basic and advanced dental implantology surgery.pptx

basic and advanced dental implantology surgery

1. Basic and Advanced Implant Surgery Omer Ali Hama

2. Basic Implant procedure

3. 3 Anatomic Considerations

4. 4 Available bone It is the amount of bone in the edentulous area considered for implantation. Width Height Length Angulation Crown/implant ratio Measured in :

5. 5 Principles of Implant Positioning ALWAYS PROSTHETIC DRIVEN X X X

6. 6 Principles of Implant Positioning Four factors must be correctly addressed to achieve both optimal esthetic results and biologic health. Vertical positioning of implant in the bone Buccolingual positioning of implant in the bone Mesiodistal placement of implant in the bone Trajectory or angle of the implant

7. 7 Available bone height Minimum height of available is in part related to density of available bone. More dense bone Less dense and weaker bone Shorter implants( 8mm ) Longer implants( 12mm )

8. 9 Mesiodistal positioning One of the most important factors to be considered while placing implants. The greater the number of teeth replaced with implants the greater the esthetic challenge.

9. 10 Rule of 1,2,3 & 7 07 03 02 01 A rule has been suggested to guide in the placement of implants: Bucco- lingually 1 mm of bone is present after implant placement Distance between tooth and implant in mm. Distance between implant and implant in mm Distance between crest of bone and opposing tooth.

10. Surgical Procedure

11. 13 Surgical Procedure

12. 14 Flapless Technique

13. 15 Flap Raised Technique Papilla Preserving Single stroke Incision

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20. 22 Suturing the flap The flap is sutured back into place using monofilament suture. The anterior papilla should be secured first. The vertical release is then sutured, followed by the mesial and distal sides of the abutment. These are routine interrupted sutures tied in the same fashion as the first suture described

21. 23 Post operative Instructions Dietary Instructions Antibiotics Analgesics Oral hygiene instructions

22. Recent Advances

23. Osseo densification A new method of biomechanical bone preparation Densah burs are used Bone preservation and condensation OD does not excavate bone Implant placement 25

24. Root is bisected. Buccal 2/3 rd of root is preserved in the socket Periodontium along with bundle bone remain intact. Buccal bone remains intact Socket shield 26

25. Use of smaller diameter abutment on a larger diameter implant collar Preserves crestal bone Platform switching 27

26. Peek Trinia Biohpp Shape memory niti implant Implant materials 28

27. Customized 3d printed implants 29

28. TTPHIL-ALL TILT(Tall Tilted Pin Hole Immediate Loading Bicortical engagement of implants Less stress on the bone with reduced chances of bone resorption No cantileverage Tall (16-25mm) tilted (30°-45°).-tall implants more surface area for osseointegration Implants placed in pinhole manner ie,flapless All On Four 30

29. Zygomatic ,Basal, Pterygoid Implants 31

30. شکرا جزیلا زۆر سوپاس