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Chapter15

Dental care Implants

Enhancements - identified

Surgically injected into bone tissue

Used while " anchors” to support a prosthetic

Replace missing pearly whites in partially and/or

totally edentulous areas

May be sole tooth or perhaps several tooth

prosthetic

Prospect of ultimate stableness for prosthetic

Relies on incorporation with normal

bone/tissues intended for retention and sustainability

Implants –

Standard Diagrams

Prosthetics

Implants

Enhancements –

Basic Diagrams

Depends on integration

with bone (new bone

growth) for support.

" Osseointegratio

n”

There should be a

closed interface

(implant to dental

tissue) to achieve your goals.

Types of Implants:

Endosseous – is located partially in

bone

Single teeth replacement thru denture

support

Screw-shaped

Most common type

Types of Enhancements:

Types of Implants:

Subperiosteal: rests on alveolar

ridge, zero bone attack

Less invasive, less steady

Supports denture

Transosteal: positioned through the

mandible (only)

Parts reside above ridge

Almost never used

Types of Enhancements:

Types of Implants:

Turfiste Materials:

Ti:

Used as almost real metal

Anti-corrosive

Strong & lightweight

Great biocompatibility

Pelisse Materials:

Ceramics:

Most biocompatible

Creation of hydroxyapatite at surface

Potential for chemical substance bond among

bone & implant

Coated Metals:

Combines strength of metal with good

interface potential of ceramic

Implant Elements:

Prosthetics & attachments:

Crowns

 PFM's most frequent

 Could be gold, ceramic, composite

 Attached by screws or perhaps cemented

Dentures

 " Traditional” materials -- acrylic

 Attached by various fasteners: clips,

tennis balls, screws, and so forth

Implant Materials:

Placement of Endosseous

Implant

Very soft tissue " flap” is

laid

Premeasured

implant (body)

placed into bone tissue

and covered entirely

with soft cells

Healing: weeks months

Keeping of Endosseous

Implant

The very soft tissue is definitely

removed, exposing

the pelerine, and a

" curing cap” is definitely

placed

Recovery: several

weeks

Placement of Endosseous

Implant

Treatment cap can be

removed and an

abutment is placed

Abutment is

well prepared

(" post”/cylinder

added) & impressed

pertaining to prosthetic

Provided for lab for

fabrication

Abutmen

Implant t

Placement of Endosseous

Implant

Crown (or various other

prosthetic) is usually

seated with

cement or screw

(or other

fastener)

Procedure: Layouts

Patient Selection:

Highly motivated, healthy sufferer

Labor intensive procedure (months

of recovery post-sx)

No systemic conditions or conditions

that impact healing & sustainability of

implant

Considerable bone support

Must be capable of practice great OH

Maintenance of Implants:

Superb OH by patient:

Toothbrushes, floss, interdental assists, etc .

Extreme caution during prophylaxis:

Your own with typical instruments

might damage the titanium area

Sonic musical instruments are contraindicated!

Use a very mild rough with rubber-cup

prophy

20.08.2019

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