Dental Education
Online Dental Education Dental education lectures and videos Online dental ce Dental education articles Expert dental educators Dental products education Dental Community
 
Dental Publication / Article Details

Periodontally Considerations of Dental Implantology Periodontally Considerations of Dental Implantology

Author(s):

Lee H. Silverstein, DDS, MS, FACD, FICD;Jerry J. Garnick , David Kurtzman, DDS, Peter C. Shatz

Date Added:

1/1/1998


Summary:

The endosseous dental implant has steadily progressed to become an important modality of restoring incomplete dentitions in either fully or partially edentulous patients. Osseointegrated dental implants have demonstrated relatively high success rates in both the maxillary and the mandibular jaws. The American Academy of Implant Dentistry (AAID), the American Dental Association (ADA), and numerous other professional organizations have endorsed the placement of osseointegrated dental implants as a viable and predictable treatment modality.

Inclusion of the placement, restoration, and maintenance of dental implants is an important part of the newly defined responsibilities of general dental practitioners, prosthodontists, periodontists, and oral surgeons. Recently, postdoctoral periodontics training requirements have been modified to include mandatory teaching of the diagnosis, treatment planning, placement, and maintenance of osseointegrated dental implants in all graduate periodontics residency programs.

The critical prerequisite for successful endosseous- type dental implants, in addition to their being osseointegrated, is the achievement of perimucosal seals of the various soft tissue layers adjacent to the implant surface. The presence of an adequate zone of attached keratinized peri-implant gingiva may be essential for (1) maintenance of peri-implant health, (2) prevention of gingival recession, and (3) establishment of stable levels of the connective tissue and alveolar bony attachments. Failure to obtain or maintain this perimucosal seal may result in loss of connective tissue adhesion. This results in apical migration of the epithelium into the alveolar bone-implant surface, which ultimately results in a soft -tissue encapsulation of the endosseous portion of the dental implant. This connective tissue encapSUlation will eventually cause the failure of the dental implant.

Subsequent to exhaustive evaluations of most implant systems, the consensus has been that there is currently no single "ideal" implant design. Implants of different designs, shapes, widths, and heights are necessary to overcome the limitations imposed by inadequate residual bone morphology and density.



Related Articles
Optimum Esthetics and Rentention with Cast-to Abutments

Optimum Esthetics and Rentention with Cast-to Abutments
Progress and technological evolution is something we should all embrace since such attributes allow us to provide patients with improved care. But when is it appropriate to consider proven materials and techniques outdated and when should one move forward with the promise of better product(s) along with superior outcomes?

Author(s): Sergio Rubinstein, DDS;Alan J. Nidetz, DDs
View Article>>
Instrumentation for Modern Day Implant Surgery

Instrumentation for Modern Day Implant Surgery
Public awareness of the aesthetic possibilities through the replacement of missing or nonsalvageable teeth has been elevated with advances in dental implant therapy and related hard and soft tissue regenerative therapies. This has led to an increase in the fabrication of fixed prostheses supported by either natural teeth, dental implants, or removable prostheses anchored by implants rather than conventional tissue- or tooth-supported partial dentures.

Author(s): Lee H. Silverstein, DDS, MS, FACD, FICD;Peter C. Shatz, DDS
View Article>>
Advantages of the Root Submergence Technique for Pontic Site Development in Esthetic Implant Therapy

Advantages of the Root Submergence Technique for Pontic Site Development in Esthetic Implant Therapy
This article suggests a strategy to provide a more predictable protocol for esthetic implant treatment for multiple- tooth defects using the root submergence technique (RST). The RST maintains the natural attachment apparatus of the tooth in the pontic site, which in turn allows for complete preservation of the alveolar bone frame and assists in the creation of an esthetic result in adjacent multipletooth- replacement cases.

Author(s): Maurice Salama, DMD;Henry Salama, DMD;Akiyoshi Funato, D.D.S.;Tomohiro Ishikawa, DDS;David Garber, DMD
View Article>>
Related Videos
GBR with Individualized Titanium Meshes Premium Member Content

GBR with Individualized Titanium Meshes
According to several authors, Guided bone regeneration is a procedure needed in half of the dental rehabilitations with dental implants. Due to this reality, digital dentistry become an important tool allowing us to be more precise and less invasive. By printing customized titanium meshes based on the patients bone defects, we can now predict the exact volume needed to be regenerate and create a specific device that will help to maintain the space. This takes CAD CAM dentistry to the next level, allowing more predictability in every step of the way, from bone regeneration till prosthetic rehabilitation. techniques more predictable. The authors describe a new guided bone regeneration protocol based on the use of digital planning and fabrication of printed 3D titanium meshes, rigid devices that protect mechanically the scaffold, design over the patient CT scan.

Presented By:: Rui Coelho, DDS & Nuno Cruz, DDS, MSc
Presentation Style: Video
Community Rating:
 
Watch Now>>
Titanium Mesh Assisted 3-Dimensional Mandibular ridge Augmentation Premium Member Content

Titanium Mesh Assisted 3-Dimensional Mandibular ridge Augmentation
In this surgical clinical video, Dr. Dong Seok Sohn describes the utilization of Titanium Mesh to create and maintain a space in the 3-dimensional augmentation of a deficient posterior mandibular ridge. Demonstration of flap design and management, recipient site preparation in addition to the manipulation and fixation of the mesh is shown in great detail.

Presented By:: Dong-Seok Sohn, DDS, PhD
Presentation Style: Video
Community Rating:
 
Watch Now>>
Digital Dentistry and Clinical Planning Applications - Guided Navigation Systems - Part 2 of 2 Premium Member Content

Digital Dentistry and Clinical Planning Applications - Guided Navigation Systems - Part 2 of 2
Dr. Alan Rosenfeld demonstrates the utilization of different surgical guide options as well as the enhanced applications that guided dentistry now brings to the pre-prosthetic phase of abutment selection and temporary and final restorative fabrication.

Presented By:: Alan L. Rosenfeld, DDS, FACD
Presentation Style: Lecture
Community Rating:
 
Watch Now>>
Related Courses
Modern Approach of Full Arch Immediate Loading Premium Member Content

Modern Approach of Full Arch Immediate Loading
In Immediate loading, the survival rate is often based on the follow-up of the osseointegration, but without aesthetic appreciation... The main goal is to achieve osseointegration and aesthetics in order to get long term stability. For this goal we need to obtain both, bone formation and gum thickness, as any failure in one of the 2 factors, will induce the loss of the second factor. This presentation will show my statistics about more than 1100 full arch loaded immediately since 14 years (> 7700 implants)

Presented By:: Alain Simonpieri, DDS
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Credit)
Watch Now>>
Peri-Implantitis: Diagnosis, Etiology and Treatment Premium Member Content

Peri-Implantitis: Diagnosis, Etiology and Treatment
The dental implant therapy has evolved both in implant surface and design. The reason for the initial crestal bone loss has been proven and the risks of having a peri-implantitis have increased due to the early exposure of roughened surface. The prevalence of peri-implantitis is at a range of 28 to 56%. The role of dental professionals nowadays is to know how to interpret the signs of inflammation and establish the diagnosis of peri-implantitis, which is the most challenging, and be able to treat it properly since this is becoming a more needed therapy.

Presented By:: Edgard El Chaar, DDS, MS
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
Watch Now>>
Novel Implant Planning Protocol Utilizing the 3A-2B Rule to Enhanced Predictability Premium Member Content

Novel Implant Planning Protocol Utilizing the 3A-2B Rule to Enhanced Predictability
This presentation describes some basic biological aspects that can be used as a rule in any treatment planning, simple or complex, to determine the viability and the ideal type of restoration in order to obtain a high aesthetic outcome. A novel Radiographic Biological Ruler will be presented and used in different type of cases to explain the concept of 3A-2B.

Presented By:: Fernando Rojas Vizcaya, DDS, MS
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
Watch Now>>
Download Now

Important!

To view this dental publication or article, you must be a registered user of Dental XP. If you are already a member, click here to login.

Registration is free and only takes several minutes. Dental XP will never spam you, or sell your information.

Join For Free





Contact Us | Privacy Policy | Terms of Use
©2019

Preferred Language: English Flag
Contact Us · Login · Register