Dental implants in Košice and Chorvátsky Grob near Bratislava

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It is a more complex and lengthy surgical process. It depends on the number of implants, the size of the interventions, but also the ability of your body to recover. . It can last from 3 to 9 months, during which we will regularly monitor you to see if everything progresses smoothly.

Yes, and this is one of the most common scenarios in modern implant dentistry. This approach is called immediate implant placement—the implant is placed into the socket right after or within a few days of the tooth extraction.

When it is possible

Immediate implantation is suitable if:

• The extraction socket is clean, with no acute inflammation or purulent discharge.
• The bone tissue around the socket is preserved, with no major defects.
• The extraction is atraumatic — the tooth is removed as intact as possible without damaging the socket walls.
• There is no active periodontitis or cyst in the surgical area.

When it is better to wait

Immediate implant placement is contraindicated or undesirable if:

• There is acute periodontitis (inflammation around the root) or an active infection.
• The extraction was traumatic, resulting in the destruction of the bone walls.
• The patient smokes—the risk of implant failure is significantly higher.
• There are systemic diseases that slow down healing (e.g., uncontrolled diabetes).

In such cases, the dentist may recommend delayed (delayed-immediate) implantation—usually 2–3 months after the tissues have healed.

Advantages of the immediate approach

• Fewer surgical interventions — extraction and implant placement are performed in a single session.
• Preservation of bone volume — the socket is filled, preventing the bone from shrinking due to a lack of load.
• Reduced overall treatment time — by 2 to 4 months.

Is it painful, and how long does it take to heal?

The procedure is performed under local anesthesia and is painless. Afterward, mild swelling and discomfort may occur for 3–5 days. The final integration of the implant with the bone (osseointegration) takes between 2 and 4 months, after which the crown is placed.

How the doctor makes the decision

Before the procedure, a 3D diagnostic scan (CBCT — Cone Beam Computed Tomography) is mandatory. It shows the exact condition, volume, and density of the bone—these specific data determine whether immediate implant placement is possible in your particular case.

What is implant rejection?

Dental implants are made of titanium or zirconia—materials that the human body does not naturally reject. Therefore, classic "rejection," such as what can happen with donor organs, does not occur here. However, an implant can fail to integrate, meaning it fails to fuse with the bone. This fusion process is called osseointegration, and its disruption is the primary issue.

Why does an implant fail to integrate?

The causes are divided into two main categories.

Patient-related factors:

• Uncontrolled diabetes: Impairs tissue healing.
• Smoking: Reduces blood supply to the bone and gums.
• Osteoporosis: The bone becomes brittle and cannot support the implant properly.
• Taking bisphosphonates (osteoporosis medications): Critically affects bone cells.
• Poor post-operative hygiene.
• Chewing on the implant before osseointegration is complete.

Procedure-related factors:

• Insufficient bone volume or poor bone quality.
• Overheating of the bone during drilling.
• Infection around the implant area (known as peri-implantitis).
• Inaccurate planning or placement errors.

How do you know something is wrong?

Warning signs that require immediate attention include:

• Pain that does not subside or worsens after 5–7 days.
• Swelling and redness that increase rather than diminish.
• Implant mobility (looseness).
• Pus or an unpleasant odor in the surgical area.

What to do if the implant fails?

The implant is removed, which is a painless procedure performed under anesthesia. After the area heals (usually 3–6 months), a second implantation is successful in the vast majority of cases. If the failure was caused by a lack of bone, a bone graft (bone tissue augmentation) is performed first, followed by the placement of a new implant.

Statistics: According to current data, the failure rate for dental implants is only 1–5% — one of the lowest failure rates among all surgical procedures in dentistry.

How to minimize the risk?

1. Inform your doctor about all chronic medical conditions and medications you are taking.
2. Quit smoking at least 2 weeks before and after the surgery.
3. Strictly follow all oral hygiene recommendations.
4. Avoid putting pressure or chewing on the implant until cleared by your doctor.
5. Do not skip follow-up appointments.

Implants are a reliable and durable way to restore teeth, but they are not a one-size-fits-all solution. Before the procedure, a dentist must evaluate the patient's health status, as there are situations where surgery is impossible or requires prior preparation.

Absolute contraindications – when implantation is strictly prohibited

• Oncological diseases – especially during active treatment (chemotherapy or radiation therapy).
• Blood disorders – coagulation disorders (bleeding disorders), leukemia.
• Decompensated diabetes – when blood sugar levels cannot be controlled with medication.
• Active tuberculosis.
• Severe psychiatric disorders – which make cooperation with the dentist impossible.
• Bisphosphonate therapy – medications used to treat osteoporosis or cancer, as they suppress bone regeneration.

Relative contraindications – preparation required or need to wait

• Periodontal diseases – inflammation of the gums and bone around the teeth must be treated before implantation.
• Insufficient bone volume – resolved through bone grafting (substituting or adding bone material).
• Bruxism – pathological teeth grinding; requires correction or a protective nightguard.
• Smoking – significantly reduces implant success/integration rates; the dentist will discuss the risks.
• Pregnancy – the procedure is postponed until after the lactation period (breastfeeding) ends.
• Children and adolescents – the jaw is still developing, and the bone has not reached maturity.

What the dentist checks before surgery

• CT Scan (CBCT) – a 3D dental computed tomography of the jaw: evaluates bone volume and density, and the distance to nerves and sinuses.
• Blood tests – complete blood count (CBC), glucose levels, and coagulation profiles.
• Gum and teeth examination – the condition of the mucous membrane and the presence of any inflammation.
• Medical history review – a list of current medications, chronic illnesses, and allergies.

The vast majority of patients are good candidates for dental implants after standard preparation. Even when contraindications are present, a dentist can often find a solution: bone grafting, managing systemic diseases, or choosing an alternative protocol. The final decision is made only after an in-person consultation and proper diagnostics.

What is normal during healing

After the procedure, the body naturally reacts to the interference with the bone tissue. The following symptoms are part of normal healing and usually subside within 7–10 days:

• Swelling of the gum and cheek – most pronounced on days 2–3, then gradually subsides
• Mild to moderate pain, which can be managed with standard painkillers prescribed by your doctor
• Slight bleeding or pinkish saliva during the first 24 hours
• Bruising on the facial skin – sometimes appears after a few days, which is a normal reaction
• Slightly elevated temperature (up to 37.5 °C) on the first day after the procedure

It is also important that you may feel pressure or sensitivity at the implant site when chewing – which is why a soft diet is recommended for a few days.

What helps speed up healing

• Cold compresses during the first 24 hours (apply a cold pack for 15 minutes, then take a break)
• Rest and avoiding physical exertion
• Thorough yet gentle oral hygiene according to your doctor's instructions significantly reduces the risk of complications.

When to contact the clinic

The following symptoms are not a normal part of the healing process and require a consultation with your doctor:

• Severe pain that worsens after day 3–4 instead of subsiding
• Swelling that increases after day 4–5 or appears suddenly after several days of rest
• Fever above 38 °C, chills, or general weakness
• Pus discharge or an unpleasant odor from the wound
• Bleeding that does not stop even after applying pressure with sterile gauze for several hours
• A feeling of a loose implant or its visible movement
• Numbness of the lip, chin, or tongue that persists for more than a few hours after the local anesthesia wears off

Why it is important not to wait

These symptoms may signal an infection or inflammation at the implantation site (so-called peri-implantitis), which, without timely intervention, can jeopardize the success of osseointegration – the healing of the implant into the bone. The sooner the clinic diagnoses the problem, the easier and less invasive the solution will be.

If you have any doubts about whether your condition is normal, it is always safer to contact the clinic – a doctor can assess the urgency over the phone and advise on the next steps.