-Dental implants (features and materials)
-Medical and dental evaluation before implant placement
-Techniques of implant placement
-Surgical and post-surgical complications
-Providers of implant supported prosthesis
Implants have to
bull Induce healing and bone formation bull Be easily removed if needed
bullHave appropriate reactions with surrounding living tissues
(biocompatibility)bull Resist the acting loads and probable overloads
bullResist the long-term actions like fatigue corrosion etc
bull Be easily sterilized
Features of the ideal implants
Possible problems upon using the implant materials
- Inflammation - Infection- Rejection
First Implant Design by Branemark
All the implant designs are obtained by themodification of this design
Titanium Alloys
1048698Easily available1048698Lightweight corrosion resistant easily milled into different shapes while maintaining its strength1048698Forms layer of titanium oxide which is a stable and reactive interface that becomes coated with plasma proteins1048698Ti-6Al-4V was alloyed to create a biocompatible material with added strength
Dental implant materials
Zirconium
1048698 An inert material with very low allergic potential1048698 Has outstanding physical and mechanical qualities1048698 Zirconia implants have proven high level of osseointegration and bone-to-implant contact
Dental implant materials (cont)
Dental implants with rough surfaces have been designed to improve early healing especially in areas of poor bone or insufficient bone quantity 1048698 Acid-etching1048698More threads1048698Coating implant surface with different materials that can enhance the healing -Plasma -hydroxyapatite -Bone morphogenic protein -Osteoprotein
Dental implant surface treatment
Implant
Bone
thread
Ast
ra T
ech
IT
IB
icon
More than 350 implant systems and 145 manufacturers
1- Having no disease or condition that interferes with proper healing after implant surgery
2- Having enough amount and density of jaw bone to secure the implants
Cardiovascular
Respiratory
Renal
Musculoskeletal
Neurological
Endocrine
Surgical or anesthetic
contraindications
Diabetes Coronary artery disease Alcoholism Drug therapy - anticoagulants
- anti epileptics- antidepressants- others
Osteoporosis Smoking Pregnancy
Bone Quantity Bone Quality Associated structures - inferior alveolar
nerve - mental nerve - maxillary antrum - nasal floor - incisive canal
Pathology - periapical pathology - cysts - other pathology
- OPG - Lateral
Cephalogram - PeriapicalsCT Scan - Axial
- Coronal - 3D
reconstruction - Dentascan
- MR
Bone quantity
Bone width
Bone height
Bone quality
DDDDD
D1 D2 D3 D4
Bone Quality relates to the degree of bone density present Type 1 is dense bone which provides great cortical anchorage but limited vascularity Type 2 bone is the best bone for osseointegration of dental implants It provides good cortical anchorage for primary stability yet has better vascularity than Type 1 boneTypes 3 and 4 are soft bone textures with the least success in type 4 bone
Surgical timingThere are different approaches to place dental implants after tooth extraction The approaches areImmediate post-extraction implant placementDelayed immediate post-extraction implant placement (2 weeks to 3 months after extraction)Late implantation (3 months or more after tooth extraction)
Implant placement
Surgical approach- Raising a mucoperiosteal flap - Flapless technique
Implant placement (cont)
Surgical procedure - Two - stage technique - One - stage technique
INITIAL SURGERY INITIAL INITIAL SURGERY
Placement of implants by raising a mucoperiosteal flap
Two-stage implant placement procedure
Stage one
Stage two
1111 222 3
5 7
4
6
2
8
One- stage implant placement
One- stage implant placement) cont(
A surgical approach of implant placement without raising a mucoperiosteal flap
Flapless technique
Advantages
-Shorter and faster surgical treatment procedure of implant placement and by that less time is needed for the complete implant-prosthetic restoration-Minimal bleeding and postoperative discomfort for the patient
- Possibility of immediate loading of the inserted implant-
Immediate implantation
An implant can be placed on the same day as an extraction if good amount of bone is available and if there is no any infection
around the existing tooth
When teeth are lost bone will shrink in several dimensions Placing an implant immediately can reduce this bone loss and provide a better esthetic
result
Surgical and post-surgical complications
- Bleeding and bruising - Post-surgical pain -Post-surgical infection -Chronic pain
-Delayed healing - Hematoma-Abscess -Gingivitis
-Osteomyelitis-Sequestrum - Local or systemic
infection-Bone fracture - Loss of alveolar
ridge--Fistula to nose or sinus -Temporary speech
problems-Transient or permanent damage to the nerves
in the jaw
Success Rates
Who can provide implant supported dental prosthesis
The general dentist is usually the first resource for this service The key is the implant dentistrsquos training experience and credentials
Competent dentists include periodontists prosthodontists and oral surgeons who perform surgical andor restorative procedures
Implants have to
bull Induce healing and bone formation bull Be easily removed if needed
bullHave appropriate reactions with surrounding living tissues
(biocompatibility)bull Resist the acting loads and probable overloads
bullResist the long-term actions like fatigue corrosion etc
bull Be easily sterilized
Features of the ideal implants
Possible problems upon using the implant materials
- Inflammation - Infection- Rejection
First Implant Design by Branemark
All the implant designs are obtained by themodification of this design
Titanium Alloys
1048698Easily available1048698Lightweight corrosion resistant easily milled into different shapes while maintaining its strength1048698Forms layer of titanium oxide which is a stable and reactive interface that becomes coated with plasma proteins1048698Ti-6Al-4V was alloyed to create a biocompatible material with added strength
Dental implant materials
Zirconium
1048698 An inert material with very low allergic potential1048698 Has outstanding physical and mechanical qualities1048698 Zirconia implants have proven high level of osseointegration and bone-to-implant contact
Dental implant materials (cont)
Dental implants with rough surfaces have been designed to improve early healing especially in areas of poor bone or insufficient bone quantity 1048698 Acid-etching1048698More threads1048698Coating implant surface with different materials that can enhance the healing -Plasma -hydroxyapatite -Bone morphogenic protein -Osteoprotein
Dental implant surface treatment
Implant
Bone
thread
Ast
ra T
ech
IT
IB
icon
More than 350 implant systems and 145 manufacturers
1- Having no disease or condition that interferes with proper healing after implant surgery
2- Having enough amount and density of jaw bone to secure the implants
Cardiovascular
Respiratory
Renal
Musculoskeletal
Neurological
Endocrine
Surgical or anesthetic
contraindications
Diabetes Coronary artery disease Alcoholism Drug therapy - anticoagulants
- anti epileptics- antidepressants- others
Osteoporosis Smoking Pregnancy
Bone Quantity Bone Quality Associated structures - inferior alveolar
nerve - mental nerve - maxillary antrum - nasal floor - incisive canal
Pathology - periapical pathology - cysts - other pathology
- OPG - Lateral
Cephalogram - PeriapicalsCT Scan - Axial
- Coronal - 3D
reconstruction - Dentascan
- MR
Bone quantity
Bone width
Bone height
Bone quality
DDDDD
D1 D2 D3 D4
Bone Quality relates to the degree of bone density present Type 1 is dense bone which provides great cortical anchorage but limited vascularity Type 2 bone is the best bone for osseointegration of dental implants It provides good cortical anchorage for primary stability yet has better vascularity than Type 1 boneTypes 3 and 4 are soft bone textures with the least success in type 4 bone
Surgical timingThere are different approaches to place dental implants after tooth extraction The approaches areImmediate post-extraction implant placementDelayed immediate post-extraction implant placement (2 weeks to 3 months after extraction)Late implantation (3 months or more after tooth extraction)
Implant placement
Surgical approach- Raising a mucoperiosteal flap - Flapless technique
Implant placement (cont)
Surgical procedure - Two - stage technique - One - stage technique
INITIAL SURGERY INITIAL INITIAL SURGERY
Placement of implants by raising a mucoperiosteal flap
Two-stage implant placement procedure
Stage one
Stage two
1111 222 3
5 7
4
6
2
8
One- stage implant placement
One- stage implant placement) cont(
A surgical approach of implant placement without raising a mucoperiosteal flap
Flapless technique
Advantages
-Shorter and faster surgical treatment procedure of implant placement and by that less time is needed for the complete implant-prosthetic restoration-Minimal bleeding and postoperative discomfort for the patient
- Possibility of immediate loading of the inserted implant-
Immediate implantation
An implant can be placed on the same day as an extraction if good amount of bone is available and if there is no any infection
around the existing tooth
When teeth are lost bone will shrink in several dimensions Placing an implant immediately can reduce this bone loss and provide a better esthetic
result
Surgical and post-surgical complications
- Bleeding and bruising - Post-surgical pain -Post-surgical infection -Chronic pain
-Delayed healing - Hematoma-Abscess -Gingivitis
-Osteomyelitis-Sequestrum - Local or systemic
infection-Bone fracture - Loss of alveolar
ridge--Fistula to nose or sinus -Temporary speech
problems-Transient or permanent damage to the nerves
in the jaw
Success Rates
Who can provide implant supported dental prosthesis
The general dentist is usually the first resource for this service The key is the implant dentistrsquos training experience and credentials
Competent dentists include periodontists prosthodontists and oral surgeons who perform surgical andor restorative procedures
Possible problems upon using the implant materials
- Inflammation - Infection- Rejection
First Implant Design by Branemark
All the implant designs are obtained by themodification of this design
Titanium Alloys
1048698Easily available1048698Lightweight corrosion resistant easily milled into different shapes while maintaining its strength1048698Forms layer of titanium oxide which is a stable and reactive interface that becomes coated with plasma proteins1048698Ti-6Al-4V was alloyed to create a biocompatible material with added strength
Dental implant materials
Zirconium
1048698 An inert material with very low allergic potential1048698 Has outstanding physical and mechanical qualities1048698 Zirconia implants have proven high level of osseointegration and bone-to-implant contact
Dental implant materials (cont)
Dental implants with rough surfaces have been designed to improve early healing especially in areas of poor bone or insufficient bone quantity 1048698 Acid-etching1048698More threads1048698Coating implant surface with different materials that can enhance the healing -Plasma -hydroxyapatite -Bone morphogenic protein -Osteoprotein
Dental implant surface treatment
Implant
Bone
thread
Ast
ra T
ech
IT
IB
icon
More than 350 implant systems and 145 manufacturers
1- Having no disease or condition that interferes with proper healing after implant surgery
2- Having enough amount and density of jaw bone to secure the implants
Cardiovascular
Respiratory
Renal
Musculoskeletal
Neurological
Endocrine
Surgical or anesthetic
contraindications
Diabetes Coronary artery disease Alcoholism Drug therapy - anticoagulants
- anti epileptics- antidepressants- others
Osteoporosis Smoking Pregnancy
Bone Quantity Bone Quality Associated structures - inferior alveolar
nerve - mental nerve - maxillary antrum - nasal floor - incisive canal
Pathology - periapical pathology - cysts - other pathology
- OPG - Lateral
Cephalogram - PeriapicalsCT Scan - Axial
- Coronal - 3D
reconstruction - Dentascan
- MR
Bone quantity
Bone width
Bone height
Bone quality
DDDDD
D1 D2 D3 D4
Bone Quality relates to the degree of bone density present Type 1 is dense bone which provides great cortical anchorage but limited vascularity Type 2 bone is the best bone for osseointegration of dental implants It provides good cortical anchorage for primary stability yet has better vascularity than Type 1 boneTypes 3 and 4 are soft bone textures with the least success in type 4 bone
Surgical timingThere are different approaches to place dental implants after tooth extraction The approaches areImmediate post-extraction implant placementDelayed immediate post-extraction implant placement (2 weeks to 3 months after extraction)Late implantation (3 months or more after tooth extraction)
Implant placement
Surgical approach- Raising a mucoperiosteal flap - Flapless technique
Implant placement (cont)
Surgical procedure - Two - stage technique - One - stage technique
INITIAL SURGERY INITIAL INITIAL SURGERY
Placement of implants by raising a mucoperiosteal flap
Two-stage implant placement procedure
Stage one
Stage two
1111 222 3
5 7
4
6
2
8
One- stage implant placement
One- stage implant placement) cont(
A surgical approach of implant placement without raising a mucoperiosteal flap
Flapless technique
Advantages
-Shorter and faster surgical treatment procedure of implant placement and by that less time is needed for the complete implant-prosthetic restoration-Minimal bleeding and postoperative discomfort for the patient
- Possibility of immediate loading of the inserted implant-
Immediate implantation
An implant can be placed on the same day as an extraction if good amount of bone is available and if there is no any infection
around the existing tooth
When teeth are lost bone will shrink in several dimensions Placing an implant immediately can reduce this bone loss and provide a better esthetic
result
Surgical and post-surgical complications
- Bleeding and bruising - Post-surgical pain -Post-surgical infection -Chronic pain
-Delayed healing - Hematoma-Abscess -Gingivitis
-Osteomyelitis-Sequestrum - Local or systemic
infection-Bone fracture - Loss of alveolar
ridge--Fistula to nose or sinus -Temporary speech
problems-Transient or permanent damage to the nerves
in the jaw
Success Rates
Who can provide implant supported dental prosthesis
The general dentist is usually the first resource for this service The key is the implant dentistrsquos training experience and credentials
Competent dentists include periodontists prosthodontists and oral surgeons who perform surgical andor restorative procedures
First Implant Design by Branemark
All the implant designs are obtained by themodification of this design
Titanium Alloys
1048698Easily available1048698Lightweight corrosion resistant easily milled into different shapes while maintaining its strength1048698Forms layer of titanium oxide which is a stable and reactive interface that becomes coated with plasma proteins1048698Ti-6Al-4V was alloyed to create a biocompatible material with added strength
Dental implant materials
Zirconium
1048698 An inert material with very low allergic potential1048698 Has outstanding physical and mechanical qualities1048698 Zirconia implants have proven high level of osseointegration and bone-to-implant contact
Dental implant materials (cont)
Dental implants with rough surfaces have been designed to improve early healing especially in areas of poor bone or insufficient bone quantity 1048698 Acid-etching1048698More threads1048698Coating implant surface with different materials that can enhance the healing -Plasma -hydroxyapatite -Bone morphogenic protein -Osteoprotein
Dental implant surface treatment
Implant
Bone
thread
Ast
ra T
ech
IT
IB
icon
More than 350 implant systems and 145 manufacturers
1- Having no disease or condition that interferes with proper healing after implant surgery
2- Having enough amount and density of jaw bone to secure the implants
Cardiovascular
Respiratory
Renal
Musculoskeletal
Neurological
Endocrine
Surgical or anesthetic
contraindications
Diabetes Coronary artery disease Alcoholism Drug therapy - anticoagulants
- anti epileptics- antidepressants- others
Osteoporosis Smoking Pregnancy
Bone Quantity Bone Quality Associated structures - inferior alveolar
nerve - mental nerve - maxillary antrum - nasal floor - incisive canal
Pathology - periapical pathology - cysts - other pathology
- OPG - Lateral
Cephalogram - PeriapicalsCT Scan - Axial
- Coronal - 3D
reconstruction - Dentascan
- MR
Bone quantity
Bone width
Bone height
Bone quality
DDDDD
D1 D2 D3 D4
Bone Quality relates to the degree of bone density present Type 1 is dense bone which provides great cortical anchorage but limited vascularity Type 2 bone is the best bone for osseointegration of dental implants It provides good cortical anchorage for primary stability yet has better vascularity than Type 1 boneTypes 3 and 4 are soft bone textures with the least success in type 4 bone
Surgical timingThere are different approaches to place dental implants after tooth extraction The approaches areImmediate post-extraction implant placementDelayed immediate post-extraction implant placement (2 weeks to 3 months after extraction)Late implantation (3 months or more after tooth extraction)
Implant placement
Surgical approach- Raising a mucoperiosteal flap - Flapless technique
Implant placement (cont)
Surgical procedure - Two - stage technique - One - stage technique
INITIAL SURGERY INITIAL INITIAL SURGERY
Placement of implants by raising a mucoperiosteal flap
Two-stage implant placement procedure
Stage one
Stage two
1111 222 3
5 7
4
6
2
8
One- stage implant placement
One- stage implant placement) cont(
A surgical approach of implant placement without raising a mucoperiosteal flap
Flapless technique
Advantages
-Shorter and faster surgical treatment procedure of implant placement and by that less time is needed for the complete implant-prosthetic restoration-Minimal bleeding and postoperative discomfort for the patient
- Possibility of immediate loading of the inserted implant-
Immediate implantation
An implant can be placed on the same day as an extraction if good amount of bone is available and if there is no any infection
around the existing tooth
When teeth are lost bone will shrink in several dimensions Placing an implant immediately can reduce this bone loss and provide a better esthetic
result
Surgical and post-surgical complications
- Bleeding and bruising - Post-surgical pain -Post-surgical infection -Chronic pain
-Delayed healing - Hematoma-Abscess -Gingivitis
-Osteomyelitis-Sequestrum - Local or systemic
infection-Bone fracture - Loss of alveolar
ridge--Fistula to nose or sinus -Temporary speech
problems-Transient or permanent damage to the nerves
in the jaw
Success Rates
Who can provide implant supported dental prosthesis
The general dentist is usually the first resource for this service The key is the implant dentistrsquos training experience and credentials
Competent dentists include periodontists prosthodontists and oral surgeons who perform surgical andor restorative procedures
Titanium Alloys
1048698Easily available1048698Lightweight corrosion resistant easily milled into different shapes while maintaining its strength1048698Forms layer of titanium oxide which is a stable and reactive interface that becomes coated with plasma proteins1048698Ti-6Al-4V was alloyed to create a biocompatible material with added strength
Dental implant materials
Zirconium
1048698 An inert material with very low allergic potential1048698 Has outstanding physical and mechanical qualities1048698 Zirconia implants have proven high level of osseointegration and bone-to-implant contact
Dental implant materials (cont)
Dental implants with rough surfaces have been designed to improve early healing especially in areas of poor bone or insufficient bone quantity 1048698 Acid-etching1048698More threads1048698Coating implant surface with different materials that can enhance the healing -Plasma -hydroxyapatite -Bone morphogenic protein -Osteoprotein
Dental implant surface treatment
Implant
Bone
thread
Ast
ra T
ech
IT
IB
icon
More than 350 implant systems and 145 manufacturers
1- Having no disease or condition that interferes with proper healing after implant surgery
2- Having enough amount and density of jaw bone to secure the implants
Cardiovascular
Respiratory
Renal
Musculoskeletal
Neurological
Endocrine
Surgical or anesthetic
contraindications
Diabetes Coronary artery disease Alcoholism Drug therapy - anticoagulants
- anti epileptics- antidepressants- others
Osteoporosis Smoking Pregnancy
Bone Quantity Bone Quality Associated structures - inferior alveolar
nerve - mental nerve - maxillary antrum - nasal floor - incisive canal
Pathology - periapical pathology - cysts - other pathology
- OPG - Lateral
Cephalogram - PeriapicalsCT Scan - Axial
- Coronal - 3D
reconstruction - Dentascan
- MR
Bone quantity
Bone width
Bone height
Bone quality
DDDDD
D1 D2 D3 D4
Bone Quality relates to the degree of bone density present Type 1 is dense bone which provides great cortical anchorage but limited vascularity Type 2 bone is the best bone for osseointegration of dental implants It provides good cortical anchorage for primary stability yet has better vascularity than Type 1 boneTypes 3 and 4 are soft bone textures with the least success in type 4 bone
Surgical timingThere are different approaches to place dental implants after tooth extraction The approaches areImmediate post-extraction implant placementDelayed immediate post-extraction implant placement (2 weeks to 3 months after extraction)Late implantation (3 months or more after tooth extraction)
Implant placement
Surgical approach- Raising a mucoperiosteal flap - Flapless technique
Implant placement (cont)
Surgical procedure - Two - stage technique - One - stage technique
INITIAL SURGERY INITIAL INITIAL SURGERY
Placement of implants by raising a mucoperiosteal flap
Two-stage implant placement procedure
Stage one
Stage two
1111 222 3
5 7
4
6
2
8
One- stage implant placement
One- stage implant placement) cont(
A surgical approach of implant placement without raising a mucoperiosteal flap
Flapless technique
Advantages
-Shorter and faster surgical treatment procedure of implant placement and by that less time is needed for the complete implant-prosthetic restoration-Minimal bleeding and postoperative discomfort for the patient
- Possibility of immediate loading of the inserted implant-
Immediate implantation
An implant can be placed on the same day as an extraction if good amount of bone is available and if there is no any infection
around the existing tooth
When teeth are lost bone will shrink in several dimensions Placing an implant immediately can reduce this bone loss and provide a better esthetic
result
Surgical and post-surgical complications
- Bleeding and bruising - Post-surgical pain -Post-surgical infection -Chronic pain
-Delayed healing - Hematoma-Abscess -Gingivitis
-Osteomyelitis-Sequestrum - Local or systemic
infection-Bone fracture - Loss of alveolar
ridge--Fistula to nose or sinus -Temporary speech
problems-Transient or permanent damage to the nerves
in the jaw
Success Rates
Who can provide implant supported dental prosthesis
The general dentist is usually the first resource for this service The key is the implant dentistrsquos training experience and credentials
Competent dentists include periodontists prosthodontists and oral surgeons who perform surgical andor restorative procedures
Zirconium
1048698 An inert material with very low allergic potential1048698 Has outstanding physical and mechanical qualities1048698 Zirconia implants have proven high level of osseointegration and bone-to-implant contact
Dental implant materials (cont)
Dental implants with rough surfaces have been designed to improve early healing especially in areas of poor bone or insufficient bone quantity 1048698 Acid-etching1048698More threads1048698Coating implant surface with different materials that can enhance the healing -Plasma -hydroxyapatite -Bone morphogenic protein -Osteoprotein
Dental implant surface treatment
Implant
Bone
thread
Ast
ra T
ech
IT
IB
icon
More than 350 implant systems and 145 manufacturers
1- Having no disease or condition that interferes with proper healing after implant surgery
2- Having enough amount and density of jaw bone to secure the implants
Cardiovascular
Respiratory
Renal
Musculoskeletal
Neurological
Endocrine
Surgical or anesthetic
contraindications
Diabetes Coronary artery disease Alcoholism Drug therapy - anticoagulants
- anti epileptics- antidepressants- others
Osteoporosis Smoking Pregnancy
Bone Quantity Bone Quality Associated structures - inferior alveolar
nerve - mental nerve - maxillary antrum - nasal floor - incisive canal
Pathology - periapical pathology - cysts - other pathology
- OPG - Lateral
Cephalogram - PeriapicalsCT Scan - Axial
- Coronal - 3D
reconstruction - Dentascan
- MR
Bone quantity
Bone width
Bone height
Bone quality
DDDDD
D1 D2 D3 D4
Bone Quality relates to the degree of bone density present Type 1 is dense bone which provides great cortical anchorage but limited vascularity Type 2 bone is the best bone for osseointegration of dental implants It provides good cortical anchorage for primary stability yet has better vascularity than Type 1 boneTypes 3 and 4 are soft bone textures with the least success in type 4 bone
Surgical timingThere are different approaches to place dental implants after tooth extraction The approaches areImmediate post-extraction implant placementDelayed immediate post-extraction implant placement (2 weeks to 3 months after extraction)Late implantation (3 months or more after tooth extraction)
Implant placement
Surgical approach- Raising a mucoperiosteal flap - Flapless technique
Implant placement (cont)
Surgical procedure - Two - stage technique - One - stage technique
INITIAL SURGERY INITIAL INITIAL SURGERY
Placement of implants by raising a mucoperiosteal flap
Two-stage implant placement procedure
Stage one
Stage two
1111 222 3
5 7
4
6
2
8
One- stage implant placement
One- stage implant placement) cont(
A surgical approach of implant placement without raising a mucoperiosteal flap
Flapless technique
Advantages
-Shorter and faster surgical treatment procedure of implant placement and by that less time is needed for the complete implant-prosthetic restoration-Minimal bleeding and postoperative discomfort for the patient
- Possibility of immediate loading of the inserted implant-
Immediate implantation
An implant can be placed on the same day as an extraction if good amount of bone is available and if there is no any infection
around the existing tooth
When teeth are lost bone will shrink in several dimensions Placing an implant immediately can reduce this bone loss and provide a better esthetic
result
Surgical and post-surgical complications
- Bleeding and bruising - Post-surgical pain -Post-surgical infection -Chronic pain
-Delayed healing - Hematoma-Abscess -Gingivitis
-Osteomyelitis-Sequestrum - Local or systemic
infection-Bone fracture - Loss of alveolar
ridge--Fistula to nose or sinus -Temporary speech
problems-Transient or permanent damage to the nerves
in the jaw
Success Rates
Who can provide implant supported dental prosthesis
The general dentist is usually the first resource for this service The key is the implant dentistrsquos training experience and credentials
Competent dentists include periodontists prosthodontists and oral surgeons who perform surgical andor restorative procedures
Dental implants with rough surfaces have been designed to improve early healing especially in areas of poor bone or insufficient bone quantity 1048698 Acid-etching1048698More threads1048698Coating implant surface with different materials that can enhance the healing -Plasma -hydroxyapatite -Bone morphogenic protein -Osteoprotein
Dental implant surface treatment
Implant
Bone
thread
Ast
ra T
ech
IT
IB
icon
More than 350 implant systems and 145 manufacturers
1- Having no disease or condition that interferes with proper healing after implant surgery
2- Having enough amount and density of jaw bone to secure the implants
Cardiovascular
Respiratory
Renal
Musculoskeletal
Neurological
Endocrine
Surgical or anesthetic
contraindications
Diabetes Coronary artery disease Alcoholism Drug therapy - anticoagulants
- anti epileptics- antidepressants- others
Osteoporosis Smoking Pregnancy
Bone Quantity Bone Quality Associated structures - inferior alveolar
nerve - mental nerve - maxillary antrum - nasal floor - incisive canal
Pathology - periapical pathology - cysts - other pathology
- OPG - Lateral
Cephalogram - PeriapicalsCT Scan - Axial
- Coronal - 3D
reconstruction - Dentascan
- MR
Bone quantity
Bone width
Bone height
Bone quality
DDDDD
D1 D2 D3 D4
Bone Quality relates to the degree of bone density present Type 1 is dense bone which provides great cortical anchorage but limited vascularity Type 2 bone is the best bone for osseointegration of dental implants It provides good cortical anchorage for primary stability yet has better vascularity than Type 1 boneTypes 3 and 4 are soft bone textures with the least success in type 4 bone
Surgical timingThere are different approaches to place dental implants after tooth extraction The approaches areImmediate post-extraction implant placementDelayed immediate post-extraction implant placement (2 weeks to 3 months after extraction)Late implantation (3 months or more after tooth extraction)
Implant placement
Surgical approach- Raising a mucoperiosteal flap - Flapless technique
Implant placement (cont)
Surgical procedure - Two - stage technique - One - stage technique
INITIAL SURGERY INITIAL INITIAL SURGERY
Placement of implants by raising a mucoperiosteal flap
Two-stage implant placement procedure
Stage one
Stage two
1111 222 3
5 7
4
6
2
8
One- stage implant placement
One- stage implant placement) cont(
A surgical approach of implant placement without raising a mucoperiosteal flap
Flapless technique
Advantages
-Shorter and faster surgical treatment procedure of implant placement and by that less time is needed for the complete implant-prosthetic restoration-Minimal bleeding and postoperative discomfort for the patient
- Possibility of immediate loading of the inserted implant-
Immediate implantation
An implant can be placed on the same day as an extraction if good amount of bone is available and if there is no any infection
around the existing tooth
When teeth are lost bone will shrink in several dimensions Placing an implant immediately can reduce this bone loss and provide a better esthetic
result
Surgical and post-surgical complications
- Bleeding and bruising - Post-surgical pain -Post-surgical infection -Chronic pain
-Delayed healing - Hematoma-Abscess -Gingivitis
-Osteomyelitis-Sequestrum - Local or systemic
infection-Bone fracture - Loss of alveolar
ridge--Fistula to nose or sinus -Temporary speech
problems-Transient or permanent damage to the nerves
in the jaw
Success Rates
Who can provide implant supported dental prosthesis
The general dentist is usually the first resource for this service The key is the implant dentistrsquos training experience and credentials
Competent dentists include periodontists prosthodontists and oral surgeons who perform surgical andor restorative procedures
Implant
Bone
thread
Ast
ra T
ech
IT
IB
icon
More than 350 implant systems and 145 manufacturers
1- Having no disease or condition that interferes with proper healing after implant surgery
2- Having enough amount and density of jaw bone to secure the implants
Cardiovascular
Respiratory
Renal
Musculoskeletal
Neurological
Endocrine
Surgical or anesthetic
contraindications
Diabetes Coronary artery disease Alcoholism Drug therapy - anticoagulants
- anti epileptics- antidepressants- others
Osteoporosis Smoking Pregnancy
Bone Quantity Bone Quality Associated structures - inferior alveolar
nerve - mental nerve - maxillary antrum - nasal floor - incisive canal
Pathology - periapical pathology - cysts - other pathology
- OPG - Lateral
Cephalogram - PeriapicalsCT Scan - Axial
- Coronal - 3D
reconstruction - Dentascan
- MR
Bone quantity
Bone width
Bone height
Bone quality
DDDDD
D1 D2 D3 D4
Bone Quality relates to the degree of bone density present Type 1 is dense bone which provides great cortical anchorage but limited vascularity Type 2 bone is the best bone for osseointegration of dental implants It provides good cortical anchorage for primary stability yet has better vascularity than Type 1 boneTypes 3 and 4 are soft bone textures with the least success in type 4 bone
Surgical timingThere are different approaches to place dental implants after tooth extraction The approaches areImmediate post-extraction implant placementDelayed immediate post-extraction implant placement (2 weeks to 3 months after extraction)Late implantation (3 months or more after tooth extraction)
Implant placement
Surgical approach- Raising a mucoperiosteal flap - Flapless technique
Implant placement (cont)
Surgical procedure - Two - stage technique - One - stage technique
INITIAL SURGERY INITIAL INITIAL SURGERY
Placement of implants by raising a mucoperiosteal flap
Two-stage implant placement procedure
Stage one
Stage two
1111 222 3
5 7
4
6
2
8
One- stage implant placement
One- stage implant placement) cont(
A surgical approach of implant placement without raising a mucoperiosteal flap
Flapless technique
Advantages
-Shorter and faster surgical treatment procedure of implant placement and by that less time is needed for the complete implant-prosthetic restoration-Minimal bleeding and postoperative discomfort for the patient
- Possibility of immediate loading of the inserted implant-
Immediate implantation
An implant can be placed on the same day as an extraction if good amount of bone is available and if there is no any infection
around the existing tooth
When teeth are lost bone will shrink in several dimensions Placing an implant immediately can reduce this bone loss and provide a better esthetic
result
Surgical and post-surgical complications
- Bleeding and bruising - Post-surgical pain -Post-surgical infection -Chronic pain
-Delayed healing - Hematoma-Abscess -Gingivitis
-Osteomyelitis-Sequestrum - Local or systemic
infection-Bone fracture - Loss of alveolar
ridge--Fistula to nose or sinus -Temporary speech
problems-Transient or permanent damage to the nerves
in the jaw
Success Rates
Who can provide implant supported dental prosthesis
The general dentist is usually the first resource for this service The key is the implant dentistrsquos training experience and credentials
Competent dentists include periodontists prosthodontists and oral surgeons who perform surgical andor restorative procedures
Ast
ra T
ech
IT
IB
icon
More than 350 implant systems and 145 manufacturers
1- Having no disease or condition that interferes with proper healing after implant surgery
2- Having enough amount and density of jaw bone to secure the implants
Cardiovascular
Respiratory
Renal
Musculoskeletal
Neurological
Endocrine
Surgical or anesthetic
contraindications
Diabetes Coronary artery disease Alcoholism Drug therapy - anticoagulants
- anti epileptics- antidepressants- others
Osteoporosis Smoking Pregnancy
Bone Quantity Bone Quality Associated structures - inferior alveolar
nerve - mental nerve - maxillary antrum - nasal floor - incisive canal
Pathology - periapical pathology - cysts - other pathology
- OPG - Lateral
Cephalogram - PeriapicalsCT Scan - Axial
- Coronal - 3D
reconstruction - Dentascan
- MR
Bone quantity
Bone width
Bone height
Bone quality
DDDDD
D1 D2 D3 D4
Bone Quality relates to the degree of bone density present Type 1 is dense bone which provides great cortical anchorage but limited vascularity Type 2 bone is the best bone for osseointegration of dental implants It provides good cortical anchorage for primary stability yet has better vascularity than Type 1 boneTypes 3 and 4 are soft bone textures with the least success in type 4 bone
Surgical timingThere are different approaches to place dental implants after tooth extraction The approaches areImmediate post-extraction implant placementDelayed immediate post-extraction implant placement (2 weeks to 3 months after extraction)Late implantation (3 months or more after tooth extraction)
Implant placement
Surgical approach- Raising a mucoperiosteal flap - Flapless technique
Implant placement (cont)
Surgical procedure - Two - stage technique - One - stage technique
INITIAL SURGERY INITIAL INITIAL SURGERY
Placement of implants by raising a mucoperiosteal flap
Two-stage implant placement procedure
Stage one
Stage two
1111 222 3
5 7
4
6
2
8
One- stage implant placement
One- stage implant placement) cont(
A surgical approach of implant placement without raising a mucoperiosteal flap
Flapless technique
Advantages
-Shorter and faster surgical treatment procedure of implant placement and by that less time is needed for the complete implant-prosthetic restoration-Minimal bleeding and postoperative discomfort for the patient
- Possibility of immediate loading of the inserted implant-
Immediate implantation
An implant can be placed on the same day as an extraction if good amount of bone is available and if there is no any infection
around the existing tooth
When teeth are lost bone will shrink in several dimensions Placing an implant immediately can reduce this bone loss and provide a better esthetic
result
Surgical and post-surgical complications
- Bleeding and bruising - Post-surgical pain -Post-surgical infection -Chronic pain
-Delayed healing - Hematoma-Abscess -Gingivitis
-Osteomyelitis-Sequestrum - Local or systemic
infection-Bone fracture - Loss of alveolar
ridge--Fistula to nose or sinus -Temporary speech
problems-Transient or permanent damage to the nerves
in the jaw
Success Rates
Who can provide implant supported dental prosthesis
The general dentist is usually the first resource for this service The key is the implant dentistrsquos training experience and credentials
Competent dentists include periodontists prosthodontists and oral surgeons who perform surgical andor restorative procedures
1- Having no disease or condition that interferes with proper healing after implant surgery
2- Having enough amount and density of jaw bone to secure the implants
Cardiovascular
Respiratory
Renal
Musculoskeletal
Neurological
Endocrine
Surgical or anesthetic
contraindications
Diabetes Coronary artery disease Alcoholism Drug therapy - anticoagulants
- anti epileptics- antidepressants- others
Osteoporosis Smoking Pregnancy
Bone Quantity Bone Quality Associated structures - inferior alveolar
nerve - mental nerve - maxillary antrum - nasal floor - incisive canal
Pathology - periapical pathology - cysts - other pathology
- OPG - Lateral
Cephalogram - PeriapicalsCT Scan - Axial
- Coronal - 3D
reconstruction - Dentascan
- MR
Bone quantity
Bone width
Bone height
Bone quality
DDDDD
D1 D2 D3 D4
Bone Quality relates to the degree of bone density present Type 1 is dense bone which provides great cortical anchorage but limited vascularity Type 2 bone is the best bone for osseointegration of dental implants It provides good cortical anchorage for primary stability yet has better vascularity than Type 1 boneTypes 3 and 4 are soft bone textures with the least success in type 4 bone
Surgical timingThere are different approaches to place dental implants after tooth extraction The approaches areImmediate post-extraction implant placementDelayed immediate post-extraction implant placement (2 weeks to 3 months after extraction)Late implantation (3 months or more after tooth extraction)
Implant placement
Surgical approach- Raising a mucoperiosteal flap - Flapless technique
Implant placement (cont)
Surgical procedure - Two - stage technique - One - stage technique
INITIAL SURGERY INITIAL INITIAL SURGERY
Placement of implants by raising a mucoperiosteal flap
Two-stage implant placement procedure
Stage one
Stage two
1111 222 3
5 7
4
6
2
8
One- stage implant placement
One- stage implant placement) cont(
A surgical approach of implant placement without raising a mucoperiosteal flap
Flapless technique
Advantages
-Shorter and faster surgical treatment procedure of implant placement and by that less time is needed for the complete implant-prosthetic restoration-Minimal bleeding and postoperative discomfort for the patient
- Possibility of immediate loading of the inserted implant-
Immediate implantation
An implant can be placed on the same day as an extraction if good amount of bone is available and if there is no any infection
around the existing tooth
When teeth are lost bone will shrink in several dimensions Placing an implant immediately can reduce this bone loss and provide a better esthetic
result
Surgical and post-surgical complications
- Bleeding and bruising - Post-surgical pain -Post-surgical infection -Chronic pain
-Delayed healing - Hematoma-Abscess -Gingivitis
-Osteomyelitis-Sequestrum - Local or systemic
infection-Bone fracture - Loss of alveolar
ridge--Fistula to nose or sinus -Temporary speech
problems-Transient or permanent damage to the nerves
in the jaw
Success Rates
Who can provide implant supported dental prosthesis
The general dentist is usually the first resource for this service The key is the implant dentistrsquos training experience and credentials
Competent dentists include periodontists prosthodontists and oral surgeons who perform surgical andor restorative procedures
Cardiovascular
Respiratory
Renal
Musculoskeletal
Neurological
Endocrine
Surgical or anesthetic
contraindications
Diabetes Coronary artery disease Alcoholism Drug therapy - anticoagulants
- anti epileptics- antidepressants- others
Osteoporosis Smoking Pregnancy
Bone Quantity Bone Quality Associated structures - inferior alveolar
nerve - mental nerve - maxillary antrum - nasal floor - incisive canal
Pathology - periapical pathology - cysts - other pathology
- OPG - Lateral
Cephalogram - PeriapicalsCT Scan - Axial
- Coronal - 3D
reconstruction - Dentascan
- MR
Bone quantity
Bone width
Bone height
Bone quality
DDDDD
D1 D2 D3 D4
Bone Quality relates to the degree of bone density present Type 1 is dense bone which provides great cortical anchorage but limited vascularity Type 2 bone is the best bone for osseointegration of dental implants It provides good cortical anchorage for primary stability yet has better vascularity than Type 1 boneTypes 3 and 4 are soft bone textures with the least success in type 4 bone
Surgical timingThere are different approaches to place dental implants after tooth extraction The approaches areImmediate post-extraction implant placementDelayed immediate post-extraction implant placement (2 weeks to 3 months after extraction)Late implantation (3 months or more after tooth extraction)
Implant placement
Surgical approach- Raising a mucoperiosteal flap - Flapless technique
Implant placement (cont)
Surgical procedure - Two - stage technique - One - stage technique
INITIAL SURGERY INITIAL INITIAL SURGERY
Placement of implants by raising a mucoperiosteal flap
Two-stage implant placement procedure
Stage one
Stage two
1111 222 3
5 7
4
6
2
8
One- stage implant placement
One- stage implant placement) cont(
A surgical approach of implant placement without raising a mucoperiosteal flap
Flapless technique
Advantages
-Shorter and faster surgical treatment procedure of implant placement and by that less time is needed for the complete implant-prosthetic restoration-Minimal bleeding and postoperative discomfort for the patient
- Possibility of immediate loading of the inserted implant-
Immediate implantation
An implant can be placed on the same day as an extraction if good amount of bone is available and if there is no any infection
around the existing tooth
When teeth are lost bone will shrink in several dimensions Placing an implant immediately can reduce this bone loss and provide a better esthetic
result
Surgical and post-surgical complications
- Bleeding and bruising - Post-surgical pain -Post-surgical infection -Chronic pain
-Delayed healing - Hematoma-Abscess -Gingivitis
-Osteomyelitis-Sequestrum - Local or systemic
infection-Bone fracture - Loss of alveolar
ridge--Fistula to nose or sinus -Temporary speech
problems-Transient or permanent damage to the nerves
in the jaw
Success Rates
Who can provide implant supported dental prosthesis
The general dentist is usually the first resource for this service The key is the implant dentistrsquos training experience and credentials
Competent dentists include periodontists prosthodontists and oral surgeons who perform surgical andor restorative procedures
Diabetes Coronary artery disease Alcoholism Drug therapy - anticoagulants
- anti epileptics- antidepressants- others
Osteoporosis Smoking Pregnancy
Bone Quantity Bone Quality Associated structures - inferior alveolar
nerve - mental nerve - maxillary antrum - nasal floor - incisive canal
Pathology - periapical pathology - cysts - other pathology
- OPG - Lateral
Cephalogram - PeriapicalsCT Scan - Axial
- Coronal - 3D
reconstruction - Dentascan
- MR
Bone quantity
Bone width
Bone height
Bone quality
DDDDD
D1 D2 D3 D4
Bone Quality relates to the degree of bone density present Type 1 is dense bone which provides great cortical anchorage but limited vascularity Type 2 bone is the best bone for osseointegration of dental implants It provides good cortical anchorage for primary stability yet has better vascularity than Type 1 boneTypes 3 and 4 are soft bone textures with the least success in type 4 bone
Surgical timingThere are different approaches to place dental implants after tooth extraction The approaches areImmediate post-extraction implant placementDelayed immediate post-extraction implant placement (2 weeks to 3 months after extraction)Late implantation (3 months or more after tooth extraction)
Implant placement
Surgical approach- Raising a mucoperiosteal flap - Flapless technique
Implant placement (cont)
Surgical procedure - Two - stage technique - One - stage technique
INITIAL SURGERY INITIAL INITIAL SURGERY
Placement of implants by raising a mucoperiosteal flap
Two-stage implant placement procedure
Stage one
Stage two
1111 222 3
5 7
4
6
2
8
One- stage implant placement
One- stage implant placement) cont(
A surgical approach of implant placement without raising a mucoperiosteal flap
Flapless technique
Advantages
-Shorter and faster surgical treatment procedure of implant placement and by that less time is needed for the complete implant-prosthetic restoration-Minimal bleeding and postoperative discomfort for the patient
- Possibility of immediate loading of the inserted implant-
Immediate implantation
An implant can be placed on the same day as an extraction if good amount of bone is available and if there is no any infection
around the existing tooth
When teeth are lost bone will shrink in several dimensions Placing an implant immediately can reduce this bone loss and provide a better esthetic
result
Surgical and post-surgical complications
- Bleeding and bruising - Post-surgical pain -Post-surgical infection -Chronic pain
-Delayed healing - Hematoma-Abscess -Gingivitis
-Osteomyelitis-Sequestrum - Local or systemic
infection-Bone fracture - Loss of alveolar
ridge--Fistula to nose or sinus -Temporary speech
problems-Transient or permanent damage to the nerves
in the jaw
Success Rates
Who can provide implant supported dental prosthesis
The general dentist is usually the first resource for this service The key is the implant dentistrsquos training experience and credentials
Competent dentists include periodontists prosthodontists and oral surgeons who perform surgical andor restorative procedures
Bone Quantity Bone Quality Associated structures - inferior alveolar
nerve - mental nerve - maxillary antrum - nasal floor - incisive canal
Pathology - periapical pathology - cysts - other pathology
- OPG - Lateral
Cephalogram - PeriapicalsCT Scan - Axial
- Coronal - 3D
reconstruction - Dentascan
- MR
Bone quantity
Bone width
Bone height
Bone quality
DDDDD
D1 D2 D3 D4
Bone Quality relates to the degree of bone density present Type 1 is dense bone which provides great cortical anchorage but limited vascularity Type 2 bone is the best bone for osseointegration of dental implants It provides good cortical anchorage for primary stability yet has better vascularity than Type 1 boneTypes 3 and 4 are soft bone textures with the least success in type 4 bone
Surgical timingThere are different approaches to place dental implants after tooth extraction The approaches areImmediate post-extraction implant placementDelayed immediate post-extraction implant placement (2 weeks to 3 months after extraction)Late implantation (3 months or more after tooth extraction)
Implant placement
Surgical approach- Raising a mucoperiosteal flap - Flapless technique
Implant placement (cont)
Surgical procedure - Two - stage technique - One - stage technique
INITIAL SURGERY INITIAL INITIAL SURGERY
Placement of implants by raising a mucoperiosteal flap
Two-stage implant placement procedure
Stage one
Stage two
1111 222 3
5 7
4
6
2
8
One- stage implant placement
One- stage implant placement) cont(
A surgical approach of implant placement without raising a mucoperiosteal flap
Flapless technique
Advantages
-Shorter and faster surgical treatment procedure of implant placement and by that less time is needed for the complete implant-prosthetic restoration-Minimal bleeding and postoperative discomfort for the patient
- Possibility of immediate loading of the inserted implant-
Immediate implantation
An implant can be placed on the same day as an extraction if good amount of bone is available and if there is no any infection
around the existing tooth
When teeth are lost bone will shrink in several dimensions Placing an implant immediately can reduce this bone loss and provide a better esthetic
result
Surgical and post-surgical complications
- Bleeding and bruising - Post-surgical pain -Post-surgical infection -Chronic pain
-Delayed healing - Hematoma-Abscess -Gingivitis
-Osteomyelitis-Sequestrum - Local or systemic
infection-Bone fracture - Loss of alveolar
ridge--Fistula to nose or sinus -Temporary speech
problems-Transient or permanent damage to the nerves
in the jaw
Success Rates
Who can provide implant supported dental prosthesis
The general dentist is usually the first resource for this service The key is the implant dentistrsquos training experience and credentials
Competent dentists include periodontists prosthodontists and oral surgeons who perform surgical andor restorative procedures
- OPG - Lateral
Cephalogram - PeriapicalsCT Scan - Axial
- Coronal - 3D
reconstruction - Dentascan
- MR
Bone quantity
Bone width
Bone height
Bone quality
DDDDD
D1 D2 D3 D4
Bone Quality relates to the degree of bone density present Type 1 is dense bone which provides great cortical anchorage but limited vascularity Type 2 bone is the best bone for osseointegration of dental implants It provides good cortical anchorage for primary stability yet has better vascularity than Type 1 boneTypes 3 and 4 are soft bone textures with the least success in type 4 bone
Surgical timingThere are different approaches to place dental implants after tooth extraction The approaches areImmediate post-extraction implant placementDelayed immediate post-extraction implant placement (2 weeks to 3 months after extraction)Late implantation (3 months or more after tooth extraction)
Implant placement
Surgical approach- Raising a mucoperiosteal flap - Flapless technique
Implant placement (cont)
Surgical procedure - Two - stage technique - One - stage technique
INITIAL SURGERY INITIAL INITIAL SURGERY
Placement of implants by raising a mucoperiosteal flap
Two-stage implant placement procedure
Stage one
Stage two
1111 222 3
5 7
4
6
2
8
One- stage implant placement
One- stage implant placement) cont(
A surgical approach of implant placement without raising a mucoperiosteal flap
Flapless technique
Advantages
-Shorter and faster surgical treatment procedure of implant placement and by that less time is needed for the complete implant-prosthetic restoration-Minimal bleeding and postoperative discomfort for the patient
- Possibility of immediate loading of the inserted implant-
Immediate implantation
An implant can be placed on the same day as an extraction if good amount of bone is available and if there is no any infection
around the existing tooth
When teeth are lost bone will shrink in several dimensions Placing an implant immediately can reduce this bone loss and provide a better esthetic
result
Surgical and post-surgical complications
- Bleeding and bruising - Post-surgical pain -Post-surgical infection -Chronic pain
-Delayed healing - Hematoma-Abscess -Gingivitis
-Osteomyelitis-Sequestrum - Local or systemic
infection-Bone fracture - Loss of alveolar
ridge--Fistula to nose or sinus -Temporary speech
problems-Transient or permanent damage to the nerves
in the jaw
Success Rates
Who can provide implant supported dental prosthesis
The general dentist is usually the first resource for this service The key is the implant dentistrsquos training experience and credentials
Competent dentists include periodontists prosthodontists and oral surgeons who perform surgical andor restorative procedures
Bone quantity
Bone width
Bone height
Bone quality
DDDDD
D1 D2 D3 D4
Bone Quality relates to the degree of bone density present Type 1 is dense bone which provides great cortical anchorage but limited vascularity Type 2 bone is the best bone for osseointegration of dental implants It provides good cortical anchorage for primary stability yet has better vascularity than Type 1 boneTypes 3 and 4 are soft bone textures with the least success in type 4 bone
Surgical timingThere are different approaches to place dental implants after tooth extraction The approaches areImmediate post-extraction implant placementDelayed immediate post-extraction implant placement (2 weeks to 3 months after extraction)Late implantation (3 months or more after tooth extraction)
Implant placement
Surgical approach- Raising a mucoperiosteal flap - Flapless technique
Implant placement (cont)
Surgical procedure - Two - stage technique - One - stage technique
INITIAL SURGERY INITIAL INITIAL SURGERY
Placement of implants by raising a mucoperiosteal flap
Two-stage implant placement procedure
Stage one
Stage two
1111 222 3
5 7
4
6
2
8
One- stage implant placement
One- stage implant placement) cont(
A surgical approach of implant placement without raising a mucoperiosteal flap
Flapless technique
Advantages
-Shorter and faster surgical treatment procedure of implant placement and by that less time is needed for the complete implant-prosthetic restoration-Minimal bleeding and postoperative discomfort for the patient
- Possibility of immediate loading of the inserted implant-
Immediate implantation
An implant can be placed on the same day as an extraction if good amount of bone is available and if there is no any infection
around the existing tooth
When teeth are lost bone will shrink in several dimensions Placing an implant immediately can reduce this bone loss and provide a better esthetic
result
Surgical and post-surgical complications
- Bleeding and bruising - Post-surgical pain -Post-surgical infection -Chronic pain
-Delayed healing - Hematoma-Abscess -Gingivitis
-Osteomyelitis-Sequestrum - Local or systemic
infection-Bone fracture - Loss of alveolar
ridge--Fistula to nose or sinus -Temporary speech
problems-Transient or permanent damage to the nerves
in the jaw
Success Rates
Who can provide implant supported dental prosthesis
The general dentist is usually the first resource for this service The key is the implant dentistrsquos training experience and credentials
Competent dentists include periodontists prosthodontists and oral surgeons who perform surgical andor restorative procedures
Bone quality
DDDDD
D1 D2 D3 D4
Bone Quality relates to the degree of bone density present Type 1 is dense bone which provides great cortical anchorage but limited vascularity Type 2 bone is the best bone for osseointegration of dental implants It provides good cortical anchorage for primary stability yet has better vascularity than Type 1 boneTypes 3 and 4 are soft bone textures with the least success in type 4 bone
Surgical timingThere are different approaches to place dental implants after tooth extraction The approaches areImmediate post-extraction implant placementDelayed immediate post-extraction implant placement (2 weeks to 3 months after extraction)Late implantation (3 months or more after tooth extraction)
Implant placement
Surgical approach- Raising a mucoperiosteal flap - Flapless technique
Implant placement (cont)
Surgical procedure - Two - stage technique - One - stage technique
INITIAL SURGERY INITIAL INITIAL SURGERY
Placement of implants by raising a mucoperiosteal flap
Two-stage implant placement procedure
Stage one
Stage two
1111 222 3
5 7
4
6
2
8
One- stage implant placement
One- stage implant placement) cont(
A surgical approach of implant placement without raising a mucoperiosteal flap
Flapless technique
Advantages
-Shorter and faster surgical treatment procedure of implant placement and by that less time is needed for the complete implant-prosthetic restoration-Minimal bleeding and postoperative discomfort for the patient
- Possibility of immediate loading of the inserted implant-
Immediate implantation
An implant can be placed on the same day as an extraction if good amount of bone is available and if there is no any infection
around the existing tooth
When teeth are lost bone will shrink in several dimensions Placing an implant immediately can reduce this bone loss and provide a better esthetic
result
Surgical and post-surgical complications
- Bleeding and bruising - Post-surgical pain -Post-surgical infection -Chronic pain
-Delayed healing - Hematoma-Abscess -Gingivitis
-Osteomyelitis-Sequestrum - Local or systemic
infection-Bone fracture - Loss of alveolar
ridge--Fistula to nose or sinus -Temporary speech
problems-Transient or permanent damage to the nerves
in the jaw
Success Rates
Who can provide implant supported dental prosthesis
The general dentist is usually the first resource for this service The key is the implant dentistrsquos training experience and credentials
Competent dentists include periodontists prosthodontists and oral surgeons who perform surgical andor restorative procedures
Surgical timingThere are different approaches to place dental implants after tooth extraction The approaches areImmediate post-extraction implant placementDelayed immediate post-extraction implant placement (2 weeks to 3 months after extraction)Late implantation (3 months or more after tooth extraction)
Implant placement
Surgical approach- Raising a mucoperiosteal flap - Flapless technique
Implant placement (cont)
Surgical procedure - Two - stage technique - One - stage technique
INITIAL SURGERY INITIAL INITIAL SURGERY
Placement of implants by raising a mucoperiosteal flap
Two-stage implant placement procedure
Stage one
Stage two
1111 222 3
5 7
4
6
2
8
One- stage implant placement
One- stage implant placement) cont(
A surgical approach of implant placement without raising a mucoperiosteal flap
Flapless technique
Advantages
-Shorter and faster surgical treatment procedure of implant placement and by that less time is needed for the complete implant-prosthetic restoration-Minimal bleeding and postoperative discomfort for the patient
- Possibility of immediate loading of the inserted implant-
Immediate implantation
An implant can be placed on the same day as an extraction if good amount of bone is available and if there is no any infection
around the existing tooth
When teeth are lost bone will shrink in several dimensions Placing an implant immediately can reduce this bone loss and provide a better esthetic
result
Surgical and post-surgical complications
- Bleeding and bruising - Post-surgical pain -Post-surgical infection -Chronic pain
-Delayed healing - Hematoma-Abscess -Gingivitis
-Osteomyelitis-Sequestrum - Local or systemic
infection-Bone fracture - Loss of alveolar
ridge--Fistula to nose or sinus -Temporary speech
problems-Transient or permanent damage to the nerves
in the jaw
Success Rates
Who can provide implant supported dental prosthesis
The general dentist is usually the first resource for this service The key is the implant dentistrsquos training experience and credentials
Competent dentists include periodontists prosthodontists and oral surgeons who perform surgical andor restorative procedures
Surgical approach- Raising a mucoperiosteal flap - Flapless technique
Implant placement (cont)
Surgical procedure - Two - stage technique - One - stage technique
INITIAL SURGERY INITIAL INITIAL SURGERY
Placement of implants by raising a mucoperiosteal flap
Two-stage implant placement procedure
Stage one
Stage two
1111 222 3
5 7
4
6
2
8
One- stage implant placement
One- stage implant placement) cont(
A surgical approach of implant placement without raising a mucoperiosteal flap
Flapless technique
Advantages
-Shorter and faster surgical treatment procedure of implant placement and by that less time is needed for the complete implant-prosthetic restoration-Minimal bleeding and postoperative discomfort for the patient
- Possibility of immediate loading of the inserted implant-
Immediate implantation
An implant can be placed on the same day as an extraction if good amount of bone is available and if there is no any infection
around the existing tooth
When teeth are lost bone will shrink in several dimensions Placing an implant immediately can reduce this bone loss and provide a better esthetic
result
Surgical and post-surgical complications
- Bleeding and bruising - Post-surgical pain -Post-surgical infection -Chronic pain
-Delayed healing - Hematoma-Abscess -Gingivitis
-Osteomyelitis-Sequestrum - Local or systemic
infection-Bone fracture - Loss of alveolar
ridge--Fistula to nose or sinus -Temporary speech
problems-Transient or permanent damage to the nerves
in the jaw
Success Rates
Who can provide implant supported dental prosthesis
The general dentist is usually the first resource for this service The key is the implant dentistrsquos training experience and credentials
Competent dentists include periodontists prosthodontists and oral surgeons who perform surgical andor restorative procedures
INITIAL SURGERY INITIAL INITIAL SURGERY
Placement of implants by raising a mucoperiosteal flap
Two-stage implant placement procedure
Stage one
Stage two
1111 222 3
5 7
4
6
2
8
One- stage implant placement
One- stage implant placement) cont(
A surgical approach of implant placement without raising a mucoperiosteal flap
Flapless technique
Advantages
-Shorter and faster surgical treatment procedure of implant placement and by that less time is needed for the complete implant-prosthetic restoration-Minimal bleeding and postoperative discomfort for the patient
- Possibility of immediate loading of the inserted implant-
Immediate implantation
An implant can be placed on the same day as an extraction if good amount of bone is available and if there is no any infection
around the existing tooth
When teeth are lost bone will shrink in several dimensions Placing an implant immediately can reduce this bone loss and provide a better esthetic
result
Surgical and post-surgical complications
- Bleeding and bruising - Post-surgical pain -Post-surgical infection -Chronic pain
-Delayed healing - Hematoma-Abscess -Gingivitis
-Osteomyelitis-Sequestrum - Local or systemic
infection-Bone fracture - Loss of alveolar
ridge--Fistula to nose or sinus -Temporary speech
problems-Transient or permanent damage to the nerves
in the jaw
Success Rates
Who can provide implant supported dental prosthesis
The general dentist is usually the first resource for this service The key is the implant dentistrsquos training experience and credentials
Competent dentists include periodontists prosthodontists and oral surgeons who perform surgical andor restorative procedures
Two-stage implant placement procedure
Stage one
Stage two
1111 222 3
5 7
4
6
2
8
One- stage implant placement
One- stage implant placement) cont(
A surgical approach of implant placement without raising a mucoperiosteal flap
Flapless technique
Advantages
-Shorter and faster surgical treatment procedure of implant placement and by that less time is needed for the complete implant-prosthetic restoration-Minimal bleeding and postoperative discomfort for the patient
- Possibility of immediate loading of the inserted implant-
Immediate implantation
An implant can be placed on the same day as an extraction if good amount of bone is available and if there is no any infection
around the existing tooth
When teeth are lost bone will shrink in several dimensions Placing an implant immediately can reduce this bone loss and provide a better esthetic
result
Surgical and post-surgical complications
- Bleeding and bruising - Post-surgical pain -Post-surgical infection -Chronic pain
-Delayed healing - Hematoma-Abscess -Gingivitis
-Osteomyelitis-Sequestrum - Local or systemic
infection-Bone fracture - Loss of alveolar
ridge--Fistula to nose or sinus -Temporary speech
problems-Transient or permanent damage to the nerves
in the jaw
Success Rates
Who can provide implant supported dental prosthesis
The general dentist is usually the first resource for this service The key is the implant dentistrsquos training experience and credentials
Competent dentists include periodontists prosthodontists and oral surgeons who perform surgical andor restorative procedures
1111 222 3
5 7
4
6
2
8
One- stage implant placement
One- stage implant placement) cont(
A surgical approach of implant placement without raising a mucoperiosteal flap
Flapless technique
Advantages
-Shorter and faster surgical treatment procedure of implant placement and by that less time is needed for the complete implant-prosthetic restoration-Minimal bleeding and postoperative discomfort for the patient
- Possibility of immediate loading of the inserted implant-
Immediate implantation
An implant can be placed on the same day as an extraction if good amount of bone is available and if there is no any infection
around the existing tooth
When teeth are lost bone will shrink in several dimensions Placing an implant immediately can reduce this bone loss and provide a better esthetic
result
Surgical and post-surgical complications
- Bleeding and bruising - Post-surgical pain -Post-surgical infection -Chronic pain
-Delayed healing - Hematoma-Abscess -Gingivitis
-Osteomyelitis-Sequestrum - Local or systemic
infection-Bone fracture - Loss of alveolar
ridge--Fistula to nose or sinus -Temporary speech
problems-Transient or permanent damage to the nerves
in the jaw
Success Rates
Who can provide implant supported dental prosthesis
The general dentist is usually the first resource for this service The key is the implant dentistrsquos training experience and credentials
Competent dentists include periodontists prosthodontists and oral surgeons who perform surgical andor restorative procedures
One- stage implant placement) cont(
A surgical approach of implant placement without raising a mucoperiosteal flap
Flapless technique
Advantages
-Shorter and faster surgical treatment procedure of implant placement and by that less time is needed for the complete implant-prosthetic restoration-Minimal bleeding and postoperative discomfort for the patient
- Possibility of immediate loading of the inserted implant-
Immediate implantation
An implant can be placed on the same day as an extraction if good amount of bone is available and if there is no any infection
around the existing tooth
When teeth are lost bone will shrink in several dimensions Placing an implant immediately can reduce this bone loss and provide a better esthetic
result
Surgical and post-surgical complications
- Bleeding and bruising - Post-surgical pain -Post-surgical infection -Chronic pain
-Delayed healing - Hematoma-Abscess -Gingivitis
-Osteomyelitis-Sequestrum - Local or systemic
infection-Bone fracture - Loss of alveolar
ridge--Fistula to nose or sinus -Temporary speech
problems-Transient or permanent damage to the nerves
in the jaw
Success Rates
Who can provide implant supported dental prosthesis
The general dentist is usually the first resource for this service The key is the implant dentistrsquos training experience and credentials
Competent dentists include periodontists prosthodontists and oral surgeons who perform surgical andor restorative procedures
A surgical approach of implant placement without raising a mucoperiosteal flap
Flapless technique
Advantages
-Shorter and faster surgical treatment procedure of implant placement and by that less time is needed for the complete implant-prosthetic restoration-Minimal bleeding and postoperative discomfort for the patient
- Possibility of immediate loading of the inserted implant-
Immediate implantation
An implant can be placed on the same day as an extraction if good amount of bone is available and if there is no any infection
around the existing tooth
When teeth are lost bone will shrink in several dimensions Placing an implant immediately can reduce this bone loss and provide a better esthetic
result
Surgical and post-surgical complications
- Bleeding and bruising - Post-surgical pain -Post-surgical infection -Chronic pain
-Delayed healing - Hematoma-Abscess -Gingivitis
-Osteomyelitis-Sequestrum - Local or systemic
infection-Bone fracture - Loss of alveolar
ridge--Fistula to nose or sinus -Temporary speech
problems-Transient or permanent damage to the nerves
in the jaw
Success Rates
Who can provide implant supported dental prosthesis
The general dentist is usually the first resource for this service The key is the implant dentistrsquos training experience and credentials
Competent dentists include periodontists prosthodontists and oral surgeons who perform surgical andor restorative procedures
Advantages
-Shorter and faster surgical treatment procedure of implant placement and by that less time is needed for the complete implant-prosthetic restoration-Minimal bleeding and postoperative discomfort for the patient
- Possibility of immediate loading of the inserted implant-
Immediate implantation
An implant can be placed on the same day as an extraction if good amount of bone is available and if there is no any infection
around the existing tooth
When teeth are lost bone will shrink in several dimensions Placing an implant immediately can reduce this bone loss and provide a better esthetic
result
Surgical and post-surgical complications
- Bleeding and bruising - Post-surgical pain -Post-surgical infection -Chronic pain
-Delayed healing - Hematoma-Abscess -Gingivitis
-Osteomyelitis-Sequestrum - Local or systemic
infection-Bone fracture - Loss of alveolar
ridge--Fistula to nose or sinus -Temporary speech
problems-Transient or permanent damage to the nerves
in the jaw
Success Rates
Who can provide implant supported dental prosthesis
The general dentist is usually the first resource for this service The key is the implant dentistrsquos training experience and credentials
Competent dentists include periodontists prosthodontists and oral surgeons who perform surgical andor restorative procedures
Immediate implantation
An implant can be placed on the same day as an extraction if good amount of bone is available and if there is no any infection
around the existing tooth
When teeth are lost bone will shrink in several dimensions Placing an implant immediately can reduce this bone loss and provide a better esthetic
result
Surgical and post-surgical complications
- Bleeding and bruising - Post-surgical pain -Post-surgical infection -Chronic pain
-Delayed healing - Hematoma-Abscess -Gingivitis
-Osteomyelitis-Sequestrum - Local or systemic
infection-Bone fracture - Loss of alveolar
ridge--Fistula to nose or sinus -Temporary speech
problems-Transient or permanent damage to the nerves
in the jaw
Success Rates
Who can provide implant supported dental prosthesis
The general dentist is usually the first resource for this service The key is the implant dentistrsquos training experience and credentials
Competent dentists include periodontists prosthodontists and oral surgeons who perform surgical andor restorative procedures
Surgical and post-surgical complications
- Bleeding and bruising - Post-surgical pain -Post-surgical infection -Chronic pain
-Delayed healing - Hematoma-Abscess -Gingivitis
-Osteomyelitis-Sequestrum - Local or systemic
infection-Bone fracture - Loss of alveolar
ridge--Fistula to nose or sinus -Temporary speech
problems-Transient or permanent damage to the nerves
in the jaw
Success Rates
Who can provide implant supported dental prosthesis
The general dentist is usually the first resource for this service The key is the implant dentistrsquos training experience and credentials
Competent dentists include periodontists prosthodontists and oral surgeons who perform surgical andor restorative procedures
Success Rates
Who can provide implant supported dental prosthesis
The general dentist is usually the first resource for this service The key is the implant dentistrsquos training experience and credentials
Competent dentists include periodontists prosthodontists and oral surgeons who perform surgical andor restorative procedures
Who can provide implant supported dental prosthesis
The general dentist is usually the first resource for this service The key is the implant dentistrsquos training experience and credentials
Competent dentists include periodontists prosthodontists and oral surgeons who perform surgical andor restorative procedures