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IMPLANTS   The Future of Prosthodontics  Kalpa  Pandya Rachayta  Parikh Priyank  Pareek (Final B.D.S.)
What is an Implant??? A prosthetic device or alloplastic material implanted into the oral tissue beneath the mucosal or/and periosteal layer and/ or in the bone to provide retention and support for the fixed and removable prosthesis. - GPT
History ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Single/multiple missing tooth/Teeth What are the treatment options available ???????
Single/multiple missing tooth/Teeth ,[object Object],[object Object],[object Object],?
Removable Partial Denture    (R.P.D.) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Fixed partial denture    (F.P.D.) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Fixed partial denture    (F.P.D.)… ,[object Object],[object Object],[object Object],[object Object],[object Object]
Implants for  single/multiple tooth  replacement ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Completely Edentulous Patient Treatment options Conventional removable dentures Implant supported prosthesis ?
Decreased performance of conventional complete dentures ,[object Object],[object Object],[object Object],[object Object],[object Object]
Implants for complete dentures ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Indications for implants ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
ATTACHMENT MECHANICS
Mechanism Of Integration Of Endosteal Implants ,[object Object],[object Object],[object Object],[object Object],[object Object]
WEISS THEORY ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
BRANEMARK’S THEORY OF OSSEOINTEGRATION ,[object Object],[object Object],[object Object],[object Object],[object Object]
The Interface  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
MECHANISM OF OSSEOINTEGRATION ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
5
Factors Affecting Osseointegration ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Factors Affecting Osseointegration ,[object Object],[object Object],[object Object],[object Object],[object Object]
CLASSIFICATION OF IMPLANTS
I)  Depending on the placement within the tissues ,[object Object],[object Object],[object Object],[object Object]
Epithelial implants ,[object Object],[object Object],[object Object],[object Object]
Epiosteal / Subperiosteal Implant ,[object Object],[object Object],[object Object],[object Object],[object Object]
Endosteal Implants Extends into basal bone for support It transects into 1 cortical plate
Endosteal implants Root form implants -Used over vertical  column of bone Plate form implants -used over horizontal  Column of bone ,[object Object],[object Object],[object Object],Ramus frame implants
Transosteal Implant ,[object Object],[object Object],[object Object]
II)  Depending on the materials used ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
2 . NON – METALLIC IMPLANTS -  ceramics -  carbon
Depending On Their Reaction With Bone ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Most commonly used ,[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
PARTS OF AN IMPLANT
 
Generic Prosthetic Component Terminology ,[object Object],[object Object]
Generic implant body terminology ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Screw Design Implants - slightly smaller prepared bone site - macroscopic retentive elements Combination
Implant Body Regions ,[object Object],[object Object],[object Object],[object Object],crest module ( cervical geometry ) body apex
Implant Body Regions ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Prosthetic Attachment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],abutment Implant body prosthesis superstructure
Categories of implant abutment ,[object Object],[object Object],[object Object],[object Object],[object Object]
Prosthesis fabrication ,[object Object],[object Object]
Two types of transfer coping 1. direct transfer coping 2. indirect transfer coping
Laboratory fabrication ,[object Object],[object Object],[object Object]
Prosthetic coping is a thin covering usually designed to fit the Implant abutment for screw retention  It serves as a connection between abutment and prosthesis or  superstructure
 
Implant surgery Implant system broadly are of 2 types   Two stage One stage immediate ,[object Object],[object Object],2. two piece implant system implant system prosthodontic abutment
Implant surgery… ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Implant body First stage cover screw Second stage permucosal extension  or healing abutment Abutment A) for screw retentin B) for cement retention C) for attachment Hygiene screw Transfer coping A) direct B) indirect Analog A)implant body B) abutment coping Prosthesis screw
PROSTHETIC OPTIONS IN IMPLANT DENTISTRY
Types of prosthesis can be given ,[object Object],[object Object],[object Object],[object Object],[object Object]
Types of prosthesis can be given… ,[object Object],[object Object],[object Object],[object Object]
Types of prosthesis can be given… ,[object Object],[object Object]
Types of prosthesis can be given… ,[object Object],[object Object]
Types of prosthesis can be given… ,[object Object],[object Object]
Dental examination ,[object Object],[object Object],[object Object],[object Object],[object Object]
Dental examination… ,[object Object],[object Object],[object Object],[object Object]
Dental examination… ,[object Object],[object Object],[object Object],[object Object],[object Object]
Dental examination… ,[object Object],[object Object],[object Object],[object Object]
CONTRAINDICATIONS
Absolute Contraindications For Implant Treatment ,[object Object],[object Object],[object Object]
Relative Contraindications ,[object Object],[object Object],[object Object],[object Object]
Posterior Single Tooth Implant local contraindications for a posterior single tooth implant indications for a posterior three unit fpd inadequate bone volume faciopalatal < 5 mm mesiodistal < 6.5 mm inadequate bone volume inadequate intertooth space < 6.5 mm lack of intertooth boney height Moderate to advanced mobility of 2 – 4 adjacent  teeth Adjacent teeth are mobile Limited time for patient treatment Reduced time of treatment
Limiting Factors For Anterior Single Tooth Implant
Age Limitations ,[object Object],[object Object]
Mesio-distal Space ,[object Object],[object Object]
Bone height ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Challenging Aesthetics ,[object Object],[object Object]
Crown Height Space ,[object Object]
EVIDENCE BASED STUDIES ON IMPLANT DENTISTRY
Do implant retained or supported dentures improved masticatory performance??? -Fueki K, Kimoto K, Ogawa T, Garrett NR published in J Prosthet Dent. 2007 Dec;  98(6):470-7. ,[object Object],[object Object],[object Object],[object Object],[object Object]
Do implant retained or supported dentures improved masticatory performance??? -Fueki K, Kimoto K, Ogawa T, Garrett NR. ,[object Object],[object Object],[object Object],[object Object],[object Object]
Do implant retained or supported dentures improved masticatory performance??? -Fueki K, Kimoto K, Ogawa T, Garrett NR…... ,[object Object],[object Object]
Do implant retained or supported dentures improved masticatory performance??? -Fueki K, Kimoto K, Ogawa T, Garrett NR…... ,[object Object],[object Object],[object Object]
Recent Advances
Immediate Function Implants ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
All – on – 4 Implant ,[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object]
Interdenatal Esthetics ,[object Object],[object Object],[object Object]
Conclusion ,[object Object],[object Object],[object Object]
References ,[object Object],[object Object],[object Object]
 

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Implants the future of prosthodontics

  • 1. IMPLANTS The Future of Prosthodontics Kalpa Pandya Rachayta Parikh Priyank Pareek (Final B.D.S.)
  • 2. What is an Implant??? A prosthetic device or alloplastic material implanted into the oral tissue beneath the mucosal or/and periosteal layer and/ or in the bone to provide retention and support for the fixed and removable prosthesis. - GPT
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  • 4. Single/multiple missing tooth/Teeth What are the treatment options available ???????
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  • 10. Completely Edentulous Patient Treatment options Conventional removable dentures Implant supported prosthesis ?
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  • 27. Endosteal Implants Extends into basal bone for support It transects into 1 cortical plate
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  • 31. 2 . NON – METALLIC IMPLANTS - ceramics - carbon
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  • 35. PARTS OF AN IMPLANT
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  • 40. Screw Design Implants - slightly smaller prepared bone site - macroscopic retentive elements Combination
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  • 46. Two types of transfer coping 1. direct transfer coping 2. indirect transfer coping
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  • 48. Prosthetic coping is a thin covering usually designed to fit the Implant abutment for screw retention It serves as a connection between abutment and prosthesis or superstructure
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  • 52. Implant body First stage cover screw Second stage permucosal extension or healing abutment Abutment A) for screw retentin B) for cement retention C) for attachment Hygiene screw Transfer coping A) direct B) indirect Analog A)implant body B) abutment coping Prosthesis screw
  • 53. PROSTHETIC OPTIONS IN IMPLANT DENTISTRY
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  • 66. Posterior Single Tooth Implant local contraindications for a posterior single tooth implant indications for a posterior three unit fpd inadequate bone volume faciopalatal < 5 mm mesiodistal < 6.5 mm inadequate bone volume inadequate intertooth space < 6.5 mm lack of intertooth boney height Moderate to advanced mobility of 2 – 4 adjacent teeth Adjacent teeth are mobile Limited time for patient treatment Reduced time of treatment
  • 67. Limiting Factors For Anterior Single Tooth Implant
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  • 73. EVIDENCE BASED STUDIES ON IMPLANT DENTISTRY
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