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    1 Overview of Implantology

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    Tom Dienya
    This document provides an overview of implantology. It discusses how implantology can be used to restore patients to normal comfort, function, aesthetics and health at any stage of disease, atrophy or trauma. Implantology involves using man-made roots to support dentures or crown and bridgework. While implant treatment is determined by patient needs, anatomical considerations and financial factors, implantology is here to stay as a key part of preventative and restorative dentistry. The document outlines various implant surfaces, materials, and techniques used including bone grafts, nerve lateralization and distraction osteogenesis.

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    1 Overview of Implantology

    Uploaded by

    Tom Dienya
    42 views187 pages
    This document provides an overview of implantology. It discusses how implantology can be used to restore patients to normal comfort, function, aesthetics and health at any stage of disease, atrophy or trauma. Implantology involves using man-made roots to support dentures or crown and bridgework. While implant treatment is determined by patient needs, anatomical considerations and financial factors, implantology is here to stay as a key part of preventative and restorative dentistry. The document outlines various implant surfaces, materials, and techniques used including bone grafts, nerve lateralization and distraction osteogenesis.

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    a good read on overview of dental implants

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    This document provides an overview of implantology. It discusses how implantology can be used to restore patients to normal comfort, function, aesthetics and health at any stage of disease, atrophy or trauma. Implantology involves using man-made roots to support dentures or crown and bridgework. While implant treatment is determined by patient needs, anatomical considerations and financial factors, implantology is here to stay as a key part of preventative and restorative dentistry. The document outlines various implant surfaces, materials, and techniques used including bone grafts, nerve lateralization and distraction osteogenesis.

    Copyright:

    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    42 views187 pages

    1 Overview of Implantology

    Uploaded by

    Tom Dienya
    This document provides an overview of implantology. It discusses how implantology can be used to restore patients to normal comfort, function, aesthetics and health at any stage of disease, atrophy or trauma. Implantology involves using man-made roots to support dentures or crown and bridgework. While implant treatment is determined by patient needs, anatomical considerations and financial factors, implantology is here to stay as a key part of preventative and restorative dentistry. The document outlines various implant surfaces, materials, and techniques used including bone grafts, nerve lateralization and distraction osteogenesis.

    Copyright:

    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    of 187
    At a glance
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    The document discusses the history and progress of implantology as a field, goals of treatment, factors in determining treatment plans, and different types of implants and materials.

    Some of the goals of implantology discussed are to treat patients at any stage of disease, atrophy or trauma and restore them to normal function, comfort, aesthetics and health.

    The document mentions that implant treatment is determined by patient needs, anatomical considerations, medical history, financial considerations, competence of the dentist, standard of implant education, and public enlightenment.

    An Overview

    of
    Implantology
    An Observation on Evidence Based
    Medicine/Dentisry
    What it is and What it isn’t?
    Sackett DL BMJ1996
    The Transfer of Science into Practice
    remains a Challenge
    because Practitioners often face
    Individual Patient Needs and Demands
    that are not reflected in the required Rigors
    of Randomized Controlled Clinical Trials
    Goals of Implantology
    To accept for Treatment
    a patient at any stage of
    • Disease
    • Atrophy
    • or Trauma
    and with Health Permitting
    restore the Patient to Normal
    • Comfort
    • Function
    • Aesthetics and
    • Health
    What is
    Dental Implantology
    ?
    The Use of Manmade Roots
    to support Dentures
    or
    Crown and Bridgework
    Implantology
    is
    Here to stay
    Implantology is
    Preventive Dentistry
    Other than the Presence of Natural
    Teeth
    The Presence of Implants
    is the only way of Maintaining
    Alveolar Bone
    After Tooth Loss
    Implant Placement
    is the Only Way
    of Retaining Alveolar Bone
    Implantology
    is One Modality
    used in Restorative Dentistry
    Implantology must be incorporated
    into a Total Overall Treatment
    Plan
    Without the presence of Teeth
    Bone resorbes away eventually
    leaving the Basal Bone
    Progress of Bone Loss
    Progress of Bone Loss
    Progress of Bone Loss
    Progress of Bone Loss
    zz
    zzzz
    Progress of Bone Loss
    Progress of Bone Loss
    Progress of Bone Loss
    Progress of Bone Loss
    Progress of Bone Loss
    Progress of Bone Loss
    Progress of Bone Loss
    Progress of Bone Loss
    Implantology
    is
    Here to stay
    Implant may be
    • In Mucosa (Intramucosal)
    • On Bone (Subperiosteal)
    • In Bone (Endosteal)
    Implant Surfaces
    • Machine Finished
    • Microetched
    • Acid Etched
    • Hydroxyapatite Coated
    • Plasma Sprayed
    Implant Materials
    • Pure Titanium
    • Titanium Alloy
    • Chrome Cobalt
    • Stainless Steel
    • Ceramics
    Implant Treatment is determined by
    • Patient Needs
    • Anatomical Considerations
    • Medical History
    • Financial Considerations
    Implant Treatment is determined by
    • The Competence of the Dentists
    • The Standard of Implant Education
    • The Enlightenment of the Public
    Where does Implantology
    fit into the Global Scene
    of Dentistry ?
    How many Implants are
    placed
    in the World ?
    1998
    Estimate Number of
    Implants placed
    UK
    17,000
    Spain
    35,000
    France
    45,000
    Italy
    150,000
    Germany
    220,000
    Taiwan
    150,000
    Implants sold in 2002
    • USA 980,000
    • Germany 150,000
    • Taiwan 150,000
    • Italy 110,000
    Implants sold in 2002
    • France 100,000
    • Scandinavia 60,000
    • Spain 50,000
    • UK 27,000
    Efficiency of Lower Dentitions
    All Natural Teeth ----------------100
    Implant Borne Bridge ---------- 90
    80
    70
    Implant Overdentures -------- 60
    (tissue borne) 50
    40
    30
    20
    Complete Lower denture ------- 10
    No teeth, no denture ------------- 0
    Requirements for
    Comprehensive
    Treatment Planning
    An Awareness of All
    Treatment Methods
    available for restoring Missing
    Teeth
    An Understanding of
    All the Implant Systems
    required to provide
    Comprehensive Treatment
    No Implant System can be
    used in All Circumstances
    Implant Companies tend to
    promote their own Products
    Tatum Study
    The Ridge Width
    Measured in the
    Lateral Incisor
    Region
    300 Upper
    Edentulous
    Ridges
    More than 70%
    were less than
    3.5 mm Wide
    A Deceptively Thin Ridge
    Width Narrow
    Expansion Instruments
    Expansion Instruments
    Implant placed
    Restored Case
    The Original Ridge
    The Prepared Site
    The Grafted Site
    The Healed Site
    Place Implants
    6 or more
    Months Later
    Temporary Crowns
    6 or more
    Months Later
    Final Crowns
    6 or more
    Months Later
    Treatment of Inadequate
    Vertical Ridge Height
    Restore 6 Months
    later
    Block Bone Grafts are required
    where Height is inadequate
    Symphyseal Block Grafts
    Block Grafts removed
    Ramus Block Grafts
    Ramus Block
    Grafts
    Block Grafts in place
    Ridge Repositioning
    Implant placed too far Palatally
    Lower Incisors occluding
    on the Implant Head
    The Initial Incisions
    Full Thickness Flaps elevated
    Separating the Bone Block
    using a Chisel
    Repositioning the Block
    The Bone Plate
    Plate being Positioned
    Bone Screw being placed
    Irradiated Bone being added
    Resorbable Membrane being placed
    Resorbable Membrane being placed
    Finished Treatment
    Distraction Osteogenesis
    Poor Ridge Height
    Poor Ridge Height
    The Distraction Devise in Place
    Post-operative X-rays
    Completion of Treatment
    Completion of Treatment
    Distraction Devise removed
    3-4 Months later
    Sinus Graft required
    Maxillary
    Sinus
    outlined
    Maxillary
    Sinus
    Crest of
    outlined
    the Ridge
    Grafted Sinus
    The Restored Case
    Place Implants 4 Months Later
    Restore 6+ Months Later
    Implants placed 6+ Months Later
    Temporary Crowns placed
    6+ Months
    Soft Tissue Reconstruction
    may be necessary
    to create Attached Gingiva
    Restore 1 Year Later
    Width Good
    Width Good
    Inclined Forwards
    Angled Post fitted
    Ridge
    Expand
    Or remove the Sharp Ridge
    The Sharp Ridge removed
    The Implant placed
    Narrow Ridge
    Ridge Height Good
    Implant placed
    above
    the Canal
    Wide Implant placed with Ridge Expansion
    Narrow
    Ridge
    Blades
    Blades in Place
    Custom Blade in Place
    Ralph and Harold Roberts
    Ramus Blade in place
    2-6 Months Later
    Restore 4 Months
    after
    Implant Placement
    Gross Posterior Atrophy
    Onlay Graft
    Gross Posterior Atrophy
    Onlay Graft
    Place Implants
    6 Months Later
    Restore
    6 Months Later
    Harold Roberts 1969
    Severe Atrophy
    Ramus Frame in Place
    Temporary Denture
    fitted immediately
    Permanent Denture
    3 Months Later
    On Bone under the
    Periosteum
    Temporary Denture placed
    Immediately
    Permanent Denture 1 or more
    Months Later
    The Contribution of General
    Practitioners to the
    World of Implantology
    • Blades
    • Ramus Blades
    • Ramus Frames
    • Subperiosteal Implants
    • Screw Implants
    • Sinus Grafting
    • Bone Grafting
    • Nerve Lateralization
    Dental Implants are the Most
    Successful Implants placed
    in the Body
    Implants should be thought
    of as a Lifetime Device
    The Prosthetic Restorations
    attached to the Implants
    may need to be revised
    at a Later Date
    Due to Wear and Tear

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