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13 Cards in this Set
- Front
- Back
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Types of Dental Implants:
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Subperiosteal
Transosseous (Transosteal) Endosseous (Endosteal) |
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Subperiosteal Implants
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Metal that rests over the bone of the mandible or maxilla, under the periosteum.
Material: Titanium which is compatible with tissue |
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Transosseous Implants
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Penetrates both cortical plates and passes through the full thickness of the alveolar bone.
Aka: mandibular staple implants or staple bone implant Used when the patient has an atrophic endentulous mandible or a congenital or traumatic deformity of the mandible. |
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Endosseous Implant
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Placed within the bone to replace a single tooth or provide support for the replacement of complete or partial loss of tooth.
Successful tooth replacement by osseointegration (direct bone anchorage to an implant body) Early forms were blade or plate form. Current forms are "root form" or cylindrical--threaded, perforated or solid Material: plasma-sprayed titanium |
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Endosseous Implant Placement
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Either one or two phases:
Immediate: following extraction Two phases: Support, body, fixture is placed in bone & covered by perio flap for several months. Then the flap taken away and abutment post is exposed. |
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Peri-Implant Hygiene
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A key requirement for implant success is the disease control program for the tissue surrounding the implant.
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Implant biofilm:
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gram +
nonmotile coccoid If inflamed, spirochetes and motile rods appear |
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Biofilm Removal Methods
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Prevent damage to implants by using a plastic instrument.
Use cleaning products that will not abrade titanium Toothbrush: filaments smooth, soft, end-rounded Dental floss: Spongy floss Interdental care: smooth plastic coated wires for interdental brushes. Avoid all metal core brushes--proxy Synthetic yarn or gauze Floss threader can be used. |
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Rinsing and Irrigation
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Can use an irrigator to remove debris before cleaning
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Chemotherapy
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Can rinse or flush daily with antimicrobial wash to control bacteria and inflammation.
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Maintenance
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Maintain and monitor the patients.
Monitor implants and gingiva |
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Implant Candidates
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Personal with meticulous oral hygiene
Healthy gingiva Enough bone to anchor implants in jaw...if necessary, graft Commitment to taking good care of implant |
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Poor Implant Candidates
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Young people whose jaw bones have not stopped growing.
Pregnant women Heavy smokers Alcohol or substance abuse High dose radiation to head or neck Chronic disease or a systemic condition such as diabetes, hemophilia, immune deficiencies, Grinders (Puts stress on perio ligaments and will cause bones to recede), clenchers, steroid meds or immune suppression meds |
