biologic response

BIOLOGIC RESPONSE TO DENTAL IMPLANT

OLEH

HANANTO SENOINDONESIAN SOCIETY OF IMPLANT DENTISTRY

DIFINISI

SUATU REAKSI JARINGAN TUBUH AKIBAT ADANYA METERIAL IMPLAN YANG DITANAMKAN UNTUK MENGGANTIKAN FUNGSI ORGAN TUBUH YANG HILANG

MATERIAL IMPLAN = DENTAL IMPALNT

BIOLOGIC RESPONSE

JARINGAN TUBUH > < DENTAL IMPLANT

HIDUP MATI

RESPONSE ?

HUMAN TISSUE

1. SOFT TISSUE

> SULCUS

> SULCUS EPITHELIUM

> ORAL EPITHELIUM

> JUNCTIONAL EPITHELIUM

> CONNECTIVE TISSUE FIBERS

> SUPRACRESTAL CT

> DIRECT CONTACT TO IMPLANT

SOFT TISSUE RESPONSE

GAMBAR


.


POST OPS

1. INNER CT ZONE

BLOOD CLOTH

GRANULASI & EPITHELISASI

OUTER CT ZONE

JUNCTIONAL EPITHELIUM

MITOSIS

EPITHEL CELL PERI IMPLANT SULCUS

EPITHEL CELL BAG DALAM

MEMBENTUK BASAL CELL SUPRA BASAL CELL

EPITHELIAL ATTACHMENT & SULCUS EPITHELIUM

2. SUB EPITHELIAL CT

COLLAGEN FIBER BUNDLE SUPRA CRESTAL CT

PERPEDUNCULAR CT F VERTICAL CT F CIRCULAR CT F

HARD TISSUE RESPONSE PEMASANGAN IMPLAN PREPARASI

MICRO GAB NECROSIS BLOOD OSTEOCLAST OSTEOBLAST MACROPHAG REVASCULARISASI FIBRO-CALLUS OSTEOGENESIS BONE FORMATION

• PERMUKAN KASAR & PORUS HA TPS SLA MICROBOND

ANKYLOTIC BONDING PHENOMENON

OSTEOINTEGRATION

LAPISAN LUAR IMPLAN TITANIUM

RESPON JARINGAN 1. HA COLLAGEN FIBRILE 2. TPS/C PROTEOGLICANS LAYER OSTEOBLAST OSTEOCYTE 3. TOL ( TIT. OXYD LAYER ) MINERALYZED BONE TISSUE BIOLOGIC STIMULATION PROCESS 4. SLA OSTEON BONDED DIRECTLY

HARD TISSUE RESPONSE

.OSTEOINTEGRATION

SIFAT IMPLAN TITANIUM

REACTIVE METAL NOBLE METAL BIONERT TOUGH & MALLEABLE BIO ACTIVE MATERIAL BIO MATERIAL BIOCOMPATIBLE GLUING BIOMOLECULS &

IMPLANT THERMODINAMIC CORROSION RESISTENT MAX 0,0003 µA/CM2

HEALING AROUND ENDOSTEAL

IMPLANT

CARLES WEISS & ADAM WEISS ( 2001 ) STAGE ONE : VASCULAR SPROUTING

STAGE STAGE TWO: EARLY BONE FORMATION

STAGE STAGE THREE: BONE GROWTH STAGE STAGE FOUR : BONE MATURATION STAGE

Healing Phase Block ( 2000 )1. BLEEDING PHASE2. CLOTHING PHASE3. ORGANIZING PHASE GRANULATION STAGE EPITHELIZATION STAGE4. ANGIOGENESIS / NEURO-VASCULARIZATION PHASE5. NEW BONE FORMATION PHASE BONE GROWTH

STAGE FIBRO-CALLUS PRIMARY BONE CALLUS SCUNDARY BONE CALLUS6. REMODELLING / RECONTRUCTION

INTEGRATION IMPLANT

1. FIBRO INTEGRATION

2. FIBRO-OSTEO INTEGRATION

3. OSTEO INTEGRATION

4. OSSEOUS INTEGRATION

IMMEDIATE LOADING IMPLANT BONE TYPE : 1 OR 2 CLASIFICATIONS BONE JAW : A OR B DIAMETER IMPLAN PANJANG IMPLAN TEKANAN KUNYAH IMPLANT BAD PREPARATION INFRACLUSION DLL.

TEKANAN KUNYAH DITERIMA SECARA MEKANIK PERMUKAAN IMPLAN DENGAN TULANG TREATH ULIR IMPLAN DAN ULIR TULANG BENTUK MENGECIL KEARAH APIKAL IMPLAN UJUNG IMPLAN LANGSUNG DISALURKAN KE TULANG SECARA

VETKAL.

TEKANAN KUNYAH

I. L. IMPLANT

.

I. L. IMPLANT

.

SEKIAN DAN TERIMA KASIH

biologic response

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