Implants - defined

Surgically inserted into bone

Used as anchors to support a prosthetic
Replace missing teeth in partially and/or

fully edentulous areas

May be single tooth or several teeth
prosthetic
Potential for ultimate stability for prosthetic
Relies on integration with natural
bone/tissues for retention and sustainability
Video

Implants

Basic Diagrams
Prosthetics

Implants

Implants

Basic Diagrams

Relies on integration
with bone (new bone
growth) for support.
Osseointegratio
n
There must be a
closed interface
(implant to oral
tissue) for success.

Types of Implants:
Endosseous resides partially in bone
Single tooth replacement thru denture

support
Screw-shaped
Most common type

Types of Implants:

Types of Implants:
Subperiosteal: rests on alveolar ridge, no

bone invasion
Less invasive, less stable
Supports denture

Transosteal: placed through the mandible

(only)
Attachments reside above ridge
Rarely used

Types of Implants:

Types of Implants:

Implant Materials:
Titanium:
Used as almost pure metal
Corrosion resistant
Strong & lightweight
Great biocompatibility

Implant Materials:
Ceramics:
Most biocompatible
Formation of hydroxyapatite at surface
Potential for chemical bond between bone &

implant
Coated Metals:
Combines strength of metal with good

interface potential of ceramic

Implant Materials:
Prosthetics & attachments:
Crowns
PFMs most common
Could be gold, ceramic, composite
Attached by screws or cemented
Dentures
Traditional materials - acrylic
Attached by various fasteners: clips, balls, screws,
etc.

Implant Materials:

Placement of Endosseous
Implant
Soft tissue flap is

laid
Premeasured
implant (body)
placed into bone
and covered entirely
with soft tissue
Healing: weeks months

Placement of Endosseous
Implant
The soft tissue is

removed, exposing
the implant, and a
healing cap is
placed
Healing: several
weeks

Placement of Endosseous
Implant
Healing cap is

removed and an
abutment is placed
Abutment is
prepared
(post/cylinder
added) & impressed
for prosthetic
Sent to lab for
fabrication

Abutmen
Implant t

Placement of Endosseous
Implant
Crown (or other

prosthetic) is
seated with
cement or screw
(or other fastener)

Procedure: Diagrams

Patient Selection:
Highly motivated, healthy patient
Time-consuming procedure (months of

healing post-sx)
No systemic diseases or conditions that
impact healing & sustainability of implant
Substantial bone support
Must be able to practice good OH

Maintenance of Implants:
Great OH by patient:
Toothbrushes, floss, interdental aids, etc.

Caution during prophylaxis:

Scaling with conventional instruments may

damage the titanium surface

Sonic instruments are contraindicated!
Use a very mild abrasive with rubber-cup
prophy