BY . DR MEHAK IMTIAZ
FROM PROSTHODONTIC DEPT
SUPERVIESED BY DR IRFAN
Learning objectives
What is dental implants
Benefits of dental implant
Types of dental implant
Implant material
Is implant successful
Placement of endosseous implant
Maintaince of dental implant
Types of Implants
Endosseous – resides partially in bone
Single tooth replacement thru denture
support
Screw-shaped
Most common type
Subperiosteal: rests on alveolar ridge,
no bone invasion
Less invasive, less stable
Supports denture
Transosteal: placed through the
mandible (only)
Attachments reside above ridge
Rarely used
Implant Materials
Titanium:
Ceramics:
Coated Metals:
Prosthetics & attachments:
Crowns
○ PFM’s most common
○ Could be gold, ceramic, composite
○ Attached by screws or cemented
Dentures
○ “Traditional” materials - acrylic
○ Attached by various fasteners: clips, balls,
screws, etc.
Placement of Endosseous Implant
Soft tissue “flap” is laid
Premeasured implant (body) placed into
bone and covered entirely with soft tissue
Healing: weeks - months
Healing cap is removed and an abutment is
placed
Abutment is prepared (“post”/cylinder
added) & impressed for prosthetic
Sent to lab for fabrication
Crown (or other prosthetic) is seated with
cement or screw (or other fastener)
Procedure: Diagrams
Maintenance of Implants
Great OH by patient:
Toothbrushes, floss, interdental aids, etc.
Caution during prophylaxis:
Scaling with conventional instruments
may damage the titanium surface
Sonic instruments are contraindicated!
Use a very mild abrasive with rubber-cup
prophy
References
“Dental
Implants - Tooth Implant Advantages, Success Rate
& Cost." Dentistry - A Consumer Guide to Beautiful Smiles &
Healthy Teeth. Web. 19 Apr. 2010.
<http://www.yourdentistryguide.com/implants/>.
"Dental Implant - Wikipedia, the Free Encyclopedia." Main
Page - Wikipedia, the Free Encyclopedia. Web. 19 Apr.
2010.
<http://en.wikipedia.org/wiki/Dental_implant#Composition>.
"Osseointegrated Implant (dental) - Wikipedia, the Free
Encyclopedia." Main Page - Wikipedia, the Free
Encyclopedia. Web. 19 Apr. 2010.
<http://en.wikipedia.org/wiki/Osseointegrated_implant_
%28dental%29>.