IMPLANT INFORMATION about Dental Implants

  What … for? (Indications)

Dental implants serve

  • as replacement of teeth,
  • to avoid grinding of teeth for crowns/bridges,
  • to hold bridges,
  • to stabilize dentures,
  • for functional reasons (joint, face muscles),
  • for esthetic reasons and
  • as orthodontic anchor (temporary)
dental implant 46 02lower molar implant

Xray to the above implant dental implant 46 01

dental implant graph 1a

 

Illustration

Numbers
  • There are no reliable and comparable data known, but rough estimates.
  • USA: 3 Million people have 8.6Mio implants (AAID 2016).
  • USA: About 300.000 to 400.000 dental implants are placed per year in the USA (carefree).
  • About 1 Mio dental implants are placed per year in Germany (BDIZEDI 2016).
  • The global dental implants market is estimated to grow from $7,365.7 Million in 2015 to $10,427.7 Million in 2020 (marketsandmarkets 2016).
 dental implant denture fix 01

snapping attachments to hold a denture and counterpart within the denturedental implant denture fix 03a

Times
  • Many different techniques take different times.
  • Healing times are shorter with 3D-supported techniques.
  • Faster if no bone augmentation needed.
  • Healing phase after placing takes usually 2-6 month.
  • Under certain preconditions immediate loading (usually reduced use after placing) is possible.
dental implant 12 01Implant abutment to hold a crown

dental implant 12 02

crown fixed

 

Contraindications behavioral Poor oral hygiene, smoking, parafunction, no aftercare possible.
(may be relative, if the preconditions can be changed)  
medical Diabetes mellitus, infectious diseases, certain systemic/metabolism diseases, low ability for surgery, low bone quality, bone loss (see bone augmentation).
   
pharmaceutical Biphosphonates (Review), chemotherapy, drugs, alcohol, corticosteroids, immune suppression, antidepressants.
 
Risks at surgery Tissue injury, swallowing/inhaling parts, bone fracture, injury of neighbouring teeth or structures/nervs.
   
short term Inflammation, injury of neighbouring teeth or structures.
Foreign body reactions, allergic reactions, rejection.
 
long term Implant dislocation, chronic inflammation, chronic pain, reoperation, fracture, implant loss.
Superstructure (Crown/Bridge/Denture): loosening, fracture.
 
Failures Risks depend from several preconditions like bone volume, bone quality, superstructure and reasons in connection with the above contraindications.
There are problems reported with abutments on implants (which may be renewed without surgery), but not with implants themselves.
 
Materials Titanium mostly Grade 4, Grade 5 Titanium
Ceramic Zirconium oxide ceramic
PEEK Polyetheretherketone
Dental implants come with many sizes and shapes. Most of them are screws, but blades, discs and individual shapes are possible. The surface of the implant is important (roughness, coating).
Statistics

 

 

 

 
Literature

 

  • Problems

 

 
  • Science/Future

 

Most implants are made of titanium. In a longer distance there might come new materials like ceramics and plastics or derivatives. Stem cell treatment seems to be possible.
Criticism In Dental Implantology has to be discussed at which point a natural tooth may be maintained or not.
Selected patient information Topics to be discussed while planning: Individual risks, sufficient bone or bone augmentation needed (see chapter on oral bone and soft tissue), 3D-planning necessary, pretreatment necessary, surgical guide necessary, alternative solutions, preparation, aftercare.
Register of patients No register known. Implants are identifiable. Patients get a documentation (implant-passport), important for longterm care.
Identifying an unknown implant? If you don´t find it at Implant-Register®, maybe WHAT IMPLANT IS THAT? or Osseosource helps.
Medical Societies dealing with dental/oral Implantology are listed here
Disclaimer
The information and links and whatsoever shown on this page are compiled with care. However, Implant-Register can´t take any responsibility for the information given, nor their content, nor their up-to-date nature, particularly in interlinked pages. You may help us with your contribution, granting us the decision to publish or not. Be careful with conclusions for yourself, in doubt double-check and consider medical solutions are individual and have to be found with an educated medical person.