Surgical Considerations For Implant Placement

Implant procedures has become more common practice. With proper selection of patients and treatment planning, using dental implants to replace missing teeth can provide long lasting functional and aesthetic restorations. However, when poorly executed, many problems can arise. Failure to integrate is usually not as difficult to manage as an improperly positioned implant. When an implant fails, proper treatment plan should be explained all the relevant variable. Patients should be informed about all the possible treatment modalities after implant failure and give their consent to the most appropriate treatment option for them. The key to preventing these types of failures is proper treatment planning.

The artificial teeth were arranged by using denture teeth (Trubyte Portrait IPN, TP; SR Vivodent DCL, SR) and Type II baseplate wax (TruWax Baseplate Wax; Dentsply International Inc, York, PA) (Fig 14). The trial maxillary IAORPD was tried-in and esthetic and phonetic were evaluated. The prosthesis was processed with heat-polymerized acrylic resin, Lucitone 199 (Dentsply International Inc., New York, PA). The occlusion was adjusted after deflasking procedures, and the prosthesis were finished and

The distance between bone and implant is called peri-implant gap. The fresh socket is wider than the implant diameter, which causes the peri-implant gap that influences stability and osseointegration. (26,27) Pluemsakunthai et al.,(28) analyzed immediate

This longitudinal study was conducted by the same dentist with all 632 dental implants placed in 2009. Inclusion criteria included being at least eighteen years old, have partial edentulism, and a plaque index score less than 10%. Exclusion criteria included alcoholism or drug abuse, HIV infection, history of bleeding disorders, metabolic bone disorder, leucocyte dysfunction, renal failure, and excessive cigarette or cigar smoking. All patients were informed about the treatment and gave their written consent to the plan before

Removable partial dentures (RPD) are treatment alternatives for the partially edentulous patients. Proper selection of abutment teeth is an important component of RPD design. It must take into account the need of abutment teeth to withstand forces (vertical, horizontal and torque) normally directed towards the missing teeth as well as the abutment teeth itself. Yet, accurate identification of the prognosis of abutment teeth is challenging. This essay will focus on the periodontal considerations in selecting abutment teeth for RPD.

Dental implants work by inserting the root prosthesis (the implant) into your gum and allowing it to fuse to the jawbone. This provides the support necessary to hold the replacement crown. In some cases, the healing period can be forgone for a same-day smile option. We can also immediately place an implant after an extraction, depending on the case. Bone grafting is also available if needed in order to place the implant.

The location of the implants in the sagittal plane significantly depends on the degree of atrophy, so positioning perpendicular to the occlusal plane or in the direction of the physiologic location of the mandibular incisors is frequently impossible or only partly possible.29,33

Getting dental implants is a wonderful solution for many individuals. Implants are placed in your facial bone, and they remain there permanently. The implants, which are tiny titanium screws, serve as prosthetic roots. Crowns are placed over the implants, so you also have prosthetic teeth.

A dental implant is an root for an artificial tooth that is typically anchored to the jaw bone, and holds the replacement tooth in place. In some situations, it is not possible to use the jawbone to anchor the tooth, causing the need to rely on gum tissue. It’s called a subperiosteal implant, and here are 4 common questions about them.

A dental implant is usually installed in either two steps or one step. A two-step dental implant installation is also called a compound dental implant installation. In a compound implant installation, your dentist will install the abutment during the first surgery. After the first surgery, the abutment needs to time heal before your dentist your dentist can perform the second surgery. During the healing process, your gum area can easily become infected. This happens because there are gaps between the abutment and the actual implant. These gaps make it easy for food and bacteria to get stuck. If the bacteria are not removed, then the infection can cause your dental implant to fail. Therefore, there are a few tips that you should use in order

A Systemic review of survival rate of mandibular overdenture supported by two or four implants did not show any significant difference(36). Survey of 16 nationally representative academic prosthodontists in the United States showed that their first choice of treatment for edentoulus patients was the mandibular implant supported overdenture with 2 implants(37). Randomized clinical trial showed that the mandibular overdenture supported by 2 implant treatment is preferred by patients over the bar attachment treatments. This preference occurs despite greater prosthesis retention with the 4-implant bar. 52% selected the independent ball attachment, 32% the 4-implant bar, and 16% the 2-implant bar(38). Reducing the number of implants required to support an overdenture, the cost can be reduced. Studying the forces falling on implants by either finite element and strain gauge showed that two instead of four implants in the mandible can also offer an almost equal amount of stability to the denture(39). Cross section study on twenty five patient’s satisfaction level who had a complete denture supported one or two or three implants shows no statistical difference(40). Photoelastic study showed that varying the number of implants had no

Fugazzotto conducted the only study comparing implants immediately placed into sites with periapical pathology with those immediately placed into sites without periapical pathology in the same patient, it was observed that both treatments yielded comparable results with no statistically significant difference in survival rates.(165)

Placing an implant requires two different steps. The first involves resection of gum tissue to reveal the jaw bone. Prior to the operation, clinical examinations and x-rays are used to assess whether enough bone is present

Generally, when adjacent teeth have been moved in order to accomplish adequate space for placing an implant, the roots of these teeth may have tipped into closer proximity. In this condition there may be inadequate space to place the implant between the apices and Thereby the use of resin-bonded restoration will be recommend.

In the past two decades, implant-supported overdenture has improved the quality of life of edentulous patients. With this type of treatment patients are freed of the problems associated with common full dentures such as reduced retention, stability and mastication power which occurs over time and gradually resorption of jaw bone.