Dental implants have found varied application in dentistry. Currently it is the treatment of choice for prosthetic rehabilitation in selected adult cases and for orthodontic anchorage. Dental implant insertion in pediatric and adolescent age group has been a debatable field of interest in rehabilitative pediatric dentistry. This book reviews the literature on application of dental implants for prosthetic rehabilitation of children and adolescent.
Dental implants are the fastest developing technology in practice of dentistry today. The present surge in the use of implants was initiated in 1952 by Branemark who conducted extensive experimental and clinical studies. Rehabilitation of partially or completely edentulous patients relies on safe and lasting retention of prosthesis that provides adequate anatomical and functional restitution. All facets of the dental profession are interested in this new treatment style; general dentists, periodontist, oral surgeons, and prosthodontists being the major groups of practitioners involved in this treatment mode. Dental implants now provide a clear and viable treatment alternative to removable or fixed partial dentures. Dental implants are devices, usually alloplastic in nature that are surgically inserted into or onto the jawbone, which support a single prosthetic tooth and serve either as abutments or as cosmetic replacements for missing teeth.
The trend of dental implantology worldwide, namely its marginalization by numerous dentists in Macedonia, has motivated me to write a book on the matter. I aimed at introducing dental implantology in the daily activities in dental clinics. My goal was the book to serve as a basic guide in the field of implantology revealing the basic and initial steps in the field. It is intended to be used by dentistry students, young doctors and dental technicians. This book covers the historical development of implantology (in a chronological manner) from the time of Phoenicians, ancient Egyptians and the Maya civilization. Modern dental implants are divided into five groups: transdental implants, subperiosteal implants, transosteal implants, submucous implants and endosseous implants. Diagnostics, treatment plan and complete preparation of a patient to be diagnosed are described in a separate chapter. Diagnostic methods, model analysis of a patient and an analysis of the patient’s radiographic images are described. Complete diagnostics and preparations for implantation are followed by an analysis of the surgical methods for placing implants. The open and closed method and the method of placing.
Over the years, traditional methods of tooth replacement are slowly and steadily being replaced by newer modalities like dental implants .Implants have developed into a viable alternative to conventional prosthetic reconstruction of edentulous areas.Based upon scientific principles this book reviews the fundamentals necessary to enhance implant treatment and present the rationale to obtain favorable long term patient outcomes. Inside this you'll find the changing concepts of loading the implants,surgical approach,guidelines,risk assesment,failure of implants.The text has been taken from various standard books,e-books,journals,websites etc.
This book encompasses an exhaustive compilation of concepts related to immediate loading of dental implants. It demystifies the facts pertaining to reassessment of long adopted surgical and prosthetic guidelines so as to shorten treatment time and reduce patient inconvenience. The current treatment approach of immediate loading has been extensively documented and has shown promising and predictable results. However, a meticulous case selection is needed to integrate this treatment into daily practice. Also, a careful analysis of surgical, host, implant and occlusion related factors should be considered prior to initiation of treatment. Regular maintenance is necessary to ensure long term success of immediately loaded implants. This book has been written in easy-to-comprehend lucid style and provides a strong basic foundation for the latest concepts related to immediate loading of dental implants.
Dental implants are valuable devices for restoring lost teeth.Implants are available in man shapes, sizes and lengths using a variety of materials with different surface properties.Among the most desired characteristics of an implant are those that ensure that the tissue-implant interface will be established quickly and then will be firmly maintained.It is especially difficult to assess whether the various modifications in the latest implants deliver improved performance.Thus far, metanalysis of randomized clinical trials finds no evidence of any particular type of implant having better long-term success.The success and longevity of implants are strongly governed by surface characteristics. Although the methods discussed have been successfully developed and employed to produce dental implants with varying surface topographies, however, research in this area is very much active and several new technologies and methods will be introduced in near future to produce various implant topographies.
Recently the use of dental implants for the replacement of missing teeth in growing children has gained popularity among pediatric dentists. But again when and in which situations it can be used in growing children is a big dilemma. Factors that favor implant placement in children are their excellent local blood supply, good immunobiologic resistance, and enhanced osseous healing. But the dentist should be aware of the potential risks in placing implants in growing children as it can affect their craniofacial growth because the jaws are still growing and developing.
The success and predictability of osseointegrated implants has forever changed the philosophy and practice of dentistry and, perhaps more than any other speciality, Oral and Maxillofacial Surgery has changed dramatically. New Bone augmentation and simultaneous implant surgery procedures allow clinicians to reconstruct alveolar bone deficiencies, preserve alveolar dimensions and replace missing teeth with dental implants in a prosthetically driven position with natural appearance and position.
The use of dental implants for the rehabilitation of edentulous sites in adult human dental arches is unprecedented for several years. The placement of dental implants in the growing individuals differs significantly from the implants placed in the adult patients. While planning for the dental implants in adult patients, consideration is given mainly to bone quality and quantity, potential for function and esthetics. In children, however, in addition to these, growth is an additional factor which needs to be considered. A wide variety of changes occur in the dentition and jaws of the growing patient. The impact that a bone-supported prosthesis might have on facial growth or conversely, how growth might influence the longevity and esthetics of the implant is uncertain. Because they are rigid fixations, any incorrect placement can have serious consequences on the growth and development of the arches, trauma to the developing tooth buds or a deviation of the path of an erupting tooth. Therefore, clinicians should have an understanding of the potential risks involved in placing implant in jaws that are still growing and developing and consider their effect on craniofacial growth.
Occlusion is one of the critical factors for long term success of dental implant. The lack of proprioceptive receptor in osseo-intergrated implants, is one of the major reasons for over loading and subsequent crestal bone loss. A proper occlusal scheme can eliminate the tensional and shear stresses developed at the implant bone interface under masticatory load and can lengthen the longevity of the implant prosthesis. However the immediate and early loading of dental implant helps to develop a strong implant bone interface with mature laminar type of bone. This book is a conscious effort made to enhance the knowledge of occlusion in dental implants.
For the last two decades, dental implants have been regarded as a predictable means of achieving oral rehabilitation. In retrospect, this seems to be due to three main factors: the biocompatibility of titanium, the design and surface of the implants and the receptivity of the host. Since the 1990s, two other elements have been added to the list and have been changing constantly: surgical technique and load conditions.
Prosthetic rehabilitation of missing structures in the oral and maxillofacial region in accordance with “DeVan's” principle of preservation has been the ultimate challenge to the prosthodontist. Over the years, traditional methods of tooth replacement are slowly and steadily being replaced by newer modalities like implants. Dental implants are the fastest developing technology in the practice of dentistry today. Implants are the closest thing in appearance and in function to natural teeth and a good alternative to conventional restorations. Based on patient needs, a single tooth, a partial bridge or a full set of replacement teeth are fitted to the implants and locked in place over the protruding posts. Implants eliminate the day-to-day frustrations and pain of ill-fitting dentures. They allow people to enjoy a healthy and varied diet without the restrictions many denture wearers face. With a sense of renewed self-confidence, many people rediscover the excitement of an active lifestyle shared with family and friends and the chance to speak clearly and comfortably with coworkers.
Replacing lost teeth with dental implants is today a reliable treatment method associated with good long-term clinical results. Different surface modifications and implant design alter the surface topography at micro- and nano-meter level of resolution as well as chemical properties, which have shown to be of importance for osseointegration. Research within the field of implantology is still intense and aims at further improving the implant properties to achieve successful treatments for patients with compromised bone as well as developing a surface that provides faster integration to shorten the treatment period.
Implants are the latest trends in dentistry and the long term clinical success of implants depends on various factors. One of the important factors among these is the appropriate selection of the implant biomaterial. No material is completely accepted by the biologic environment therefore to optimize biologic performance,implants should be selected to minimize the negative biologic response while ensuring adequate function. Every clinician should always gain a thorough knowledge about the different biomaterials used for the dental implants and judicious selection should be made before a clinical trial in great haste. This book makes an effort to summarize various materials which were used in the past and are now obsolete as well as the latest materials used as an implant biomaterial.
Endosseous dental implants have revolutionized the fields of implants and periodontics. During the last decade, a great deal of information has been generatedconcerning the effectiveness and predictability of endosseous implants. Implant placement is a viable option in the treatment of partial and full edentulism and has become an integral facet of periodontal therapy. The available implants are remarkably successful. However, there is no one ideal implant system. The following areas need further study: edentulous sites with inadequate bone for endosseous implants, splinting of implants to natural teeth, long-term effects of microbial and occlusal stresses, the prevention and treatment of peri-implant infection and disease, effects of implants on alveolar ridge maintenance, and routine maintenance protocols. Research on implant design for narrow ridges and atrophic jaws is ongoing, and the clinical efficacy of localized ridge augmentation and sinus floor grafts is being investigated. An area of research with future clinical significance is the use of growth factors and osteoinductive substances which may be applied locally or incorporated into the implant’s surface.
The ideal goal of the modern dentistry is to restore the patient oral cavity to normal contour, function, comfort, esthetics, speech and health. All these goals can be achieved with dental implants. But their success depends on peri-implant bone level. Platform switching is a concept where smaller-diameter prosthetic component is connected to a larger-diameter implant platform to create an 90 degree step between the implant and abutment which results in peri-implant hard tissue stability with soft tissue and papilla preservation. This will prevent bacterial accumulation and secondary implantitis. This recent advancement along with change in shape and material of dental implants has made their application wider in dentistry.