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    Dental Implant

    Uploaded by

    Leony Ricci
    Dental implants are prosthetic devices implanted into the jawbone beneath the gum or in the bone to provide support for fixed or removable dental prostheses. There are several types of implants depending on where they are placed, such as endosteal implants placed within the bone or transosteal implants passing through the bone. Implants can be made from various metallic materials like titanium or non-metallic materials like ceramics. Osseointegration is the direct attachment of bone to the implant without soft tissue interference and usually takes 4-6 months. Implants have advantages like preserving bone and improving function but also have disadvantages like being expensive and requiring surgery.

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    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd

    Dental Implant

    Uploaded by

    Leony Ricci
    1K views36 pages
    Dental implants are prosthetic devices implanted into the jawbone beneath the gum or in the bone to provide support for fixed or removable dental prostheses. There are several types of implants depending on where they are placed, such as endosteal implants placed within the bone or transosteal implants passing through the bone. Implants can be made from various metallic materials like titanium or non-metallic materials like ceramics. Osseointegration is the direct attachment of bone to the implant without soft tissue interference and usually takes 4-6 months. Implants have advantages like preserving bone and improving function but also have disadvantages like being expensive and requiring surgery.

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    dental implant

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    Dental implants are prosthetic devices implanted into the jawbone beneath the gum or in the bone to provide support for fixed or removable dental prostheses. There are several types of implants depending on where they are placed, such as endosteal implants placed within the bone or transosteal implants passing through the bone. Implants can be made from various metallic materials like titanium or non-metallic materials like ceramics. Osseointegration is the direct attachment of bone to the implant without soft tissue interference and usually takes 4-6 months. Implants have advantages like preserving bone and improving function but also have disadvantages like being expensive and requiring surgery.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    1K views36 pages

    Dental Implant

    Uploaded by

    Leony Ricci
    Dental implants are prosthetic devices implanted into the jawbone beneath the gum or in the bone to provide support for fixed or removable dental prostheses. There are several types of implants depending on where they are placed, such as endosteal implants placed within the bone or transosteal implants passing through the bone. Implants can be made from various metallic materials like titanium or non-metallic materials like ceramics. Osseointegration is the direct attachment of bone to the implant without soft tissue interference and usually takes 4-6 months. Implants have advantages like preserving bone and improving function but also have disadvantages like being expensive and requiring surgery.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 36

    DENTAL

    IMPLANT


    PRESENTED BY:
    M.ALI SHEIKH
    HAREEM SATTAR

    A prosthetic device or alloplastic material implanted into the oral
    tissue beneath the mucosal or/and periosteal layer and/ or in the
    bone to provide retention and support for the fixed and
    removable prosthesis.
    - GPT
    What is an
    Implant???
    Classification of implants
    I) Depending on the placement within the
    tissues

    Epithelial implants
    Epiosteal / Subperiosteal implants
    Endosteal implants
    Transosteal implants


    Epithelial implants
    Implant is inserted into the oral mucosa


    Disadvantages
    painful healing


    Endosteal Implants
    within the bone
    These implants are usually root
    form or plate form and are made
    either of metal, metal covered
    with ceramic, or ceramic material.
    They are placed within the
    jawbone



    through the bone
    These implants are either a
    metal pin or a U-shaped
    frame that passes through
    the jawbone and the gum
    tissue, into the mouth.
    Transosteal Implant
    on top of the bone
    These implants consist of a
    metal framework that
    attaches on top of the
    jawbone but underneath
    the gum tissue.

    Epiosteal / Subperiosteal
    Implant
    http://dentalimplants.uchc.edu/a
    bout/types.html
    II) Depending on the materials used

    METALLIC IMPLANTS
    Titanium
    Cobalt chromium
    Stainless steel
    Zirconium
    Tantalum
    Gold
    Platinum


    2. NON METALLIC
    IMPLANTS
    - ceramics
    - carbon
    Most commonly used



    Commercially pure (CP) titanium
    Titanium-aluminum-vanadium alloy
    (Ti-6Al-4V) - stronger & used with
    smaller diameter implants
    latest research is going on zirconium
    due to its better esthetic property.


    PARTS OF DENTAL
    IMPLANT:
    Crown
    GPT def.: An artificial replacement that restores
    the missing tooth structure by surrounding part or
    all of the remaining structure with a material such
    as cast metal, porcelain or a combination of
    materials such as metal and porcelain.

    Abutment
    It is a part of the implant which resembles a
    prepared tooth, and which is screwed to the body
    of the implant. It is the part which provides
    support to the artificial crown, and lies between
    the crown and the implant body.
    The abutment provides retention to the
    prosthesis.


    Types of Abutment:


    1. Screw retention



    1. cement retention


    2. for attachment
    attachment device to retain a
    removable prosthesis



    Implant body or Fixture
    This is the part of the implant which
    is placed during the first stage of the
    implant surgery, and which provides
    the anchor or foundation for the
    restoration. This part is fixed in the
    jaw bone, and on this the abutment
    is screwed in the next stage of the
    surgery. The implant body can be
    threaded or non-threaded.
    Healing screw

    This is a part of the implant which isnt
    permanently placed, but is used during the
    healing phase when the soft tissue over the
    implant body is being healed. The healing
    screw facilitates the suturing of the soft
    tissue, and it also prevents the growth of
    tissue over the edge of the implant.
    Per mucosal extension / healing abutment
    protrude through the gum tissue and
    placed into the implant body.
    http://dentistryforstudents.com/parts-of-
    dental-implant/

    OSSEOINTEGRATION

    Definition of osseointegration: It is a histological
    term used to determine the apparent direct
    attachment or connection of osseous tissue to
    an inert, alloplastic material without intervening
    connective tissue.

    Usually takes 4-6 months.
    There are two well known theories:
    Brnemarks theory of osseointegration
    Weiss' theory of fibro-osseous integration

    WEISS THEORY

    fibro ossseous ligament formed
    between implant and the bone
    collagen fibers at bone implant
    interface

    ligament = periodontal ligament
    In Gomphosis.

    He interpreted it as the peri-implantal ligament with an
    osteogenic effect

    BRANEMARKS THEORY OF
    OSSEOINTEGRATION

    Bone is laid very close to the implant
    material without an intervening
    Connective tissue

    the apparent direct attachment or
    connection of osseous tissue
    to an inert alloplastic material without
    intervening connective tissue

    - G.P.T.


    IMPLANT should be left out of function
    during the healing phase


    INDICATIONS:
    Fully edentulous
    Partially edentulous
    Single tooth
    Orthodontic anchorage

    Immediate implantation
    Periodontal problems
    Periapical pathology and resorption of roots
    Agenetic elements ( by birth missing teeth)
    Grossly Carious
    Trauma.

    CONTRAINDICATIONS:
    Medical:
    Pregnancy.
    Uncontrolled metabolic disease(D.M)
    Inability to restore with a prosthesis.
    Immune diseases.
    Use of corticosteroids.
    Radiotherapy of head.
    Dental:
    Anatomy- nerves too close,sinus etc.
    Local pathology- cyst
    Poor oral hygiene


    ADVANTAGES:
    Preservation of bone
    Improved function
    Esthetic
    Stability and support
    Dental implants reduce the load on the
    remaining oral structures/teeth by offering
    independent Dental support and retention to
    crowns, bridgework and overdentures.

    Dental implants preserve natural tooth tissue by


    avoiding the need to cut down adjacent teeth for
    conventional bridgework.


    EXPENSIVE
    SURGICAL PRODURE
    NEED PATIENT CO-OPERATION
    LONGER DURATION OF TREATMENT
    DISADVANTAGES:
    Prosthesis fabrication

    Impression is
    necessary to transfer
    the position and
    design of implant or
    abutment to the
    master cast for
    prosthesis fabrication

    Transfer coping
    used to position a
    dye in an impression

    Two types of transfer coping
    1. direct transfer coping
    2. indirect transfer coping
    Laboratory fabrication

    Analog
    defined as something that is
    analogous to something else

    Analog is placed on the transfer coping
    and the impression is poured
    Prosthetic coping is a thin covering usually designed to fit the
    Implant abutment for screw retention

    It serves as a connection between abutment and prosthesis or
    superstructure
    Implant system broadly are of 2 types





    Two stage One stage immediate
    1. one piece implant system
    implant body + prosthodontic
    abutment

    2. two piece implant system
    implant system
    prosthodontic abutment

    Implant surgery

    Implant surgery

    Two stage surgery
    1
    st
    surgery
    - implant body placed below the soft tissue

    after initial bone healing has occurred
    2
    nd
    surgery
    -soft tissue are reflected
    - permucosal element or abutment is attached
    One stage surgery
    1
    st
    surgery
    - implant and permucosal element placed
    after initial bone healing has occurred -
    abutment replaces the permucosal element without
    reflection of flap

    Implant body
    First stage cover screw
    Second stage permucosal extension
    or healing abutment
    Abutment
    A) for screw retentin
    B) for cement retention
    C) for attachment
    Hygiene screw
    Transfer coping
    A) direct
    B) indirect
    Analog
    A)implant body
    B) abutment
    coping
    Prosthesis screw

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