|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.|
|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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