Armamentarium in implantology

describes all the instruments needed in implantology along with some of the latest instruments

1. Armamentarium in implants Dr. Vasavi reddy

2. contents

3. Basic equipment

4. Personal protection barrier

5. Surgical setup principles

6. Surgical step up consists of:

7. Instrument tray: Diagnostic instruments- probes and mouth mirrors Anesthetic catridges ad topical anesthetics Guaze and cotton Calipers Bp handles and surgical blades Periosteal elevators Instruments for removing tissue tags- scalers Goldmann fox scissors Tissue holding forceps Artery forceps Implants torque wrench Suture scissors Needle holders

8. Supply tray Intraoral mirrors Cheek retractors Suture materials Saline Chlorhexidine Cotton holding forceps Photo camera wrapped with barrier membrane Protective eye wear

9. Implant tray table Console, motor and handpiece Round burs Pilot drills Osteotomy drills Paralleling pins Depth guage Implant driver Screw driver Bone tap and counter sink

10. Pre procedure requirements

11. Retractors

12. Diagnostic instruments

13. Measurement tools Crown guage Spring bow dividers

14. BOLEY GAUGE MICRO BOLEY GAUGE

15. RIDGE MAPPING CALIPER CASTROVEIJO CALIPER

16. Implant depth guage

17. Anesthetic agents

18. periotomes

19. Surgical Instruments

20. Tissue holding forceps Artery forceps

21. Goldmann Fox scissors Castroveijo scissors

22. Needle holders

23. Suture materials

24. Suture cutting scissors

25. Implant system

26. Round bur

27. Pilot drill and osteotomy drills:

28. Paralleling pin

29. Gingival depth guage Implant depth guage countersink

30. Implant drivers

31. Screw drivers

32. Bone tap

33. wrench

34. Bone grafting instruments: Bone spreaders Bone curettes

35. Bone mills

36. Bone ronguer Bone files

37. Bone mallet Bone scoop

38. Bone compactors

39. Membranes

40. Graft materials

41. Sinus lift instruments Sinus Curettes Sinus Elevators

42. osteotomes

43. Bone tamper

44. Hydrostatic sinus lift system

45. Second stage instruments:

46. Bone profile drill

47. Prosthetic armamentarium

48. Impression materials

49. Abutments: They are components of the implant system that screw directly into the implant. They eventually support the prosthesis in screw retained restoration. In cement retained prosthesis abutments may be shaped as conventional crown

50. Abutment classification: Abutments for fixed prosthesis Definitive Prefabricated- solid and hollow Custom made- castable and CAD-CAM abutments Provisional Abutments for removable prosthesis Stud attachments Bar attachments Magnetic attachments Telescopic attachments

51. Provisional restorations: Immediate temporary abutment : It consists of two parts : an abutment and a plastic coping. It is indicated for single tooth implant restoration made chair-side. The temporary abutments or copings are used for the fabrication of provisional screw-retained restorations made of titanium or plastic. Non engaging type are used for multi unit implant restorations and engaging type are used in single tooth implant restorations.

52. Permanent restorations: Snappy abutment : It is indicated for single tooth or multiunit restorations. Ideal for posteriors. Esthetic abutment : Indicated similar to snappy abutment. This is designed with a scalloped margin that profiles natural soft tissue contours with various collar heights available based on implant system. Multi-unit abutment : It is indicated for multiple teeth when desire for greater ease of retrievability is required. It is screw retained.

53. Single tooth abutment : It is indicated for single tooth restoration with limited interdental space. Easy abutment : Used for both single tooth or multiple unit types. Ideal for posteriors. Gold adapt engaging : It is screw retained for single tooth. Cement retained for single tooth and multiunit restorations.

54. Overdenture abutments: Gold abutment bar : It is indicated for fully edentulous arch with extensive bone loss. When phonetics is concerned and also when soft tissue support is necessitated. Ball abutment : It is indicated in fully edentulous arch with extensive bone or soft tissue loss. When compromised patient manual dexterity and phoenetics is concerned. When implant is placed too far posterior with a bar. It allows for misangulation of upto 30 between implants.

55. Implant Replica : It is the replica of the abutment or implant attached to the impression coping after taking an impression to help make an accurate model. Try in abutments : These are used to help select proper size and shape of abutment for the patient. Made of plastic, these abutments can be reused after having cleaned and sterilized using normal procedure

56. Implant super structures: This prosthesis is fabricated with the support of dental implants. They can be of following types: Fixed prosthesis: crowns, bridges Removable prosthesis: overdenture Fixed detachable prosthesis: hybrid dentures

57. Lasers used in implantology: Co 2 laser Erbium yag lasers Diode lasers

58. Implant maintenance tools:

59. Implant curettes

60. Sterilization trays:

61. conclusion Surgical tray setup is essential to a smooth and predictable implant placement procedure. By having all of the requisite instruments, the practitioner can focus on executing the implant placement needed to ensure a good clinical outcome.