|What … for? (Indications)|
Dental implants serve
|lower molar implant|
Xray to the above implant
snapping attachments to hold a denture and counterpart within the denture
|Times||Implant abutment to hold a crown|
|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|
|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).|
|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.|
|Implant Patient Register||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|
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