Implants

Perfect replacements for teeth, in function and aesthetics

Whether replacing individual teeth or mounting entire prostheses on implants – modern implantology offers many gentle and safe possibilities. Besides dental prostheses, these treatments are a core competence of our Munich dental clinic’s treatment activities.


Thanks to the latest dental implants, you can get your strong bite back in a short period of time, without compromising in looks. You can barely tell the difference between the look and feel of implants and real teeth. Dental implants are indispensable in modern dentistry, giving quality of life to millions of people worldwide. Implant-mounted crowns, bridges, and even prostheses, can perfectly close tooth gaps without ruining adjacent teeth. The artificial tooth root ensures that the jaw bone will not recede any further.

Fitting a dental implant is, however, an oral surgical procedure, which places very high demands on the experience and skill of the dentist. In our practice clinic for dentistry and implantology, we have many years of experience in setting dental implants and can offer our patients the best possible dental prostheses.

We offer you:

See for Yourself – Our Practice and Team!

We strive to offer every patient the best advice and treatment possible. This is why we take time to give you comprehensive and honest information on all aspects of the implant treatment. We only work with state-of-the-art diagnostic and therapeutic methods at the highest scientific level. In addition, our own professional dental laboratory offers first-class dental prostheses with perfect quality and aesthetics – made on-site. With us, you get a lifetime guarantee for your dental implants and a 6-year guarantee for your dental prostheses!

The Harder & Mehl Dental Clinic in Munich is certified as a specialist implantology practice by the DGI (German Association of Oral Implantology). This officially confirms our outstanding qualifications and skill in implantology, as well as the required high number of dental implant and bone augmentation operations each year.

In our practice clinic in Munich, over 700 dental implants are placed each year, in conjunction with bone-building procedures (augmentation). Our clinical experience ensures the success of your dental implant treatment.

In addition, our dentists Prof Dr Christian Mehl and PD Dr Sönke Harder are habilitated University professors and teach dental implantology and prosthetics at the Christian-Albrechts-University (CAU) at Kiel. In operating an academic teaching practice, both have been involved in clinical research and the development of dental implant systems for more than 10 years, and regularly train dentists and students in the fields of implantology and prosthetics.

We only perform surgical procedures (setting the implant, bone augmentation, etc.) in our modern operating theatre. This means that we can fulfil all hygiene requirements of professional quality management for outpatient operations.

We perform more extensive procedures, in which several dental implants are placed at the same time, under twilight seep or outpatient general anaesthesia, depending on your preference. These are always supervised by our anaesthesia team. After the surgery, you can relax in a comfortable recovery room until the effect of the anaesthesia wears off.

Using our state-of-the-art digital volume tomography (DVT), we perform all imaging operations to the highest precision with minimal radiation exposure. In addition, we are one of the few dental practices in Munich with the possibility to photo-functionalise implant surfaces. For you, this means improved acceptance of the implant, and thus more safety!

Implant - How does dental implant work?

A dental implant (or shortly implant) is an artificial tooth root made of titanium or ceramic. These materials are tolerated well by the human body. Thus, a natural connection between implant and jawbone is achieved.

A dental implant can be a safe and aesthetic replacement for a lost tooth. The result is very close to what your own teeth look like. The options range from replacing individual teeth with an implant onto which a crown is fixed. You can also have bigger gaps closed. We can also treat patients who have lost all of their teeth by inserting implant-bearing bridges.

How are dental implants inserted?

A dental implant can be a safe and aesthetic replacement for a lost tooth. The result is very close to what your own teeth look like. The options range from replacing individual teeth with an implant onto which a crown is fixed. You can also have bigger gaps closed. We can also treat patients who have lost all of their teeth by inserting implant-bearing bridges.

Implants are initially inserted into the jaw bone in a sterile environment. Following this surgery they have to heal. As soon as the implant has been anchored in the bone, a crown, bridge or prosthesis can be fixed to the implant.

Dental implants have been used successfully in oral surgery for many years as a replacement for missing teeth. A large number of clinical studies have proven the excellent tolerability and durability of tooth implants. This makes dental implants one of the main therapies in modern dentistry.

What are zygomatic implants?

Zygomatic implants are particularly long implants that are embedded in the cheekbone (medical term: zygomatic bone) when there isn't enough bone tissue in the upper jaw for normal implants. With zygomatic implants, a fixed denture that would be strained even by minimal bone availability can be embedded.

Zygoma implants are significantly longer than the usual dental implants and are anchored in the very stable bone that makes up a part of the cheekbone – this explains their name. Therefore, zygomatic implants can be used as an alternative to complex bone augmentation. It requires merely one surgical procedure.

The benefits of the zygomatic procedure, at a glance:

  • Strong teeth within a day thanks to state-of-the-art implant technology
  • No palate cover thanks to individual dentures
  • No bone construction thanks to innovative surgical techniques
  • Quick procedures and fewer treatment appointments
  • Immediate loading is possible

What are the steps of the procedure with zygomatic implants? 

Prior to the surgical procedure, we do a thorough and extensive examination to accurately assess the respective patient situation. If you have chosen to do a procedure with zygomatic implants, we will first make photos, plaster models of your teeth and a three-dimensional X-ray (DVT). This is necessary to accurately determine and the implant placement and length. These preparatory measures are completely painless for the patient and take only a few minutes. The actual operation is then done with a general anesthetic, since the placement of zygomatic implants is more complex as opposed to normal implants. The application of the general anesthetic is always done by an anesthesiologist. After the zygomatic implants have been set, the implant positioning is transferred onto a work model with an impression. Our dental technicians then construct a bridge, which can be screwed onto the new implants. Due to the very solid bone tissue of the zygomatic bone, the implants can usually be strained right after the surgery.

Are zygomatic implants suitable for every patient?

Zygomatic implants can be used for also every patient. However, this option is only taken into consideration when there is no possibility to use regular implants. This is the case when there is too little bone tissue in the upper jaw. Zygomatic implants are also a great option for patients where it is impossible to do a bone augmentation, or where the willingness to undergo such a surgical procedure is lacking.

When is a bone augmentation necessary?

Generally speaking a dental implant should be surrounded by at least 2 mm of bone on all sides. In a lot of cases the bone volume needed to support the dental implant is no longer there once the decision to insert a dental implant is made. This is due to the fact that the body has reduced bone volume in the part of the jaw bone that is no longer needed.

Below you will find explanations of the options for bone augmentation that are available to you at our dental practice in Munich. Small-scale bone transplantations can be performed on outpatients under local anaesthetic or light sedation. More comprehensive bone augmentation, necessitating extraction of bone material from your illiac bone, requires general anaesthetic.


Dental implants can replace one, more, or even all teeth. If only one tooth is missing, this can be replaced by a single implant. A crown is then added to the implant. If more teeth are missing, often several implants must be placed, so that a bridge or denture can be attached to them.

Implants offer a high level of comfort for the wearer, as they feel just like your own teeth and you can bite just as strongly with them. Dental prosthesis and dental implants meet the highest aesthetic demands and are very durable. Also, the jaw bone remains stable and doesn’t degrade. Healthy neighbouring teeth do not have to be ground down, and bridges and dentures sit securely and don’t rub thanks to implants.

For the insertion of implants, there must be enough healthy bone tissue available so that they can be firmly and permanently anchored into the jaw. If there is not enough bone available, this can be augmented in advance. In addition, thanks to the All-on-4™ procedure, full dentures can also be converted into firmly anchored fixed dentures without bone reconstruction. To do this, four special implants are sufficient.

Implants are generally made of titanium, as it is very stable and very well accepted by the body. Furthermore, titanium bonds strongly to bone tissue. In rare cases, implants are also made of zirconia ceramic. On the other hand, we always manufacture the crown or bridge from all-ceramic, to the extent possible and desired.

Heavy smokers (more than 5 cigarettes a day) have a higher risk of losing implants than non-smokers – this mainly concerns major interventions involving bone augmentation. We recommend any patients who do smoke to quit smoking before fitting the implants. If you do not want to do this, you should not smoke for at least one day before the implant and ten days after to aid tissue repair.

In the long term, smoking gives rise to a significantly higher risk of inflammation and bone loss around the implant. Therefore, it is generally recommended to give up smoking entirely. Your general practitioner can help you with this and give you helpful advice how best to quit smoking.

You can start eating again as soon as the numbness has subsided. However, you should avoid drinks that increase blood pressure, such as cola or coffee, and very hard foods which could damage your gums. Very acidic or spicy foods also irritate the edges of the wound and impair its healing. You must avoid dairy products such as milk, yoghurt or quark in the first week after the surgery, as these contain very many bacteria. In addition, clean your teeth by brushing carefully with a toothbrush followed by rinsing. Please leave the wound area alone when doing this.

Heavy smokers (more than 5 cigarettes a day) have a higher risk of losing implants than non-smokers – this mainly concerns major interventions involving bone augmentation. We recommend any patients who do smoke to quit smoking before fitting the implants. If you do not want to do this, you should not smoke for at least one day before the implant and ten days after to aid tissue repair.

In the long term, smoking gives rise to a significantly higher risk of inflammation and bone loss around the implant. Therefore, it is generally recommended to give up smoking entirely. Your general practitioner can help you with this and give you helpful advice how best to quit smoking.

The same rules apply for implants as for your own teeth: good oral hygiene is essential! The use of inter-dental brushes and dental floss is important to keep the areas between the implants clean. Our experienced dental hygienists will be happy to help you and give you advice so that you can enjoy your implants for a long time.

Over the years, dental implants have proven themselves millions of time world-wide. The probability that incompatibilities or implant loss occur is extremely small. In Germany alone, more than one million implants are successfully inserted every year.

With good oral hygiene and optimal care – which includes placement, after care, and professional cleaning – a dental implant can last a lifetime. But you need to help! Brush your teeth thoroughly and use dental floss and inter-dental brushes – we will show you the best way to clean your implants. In addition, you shouldn’t smoke, and you should come at least twice a year for professional teeth cleaning.

 

No, the surgery can be performed painlessly under local anaesthetic. For larger-scale operations involving bone augmentation, treatment under general anaesthetic or sedation may be indicated. If you prefer to sleep through the treatment, we obviously always offer you the implantation under twilight sleep or general anaesthesia.

 

Immediately after the operation, the medication given to you during the implantation will continue to have an effect, so you won’t feel any pain. Once at home, to prevent further pain, start taking the pain medication we will prescribe. You will always receive an appropriate prescription before the surgery. In less than a week, all discomfort will be gone.

The costs are determined individually, depending how many implants must be set. You will receive a treatment and price plan from us, so that you can estimate all the costs and clarify with your health plan or insurance.

Statutory health plans do not cover the surgical plant of the implant treatment (setting the implant or bone augmentation). They do, however, always grant the fixed allowance to which you are entitled for the prosthetic treatment (manufacture of the prosthesis). The allowances are based on an assessment at the beginning of the treatment.

Private health insurance will pay depending on the terms and conditions of the insurance, in some cases even up to the full cost. We will be happy to advise you further in a personal consultation.

They are a special type of implant, with a special length so that they can be inserted into the cheekbone (lat. Os zygomaticum). This in many cases renders bone augmentation operations superfluous.

Zygoma implants are made of titanium, like conventional dental implants. The difference between the two types lies only in the length of the implants. Whilst regular implants use lengths of between 5 and 18 mm, zygoma implants are between 30 and 55 mm long.

Yes. Either with a combination of two zygoma implants in the area of the first molar and “normal” implants in the area of the front teeth, or with two on each side. Since the zygoma implant can be anchored directly into the cheekbone, costly and time-consuming bone augmentation can be avoided.

 

Yes, they can be used for almost every patient. However, they do require a detailed examination by the dentist. This option will only be considered if there is no other way to insert regular implants. This is the case if there is too little bone available in the upper jaw. Patients who cannot or do not want to undergo surgical bone augmentation may also benefit from these special implants.

This usually refers to the process of building up tissue. In dentistry this term tends to refer to building up bone or gum. This is done to better embed implants, to make them look better and to protect them.

Bone augmentation refers to a deposition process of artificial bone onto existing bone. This is to make up for missing bone material. This is often used in implantology. The bone mass may be inserted directly along with your implant or separately. Your own bone or artificial bone may be used for augmentation.

We usually speak about full restoration / dental restoration in cases of patients who need comprehensive treatment. It goes without saying that these treatments will be administered under pain relief. In most cases we will have a lot of treatments spread over a few sessions.

Example for a treatment procedure with respect to implants


Placing Dental Implants

If teeth are missing, the dentist can place implants. In our video you will learn how the treatment works with illustrative before-and-after pictures.


New Teeth Thanks to Immediate Implantation

How is an immediate implantation performed? What are the characteristics of the treatment?


How do Modern Implant Prosthetics work?

How is an implant constructed? How do implants and crowns work together?

Immediate implant

Dentist: PD Dr. Christian J. Mehl & dental technician Maria Pongratz, HarderMehl Labor Munich

 

Supply the failed tooth with an implant

Dentist: PD Dr. Christian J. Mehl & dental technician Maria Pongratz, HarderMehl Labor Munich

 

 

Dentist: PD Dr. Christian J. Mehl & dental technician Jürgen Federn, Kiel

 

Full restoration

Behandler: PD Dr. Sönke Harder / dental technician Bastian Wagner, HarderMehl Labor Munich

Full restoration

Dentist: PD Dr. Christian J. Mehl & dental technician Maria Pongratz, HarderMehl Labor Munich

 

Comprehensive treatment with implant and bone augmentation

Dentist: PD Dr. Christian Mehl / dental technician: Jürgen Federn, Kiel

Inserting dental implants: Explanatory video featuring photos taken before and after

If you have teeth missing, your dentist can replace these with an implant. Our videos show in impressive images taken before and after the treatment just how this works.

New teeth thanks to immediate implantation

How does immediate implantation work? What is unique about this treatment?


More Questions?

We answer common questions about implants in detail for you – and will gladly answer them in a personal consultation!

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