Implant is a device made of Dental Implant (inert material that does not react with the body tissues) usually its titanium; implanted in the oral tissues under mucosa and periosteum or within bone to provide retention and support for a fixed or removable prosthesis.
Implant is a device made of Dental Implant (inert material that does not react with the body tissues) usually its titanium; implanted in the oral tissues under mucosa and periosteum or within bone to provide retention and support for a fixed or removable prosthesis.
Implant is a device made of Dental Implant (inert material that does not react with the body tissues) usually its titanium; implanted in the oral tissues under mucosa and periosteum or within bone to provide retention and support for a fixed or removable prosthesis.
material alloplastic is a device made of Dental Implant (inert material that does not react with the body tissues) usually its titanium; implanted in the oral tissues under mucosa and periosteum or within bone to provide retention and support for a fixed or removable prosthesis.
stones in implants are: foundation The
; or tooth not a root are s mplant I - 1 implant is not analogues to the root or tooth , it's just a device for a final prosthesis. If a patient has three missing teeth we put two implants and a bridge , not three implants so not every missing tooth should be replaced by implant and not every missing root should be replaced by implants, for example we place one implant for upper missing six with three roots.
- At the beginning of implants for all missing teeth they were put an implant for every tooth then they became 12 then 10 then 8 but nowadays there is a concept called (All In Four); four implants per arch. ; not all patients with implant have not always fixed are s mplant I - 2 fixed restoration, some implants are supported with denture called made s implant , and there are denture partial implant supported over 2 | P a g e
over hybrid which is something can be inserted and removed by the patient. removable or or So the restoration on implants can be fixed - . ion between fixed and removable combinat ; ast predictable treatment plan sometimes implants are the le - 3 in some cases it's not esthetically to go for implants especially with two adjacent implants with soft tissue loss and bone loss. 8 missing patient with ; We dont replace every missing tooth - 4 doesn't need implant , and a patient with missing 7 since 10 years esthetically and functionally no need to go for implant unless he come with fresh extraction and hes afraid of drifting or supra- eruption or he doesn't like the space and keep complaining about it .
- This is a picture for an (implant supported crown or restoration) or (implant retained crown or restoration) shows the difference between the implant and natural tooth, in which the natural tooth is a calcified tissue with crown, root and PDL while the implant is a fixture ankylosed device , (means no fibrous tissue between implant and bone, if there is a fibrous tissue there will be lack of osseointegration which is failure).
-this is called endooseous implant which has different shapes; threads, micro threads, parallel sided, screws, tapered, hollow, solid, -There is another part of implant which is the abutment, it's always screw retained, the screw to tighten the abutment to the implant . And the final restoration which is the crown.
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History Of Dental Implants Maya civilization which is in south America worked with endosseous implant 1350 years before per-ingvar branemark ) implant inventor) work with titanium. Archeologists excavated Maya burial sites Honduras in 1931 and found fragments of mandible of Maya origin and they thought that she is a female, dating from about 600 AD. They found three shells in a tooth shape in anterior mandible were osseointegrated with the compact bone that means this female has these shells in her mandible before her death, because no way of osseointegration after death. 1950s research at Cambridge University in England: titanium chamber was embedded in the soft tissue of the ears of rabbits. 1952 Swedish orthopedic surgeon per-ingvar branemark: titanium chambers in rabbit femurs, after several months he was unable to remove them that mean there is osseointegration between them. 1965: branemark placed the first dental implant into a human volunteer, and he made a surprise that his patients used prosthesis supported by implant in anterior mandible 15 years ago without telling anybody. Implant is documented in the worldwide in 1977 and started to be one of the options. : Types Of Dental Implants Endosteal: it could be screws either cylindrical or threaded tapered most commonly used , or in some cases plates or blades least commonly.
Subperiosteal; elevating a flap then putting titanium piece like plate subperiosteal then bone will be formed over this piece . useful in reduced bone volume . They are not common such as endosteal because of their high failure rate .
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-Implants have different sizes and diameter but in general they are classified into narrow (3.5mm), regular (4mm) and wide (5mm).
Restoration of implants: Direct to fixture or Direct to implant: simply the restoration is connected to the implant by screw, used when the implant is in the proper position without deviation .
Angulated or tilted implant in which we can't put the restoration directly over it So we use an abutment to change the angulation by screwing the abutment in the implant to achieve proper restorative contours then attach the final restoration to the abutment either by screw (vertical screws like occlusal screws or horizontal screws like transverse or cross-pin screws) or you cement it.
Ideally placed implant Poorly placed implant 5 | P a g e
Why titanium is the best material of choice?
Titanium is a natural cheap base metal in which very minimal oxide layer composed above it. To get strong osseointegration there are two Features : presence of oxide layer, have minimal thick layer in which titanium has minimal thick oxide layer so it has best osseointegration
A case for an implant in a proper position to restore right central incisor, the final restoration will be just one piece without abutment so called direct to fixture.
of implant we use a improper position In cases of . restoration with an abutment
A case for 24 years old male had bike accident, he lost central, lateral and canine with dentoalveolar fracture , So bone graft was done first then three implants were placed, two of them were in proper position so the final restoration placed directly to the implant without abutment, and the other implant was in improper position in this case we need abutment by screwing it in the implant then attach the final restoration to the abutment.
A case for African patient who his lower centrals and canines were extracted as a tradition ,two implants were used to replace the missing teeth . anterior mandible is one of the best locations for dental implants because it has such good compact bone.
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In a case of a patient has unstable denture due to bone resorption we put two implants in the lower arch and 2-4 in the upper and an attachment so it's called denture supported implant. The denture will be clicked on locators in the mouth instead of depending on saliva and cohesion.
- Nowadays implants are done without elevating flap, they use the computer to convert a CT scan to 3D view which allows us to visualize anatomy then selecting the location of implants according to surgical guides, the implant frame becomes ready according to operator guidance, and the final restoration is made using the computer .