation is a dental surgery process which is carried out by employing anaesthetization in outpatient departments. According to the reports of those patients who have already gone through such an implantation, this process involves no more pain for the patient than a simple extraction of a tooth. Of course, placing in more implants means more burdening for the organism. The implant needs to be placed under the gums, into the bone. This procedure takes about 10-15 minutes. Then the gums are sewn up over the implant and the stitch is removed on the 5th day. After all, the patient has to wait 3-4 months until the implant grows together with the bone, in other words, the bone integration is developed. During this time, the implant remains invisible. If the patient normally wears a dental prosthesis, a few days after the operation he/she can wear them again, if we made the implant suitable for this. This way, during the 4-6 months of recovery period the normal way of life need not be changed entirely. In the end of this recovery period, the mucous membrane over the implant will be opened and that part of the implant will be strengthened which by sticking out of the gums will make it possible to fix the bridge or the individual tooth. After all, the process is the same as by traditional tooth replacements.

In which cases is this method advisable?

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1. If only one tooth is missing and the set of the teeth are healthy. The implant and the crown over it is suitable for the replacement of the missing tooth without having to smooth the neighbouring natural and healthy teeth.
2. If the patient wears dental prosthesis. With the help of implants the dental prosthesis is easily fixable and stabilisable. This is an additional advantage in cases when the patient wears only a partial dental prosthesis.
3. When the patient does not want or can not wear a partial prosthesis. Wearing an implant eliminates the problem of wearing a prosthesis, because these implants, either in themselves or combined with natural teeth, enable the usage of fixed bridges.
4. If the patient does not have any natural teeth and at the same time does not want to wear a prosthesis. Fixed tooth replacement or circle-bridge can be made out of 5-8 implants.

 

In ideal case, the implants fulfill their roles even for decades without any problems; at worst, the bridge or the crown need to be exchanged, as tooth replacements also have a limited duration. In one in a hundred cases it can occur that during the recovery period, before the replacement, the implant loosens up instead of starting to integrate with the bone and this way becomes unsuitable for finishing the process. In this case, it needs to be taken out. Usually it can be taken out without any pain and it leaves a small hole that heals up quickly. The main causes of the problem can be traced back to a special change of the structure of the bones, bad overall condition, poor mouth hygiene, deficiency in the operating techniques, alcoholism, chain smoking. After the healing of the wound, the implantation can be effectively repeated again, provided that the main cause has ceased to be in the meantime.

Anyone, who can bear the pain of an average extraction of the teeth.
Certain sicknesses or bad health conditions can exclude the option of implantation processes, or can shorten the life length of the implantation.

For this reason, before each implantation, it is required to examine the general and dental conditions of the patients. Its also necessary to make x-ray pictures of the actual status of the teeth and the jaw bones, because the existing quality and quantity of the bone material is a main factor in the decision.
The 3Dimensional imaging system is generating images based on the data provided by computer tomography. This solution is enabling high definition measurements (0,1 mm) of the planed place of the operation, combined with perfect details about the quality of the bone material. The 3D position of the Implant and the anatomical condition of the surrounding can be calculated very precisely. This procedure is reducing all risks of the whole process, for a minimum level of ray, causing no harm to the body.

dental wings

>When you can not be implanted:

The bones ,the metabolism , blood clotting,, cardiovascular system, the immune system, cancer diseases, etc.. associated with a serious condition or illness is not treated.
Immunosuppression
severe alcohol or drug addiction
The patient or relatives for the procedures necessary knowledge and skills for the lack of cooperation, inadequate levels of
mental illness, abnormal psychological states
bisphosphonate-treated patients (Bonefos, Lodronat, Fosamax, skel, Actonel)

Your task is: To follow the instructions of the doctor, to keep the risks low.

Mouth hygiene has a profound effect on the duration of the implants. The care for the set of teeth and cavity of the mouth are prerequisites for the success of the whole process. For this reason, patients who have an implant are to undergo a regular examination. We need to emphasize this, because our experience suggests that patients tend to forget about this, due to the lack of problems and symptoms, although it can occur that by this, they actually endanger the durability of the implant.

 

Ankylos Implant

Solid, stable and reliable for over 20 years: ANKYLOS C/X is the answer for all clinical indications – with its predictable, natural esthetics and top mechanical stability. The tapered connection is designed for initial and long-term tissue stability. The extremely accurate TissueCare Connection has virtually no micromovement and is almost totally bacteria-proof. And it is also keyed and friction-locked – to prevent bone resorption and to ensure stable and healthy hard and soft tissue.

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Stable, predictable results for you and your patients? ANKYLOS C/X is the answer: The unique tapered TissueCare Connection transfers the transition between implant and abutment to the center of the implant and prevents mechanical influences on it and microbial attack on the peri-implant tissue. It provides additional space on the implant shoulder for the surrounding soft tissue. In combination with subcrestal placement and the microstructured implant it enables deposition of bone cells up to the abutment – for additional support of the overlying soft tissue. Ideal conditions for lasting red-white esthetics.

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Ease of use with maximum functionality and esthetically demanding results? The new ANKYLOS C/X placement system enables accurate positioning of implants with a view of the implant shoulder even with subcrestal placement. The progressive thread design makes it easy to screw the implants into position and enhances tissue retention. The keyed and friction-locked TissueCare Connection makes surgery and prosthetics completely independent from each other. And with only one diameter for all prosthetic components any abutment can be combined with any implant as desired – now with the option of indexing. For a brilliant result over the long term and economical treatment combined with lower storage requirements.

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The TissueCare Concept: Tissue Stabity Redefined

The new way of seeing things
Success in implantology is based on the love of detail. Lasting results can only be achieved by those who can see the interconnections. And who are open for other points of view. DENTSPLY Friadent stands for a change of perspective in implantology. The new way of seeing things is aimed at long-term hard and soft tissue stability. And also on lasting red-white esthetics.

Make space for long-term results
Implant surface, position in the bone, type and geometry of connection, to name just some examples: how and why bone and soft tissue remain stable is determined by more than one factor. Research and clinical experience have shown which five factors are the most important. Ultimately all details must interact in the right way. This is the only way to make implant-borne restorations successful over the long term.

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Five points for initial and long-term tissue stability
1- No micromovement
2- Bacteria-proof connection
3- Platform Switching
4- Subcrestal placement
5- Microroughness to the interface

X-ray image of ANKYLOS implant-abutment connection before starting the test (left) and after 1,000,000 load cycles (x-ray image: Holger Zipprich/Dr. Paul Weigl, Frankfurt am Main)

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Röntgenaufnahme der
ANKYLOS Implantat-Aufbau-
Verbindung vor Versuchsbeginn
(links) und nach 1.000.000
Lastzyklen (Röntgenbild: Holger
Zipprich/Dr. Paul Weigl, Frankfurt
am Main)

Micromovement between the implant and abutment irritates the peri-implant bone. It reacts by atrophying in the area of the implant shoulder, referred to as remodeling. In contrast, keyed and friction-locked connections prevent any micromovement. They form a virtual single-component implant, which ensures stable tissue from the start.
The only way to form a bacteria-proof keyed and friction-locked connection is for the conical surface to be flush with the mating surface

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Nur wenn der Konus flächig
schließt, entsteht eine
bakteriendichte kraft- und
formschlüssige Verbindung

Gaps between implant and abutment lead to bacterial colonization. Chewing loads cause a relative movement between the components, which in turn causes a pumping effect. This distributes endotoxins, causing an infectious reaction in the tissue at the implant-abutment interface level. Bone is resorbed below the implant-abutment connection until the biological width is established. Only a bacteria-proof connection prevents bone resorption – and stabilizes the soft tissue.
Platform Switching combined with a stable, bacteria-proof connection design is an important factor in tissue stability (x-ray: Dr. Nigel Saynor, Stockport, UK).

tissuecare_3_switch_rdax_153x111

Im Zusammenspiel mit stabilem,
bakteriendichten
Verbindungsdesign ist Platform-
Switching ein wichtiger Faktor für
die Gewebestabilität.
(Röntgenbild: Dr. Nigel Saynor,
Stockport, UK)

Platform Switching moves the transition between implant and abutment to a central position. This removes mechanical and microbial irritation from the peri-implant tissue. The biological width is moved from the vertical plane to the horizontal plane. This makes Platform Switching an important factor for tissue stability – but only in combination with a micromovement-free, bacteria-proof connection design. This is referred to as Platform Shifting. The narrower abutment also provides more space for peri-implant soft tissue.
Deposition of bone tissue on the face of the implant with subcrestal placement. Status three months after uncovery (histology: Dr. Dietmar Weng, Starnberg)

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Anlagerung von
Knochengewebe auf der
Implantat-Stirnfläche durch
subkrestale Platzierung. Zustand
drei Monate nach Freilegung
(Histologie: Dr. Dietmar Weng,
Starnberg)

A natural emergence profile is easier with subcrestal placement. Bacteria-proof connections without micromovement prevent bone resorption and are tolerated by the bone even when the implant is inserted at a greater depth. Platform Shifting in combination with subcrestal placement and a microstructured implant shoulder allows bone apposition to the abutment and ensures excellent red esthetics over the long term.
X-rays: Dr. Dietmar Weng, Starnberg

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Röntgenbilder: Dr. Dietmar
Weng, Starnberg

An implant shoulder with a microstructured surface favors deposition of bone cells. When positioned subcrestally this means that bone can also form on the horizontal shoulder surface. The overlying soft tissue has additional support – favoring successful long-term results.

In a radiographic and histological animal study the implant shoulders were placed in the front tooth region 1 mm below the bone margin in conformity with an esthetic indication to simulate the deep position of the implant-abutment connection point in the region of the bone support of the papillae. Standardized x-ray images were taken at monthly intervals. In addition to other results the peri-implant bone margin around the conical connection remained significantly higher over the six months of the study compared to the position with a blunt abutment connection with an external hexagon (x-rays: Dr. Dietmar Weng, Starnberg)

source: DENTSPLY Friadent

Dental SurgeryPrice (HUF)
EXTRACTION 11.000 Ft
SUTURA (öltés)5.000 Ft
SCULPTION 19.000 Ft
RESECTION 32.000 Ft
WITH RETROGRADE ROOTFILLING 33.000 Ft
RESECTION OF THE MOLAR 40.000 Ft
INCISION8.000 Ft
CIRCUMCISION 5.000 Ft
ImlplantationPrice (HUF)
ANKYLOS IMPLANTATUM160.000 Ft
GUIDED IMPLANTATION200.000 Ft
UNCOVERING OF THE IMPLANT (altogether)11.000 Ft
BUILD UP OF THE POST (one by one)75.000 Ft
IMPL. TECHN.MODELL PREPARATION (one arch)15.000 Ft
IMPLANTATUM PARALELISATION (one by one)6.000 Ft
SINUS LIFT (+ bone substitute)34.000 Ft
GINGIVOPLASTY25.000 Ft
MEMBRANE PLACEMENT (+ membrane)75.000 Ft
BONE SUBSTITUTE150.000 Ft
X-RAYPrice (HUF)
SMALL3.000 Ft
WITH BITING METHOD 4.000 Ft
PreventionPrice (HUF)
REMOVAL OF PLAQUES (one arch)7.000 Ft
BIT SMOOTHING 4.000 Ft
CLOSURE OF FURROW 4.000 Ft
FLUOR IONTOFOREZIS (one arch)4.000 Ft
GUM TREATMENT3.000 Ft
RAIL (bit correction, whitening) - one arch15.000 Ft
TOOTH WHITENING (one arch)15.000 Ft
LASER20.000 Ft
FillingPrice (HUF)
LIGHTCURING ONE WALL 14.000 Ft
LIGHTCURING TWO WALLS17.000 Ft
LIGHTCURING THREE WALLS 18.000 Ft
PARAPULPAR PIN 5.000 Ft
TEMPORARY and MEDICINES INVOLVED4.000 Ft
Filling of the root canalPrice (HUF)
ONE AND TWO CHANNELS 25.000 Ft
THREE CHANNELS30.000 Ft
PREPARATION (occasionally)2.000 Ft
Crown, bridgePrice (HUF)
CERAMICS FUSED TO METAL (one by one)35.000 Ft
CERAMICS FUSED TO GOLD (+ gold)35.000 Ft
METALFREE CERAMICS (one by one)64.000 Ft
PROTECTING CROWN 6.000 Ft
TEMPORARY CROWN OR BRIDGE (one by one)9.000 Ft
TEMPORARY BRIDGE WITH METAL SUPPORT (one by one)14.000 Ft
TEMPORARY BRIDGE WITH METAL FRAME (one by one)20.000 Ft
REMOVAL OF CROWN AND BRIDGE (per pillar)7.000 Ft
INDIVIDUAL ROOT CANAL PIN 14.000 Ft
DenturePrice (HUF)
ACRYLATE (one arch)110.000 Ft
WITH METAL PLATE 50.000 Ft
VALPLAST (one arch)PRECIZION FITTING 150.000 Ft
PRECIZION FITTING9.000 Ft
CLEAR PLATE15.000 Ft
HIDDEN CLIP 80.000 Ft
TELESCOPE (primer, secunder) 60.000 Ft
LINING with hard acrylate (one by one)30.000 Ft
LINING with hard acrylate with soft acrylate (one by one)40.000 Ft
REPAIR, TOOTH AND CLIP MENDING (one by one)30.000 Ft
INDIVIDUAL TOOTH (e.g. for telescope)30.000 Ft
BAR30.000 Ft