Immediate dental implant placement

By

Abstract

Implantation used since the decade of 1960 has been modified in the recent years to enhance the quality of treatment and patient's life style. Since there were some limitations with the use of implantation, novel techniques has been developed and immediate loading is precisely addressed in the recent years. Immediate implantation decreases the course of treatment and hence is of particular interest to the upcoming dentists. The major concern in the implantation is healing around the implant. Permanent fixation of the implant and aesthetics are also important in this regard. Special care must be taken when dealing with the infected wound. Proper osseointegration is the core concern for implantation. The patient must be implanted with prostheses that suit best as the physiological and anatomical aspects of each patient is distinguished. Certain types of implants are currently available and novel techniques including laser implantation and computed guides are also developed to enhance the quality patient care and aesthetics. Though the technique possesses some disadvantages, however the advantages outweigh the disadvantages. Proper protocols must be used to minimize complications of the procedure. The latest technology has by far proved to be efficient in minimizing the complications of the procedure. This is developing rapidly and more ideas are providing excellent ways to improve the treatment with implantation.

TABLE OF CONTENTS

IMMEDIATE DENTAL IMPLANT PLACEMENT0

CHAPTER 1: INTRODUCTION3

1.1 Background3

1.2 Study Rationale5

1.2.1 Single-Tooth Implant7

1.2.2 Implants for Larger Gaps (Partially Toothed Jaws)8

1.2.3 Prosthetic Implants8

1.3 General Objectives9

1.4 Specific objectives10

Removable Dentures on Implants10

Fixed Implant Bridges in The Edentulous Jaw11

The All-On Four Method12

Implant Exposure14

CHAPTER 2: LITERATURE REVIEWS16

2.1 Histology- The Healing Of Hard and Soft Tissues around the Implants16

Etiology of Oral Tissue Damage16

Wound Repair17

Steps in Wound Healing18

Stage 1- Inflammation18

Stage 2- Proliferation20

Stage 3- Remodeling21

Factors interfering with the wound healing22

Local Factors22

Foreign bodies22

Necrotic tissue23

Ischemia23

Tension23

General Factors24

Types of healing, as the union of the edges25

Healing By First Intention25

Healing By Secondary Intention25

Tissue healing in the context of oral surgery26

Healing of Sub-merged and non submerged implants26

Regeneration of bone27

Hematoma formation27

Granulation tissue formation28

Callus formation28

Bone Union29

Reorientation29

Healing dental alveoli after tooth extraction31

Nerve Repair33

2.2 Implant survival34

Keloid scarring34

Hypertrophic Scarring35

Recommendations for good healing35

2.3 Esthetic Outcome36

CHAPTER 3: PROTOCOL OPERATION FOR IMMEDIATE IMPLANT PLACEMENT38

CHAPTER IV: CLINICAL CASE PRESENTATIONS BASED ON DIFFERENT IMPLANT PLACEMENT PROTOCOL41

Local anesthetics  41

Sedation  41

General anesthesia  .42

General Clinical Conditions42

Diagnostic Approaches for the Implantation43

Objective examination of the Oral Cavity44

Radiographic Evaluation46

Orthopantomography46

Intraoral46

Computed tomography47

Selection of Provisional Prosthesis47

Criteria Guide Implant Placement48

Periodontal Criteria48

Biomechanical criteria49

Prosthetic Criteria49

Study Models49

Diagnostic wax51

Operative Phases: Performing the Surgical Protocol51

Immediate Post-Implant Removal52

Location Uninfected52

Delays in Implant Removal after Location53

Location Uninfected53

Delay in Implant Location Post-Extraction53

Infected53

Healing phase54

Making Provisional Prosthesis54

Implementation of The Final Prosthesis55

CHAPTER V: RESULTS56

Recommendations for the first week after surgery57

Complications58

CHAPTER 6: DISCUSSION60

Indications63

Conditions for durable immediate implants63

Contraindications for Dental Implants64

Long64

Temporary65

Dental Implant Fast Without Sore -Immediate Duty Dental Implants68

Sendax MDI Systems68

Computer Guided Implant69

Piezo-Surgery70

Zygoma Implants70

Double Crowns71

Anchor Connections72

Web connections between implants72

Locator72

The Different Implant Designs73

CHAPTER 7: CONCLUSION75

REFERENCES76

Chapter 1: Introduction

1.1 Background

The implant technology in dentistry has made huge leaps of development in recent years. More and more exclusive and advanced materials, better systems and smallest implants have made hundreds of thousands of people smile with confidence. Implantology is the introduction of inorganic substitutes in the space created by the ...