-Dental implants (features and materials)

-Medical and dental evaluation before implant placement

-Techniques of implant placement

-Surgical and post-surgical complications

-Providers of implant supported prosthesis

Implants have to

bull Induce healing and bone formation bull Be easily removed if needed

bullHave appropriate reactions with surrounding living tissues

(biocompatibility)bull Resist the acting loads and probable overloads

bullResist the long-term actions like fatigue corrosion etc

bull Be easily sterilized

Features of the ideal implants

Possible problems upon using the implant materials

- Inflammation - Infection- Rejection

First Implant Design by Branemark

All the implant designs are obtained by themodification of this design

Titanium Alloys

1048698Easily available1048698Lightweight corrosion resistant easily milled into different shapes while maintaining its strength1048698Forms layer of titanium oxide which is a stable and reactive interface that becomes coated with plasma proteins1048698Ti-6Al-4V was alloyed to create a biocompatible material with added strength

Dental implant materials

Zirconium

1048698 An inert material with very low allergic potential1048698 Has outstanding physical and mechanical qualities1048698 Zirconia implants have proven high level of osseointegration and bone-to-implant contact

Dental implant materials (cont)

Dental implants with rough surfaces have been designed to improve early healing especially in areas of poor bone or insufficient bone quantity 1048698 Acid-etching1048698More threads1048698Coating implant surface with different materials that can enhance the healing -Plasma -hydroxyapatite -Bone morphogenic protein -Osteoprotein

Dental implant surface treatment

Implant

Bone

thread

Ast

ra T

ech

IT

IB

icon

More than 350 implant systems and 145 manufacturers

1- Having no disease or condition that interferes with proper healing after implant surgery

2- Having enough amount and density of jaw bone to secure the implants

Cardiovascular

Respiratory

Renal

Musculoskeletal

Neurological

Endocrine

Surgical or anesthetic

contraindications

Diabetes Coronary artery disease Alcoholism Drug therapy - anticoagulants

- anti epileptics- antidepressants- others

Osteoporosis Smoking Pregnancy

Bone Quantity Bone Quality Associated structures - inferior alveolar

nerve - mental nerve - maxillary antrum - nasal floor - incisive canal

Pathology - periapical pathology - cysts - other pathology

- OPG - Lateral

Cephalogram - PeriapicalsCT Scan - Axial

- Coronal - 3D

reconstruction - Dentascan

- MR

Bone quantity

Bone width

Bone height

Bone quality

DDDDD

D1 D2 D3 D4

Bone Quality relates to the degree of bone density present Type 1 is dense bone which provides great cortical anchorage but limited vascularity Type 2 bone is the best bone for osseointegration of dental implants It provides good cortical anchorage for primary stability yet has better vascularity than Type 1 boneTypes 3 and 4 are soft bone textures with the least success in type 4 bone

Surgical timingThere are different approaches to place dental implants after tooth extraction The approaches areImmediate post-extraction implant placementDelayed immediate post-extraction implant placement (2 weeks to 3 months after extraction)Late implantation (3 months or more after tooth extraction)

Implant placement

Surgical approach- Raising a mucoperiosteal flap - Flapless technique

Implant placement (cont)

Surgical procedure - Two - stage technique - One - stage technique

INITIAL SURGERY INITIAL INITIAL SURGERY

Placement of implants by raising a mucoperiosteal flap

Two-stage implant placement procedure

Stage one

Stage two

1111 222 3

5 7

4

6

2

8

One- stage implant placement

One- stage implant placement) cont(

A surgical approach of implant placement without raising a mucoperiosteal flap

Flapless technique

Advantages

-Shorter and faster surgical treatment procedure of implant placement and by that less time is needed for the complete implant-prosthetic restoration-Minimal bleeding and postoperative discomfort for the patient

- Possibility of immediate loading of the inserted implant-

Immediate implantation

An implant can be placed on the same day as an extraction if good amount of bone is available and if there is no any infection

around the existing tooth

When teeth are lost bone will shrink in several dimensions Placing an implant immediately can reduce this bone loss and provide a better esthetic

result

Surgical and post-surgical complications

- Bleeding and bruising - Post-surgical pain -Post-surgical infection -Chronic pain

-Delayed healing - Hematoma-Abscess -Gingivitis

-Osteomyelitis-Sequestrum - Local or systemic

infection-Bone fracture - Loss of alveolar

ridge--Fistula to nose or sinus -Temporary speech

problems-Transient or permanent damage to the nerves

in the jaw

Success Rates

Who can provide implant supported dental prosthesis

The general dentist is usually the first resource for this service The key is the implant dentistrsquos training experience and credentials

Competent dentists include periodontists prosthodontists and oral surgeons who perform surgical andor restorative procedures

Implants have to

bull Induce healing and bone formation bull Be easily removed if needed

bullHave appropriate reactions with surrounding living tissues

(biocompatibility)bull Resist the acting loads and probable overloads

bullResist the long-term actions like fatigue corrosion etc

bull Be easily sterilized

Features of the ideal implants

Possible problems upon using the implant materials

- Inflammation - Infection- Rejection

First Implant Design by Branemark

All the implant designs are obtained by themodification of this design

Titanium Alloys

1048698Easily available1048698Lightweight corrosion resistant easily milled into different shapes while maintaining its strength1048698Forms layer of titanium oxide which is a stable and reactive interface that becomes coated with plasma proteins1048698Ti-6Al-4V was alloyed to create a biocompatible material with added strength

Dental implant materials

Zirconium

1048698 An inert material with very low allergic potential1048698 Has outstanding physical and mechanical qualities1048698 Zirconia implants have proven high level of osseointegration and bone-to-implant contact

Dental implant materials (cont)

Dental implants with rough surfaces have been designed to improve early healing especially in areas of poor bone or insufficient bone quantity 1048698 Acid-etching1048698More threads1048698Coating implant surface with different materials that can enhance the healing -Plasma -hydroxyapatite -Bone morphogenic protein -Osteoprotein

Dental implant surface treatment

Implant

Bone

thread

Ast

ra T

ech

IT

IB

icon

More than 350 implant systems and 145 manufacturers

1- Having no disease or condition that interferes with proper healing after implant surgery

2- Having enough amount and density of jaw bone to secure the implants

Cardiovascular

Respiratory

Renal

Musculoskeletal

Neurological

Endocrine

Surgical or anesthetic

contraindications

Diabetes Coronary artery disease Alcoholism Drug therapy - anticoagulants

- anti epileptics- antidepressants- others

Osteoporosis Smoking Pregnancy

Bone Quantity Bone Quality Associated structures - inferior alveolar

nerve - mental nerve - maxillary antrum - nasal floor - incisive canal

Pathology - periapical pathology - cysts - other pathology

- OPG - Lateral

Cephalogram - PeriapicalsCT Scan - Axial

- Coronal - 3D

reconstruction - Dentascan

- MR

Bone quantity

Bone width

Bone height

Bone quality

DDDDD

D1 D2 D3 D4

Bone Quality relates to the degree of bone density present Type 1 is dense bone which provides great cortical anchorage but limited vascularity Type 2 bone is the best bone for osseointegration of dental implants It provides good cortical anchorage for primary stability yet has better vascularity than Type 1 boneTypes 3 and 4 are soft bone textures with the least success in type 4 bone

Surgical timingThere are different approaches to place dental implants after tooth extraction The approaches areImmediate post-extraction implant placementDelayed immediate post-extraction implant placement (2 weeks to 3 months after extraction)Late implantation (3 months or more after tooth extraction)

Implant placement

Surgical approach- Raising a mucoperiosteal flap - Flapless technique

Implant placement (cont)

Surgical procedure - Two - stage technique - One - stage technique

INITIAL SURGERY INITIAL INITIAL SURGERY

Placement of implants by raising a mucoperiosteal flap

Two-stage implant placement procedure

Stage one

Stage two

1111 222 3

5 7

4

6

2

8

One- stage implant placement

One- stage implant placement) cont(

A surgical approach of implant placement without raising a mucoperiosteal flap

Flapless technique

Advantages

-Shorter and faster surgical treatment procedure of implant placement and by that less time is needed for the complete implant-prosthetic restoration-Minimal bleeding and postoperative discomfort for the patient

- Possibility of immediate loading of the inserted implant-

Immediate implantation

An implant can be placed on the same day as an extraction if good amount of bone is available and if there is no any infection

around the existing tooth

When teeth are lost bone will shrink in several dimensions Placing an implant immediately can reduce this bone loss and provide a better esthetic

result

Surgical and post-surgical complications

- Bleeding and bruising - Post-surgical pain -Post-surgical infection -Chronic pain

-Delayed healing - Hematoma-Abscess -Gingivitis

-Osteomyelitis-Sequestrum - Local or systemic

infection-Bone fracture - Loss of alveolar

ridge--Fistula to nose or sinus -Temporary speech

problems-Transient or permanent damage to the nerves

in the jaw

Success Rates

Who can provide implant supported dental prosthesis

The general dentist is usually the first resource for this service The key is the implant dentistrsquos training experience and credentials

Competent dentists include periodontists prosthodontists and oral surgeons who perform surgical andor restorative procedures

Possible problems upon using the implant materials

- Inflammation - Infection- Rejection

First Implant Design by Branemark

All the implant designs are obtained by themodification of this design

Titanium Alloys

1048698Easily available1048698Lightweight corrosion resistant easily milled into different shapes while maintaining its strength1048698Forms layer of titanium oxide which is a stable and reactive interface that becomes coated with plasma proteins1048698Ti-6Al-4V was alloyed to create a biocompatible material with added strength

Dental implant materials

Zirconium

1048698 An inert material with very low allergic potential1048698 Has outstanding physical and mechanical qualities1048698 Zirconia implants have proven high level of osseointegration and bone-to-implant contact

Dental implant materials (cont)

Dental implants with rough surfaces have been designed to improve early healing especially in areas of poor bone or insufficient bone quantity 1048698 Acid-etching1048698More threads1048698Coating implant surface with different materials that can enhance the healing -Plasma -hydroxyapatite -Bone morphogenic protein -Osteoprotein

Dental implant surface treatment

Implant

Bone

thread

Ast

ra T

ech

IT

IB

icon

More than 350 implant systems and 145 manufacturers

1- Having no disease or condition that interferes with proper healing after implant surgery

2- Having enough amount and density of jaw bone to secure the implants

Cardiovascular

Respiratory

Renal

Musculoskeletal

Neurological

Endocrine

Surgical or anesthetic

contraindications

Diabetes Coronary artery disease Alcoholism Drug therapy - anticoagulants

- anti epileptics- antidepressants- others

Osteoporosis Smoking Pregnancy

Bone Quantity Bone Quality Associated structures - inferior alveolar

nerve - mental nerve - maxillary antrum - nasal floor - incisive canal

Pathology - periapical pathology - cysts - other pathology

- OPG - Lateral

Cephalogram - PeriapicalsCT Scan - Axial

- Coronal - 3D

reconstruction - Dentascan

- MR

Bone quantity

Bone width

Bone height

Bone quality

DDDDD

D1 D2 D3 D4

Bone Quality relates to the degree of bone density present Type 1 is dense bone which provides great cortical anchorage but limited vascularity Type 2 bone is the best bone for osseointegration of dental implants It provides good cortical anchorage for primary stability yet has better vascularity than Type 1 boneTypes 3 and 4 are soft bone textures with the least success in type 4 bone

Surgical timingThere are different approaches to place dental implants after tooth extraction The approaches areImmediate post-extraction implant placementDelayed immediate post-extraction implant placement (2 weeks to 3 months after extraction)Late implantation (3 months or more after tooth extraction)

Implant placement

Surgical approach- Raising a mucoperiosteal flap - Flapless technique

Implant placement (cont)

Surgical procedure - Two - stage technique - One - stage technique

INITIAL SURGERY INITIAL INITIAL SURGERY

Placement of implants by raising a mucoperiosteal flap

Two-stage implant placement procedure

Stage one

Stage two

1111 222 3

5 7

4

6

2

8

One- stage implant placement

One- stage implant placement) cont(

A surgical approach of implant placement without raising a mucoperiosteal flap

Flapless technique

Advantages

-Shorter and faster surgical treatment procedure of implant placement and by that less time is needed for the complete implant-prosthetic restoration-Minimal bleeding and postoperative discomfort for the patient

- Possibility of immediate loading of the inserted implant-

Immediate implantation

An implant can be placed on the same day as an extraction if good amount of bone is available and if there is no any infection

around the existing tooth

When teeth are lost bone will shrink in several dimensions Placing an implant immediately can reduce this bone loss and provide a better esthetic

result

Surgical and post-surgical complications

- Bleeding and bruising - Post-surgical pain -Post-surgical infection -Chronic pain

-Delayed healing - Hematoma-Abscess -Gingivitis

-Osteomyelitis-Sequestrum - Local or systemic

infection-Bone fracture - Loss of alveolar

ridge--Fistula to nose or sinus -Temporary speech

problems-Transient or permanent damage to the nerves

in the jaw

Success Rates

Who can provide implant supported dental prosthesis

The general dentist is usually the first resource for this service The key is the implant dentistrsquos training experience and credentials

Competent dentists include periodontists prosthodontists and oral surgeons who perform surgical andor restorative procedures

First Implant Design by Branemark

All the implant designs are obtained by themodification of this design

Titanium Alloys

1048698Easily available1048698Lightweight corrosion resistant easily milled into different shapes while maintaining its strength1048698Forms layer of titanium oxide which is a stable and reactive interface that becomes coated with plasma proteins1048698Ti-6Al-4V was alloyed to create a biocompatible material with added strength

Dental implant materials

Zirconium

1048698 An inert material with very low allergic potential1048698 Has outstanding physical and mechanical qualities1048698 Zirconia implants have proven high level of osseointegration and bone-to-implant contact

Dental implant materials (cont)

Dental implants with rough surfaces have been designed to improve early healing especially in areas of poor bone or insufficient bone quantity 1048698 Acid-etching1048698More threads1048698Coating implant surface with different materials that can enhance the healing -Plasma -hydroxyapatite -Bone morphogenic protein -Osteoprotein

Dental implant surface treatment

Implant

Bone

thread

Ast

ra T

ech

IT

IB

icon

More than 350 implant systems and 145 manufacturers

1- Having no disease or condition that interferes with proper healing after implant surgery

2- Having enough amount and density of jaw bone to secure the implants

Cardiovascular

Respiratory

Renal

Musculoskeletal

Neurological

Endocrine

Surgical or anesthetic

contraindications

Diabetes Coronary artery disease Alcoholism Drug therapy - anticoagulants

- anti epileptics- antidepressants- others

Osteoporosis Smoking Pregnancy

Bone Quantity Bone Quality Associated structures - inferior alveolar

nerve - mental nerve - maxillary antrum - nasal floor - incisive canal

Pathology - periapical pathology - cysts - other pathology

- OPG - Lateral

Cephalogram - PeriapicalsCT Scan - Axial

- Coronal - 3D

reconstruction - Dentascan

- MR

Bone quantity

Bone width

Bone height

Bone quality

DDDDD

D1 D2 D3 D4

Bone Quality relates to the degree of bone density present Type 1 is dense bone which provides great cortical anchorage but limited vascularity Type 2 bone is the best bone for osseointegration of dental implants It provides good cortical anchorage for primary stability yet has better vascularity than Type 1 boneTypes 3 and 4 are soft bone textures with the least success in type 4 bone

Surgical timingThere are different approaches to place dental implants after tooth extraction The approaches areImmediate post-extraction implant placementDelayed immediate post-extraction implant placement (2 weeks to 3 months after extraction)Late implantation (3 months or more after tooth extraction)

Implant placement

Surgical approach- Raising a mucoperiosteal flap - Flapless technique

Implant placement (cont)

Surgical procedure - Two - stage technique - One - stage technique

INITIAL SURGERY INITIAL INITIAL SURGERY

Placement of implants by raising a mucoperiosteal flap

Two-stage implant placement procedure

Stage one

Stage two

1111 222 3

5 7

4

6

2

8

One- stage implant placement

One- stage implant placement) cont(

A surgical approach of implant placement without raising a mucoperiosteal flap

Flapless technique

Advantages

-Shorter and faster surgical treatment procedure of implant placement and by that less time is needed for the complete implant-prosthetic restoration-Minimal bleeding and postoperative discomfort for the patient

- Possibility of immediate loading of the inserted implant-

Immediate implantation

An implant can be placed on the same day as an extraction if good amount of bone is available and if there is no any infection

around the existing tooth

When teeth are lost bone will shrink in several dimensions Placing an implant immediately can reduce this bone loss and provide a better esthetic

result

Surgical and post-surgical complications

- Bleeding and bruising - Post-surgical pain -Post-surgical infection -Chronic pain

-Delayed healing - Hematoma-Abscess -Gingivitis

-Osteomyelitis-Sequestrum - Local or systemic

infection-Bone fracture - Loss of alveolar

ridge--Fistula to nose or sinus -Temporary speech

problems-Transient or permanent damage to the nerves

in the jaw

Success Rates

Who can provide implant supported dental prosthesis

The general dentist is usually the first resource for this service The key is the implant dentistrsquos training experience and credentials

Competent dentists include periodontists prosthodontists and oral surgeons who perform surgical andor restorative procedures

Titanium Alloys

1048698Easily available1048698Lightweight corrosion resistant easily milled into different shapes while maintaining its strength1048698Forms layer of titanium oxide which is a stable and reactive interface that becomes coated with plasma proteins1048698Ti-6Al-4V was alloyed to create a biocompatible material with added strength

Dental implant materials

Zirconium

1048698 An inert material with very low allergic potential1048698 Has outstanding physical and mechanical qualities1048698 Zirconia implants have proven high level of osseointegration and bone-to-implant contact

Dental implant materials (cont)

Dental implants with rough surfaces have been designed to improve early healing especially in areas of poor bone or insufficient bone quantity 1048698 Acid-etching1048698More threads1048698Coating implant surface with different materials that can enhance the healing -Plasma -hydroxyapatite -Bone morphogenic protein -Osteoprotein

Dental implant surface treatment

Implant

Bone

thread

Ast

ra T

ech

IT

IB

icon

More than 350 implant systems and 145 manufacturers

1- Having no disease or condition that interferes with proper healing after implant surgery

2- Having enough amount and density of jaw bone to secure the implants

Cardiovascular

Respiratory

Renal

Musculoskeletal

Neurological

Endocrine

Surgical or anesthetic

contraindications

Diabetes Coronary artery disease Alcoholism Drug therapy - anticoagulants

- anti epileptics- antidepressants- others

Osteoporosis Smoking Pregnancy

Bone Quantity Bone Quality Associated structures - inferior alveolar

nerve - mental nerve - maxillary antrum - nasal floor - incisive canal

Pathology - periapical pathology - cysts - other pathology

- OPG - Lateral

Cephalogram - PeriapicalsCT Scan - Axial

- Coronal - 3D

reconstruction - Dentascan

- MR

Bone quantity

Bone width

Bone height

Bone quality

DDDDD

D1 D2 D3 D4

Bone Quality relates to the degree of bone density present Type 1 is dense bone which provides great cortical anchorage but limited vascularity Type 2 bone is the best bone for osseointegration of dental implants It provides good cortical anchorage for primary stability yet has better vascularity than Type 1 boneTypes 3 and 4 are soft bone textures with the least success in type 4 bone

Surgical timingThere are different approaches to place dental implants after tooth extraction The approaches areImmediate post-extraction implant placementDelayed immediate post-extraction implant placement (2 weeks to 3 months after extraction)Late implantation (3 months or more after tooth extraction)

Implant placement

Surgical approach- Raising a mucoperiosteal flap - Flapless technique

Implant placement (cont)

Surgical procedure - Two - stage technique - One - stage technique

INITIAL SURGERY INITIAL INITIAL SURGERY

Placement of implants by raising a mucoperiosteal flap

Two-stage implant placement procedure

Stage one

Stage two

1111 222 3

5 7

4

6

2

8

One- stage implant placement

One- stage implant placement) cont(

A surgical approach of implant placement without raising a mucoperiosteal flap

Flapless technique

Advantages

-Shorter and faster surgical treatment procedure of implant placement and by that less time is needed for the complete implant-prosthetic restoration-Minimal bleeding and postoperative discomfort for the patient

- Possibility of immediate loading of the inserted implant-

Immediate implantation

An implant can be placed on the same day as an extraction if good amount of bone is available and if there is no any infection

around the existing tooth

When teeth are lost bone will shrink in several dimensions Placing an implant immediately can reduce this bone loss and provide a better esthetic

result

Surgical and post-surgical complications

- Bleeding and bruising - Post-surgical pain -Post-surgical infection -Chronic pain

-Delayed healing - Hematoma-Abscess -Gingivitis

-Osteomyelitis-Sequestrum - Local or systemic

infection-Bone fracture - Loss of alveolar

ridge--Fistula to nose or sinus -Temporary speech

problems-Transient or permanent damage to the nerves

in the jaw

Success Rates

Who can provide implant supported dental prosthesis

The general dentist is usually the first resource for this service The key is the implant dentistrsquos training experience and credentials

Competent dentists include periodontists prosthodontists and oral surgeons who perform surgical andor restorative procedures

Zirconium

1048698 An inert material with very low allergic potential1048698 Has outstanding physical and mechanical qualities1048698 Zirconia implants have proven high level of osseointegration and bone-to-implant contact

Dental implant materials (cont)

Dental implants with rough surfaces have been designed to improve early healing especially in areas of poor bone or insufficient bone quantity 1048698 Acid-etching1048698More threads1048698Coating implant surface with different materials that can enhance the healing -Plasma -hydroxyapatite -Bone morphogenic protein -Osteoprotein

Dental implant surface treatment

Implant

Bone

thread

Ast

ra T

ech

IT

IB

icon

More than 350 implant systems and 145 manufacturers

1- Having no disease or condition that interferes with proper healing after implant surgery

2- Having enough amount and density of jaw bone to secure the implants

Cardiovascular

Respiratory

Renal

Musculoskeletal

Neurological

Endocrine

Surgical or anesthetic

contraindications

Diabetes Coronary artery disease Alcoholism Drug therapy - anticoagulants

- anti epileptics- antidepressants- others

Osteoporosis Smoking Pregnancy

Bone Quantity Bone Quality Associated structures - inferior alveolar

nerve - mental nerve - maxillary antrum - nasal floor - incisive canal

Pathology - periapical pathology - cysts - other pathology

- OPG - Lateral

Cephalogram - PeriapicalsCT Scan - Axial

- Coronal - 3D

reconstruction - Dentascan

- MR

Bone quantity

Bone width

Bone height

Bone quality

DDDDD

D1 D2 D3 D4

Bone Quality relates to the degree of bone density present Type 1 is dense bone which provides great cortical anchorage but limited vascularity Type 2 bone is the best bone for osseointegration of dental implants It provides good cortical anchorage for primary stability yet has better vascularity than Type 1 boneTypes 3 and 4 are soft bone textures with the least success in type 4 bone

Surgical timingThere are different approaches to place dental implants after tooth extraction The approaches areImmediate post-extraction implant placementDelayed immediate post-extraction implant placement (2 weeks to 3 months after extraction)Late implantation (3 months or more after tooth extraction)

Implant placement

Surgical approach- Raising a mucoperiosteal flap - Flapless technique

Implant placement (cont)

Surgical procedure - Two - stage technique - One - stage technique

INITIAL SURGERY INITIAL INITIAL SURGERY

Placement of implants by raising a mucoperiosteal flap

Two-stage implant placement procedure

Stage one

Stage two

1111 222 3

5 7

4

6

2

8

One- stage implant placement

One- stage implant placement) cont(

A surgical approach of implant placement without raising a mucoperiosteal flap

Flapless technique

Advantages

-Shorter and faster surgical treatment procedure of implant placement and by that less time is needed for the complete implant-prosthetic restoration-Minimal bleeding and postoperative discomfort for the patient

- Possibility of immediate loading of the inserted implant-

Immediate implantation

An implant can be placed on the same day as an extraction if good amount of bone is available and if there is no any infection

around the existing tooth

When teeth are lost bone will shrink in several dimensions Placing an implant immediately can reduce this bone loss and provide a better esthetic

result

Surgical and post-surgical complications

- Bleeding and bruising - Post-surgical pain -Post-surgical infection -Chronic pain

-Delayed healing - Hematoma-Abscess -Gingivitis

-Osteomyelitis-Sequestrum - Local or systemic

infection-Bone fracture - Loss of alveolar

ridge--Fistula to nose or sinus -Temporary speech

problems-Transient or permanent damage to the nerves

in the jaw

Success Rates

Who can provide implant supported dental prosthesis

The general dentist is usually the first resource for this service The key is the implant dentistrsquos training experience and credentials

Competent dentists include periodontists prosthodontists and oral surgeons who perform surgical andor restorative procedures

Dental implants with rough surfaces have been designed to improve early healing especially in areas of poor bone or insufficient bone quantity 1048698 Acid-etching1048698More threads1048698Coating implant surface with different materials that can enhance the healing -Plasma -hydroxyapatite -Bone morphogenic protein -Osteoprotein

Dental implant surface treatment

Implant

Bone

thread

Ast

ra T

ech

IT

IB

icon

More than 350 implant systems and 145 manufacturers

1- Having no disease or condition that interferes with proper healing after implant surgery

2- Having enough amount and density of jaw bone to secure the implants

Cardiovascular

Respiratory

Renal

Musculoskeletal

Neurological

Endocrine

Surgical or anesthetic

contraindications

Diabetes Coronary artery disease Alcoholism Drug therapy - anticoagulants

- anti epileptics- antidepressants- others

Osteoporosis Smoking Pregnancy

Bone Quantity Bone Quality Associated structures - inferior alveolar

nerve - mental nerve - maxillary antrum - nasal floor - incisive canal

Pathology - periapical pathology - cysts - other pathology

- OPG - Lateral

Cephalogram - PeriapicalsCT Scan - Axial

- Coronal - 3D

reconstruction - Dentascan

- MR

Bone quantity

Bone width

Bone height

Bone quality

DDDDD

D1 D2 D3 D4

Bone Quality relates to the degree of bone density present Type 1 is dense bone which provides great cortical anchorage but limited vascularity Type 2 bone is the best bone for osseointegration of dental implants It provides good cortical anchorage for primary stability yet has better vascularity than Type 1 boneTypes 3 and 4 are soft bone textures with the least success in type 4 bone

Surgical timingThere are different approaches to place dental implants after tooth extraction The approaches areImmediate post-extraction implant placementDelayed immediate post-extraction implant placement (2 weeks to 3 months after extraction)Late implantation (3 months or more after tooth extraction)

Implant placement

Surgical approach- Raising a mucoperiosteal flap - Flapless technique

Implant placement (cont)

Surgical procedure - Two - stage technique - One - stage technique

INITIAL SURGERY INITIAL INITIAL SURGERY

Placement of implants by raising a mucoperiosteal flap

Two-stage implant placement procedure

Stage one

Stage two

1111 222 3

5 7

4

6

2

8

One- stage implant placement

One- stage implant placement) cont(

A surgical approach of implant placement without raising a mucoperiosteal flap

Flapless technique

Advantages

-Shorter and faster surgical treatment procedure of implant placement and by that less time is needed for the complete implant-prosthetic restoration-Minimal bleeding and postoperative discomfort for the patient

- Possibility of immediate loading of the inserted implant-

Immediate implantation

An implant can be placed on the same day as an extraction if good amount of bone is available and if there is no any infection

around the existing tooth

When teeth are lost bone will shrink in several dimensions Placing an implant immediately can reduce this bone loss and provide a better esthetic

result

Surgical and post-surgical complications

- Bleeding and bruising - Post-surgical pain -Post-surgical infection -Chronic pain

-Delayed healing - Hematoma-Abscess -Gingivitis

-Osteomyelitis-Sequestrum - Local or systemic

infection-Bone fracture - Loss of alveolar

ridge--Fistula to nose or sinus -Temporary speech

problems-Transient or permanent damage to the nerves

in the jaw

Success Rates

Who can provide implant supported dental prosthesis

The general dentist is usually the first resource for this service The key is the implant dentistrsquos training experience and credentials

Competent dentists include periodontists prosthodontists and oral surgeons who perform surgical andor restorative procedures

Implant

Bone

thread

Ast

ra T

ech

IT

IB

icon

More than 350 implant systems and 145 manufacturers

1- Having no disease or condition that interferes with proper healing after implant surgery

2- Having enough amount and density of jaw bone to secure the implants

Cardiovascular

Respiratory

Renal

Musculoskeletal

Neurological

Endocrine

Surgical or anesthetic

contraindications

Diabetes Coronary artery disease Alcoholism Drug therapy - anticoagulants

- anti epileptics- antidepressants- others

Osteoporosis Smoking Pregnancy

Bone Quantity Bone Quality Associated structures - inferior alveolar

nerve - mental nerve - maxillary antrum - nasal floor - incisive canal

Pathology - periapical pathology - cysts - other pathology

- OPG - Lateral

Cephalogram - PeriapicalsCT Scan - Axial

- Coronal - 3D

reconstruction - Dentascan

- MR

Bone quantity

Bone width

Bone height

Bone quality

DDDDD

D1 D2 D3 D4

Bone Quality relates to the degree of bone density present Type 1 is dense bone which provides great cortical anchorage but limited vascularity Type 2 bone is the best bone for osseointegration of dental implants It provides good cortical anchorage for primary stability yet has better vascularity than Type 1 boneTypes 3 and 4 are soft bone textures with the least success in type 4 bone

Surgical timingThere are different approaches to place dental implants after tooth extraction The approaches areImmediate post-extraction implant placementDelayed immediate post-extraction implant placement (2 weeks to 3 months after extraction)Late implantation (3 months or more after tooth extraction)

Implant placement

Surgical approach- Raising a mucoperiosteal flap - Flapless technique

Implant placement (cont)

Surgical procedure - Two - stage technique - One - stage technique

INITIAL SURGERY INITIAL INITIAL SURGERY

Placement of implants by raising a mucoperiosteal flap

Two-stage implant placement procedure

Stage one

Stage two

1111 222 3

5 7

4

6

2

8

One- stage implant placement

One- stage implant placement) cont(

A surgical approach of implant placement without raising a mucoperiosteal flap

Flapless technique

Advantages

-Shorter and faster surgical treatment procedure of implant placement and by that less time is needed for the complete implant-prosthetic restoration-Minimal bleeding and postoperative discomfort for the patient

- Possibility of immediate loading of the inserted implant-

Immediate implantation

An implant can be placed on the same day as an extraction if good amount of bone is available and if there is no any infection

around the existing tooth

When teeth are lost bone will shrink in several dimensions Placing an implant immediately can reduce this bone loss and provide a better esthetic

result

Surgical and post-surgical complications

- Bleeding and bruising - Post-surgical pain -Post-surgical infection -Chronic pain

-Delayed healing - Hematoma-Abscess -Gingivitis

-Osteomyelitis-Sequestrum - Local or systemic

infection-Bone fracture - Loss of alveolar

ridge--Fistula to nose or sinus -Temporary speech

problems-Transient or permanent damage to the nerves

in the jaw

Success Rates

Who can provide implant supported dental prosthesis

The general dentist is usually the first resource for this service The key is the implant dentistrsquos training experience and credentials

Competent dentists include periodontists prosthodontists and oral surgeons who perform surgical andor restorative procedures

Ast

ra T

ech

IT

IB

icon

More than 350 implant systems and 145 manufacturers

1- Having no disease or condition that interferes with proper healing after implant surgery

2- Having enough amount and density of jaw bone to secure the implants

Cardiovascular

Respiratory

Renal

Musculoskeletal

Neurological

Endocrine

Surgical or anesthetic

contraindications

Diabetes Coronary artery disease Alcoholism Drug therapy - anticoagulants

- anti epileptics- antidepressants- others

Osteoporosis Smoking Pregnancy

Bone Quantity Bone Quality Associated structures - inferior alveolar

nerve - mental nerve - maxillary antrum - nasal floor - incisive canal

Pathology - periapical pathology - cysts - other pathology

- OPG - Lateral

Cephalogram - PeriapicalsCT Scan - Axial

- Coronal - 3D

reconstruction - Dentascan

- MR

Bone quantity

Bone width

Bone height

Bone quality

DDDDD

D1 D2 D3 D4

Bone Quality relates to the degree of bone density present Type 1 is dense bone which provides great cortical anchorage but limited vascularity Type 2 bone is the best bone for osseointegration of dental implants It provides good cortical anchorage for primary stability yet has better vascularity than Type 1 boneTypes 3 and 4 are soft bone textures with the least success in type 4 bone

Surgical timingThere are different approaches to place dental implants after tooth extraction The approaches areImmediate post-extraction implant placementDelayed immediate post-extraction implant placement (2 weeks to 3 months after extraction)Late implantation (3 months or more after tooth extraction)

Implant placement

Surgical approach- Raising a mucoperiosteal flap - Flapless technique

Implant placement (cont)

Surgical procedure - Two - stage technique - One - stage technique

INITIAL SURGERY INITIAL INITIAL SURGERY

Placement of implants by raising a mucoperiosteal flap

Two-stage implant placement procedure

Stage one

Stage two

1111 222 3

5 7

4

6

2

8

One- stage implant placement

One- stage implant placement) cont(

A surgical approach of implant placement without raising a mucoperiosteal flap

Flapless technique

Advantages

-Shorter and faster surgical treatment procedure of implant placement and by that less time is needed for the complete implant-prosthetic restoration-Minimal bleeding and postoperative discomfort for the patient

- Possibility of immediate loading of the inserted implant-

Immediate implantation

An implant can be placed on the same day as an extraction if good amount of bone is available and if there is no any infection

around the existing tooth

When teeth are lost bone will shrink in several dimensions Placing an implant immediately can reduce this bone loss and provide a better esthetic

result

Surgical and post-surgical complications

- Bleeding and bruising - Post-surgical pain -Post-surgical infection -Chronic pain

-Delayed healing - Hematoma-Abscess -Gingivitis

-Osteomyelitis-Sequestrum - Local or systemic

infection-Bone fracture - Loss of alveolar

ridge--Fistula to nose or sinus -Temporary speech

problems-Transient or permanent damage to the nerves

in the jaw

Success Rates

Who can provide implant supported dental prosthesis

The general dentist is usually the first resource for this service The key is the implant dentistrsquos training experience and credentials

Competent dentists include periodontists prosthodontists and oral surgeons who perform surgical andor restorative procedures

1- Having no disease or condition that interferes with proper healing after implant surgery

2- Having enough amount and density of jaw bone to secure the implants

Cardiovascular

Respiratory

Renal

Musculoskeletal

Neurological

Endocrine

Surgical or anesthetic

contraindications

Diabetes Coronary artery disease Alcoholism Drug therapy - anticoagulants

- anti epileptics- antidepressants- others

Osteoporosis Smoking Pregnancy

Bone Quantity Bone Quality Associated structures - inferior alveolar

nerve - mental nerve - maxillary antrum - nasal floor - incisive canal

Pathology - periapical pathology - cysts - other pathology

- OPG - Lateral

Cephalogram - PeriapicalsCT Scan - Axial

- Coronal - 3D

reconstruction - Dentascan

- MR

Bone quantity

Bone width

Bone height

Bone quality

DDDDD

D1 D2 D3 D4

Bone Quality relates to the degree of bone density present Type 1 is dense bone which provides great cortical anchorage but limited vascularity Type 2 bone is the best bone for osseointegration of dental implants It provides good cortical anchorage for primary stability yet has better vascularity than Type 1 boneTypes 3 and 4 are soft bone textures with the least success in type 4 bone

Surgical timingThere are different approaches to place dental implants after tooth extraction The approaches areImmediate post-extraction implant placementDelayed immediate post-extraction implant placement (2 weeks to 3 months after extraction)Late implantation (3 months or more after tooth extraction)

Implant placement

Surgical approach- Raising a mucoperiosteal flap - Flapless technique

Implant placement (cont)

Surgical procedure - Two - stage technique - One - stage technique

INITIAL SURGERY INITIAL INITIAL SURGERY

Placement of implants by raising a mucoperiosteal flap

Two-stage implant placement procedure

Stage one

Stage two

1111 222 3

5 7

4

6

2

8

One- stage implant placement

One- stage implant placement) cont(

A surgical approach of implant placement without raising a mucoperiosteal flap

Flapless technique

Advantages

-Shorter and faster surgical treatment procedure of implant placement and by that less time is needed for the complete implant-prosthetic restoration-Minimal bleeding and postoperative discomfort for the patient

- Possibility of immediate loading of the inserted implant-

Immediate implantation

An implant can be placed on the same day as an extraction if good amount of bone is available and if there is no any infection

around the existing tooth

When teeth are lost bone will shrink in several dimensions Placing an implant immediately can reduce this bone loss and provide a better esthetic

result

Surgical and post-surgical complications

- Bleeding and bruising - Post-surgical pain -Post-surgical infection -Chronic pain

-Delayed healing - Hematoma-Abscess -Gingivitis

-Osteomyelitis-Sequestrum - Local or systemic

infection-Bone fracture - Loss of alveolar

ridge--Fistula to nose or sinus -Temporary speech

problems-Transient or permanent damage to the nerves

in the jaw

Success Rates

Who can provide implant supported dental prosthesis

The general dentist is usually the first resource for this service The key is the implant dentistrsquos training experience and credentials

Competent dentists include periodontists prosthodontists and oral surgeons who perform surgical andor restorative procedures

Cardiovascular

Respiratory

Renal

Musculoskeletal

Neurological

Endocrine

Surgical or anesthetic

contraindications

Diabetes Coronary artery disease Alcoholism Drug therapy - anticoagulants

- anti epileptics- antidepressants- others

Osteoporosis Smoking Pregnancy

Bone Quantity Bone Quality Associated structures - inferior alveolar

nerve - mental nerve - maxillary antrum - nasal floor - incisive canal

Pathology - periapical pathology - cysts - other pathology

- OPG - Lateral

Cephalogram - PeriapicalsCT Scan - Axial

- Coronal - 3D

reconstruction - Dentascan

- MR

Bone quantity

Bone width

Bone height

Bone quality

DDDDD

D1 D2 D3 D4

Bone Quality relates to the degree of bone density present Type 1 is dense bone which provides great cortical anchorage but limited vascularity Type 2 bone is the best bone for osseointegration of dental implants It provides good cortical anchorage for primary stability yet has better vascularity than Type 1 boneTypes 3 and 4 are soft bone textures with the least success in type 4 bone

Surgical timingThere are different approaches to place dental implants after tooth extraction The approaches areImmediate post-extraction implant placementDelayed immediate post-extraction implant placement (2 weeks to 3 months after extraction)Late implantation (3 months or more after tooth extraction)

Implant placement

Surgical approach- Raising a mucoperiosteal flap - Flapless technique

Implant placement (cont)

Surgical procedure - Two - stage technique - One - stage technique

INITIAL SURGERY INITIAL INITIAL SURGERY

Placement of implants by raising a mucoperiosteal flap

Two-stage implant placement procedure

Stage one

Stage two

1111 222 3

5 7

4

6

2

8

One- stage implant placement

One- stage implant placement) cont(

A surgical approach of implant placement without raising a mucoperiosteal flap

Flapless technique

Advantages

-Shorter and faster surgical treatment procedure of implant placement and by that less time is needed for the complete implant-prosthetic restoration-Minimal bleeding and postoperative discomfort for the patient

- Possibility of immediate loading of the inserted implant-

Immediate implantation

An implant can be placed on the same day as an extraction if good amount of bone is available and if there is no any infection

around the existing tooth

When teeth are lost bone will shrink in several dimensions Placing an implant immediately can reduce this bone loss and provide a better esthetic

result

Surgical and post-surgical complications

- Bleeding and bruising - Post-surgical pain -Post-surgical infection -Chronic pain

-Delayed healing - Hematoma-Abscess -Gingivitis

-Osteomyelitis-Sequestrum - Local or systemic

infection-Bone fracture - Loss of alveolar

ridge--Fistula to nose or sinus -Temporary speech

problems-Transient or permanent damage to the nerves

in the jaw

Success Rates

Who can provide implant supported dental prosthesis

The general dentist is usually the first resource for this service The key is the implant dentistrsquos training experience and credentials

Competent dentists include periodontists prosthodontists and oral surgeons who perform surgical andor restorative procedures

Diabetes Coronary artery disease Alcoholism Drug therapy - anticoagulants

- anti epileptics- antidepressants- others

Osteoporosis Smoking Pregnancy

Bone Quantity Bone Quality Associated structures - inferior alveolar

nerve - mental nerve - maxillary antrum - nasal floor - incisive canal

Pathology - periapical pathology - cysts - other pathology

- OPG - Lateral

Cephalogram - PeriapicalsCT Scan - Axial

- Coronal - 3D

reconstruction - Dentascan

- MR

Bone quantity

Bone width

Bone height

Bone quality

DDDDD

D1 D2 D3 D4

Bone Quality relates to the degree of bone density present Type 1 is dense bone which provides great cortical anchorage but limited vascularity Type 2 bone is the best bone for osseointegration of dental implants It provides good cortical anchorage for primary stability yet has better vascularity than Type 1 boneTypes 3 and 4 are soft bone textures with the least success in type 4 bone

Surgical timingThere are different approaches to place dental implants after tooth extraction The approaches areImmediate post-extraction implant placementDelayed immediate post-extraction implant placement (2 weeks to 3 months after extraction)Late implantation (3 months or more after tooth extraction)

Implant placement

Surgical approach- Raising a mucoperiosteal flap - Flapless technique

Implant placement (cont)

Surgical procedure - Two - stage technique - One - stage technique

INITIAL SURGERY INITIAL INITIAL SURGERY

Placement of implants by raising a mucoperiosteal flap

Two-stage implant placement procedure

Stage one

Stage two

1111 222 3

5 7

4

6

2

8

One- stage implant placement

One- stage implant placement) cont(

A surgical approach of implant placement without raising a mucoperiosteal flap

Flapless technique

Advantages

-Shorter and faster surgical treatment procedure of implant placement and by that less time is needed for the complete implant-prosthetic restoration-Minimal bleeding and postoperative discomfort for the patient

- Possibility of immediate loading of the inserted implant-

Immediate implantation

An implant can be placed on the same day as an extraction if good amount of bone is available and if there is no any infection

around the existing tooth

When teeth are lost bone will shrink in several dimensions Placing an implant immediately can reduce this bone loss and provide a better esthetic

result

Surgical and post-surgical complications

- Bleeding and bruising - Post-surgical pain -Post-surgical infection -Chronic pain

-Delayed healing - Hematoma-Abscess -Gingivitis

-Osteomyelitis-Sequestrum - Local or systemic

infection-Bone fracture - Loss of alveolar

ridge--Fistula to nose or sinus -Temporary speech

problems-Transient or permanent damage to the nerves

in the jaw

Success Rates

Who can provide implant supported dental prosthesis

The general dentist is usually the first resource for this service The key is the implant dentistrsquos training experience and credentials

Competent dentists include periodontists prosthodontists and oral surgeons who perform surgical andor restorative procedures

Bone Quantity Bone Quality Associated structures - inferior alveolar

nerve - mental nerve - maxillary antrum - nasal floor - incisive canal

Pathology - periapical pathology - cysts - other pathology

- OPG - Lateral

Cephalogram - PeriapicalsCT Scan - Axial

- Coronal - 3D

reconstruction - Dentascan

- MR

Bone quantity

Bone width

Bone height

Bone quality

DDDDD

D1 D2 D3 D4

Bone Quality relates to the degree of bone density present Type 1 is dense bone which provides great cortical anchorage but limited vascularity Type 2 bone is the best bone for osseointegration of dental implants It provides good cortical anchorage for primary stability yet has better vascularity than Type 1 boneTypes 3 and 4 are soft bone textures with the least success in type 4 bone

Surgical timingThere are different approaches to place dental implants after tooth extraction The approaches areImmediate post-extraction implant placementDelayed immediate post-extraction implant placement (2 weeks to 3 months after extraction)Late implantation (3 months or more after tooth extraction)

Implant placement

Surgical approach- Raising a mucoperiosteal flap - Flapless technique

Implant placement (cont)

Surgical procedure - Two - stage technique - One - stage technique

INITIAL SURGERY INITIAL INITIAL SURGERY

Placement of implants by raising a mucoperiosteal flap

Two-stage implant placement procedure

Stage one

Stage two

1111 222 3

5 7

4

6

2

8

One- stage implant placement

One- stage implant placement) cont(

A surgical approach of implant placement without raising a mucoperiosteal flap

Flapless technique

Advantages

-Shorter and faster surgical treatment procedure of implant placement and by that less time is needed for the complete implant-prosthetic restoration-Minimal bleeding and postoperative discomfort for the patient

- Possibility of immediate loading of the inserted implant-

Immediate implantation

An implant can be placed on the same day as an extraction if good amount of bone is available and if there is no any infection

around the existing tooth

When teeth are lost bone will shrink in several dimensions Placing an implant immediately can reduce this bone loss and provide a better esthetic

result

Surgical and post-surgical complications

- Bleeding and bruising - Post-surgical pain -Post-surgical infection -Chronic pain

-Delayed healing - Hematoma-Abscess -Gingivitis

-Osteomyelitis-Sequestrum - Local or systemic

infection-Bone fracture - Loss of alveolar

ridge--Fistula to nose or sinus -Temporary speech

problems-Transient or permanent damage to the nerves

in the jaw

Success Rates

Who can provide implant supported dental prosthesis

The general dentist is usually the first resource for this service The key is the implant dentistrsquos training experience and credentials

Competent dentists include periodontists prosthodontists and oral surgeons who perform surgical andor restorative procedures

- OPG - Lateral

Cephalogram - PeriapicalsCT Scan - Axial

- Coronal - 3D

reconstruction - Dentascan

- MR

Bone quantity

Bone width

Bone height

Bone quality

DDDDD

D1 D2 D3 D4

Bone Quality relates to the degree of bone density present Type 1 is dense bone which provides great cortical anchorage but limited vascularity Type 2 bone is the best bone for osseointegration of dental implants It provides good cortical anchorage for primary stability yet has better vascularity than Type 1 boneTypes 3 and 4 are soft bone textures with the least success in type 4 bone

Surgical timingThere are different approaches to place dental implants after tooth extraction The approaches areImmediate post-extraction implant placementDelayed immediate post-extraction implant placement (2 weeks to 3 months after extraction)Late implantation (3 months or more after tooth extraction)

Implant placement

Surgical approach- Raising a mucoperiosteal flap - Flapless technique

Implant placement (cont)

Surgical procedure - Two - stage technique - One - stage technique

INITIAL SURGERY INITIAL INITIAL SURGERY

Placement of implants by raising a mucoperiosteal flap

Two-stage implant placement procedure

Stage one

Stage two

1111 222 3

5 7

4

6

2

8

One- stage implant placement

One- stage implant placement) cont(

A surgical approach of implant placement without raising a mucoperiosteal flap

Flapless technique

Advantages

-Shorter and faster surgical treatment procedure of implant placement and by that less time is needed for the complete implant-prosthetic restoration-Minimal bleeding and postoperative discomfort for the patient

- Possibility of immediate loading of the inserted implant-

Immediate implantation

An implant can be placed on the same day as an extraction if good amount of bone is available and if there is no any infection

around the existing tooth

When teeth are lost bone will shrink in several dimensions Placing an implant immediately can reduce this bone loss and provide a better esthetic

result

Surgical and post-surgical complications

- Bleeding and bruising - Post-surgical pain -Post-surgical infection -Chronic pain

-Delayed healing - Hematoma-Abscess -Gingivitis

-Osteomyelitis-Sequestrum - Local or systemic

infection-Bone fracture - Loss of alveolar

ridge--Fistula to nose or sinus -Temporary speech

problems-Transient or permanent damage to the nerves

in the jaw

Success Rates

Who can provide implant supported dental prosthesis

The general dentist is usually the first resource for this service The key is the implant dentistrsquos training experience and credentials

Competent dentists include periodontists prosthodontists and oral surgeons who perform surgical andor restorative procedures

Bone quantity

Bone width

Bone height

Bone quality

DDDDD

D1 D2 D3 D4

Bone Quality relates to the degree of bone density present Type 1 is dense bone which provides great cortical anchorage but limited vascularity Type 2 bone is the best bone for osseointegration of dental implants It provides good cortical anchorage for primary stability yet has better vascularity than Type 1 boneTypes 3 and 4 are soft bone textures with the least success in type 4 bone

Surgical timingThere are different approaches to place dental implants after tooth extraction The approaches areImmediate post-extraction implant placementDelayed immediate post-extraction implant placement (2 weeks to 3 months after extraction)Late implantation (3 months or more after tooth extraction)

Implant placement

Surgical approach- Raising a mucoperiosteal flap - Flapless technique

Implant placement (cont)

Surgical procedure - Two - stage technique - One - stage technique

INITIAL SURGERY INITIAL INITIAL SURGERY

Placement of implants by raising a mucoperiosteal flap

Two-stage implant placement procedure

Stage one

Stage two

1111 222 3

5 7

4

6

2

8

One- stage implant placement

One- stage implant placement) cont(

A surgical approach of implant placement without raising a mucoperiosteal flap

Flapless technique

Advantages

-Shorter and faster surgical treatment procedure of implant placement and by that less time is needed for the complete implant-prosthetic restoration-Minimal bleeding and postoperative discomfort for the patient

- Possibility of immediate loading of the inserted implant-

Immediate implantation

An implant can be placed on the same day as an extraction if good amount of bone is available and if there is no any infection

around the existing tooth

When teeth are lost bone will shrink in several dimensions Placing an implant immediately can reduce this bone loss and provide a better esthetic

result

Surgical and post-surgical complications

- Bleeding and bruising - Post-surgical pain -Post-surgical infection -Chronic pain

-Delayed healing - Hematoma-Abscess -Gingivitis

-Osteomyelitis-Sequestrum - Local or systemic

infection-Bone fracture - Loss of alveolar

ridge--Fistula to nose or sinus -Temporary speech

problems-Transient or permanent damage to the nerves

in the jaw

Success Rates

Who can provide implant supported dental prosthesis

The general dentist is usually the first resource for this service The key is the implant dentistrsquos training experience and credentials

Competent dentists include periodontists prosthodontists and oral surgeons who perform surgical andor restorative procedures

Bone quality

DDDDD

D1 D2 D3 D4

Bone Quality relates to the degree of bone density present Type 1 is dense bone which provides great cortical anchorage but limited vascularity Type 2 bone is the best bone for osseointegration of dental implants It provides good cortical anchorage for primary stability yet has better vascularity than Type 1 boneTypes 3 and 4 are soft bone textures with the least success in type 4 bone

Surgical timingThere are different approaches to place dental implants after tooth extraction The approaches areImmediate post-extraction implant placementDelayed immediate post-extraction implant placement (2 weeks to 3 months after extraction)Late implantation (3 months or more after tooth extraction)

Implant placement

Surgical approach- Raising a mucoperiosteal flap - Flapless technique

Implant placement (cont)

Surgical procedure - Two - stage technique - One - stage technique

INITIAL SURGERY INITIAL INITIAL SURGERY

Placement of implants by raising a mucoperiosteal flap

Two-stage implant placement procedure

Stage one

Stage two

1111 222 3

5 7

4

6

2

8

One- stage implant placement

One- stage implant placement) cont(

A surgical approach of implant placement without raising a mucoperiosteal flap

Flapless technique

Advantages

-Shorter and faster surgical treatment procedure of implant placement and by that less time is needed for the complete implant-prosthetic restoration-Minimal bleeding and postoperative discomfort for the patient

- Possibility of immediate loading of the inserted implant-

Immediate implantation

An implant can be placed on the same day as an extraction if good amount of bone is available and if there is no any infection

around the existing tooth

When teeth are lost bone will shrink in several dimensions Placing an implant immediately can reduce this bone loss and provide a better esthetic

result

Surgical and post-surgical complications

- Bleeding and bruising - Post-surgical pain -Post-surgical infection -Chronic pain

-Delayed healing - Hematoma-Abscess -Gingivitis

-Osteomyelitis-Sequestrum - Local or systemic

infection-Bone fracture - Loss of alveolar

ridge--Fistula to nose or sinus -Temporary speech

problems-Transient or permanent damage to the nerves

in the jaw

Success Rates

Who can provide implant supported dental prosthesis

The general dentist is usually the first resource for this service The key is the implant dentistrsquos training experience and credentials

Competent dentists include periodontists prosthodontists and oral surgeons who perform surgical andor restorative procedures

Surgical timingThere are different approaches to place dental implants after tooth extraction The approaches areImmediate post-extraction implant placementDelayed immediate post-extraction implant placement (2 weeks to 3 months after extraction)Late implantation (3 months or more after tooth extraction)

Implant placement

Surgical approach- Raising a mucoperiosteal flap - Flapless technique

Implant placement (cont)

Surgical procedure - Two - stage technique - One - stage technique

INITIAL SURGERY INITIAL INITIAL SURGERY

Placement of implants by raising a mucoperiosteal flap

Two-stage implant placement procedure

Stage one

Stage two

1111 222 3

5 7

4

6

2

8

One- stage implant placement

One- stage implant placement) cont(

A surgical approach of implant placement without raising a mucoperiosteal flap

Flapless technique

Advantages

-Shorter and faster surgical treatment procedure of implant placement and by that less time is needed for the complete implant-prosthetic restoration-Minimal bleeding and postoperative discomfort for the patient

- Possibility of immediate loading of the inserted implant-

Immediate implantation

An implant can be placed on the same day as an extraction if good amount of bone is available and if there is no any infection

around the existing tooth

When teeth are lost bone will shrink in several dimensions Placing an implant immediately can reduce this bone loss and provide a better esthetic

result

Surgical and post-surgical complications

- Bleeding and bruising - Post-surgical pain -Post-surgical infection -Chronic pain

-Delayed healing - Hematoma-Abscess -Gingivitis

-Osteomyelitis-Sequestrum - Local or systemic

infection-Bone fracture - Loss of alveolar

ridge--Fistula to nose or sinus -Temporary speech

problems-Transient or permanent damage to the nerves

in the jaw

Success Rates

Who can provide implant supported dental prosthesis

The general dentist is usually the first resource for this service The key is the implant dentistrsquos training experience and credentials

Competent dentists include periodontists prosthodontists and oral surgeons who perform surgical andor restorative procedures

Surgical approach- Raising a mucoperiosteal flap - Flapless technique

Implant placement (cont)

Surgical procedure - Two - stage technique - One - stage technique

INITIAL SURGERY INITIAL INITIAL SURGERY

Placement of implants by raising a mucoperiosteal flap

Two-stage implant placement procedure

Stage one

Stage two

1111 222 3

5 7

4

6

2

8

One- stage implant placement

One- stage implant placement) cont(

A surgical approach of implant placement without raising a mucoperiosteal flap

Flapless technique

Advantages

-Shorter and faster surgical treatment procedure of implant placement and by that less time is needed for the complete implant-prosthetic restoration-Minimal bleeding and postoperative discomfort for the patient

- Possibility of immediate loading of the inserted implant-

Immediate implantation

An implant can be placed on the same day as an extraction if good amount of bone is available and if there is no any infection

around the existing tooth

When teeth are lost bone will shrink in several dimensions Placing an implant immediately can reduce this bone loss and provide a better esthetic

result

Surgical and post-surgical complications

- Bleeding and bruising - Post-surgical pain -Post-surgical infection -Chronic pain

-Delayed healing - Hematoma-Abscess -Gingivitis

-Osteomyelitis-Sequestrum - Local or systemic

infection-Bone fracture - Loss of alveolar

ridge--Fistula to nose or sinus -Temporary speech

problems-Transient or permanent damage to the nerves

in the jaw

Success Rates

Who can provide implant supported dental prosthesis

The general dentist is usually the first resource for this service The key is the implant dentistrsquos training experience and credentials

Competent dentists include periodontists prosthodontists and oral surgeons who perform surgical andor restorative procedures

INITIAL SURGERY INITIAL INITIAL SURGERY

Placement of implants by raising a mucoperiosteal flap

Two-stage implant placement procedure

Stage one

Stage two

1111 222 3

5 7

4

6

2

8

One- stage implant placement

One- stage implant placement) cont(

A surgical approach of implant placement without raising a mucoperiosteal flap

Flapless technique

Advantages

-Shorter and faster surgical treatment procedure of implant placement and by that less time is needed for the complete implant-prosthetic restoration-Minimal bleeding and postoperative discomfort for the patient

- Possibility of immediate loading of the inserted implant-

Immediate implantation

An implant can be placed on the same day as an extraction if good amount of bone is available and if there is no any infection

around the existing tooth

When teeth are lost bone will shrink in several dimensions Placing an implant immediately can reduce this bone loss and provide a better esthetic

result

Surgical and post-surgical complications

- Bleeding and bruising - Post-surgical pain -Post-surgical infection -Chronic pain

-Delayed healing - Hematoma-Abscess -Gingivitis

-Osteomyelitis-Sequestrum - Local or systemic

infection-Bone fracture - Loss of alveolar

ridge--Fistula to nose or sinus -Temporary speech

problems-Transient or permanent damage to the nerves

in the jaw

Success Rates

Who can provide implant supported dental prosthesis

The general dentist is usually the first resource for this service The key is the implant dentistrsquos training experience and credentials

Competent dentists include periodontists prosthodontists and oral surgeons who perform surgical andor restorative procedures

Two-stage implant placement procedure

Stage one

Stage two

1111 222 3

5 7

4

6

2

8

One- stage implant placement

One- stage implant placement) cont(

A surgical approach of implant placement without raising a mucoperiosteal flap

Flapless technique

Advantages

-Shorter and faster surgical treatment procedure of implant placement and by that less time is needed for the complete implant-prosthetic restoration-Minimal bleeding and postoperative discomfort for the patient

- Possibility of immediate loading of the inserted implant-

Immediate implantation

An implant can be placed on the same day as an extraction if good amount of bone is available and if there is no any infection

around the existing tooth

When teeth are lost bone will shrink in several dimensions Placing an implant immediately can reduce this bone loss and provide a better esthetic

result

Surgical and post-surgical complications

- Bleeding and bruising - Post-surgical pain -Post-surgical infection -Chronic pain

-Delayed healing - Hematoma-Abscess -Gingivitis

-Osteomyelitis-Sequestrum - Local or systemic

infection-Bone fracture - Loss of alveolar

ridge--Fistula to nose or sinus -Temporary speech

problems-Transient or permanent damage to the nerves

in the jaw

Success Rates

Who can provide implant supported dental prosthesis

The general dentist is usually the first resource for this service The key is the implant dentistrsquos training experience and credentials

Competent dentists include periodontists prosthodontists and oral surgeons who perform surgical andor restorative procedures

1111 222 3

5 7

4

6

2

8

One- stage implant placement

One- stage implant placement) cont(

A surgical approach of implant placement without raising a mucoperiosteal flap

Flapless technique

Advantages

-Shorter and faster surgical treatment procedure of implant placement and by that less time is needed for the complete implant-prosthetic restoration-Minimal bleeding and postoperative discomfort for the patient

- Possibility of immediate loading of the inserted implant-

Immediate implantation

An implant can be placed on the same day as an extraction if good amount of bone is available and if there is no any infection

around the existing tooth

When teeth are lost bone will shrink in several dimensions Placing an implant immediately can reduce this bone loss and provide a better esthetic

result

Surgical and post-surgical complications

- Bleeding and bruising - Post-surgical pain -Post-surgical infection -Chronic pain

-Delayed healing - Hematoma-Abscess -Gingivitis

-Osteomyelitis-Sequestrum - Local or systemic

infection-Bone fracture - Loss of alveolar

ridge--Fistula to nose or sinus -Temporary speech

problems-Transient or permanent damage to the nerves

in the jaw

Success Rates

Who can provide implant supported dental prosthesis

The general dentist is usually the first resource for this service The key is the implant dentistrsquos training experience and credentials

Competent dentists include periodontists prosthodontists and oral surgeons who perform surgical andor restorative procedures

One- stage implant placement) cont(

A surgical approach of implant placement without raising a mucoperiosteal flap

Flapless technique

Advantages

-Shorter and faster surgical treatment procedure of implant placement and by that less time is needed for the complete implant-prosthetic restoration-Minimal bleeding and postoperative discomfort for the patient

- Possibility of immediate loading of the inserted implant-

Immediate implantation

An implant can be placed on the same day as an extraction if good amount of bone is available and if there is no any infection

around the existing tooth

When teeth are lost bone will shrink in several dimensions Placing an implant immediately can reduce this bone loss and provide a better esthetic

result

Surgical and post-surgical complications

- Bleeding and bruising - Post-surgical pain -Post-surgical infection -Chronic pain

-Delayed healing - Hematoma-Abscess -Gingivitis

-Osteomyelitis-Sequestrum - Local or systemic

infection-Bone fracture - Loss of alveolar

ridge--Fistula to nose or sinus -Temporary speech

problems-Transient or permanent damage to the nerves

in the jaw

Success Rates

Who can provide implant supported dental prosthesis

The general dentist is usually the first resource for this service The key is the implant dentistrsquos training experience and credentials

Competent dentists include periodontists prosthodontists and oral surgeons who perform surgical andor restorative procedures

A surgical approach of implant placement without raising a mucoperiosteal flap

Flapless technique

Advantages

-Shorter and faster surgical treatment procedure of implant placement and by that less time is needed for the complete implant-prosthetic restoration-Minimal bleeding and postoperative discomfort for the patient

- Possibility of immediate loading of the inserted implant-

Immediate implantation

An implant can be placed on the same day as an extraction if good amount of bone is available and if there is no any infection

around the existing tooth

When teeth are lost bone will shrink in several dimensions Placing an implant immediately can reduce this bone loss and provide a better esthetic

result

Surgical and post-surgical complications

- Bleeding and bruising - Post-surgical pain -Post-surgical infection -Chronic pain

-Delayed healing - Hematoma-Abscess -Gingivitis

-Osteomyelitis-Sequestrum - Local or systemic

infection-Bone fracture - Loss of alveolar

ridge--Fistula to nose or sinus -Temporary speech

problems-Transient or permanent damage to the nerves

in the jaw

Success Rates

Who can provide implant supported dental prosthesis

The general dentist is usually the first resource for this service The key is the implant dentistrsquos training experience and credentials

Competent dentists include periodontists prosthodontists and oral surgeons who perform surgical andor restorative procedures

Advantages

-Shorter and faster surgical treatment procedure of implant placement and by that less time is needed for the complete implant-prosthetic restoration-Minimal bleeding and postoperative discomfort for the patient

- Possibility of immediate loading of the inserted implant-

Immediate implantation

An implant can be placed on the same day as an extraction if good amount of bone is available and if there is no any infection

around the existing tooth

When teeth are lost bone will shrink in several dimensions Placing an implant immediately can reduce this bone loss and provide a better esthetic

result

Surgical and post-surgical complications

- Bleeding and bruising - Post-surgical pain -Post-surgical infection -Chronic pain

-Delayed healing - Hematoma-Abscess -Gingivitis

-Osteomyelitis-Sequestrum - Local or systemic

infection-Bone fracture - Loss of alveolar

ridge--Fistula to nose or sinus -Temporary speech

problems-Transient or permanent damage to the nerves

in the jaw

Success Rates

Who can provide implant supported dental prosthesis

The general dentist is usually the first resource for this service The key is the implant dentistrsquos training experience and credentials

Competent dentists include periodontists prosthodontists and oral surgeons who perform surgical andor restorative procedures

Immediate implantation

An implant can be placed on the same day as an extraction if good amount of bone is available and if there is no any infection

around the existing tooth

When teeth are lost bone will shrink in several dimensions Placing an implant immediately can reduce this bone loss and provide a better esthetic

result

Surgical and post-surgical complications

- Bleeding and bruising - Post-surgical pain -Post-surgical infection -Chronic pain

-Delayed healing - Hematoma-Abscess -Gingivitis

-Osteomyelitis-Sequestrum - Local or systemic

infection-Bone fracture - Loss of alveolar

ridge--Fistula to nose or sinus -Temporary speech

problems-Transient or permanent damage to the nerves

in the jaw

Success Rates

Who can provide implant supported dental prosthesis

The general dentist is usually the first resource for this service The key is the implant dentistrsquos training experience and credentials

Competent dentists include periodontists prosthodontists and oral surgeons who perform surgical andor restorative procedures

Surgical and post-surgical complications

- Bleeding and bruising - Post-surgical pain -Post-surgical infection -Chronic pain

-Delayed healing - Hematoma-Abscess -Gingivitis

-Osteomyelitis-Sequestrum - Local or systemic

infection-Bone fracture - Loss of alveolar

ridge--Fistula to nose or sinus -Temporary speech

problems-Transient or permanent damage to the nerves

in the jaw

Success Rates

Who can provide implant supported dental prosthesis

The general dentist is usually the first resource for this service The key is the implant dentistrsquos training experience and credentials

Competent dentists include periodontists prosthodontists and oral surgeons who perform surgical andor restorative procedures

Success Rates

Who can provide implant supported dental prosthesis

The general dentist is usually the first resource for this service The key is the implant dentistrsquos training experience and credentials

Competent dentists include periodontists prosthodontists and oral surgeons who perform surgical andor restorative procedures

Who can provide implant supported dental prosthesis

The general dentist is usually the first resource for this service The key is the implant dentistrsquos training experience and credentials

Competent dentists include periodontists prosthodontists and oral surgeons who perform surgical andor restorative procedures