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Implants
Basic Diagrams
Prosthetics
Implants
Implants
Basic Diagrams
Relies on integration
with bone (new bone
growth) for support.
Osseointegratio
n
There must be a
closed interface
(implant to oral
tissue) for success.
Types of Implants:
Endosseous resides partially in bone
Single tooth replacement thru denture
support
Screw-shaped
Most common type
Types of Implants:
Types of Implants:
Subperiosteal: rests on alveolar ridge, no
bone invasion
Less invasive, less stable
Supports denture
(only)
Attachments reside above ridge
Rarely used
Types of Implants:
Types of Implants:
Implant Materials:
Titanium:
Used as almost pure metal
Corrosion resistant
Strong & lightweight
Great biocompatibility
Implant Materials:
Ceramics:
Most biocompatible
Formation of hydroxyapatite at surface
Potential for chemical bond between bone &
implant
Coated Metals:
Combines strength of metal with good
Implant Materials:
Prosthetics & attachments:
Crowns
PFMs most common
Could be gold, ceramic, composite
Attached by screws or cemented
Dentures
Traditional materials - acrylic
Attached by various fasteners: clips, balls, screws,
etc.
Implant Materials:
Placement of Endosseous
Implant
Soft tissue flap is
laid
Premeasured
implant (body)
placed into bone
and covered entirely
with soft tissue
Healing: weeks months
Placement of Endosseous
Implant
The soft tissue is
removed, exposing
the implant, and a
healing cap is
placed
Healing: several
weeks
Placement of Endosseous
Implant
Healing cap is
removed and an
abutment is placed
Abutment is
prepared
(post/cylinder
added) & impressed
for prosthetic
Sent to lab for
fabrication
Abutmen
Implant t
Placement of Endosseous
Implant
Crown (or other
prosthetic) is
seated with
cement or screw
(or other fastener)
Procedure: Diagrams
Patient Selection:
Highly motivated, healthy patient
Time-consuming procedure (months of
healing post-sx)
No systemic diseases or conditions that
impact healing & sustainability of implant
Substantial bone support
Must be able to practice good OH
Maintenance of Implants:
Great OH by patient:
Toothbrushes, floss, interdental aids, etc.