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    Dental Implants

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    Искен Адылбеков
    Dental implants are artificial tooth roots made of titanium that are surgically placed into the jawbone to anchor replacement teeth. There are different types of implants including endosteal implants placed directly into the bone, subperiosteal implants placed under the gum tissue, and transosteal implants that are inserted through the jawbone. Dental implants can replace single missing teeth or support full dentures and look and function like natural teeth to improve chewing and speech.

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    Dental Implants

    Uploaded by

    Искен Адылбеков
    42 views30 pages
    Dental implants are artificial tooth roots made of titanium that are surgically placed into the jawbone to anchor replacement teeth. There are different types of implants including endosteal implants placed directly into the bone, subperiosteal implants placed under the gum tissue, and transosteal implants that are inserted through the jawbone. Dental implants can replace single missing teeth or support full dentures and look and function like natural teeth to improve chewing and speech.

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    Dental implants

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    Dental implants are artificial tooth roots made of titanium that are surgically placed into the jawbone to anchor replacement teeth. There are different types of implants including endosteal implants placed directly into the bone, subperiosteal implants placed under the gum tissue, and transosteal implants that are inserted through the jawbone. Dental implants can replace single missing teeth or support full dentures and look and function like natural teeth to improve chewing and speech.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    42 views30 pages

    Dental Implants

    Uploaded by

    Искен Адылбеков
    Dental implants are artificial tooth roots made of titanium that are surgically placed into the jawbone to anchor replacement teeth. There are different types of implants including endosteal implants placed directly into the bone, subperiosteal implants placed under the gum tissue, and transosteal implants that are inserted through the jawbone. Dental implants can replace single missing teeth or support full dentures and look and function like natural teeth to improve chewing and speech.

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    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 30

    DENTAL IMPLANTS

    What is an implant?
     A “root replica” or a “root form” implant is a
    titanium fixture inserted in the jaw to act as a
    tooth root and anchors a restoration (single
    crown, bridge, or denture)
     The final restoration looks, feels, & functions
    like a natural tooth
    Dental Implant 3
    Why an Implant?
     They replace missing tooth roots and form a stable
    foundation for replacement teeth that look, feel and function
    like natural teeth.
     Dental implants also help preserve the remaining bone by
    providing the stimulation previously provided by the natural
    tooth roots & prevent future bone loss.
     Bone that disappears when a tooth is removed can only be
    replaced with a bone graft.
    Indications for Implants 5

     Replace one or more teeth as single units


     Support a bridge and eliminate the need for a partial
    denture
     Provide support for a denture, making it more comfortable
     Prevent bone loss and gum recession
     Enhance patient confidence in smiling/speaking
     Improve overall psychological health
     Improve esthetic appearance of the teeth and mouth
    Advantages to Implants
     Maintain Anatomy:
     If you have missing teeth, the bone begins to shrink over
    time. Unhealthy bone loss can make your jaw line recede
    and change your facial structure and cause drifting &
    shifting of the other natural teeth.
     Dental implants can help prevent deterioration of the
    jawbone so your face retains its natural shape.
    Advantages to Implants
     Keep your healthy teeth
     In many cases, a better long-term alternative to
    bridgework, dental implants eliminate the need to
    grind down healthy teeth when replacing one or
    more adjacent teeth. Your own natural healthy teeth
    are not compromised.
    Advantages to Implants
     Security:

     Securely anchored dental implants do not slip or


    move. This eliminates some of the key problems of
    dentures, including poor fit, gum irritation and pain
    from exposed nerves. The result is superior
    comfort, reliability, and freedom from
    embarrassment.
    Contraindications to Dental 9

    Implants
     The financial investment is greater
     Treatment can take several months to complete
     An implant may loosen and require replacement
     Implant procedures may be emotionally
    challenging for some patients
     Bruxism is a significant component of failed
    implants
    The Dental Implant Patient 10

     Psychological evaluation
     The dentist assesses the patient's attitude, ability to
    cooperate during complex procedures, and overall
    outlook on dental treatment
     Dental examination
     The dentist evaluates the condition of the teeth, soft
    tissues, areas of attached and unattached tissue, and the
    height and width of the edentulous alveolar bone ridge
    The Dental Implant Patient 11

     Medical history and evaluation


     The dentist assesses any existing medical conditions that
    could worsen as a result of the stress of implant surgery
     Specialized radiographs and imaging
     Periapical, panoramic, and cephalometric radiographs, as
    well as tomograms, are needed to evaluate the height,
    width, and quality of bone
     Diagnostic casts and surgical stents
     A surgical stent is made
    Preparation for Implants 12

     Informed consent
     The consent form should advise and educate the patient about:
     Background information on implants
     Complications of implant surgery
     Prognosis

     Time frame
     Home care
     Follow-up appointments
    Surgical Preparation for 13

    Implants
     Implant surgery must be completed under strict surgical sterile
    conditions with sterile instrumentation
     The head is draped, and a sterile surgical drape is applied to the
    circumoral area, leaving only the mouth exposed
     It is recommended that the implant team consist of at least
    three persons: the clinician, the surgical dental assistant, and
    the nonsterile circulating assistant
    Initial Placement
     The practitioner places the dental implant into your jaw (1&2)
     The healing period for dental implants varies depending on the location and the
    health of the bone.
     It can be as little as 6 weeks or as much as four months.
     During this time, osseointegration takes place
     The bone will heal & bond to the surface of the implant
    Prosthetic Placement & Loading
     A minor procedure creates an opening through which your artificial tooth
    will emerge
     Once the implant is biologically attached to the bone, an abutment is
    inserted inside the implant. (3)
     A restoration is created to fit on the abutment (4)
     The restoration is ready to be “loaded” – establishing chewing force
    Implant Materials

     Implants are made of a bio-compatible


    material called titanium, which cannot
    decay
    Types of Dental Implants 17

     Endosteal implant
     The most common placed type of implant
     Subperiosteal implant
     Placed under the periosteum and on top of bone
     Transosteal implant
     Inserted through the inferior border of the mandible
    Abutment Materials
     Abutments can be made of titanium, zirconium, & lithium disilicate

    titanium zirconium Lithium


    disilicate on
    titanium base
    Endosteal Implants
    19
     Also known as osseointegrated implants, these implants are
    surgically placed in the bone
     Implants and abutment screws are commonly made from titanium
    because of its compatibility with bone and oral tissues
     Titanium implants can be coated with hydroxyapatite
     Endosteal implants have three components:
     Titanium implant
     Titanium abutment screw
     Abutment post or cylinder
    Endosteal Implants 20

     Osseointegration
     Inthis process, the living jawbone naturally
    grows around the implanted dental supports
     It refers to the bond that is developed between
    living bone and the surface of the implant fixture
    Procedure Process of an 21

    Endosteal Implant
     First surgery
     The implant fixture is placed in receptor sites
    in the jawbone at predetermined locations
     The mucosa is sutured over the fixtures
     A period of 3 to 6 months is required to permit
    the fixture to osseointegrate, or bond to the
    bone
    Procedure Process of an 22

    Endosteal Implant
     Second surgery
     The implant fixture is exposed and the abutment
    screw is connected to the anchor
     The implant protrudes through the mucosa and
    connects the fixture to the prosthesis
     The patient begins the restorative phase
    Subperiosteal Implant 23

     With this type of implant, a metal frame is placed


    under the periosteum but on top of the bone
     Indicated for patients who do not have sufficient
    alveolar ridge remaining to support the endosteal-
    type implant
     Two surgical procedures are required for this type
    of implant
    Subperiosteal Implant Full- 24

    Arch Denture Prosthesis

    From Newman M, Takei T, Klokkevold P, Carranza F, editors: Carranza’s clinical periodontology, ed 11, St Louis, 2012, Saunders.
    Procedure Process of a 25

    Subperiosteal Implant
     First surgery
     The alveolar ridge is exposed and impressions
    are taken
     The tissue is repositioned over the ridge and
    sutured back into place
     The impression is sent to the laboratory, where a
    metal frame with posts is fabricated
    Procedure Process of a 26

    Subperiosteal Implant
     Second surgery
     The alveolar ridge is surgically exposed
     The metal frame is placed over the ridge
     With the frame in place, the tissues are
    repositioned and sutured into place
    Transosteal Implant 27

     These implants are primarily used in


    patients with severely resorbed ridges
     The implant is inserted through the inferior
    border of the mandible and into the
    edentulous area
    Maintenance of Dental 28

    Implants
     Home care devices
     Toothbrushes (manual or electric)
     Single-tufted toothbrushes
     Partial denture clasp brushes
     Interproximal brushes
     Dental implant floss
     Floss
    Maintenance of Dental 29

    Implants Appointments
     Routine office visits
     Patients should be scheduled at regular intervals for:
     Examinations

     Radiographs

     Prophylaxis

     Removal of fixed components


     Replacement of components
     Relines and remakes as recommended
    How long do implants last?
     Modern dental implants have been maintained in individual
    cases for more than twenty years.
     The life of the implant varies with factors of patient health
    (diabetes, HIV, metabolic bone disease), patient habits
    (smoking, oral hygiene) and structural overload.
     It is impossible to predict exactly how long an implant will
    last, it is not uncommon to have success rates over 95% in the
    field of dental implants.

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