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Theinformationgiveninthisdocumenthasbeenprovidedingoodfaithforbasic informationpurposesonlyandtheinformationissubjecttoallclinicalsituationsbeingmet. Innowayisitintendedtoreplaceadvicegiventoyoubyadentalprofessional. Youusethiscontentatyourownriskandassumefullresponsibilitytojudgewhetheror notitisaccurateorcompletebeforeusingitforwhateverpurpose. InnoeventshallRadfordHeathDentalCeramicsbeliableforanyconsequential,incidental ordirectdamagessufferedinthecourseofusingthecontentfromthisdocument. Alwaysconsultyourlocaldentistifyouhaveanyquestionsregardingyourdentalhealth.
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Disclaimer ______________________________________________________________ 2 Introduction_____________________________________________________________ 4 BasicParts______________________________________________________________ 4 Crown _________________________________________________________________ 5 Abutment _______________________________________________________________ 6 ImplantorFixture _______________________________________________________ 8 ImpressionCoping _______________________________________________________ 9 AnalogueorImplantReplica ______________________________________________ 10 RetentiveAnchors _______________________________________________________ 11 BarRetainers __________________________________________________________ 14 References _____________________________________________________________ 16
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Introduction
ThequestionWhatisadentalimplant?isoftenaskedbyallthosenewtothesubject. Well,thereisaplethoraof informationavailableontheinternetfrom thevarious manufacturersofimplantswhichshouldberesearchedifyouplantoworkwith them oropt tohavethem bywayofdentaltreatment. Butwithsomanymanufacturersandparts,whatifyouwantamoregeneraloverviewof whatimplantsareandhowtheyaremade?Wellwehopetoaddressthesequestionsinthis simpleguide.
BasicParts
Thebasicpartsofadentalimplant
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Crown
Oxford dictionary definition:
1Thepartofatoothprojectingfromthe gum. 2Anartificialreplacementorcoveringforthis. Crownsarethetoppartofarestorationandarethepartthatweseeinthemouth.They replicatetheoriginalteethtoprovideabitingsurfaceandaestheticappearance. Theyare handmadeby thetechnician. Thesupportingsubstructure forthecrown maybehandmadeormachined(onsiteor offsite).Thecompletedcrowniseithercementedorscrewedontoanabutment.
NobelBiocareProceraCrowns
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Abutment
Oxford dictionary definition:
NobelBiocareReplaceSelectAbutments
NobelBiocaresinternalandexternalloadingdesigns
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MaterialsUsed:Titanium. Considerations:Shape,angle,length,andplatformsize.
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ImplantorFixture
Oxford dictionary definition:
1Aninsert(tissue,asubstance,adevice,etc.)intothebody. Animplantprovidesthe anchororfoundationfora restoration.Itisscrewedinto theboneofthejawproviding afixedplatformonwhichan abutmentcanbescrewed. Bonetissuecangrowaround theimplantregeneratingand strengtheningthejaw reducingthebonelosswhich occurswhennaturalteethare lost.
Straumannimplants
Implantscomeinmanydifferentlengths,shapes(e.g.tapered),andwidths(orplatform size).Eachmanufacturerhastheirownimplantdesignswhichhaveuniquefeatures.
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ImpressionCoping
Impressioncopingsareusedbythedentisttoreplicatethepositionoftheimplantin the patientsmouth.Thedentistscrewstheimpressioncopingtotherealimplantandthen, usingaspecificimpressiontechnique,takesan impression ofthedentition.Theimpression techniquecanbeopenorclosed: Opentray techniqueallowsthedentist toremovetheimpression completewith impressioncoping(s)from thepatients mouthbyallowingexternalaccessto the copingsretainingscrew(s)i.e. the impressioncoping(s)remainfixedinthe impressionmaterial.Thedentististhen requiredtoaddtheanalogue(s)priorto dispatchingtothelab. Closedtraytechniquerequiresthatthe dentistfirstremovestheimpressionthe patientsmouththenunscrewsthe impressioncoping(s)toremovethem fromtheimplant.Theimpression coping(s)arethenplacedbackinto positionbythedentistintheimpression material andtheanaloguesareadded priortodespatch.
3iImpressionCopingsinanimpression
NobelBiocareNarrowPlatformimplantset
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AnalogueorImplantReplica
Analoguesareusedbylaboratory technicianstoreplicateimplantsand theirpositionin apatientsmouth. Amodelofthepatientsdentitioniscast usinganimpression.Theanalogue, screwedontotheimpressioncoping,is setintotheplastermodelduringcasting.
3iimplantcopingwithanalogueattached
3iimplantanalogues
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RetentiveAnchors
Retentiveanchorscomeinvarioustypesofdesign:Ball Abutment(withretainingclip), MagneticAbutment(withretainingmagnet)andTower Abutment(Locatorwhich comeswitharetainingclip). Allcomeintwomainparts:Theshapedabutmentpartandthefemale whichclipsoverit (knownasaMatrix). Oncetheanchorabutmentsarescrewedinto theimplants, they providesupportforafullora partialdenture(whichare clippedon).Thisprovidesaverystableplatformand preventsunwantedmovementoftheprosthesis.
StraumannBallAnchorabutmentsandmatrices
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Twoballabutmentssupportingafulldenture(femalematricesvisiblein thedenture)
StraumannLocatorandmatrix
3iimplantwithLocatorabutment Inbackgrounddenturewithfittedmatrixcups
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StraumannTitanmagneticabutments
Amagneticretainedprosthetic(left)withanimplantmountedcustomgold bridge(right)magnetsareinsetintocastbar
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BarRetainers
Constructedbylaboratorytechnicians,barretainersmountdirectlyontoimplants (screwed).Aclipmechanism then securesadenturetothescrewretainedbar. Therearetwowellknowntypes,DolderandHader.
BasicDolderbaronStraumannimplants
Dolderbar,StraumannSynOctaabutmentsandStraumannimplants
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AStraumannSynOctamountedDolderbar
3iimplantsupportedHaderbarInbackgrounddenturewithfitted retainingclips
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References
Biomet3i NobelBiocare Straumann http://www.3implant.com http://www.nobelbiocare.com http://www.straumann.com
Allimagesusedinthisdocumentarecourtesyoftherespective manufacturerslistedbythem.
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