|⇓ patient checklists ⇓|
|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
||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, proton pump inhibitors.|
|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. Individual shapes are possible. The surface of the implant is important (roughness, coating).|
||Most implants today are made of titanium. Ceramics have been increasingly important in recent times, plastics or derivatives might be an alternative too. 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.|
|Questions to ask your dentist before getting dental implants
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|Find here all companies showing patient information:|
|Find here all companies showing doctor/clinic lists:|
|Implant Patient Register||No register known. Implants are identifiable. Patients usually 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.
|The Implant-Register offers registration of implants online and you can download a printable version for your personal use.|
|Medical Societies||dealing with dental/oral Implantology are listed here|
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