History Of Dental Implants Flashcards
Edentulism
-Longstanding challenge for humanity
-Affects oral health & individuals overall well being, social interactions, and quality of life
Edentualism
Dentition maintains its ___________ in burial contexts while bones will have some ________________
Integrity
Post-mortem decomposition
What may be the only human tissue sufficiently well-preserved for scientific analysis?
Teeth
History of Dentistry
-Far back as 7000 BC in ancient Mesopotamia, dental decay described on cuneiform tablets
-Ebers Papyrus c. 1550 BC - oldest known medical works, Egyptians
-Edwin Smith Papyrus 3000 BC = Egyptian medical text, written before 3000 BC = how to heal and treat wounds in the mouth
When did the Aztecs, mayas, and Incas, practice dentistry ?
15,000 years ago
Who wrote the general history of the things of new Spain detailing the dental practices of the Aztecs?
A Spanish monk, De Sahagun
When did the ancient Greeks and Roman’s practice dentistry?
Between the 8th century BC and the 6th century AD
Who wrote the method of medicine, which devotes extensive chapters on dental surgery ?
Arabian Abulcasis, a surgeon
Proposed selective instrumentation, detailed illustration, procedures to replace missing teeth with natural or artificial teeth held in with gold wire
Who was the dentist to king Louis XIII?
DuPont
Pierre fauchard
Father of modern dentistry published the surgeon dentist in 1728
Treatment of caries, surgery, prostho, oral hygiene, ortho, implants and tooth reimplantation
Timeline of dentists
1789 - de Chemant, french dentists with duchateau, a french pharmacist = first porcelain tooth material
1806 - Fonzi invented the first porcelain artificial teeth
1809 - Maggiolo published le manuel de l’art du dentists, describes the method of making and inserting the first endosseous metal implant - osteogenesis and 2 stage implantation
What did discoveries in the 19th century concern?
Asepsis and anesthesia
Nikolai pirogov
1844- guessed that the cleanliness of the operating field, as well as the aseptic preparation of personnel and instruments directly influenced the prognosis of inflammation after surgery
Who designed a hollow latticed cylinder and trephine burs?
Greenfield
Who conducted the first study that used histologic techniques to help confirm clinical impressions of biocompatibility ?
Dr. Arthur zierold
Who placed a vitallium implant in a human extraction site?
Dr. AE strock (1939)
Remained asymptomatic and stable for 17 years!
Transdental implants
Fixation of a shortened or reduced root
Classification of dental implants
Implant design
Attachment mechanism
Macroscopic body design
Surface texture
Material type
Classification of dental implants based on anatomical location
Endosteal
Superiosteal
Transosteal
Intramucosal
Endosteal
Ramus frame
Root form
Plate form
Ramus frame
Robert’s and Robert’s 1965
Supported and overdenture
Mandible
Blade vent implants
Leonard linkow 1966
Titanium
Pseudo-periodontium
Superiosteal implants
Goldberg and gershkoff 1948
Vitallium (Cr-Co-Mo-)
Dahl/sweeden 1943
Trans mandibular implants
H bosker 1986
Small 1970
Titanium, vitallium and gold
Early Endosteal implants
Greenfield - platinum/iridium
Chercheve - tantalium
Scialom - tantalium
Bone to implant interface theories
Osseointegration (branemark)
Fibro-osseous integration
Phase 1 development of modern implantology
Pioneering- first clinical experiences 1970-1980
Phase 2 development of modern implantology
Systematic - fundamental researches
Planned clinical application 1980-1990
Phase 3 development of modern implantology
Clinical controls/randomized studies
Extended clinical application - 1990-2000
Phase 4 development of modern implantology
Generally extended indications
GBR, bone grafting, increasing demands, esthetic, loading 2000-
Cylindrical shaped
Press fit
Titanium
Screw type implants
Better stabilized even in softer bone
Titanium
Implant designs
External vs internal connectors
Parallel vs tapered
Both titanium
Dental implant components
Implant fixture
Abutment (directly into the fixture)
Abutment screw- secures the abutment
Dental implant components TI base
CAD/CAM restorations
Abutment is cemented to the abutment or the full crown
Abutment screw - secures the abutment
