Dental implants Flashcards
What are dental implants
A titanium screw of cylinder which is placed into the jawbone
What process do implants rely on to stay in the mouth
Osseointegration
What is osseointegration
A direct structural and functional connection between ordered living bone and the surface of load carrying implant
What steps do we carry our when assessing a case for dental implants
- History
- Examination
- Special tests
- Treatment planning
When taking a history what are we trying to find out
- Patient motivation and availability
- Patient expectation
- Age
- Reason fro tooth loss
Why do we need to ask the reason fro tooth loss
To determine if we can offer implant on NHS
What is the minimum age a patient must be to be offered implants
18 for girls
21 for boys
what are the medical contra indications fro dental implant
Bisphosphonate medication
List some medical conditions that are associated with increased implant failure or problems
- Smoking
- Radiotherapy
- Oral Bisphosphonates
- Diabetes
- Corticosteroids
- Chemotherapy
- Osteoporosis
Talk through what we assess during an extra oral examination
- Symmetry
- Lip support
- Lower face height
- Smile line
- Gingival levels
Talk through what we assess during an intra oral examination
- Oral soft tissues
2. Ridge morphology
What periodontal factors do we need to consider before offering a patient implants
- Need good oral hygiene
2. Need to establish activity and prognosis of periodontal disease
What dental factors do we need to consider before offering a patient implants
- Teeth present/ missing
- Tooth quality/ position
- Size of space
- Any previous treatment attempted
- Inter- occlusal/ inter-ridge relations
- Static and dynamic occlusal relationships
What do we mean by tooth quality and position
- Caries?
- Restorations?
- Crown height
- Parafunction
What is the average size of a dental implant
4mm