Implant Symposium Flashcards
Compare normal tooth to implant tooth
TOOTH
- More fibroblasts
- Less collagen
- Collagen fibres orientated perpendicular to root
IMPLANT TOOTH
- Less fibroblasts
- More collagen
- Collagen fibres orientated parallel to implant crown
Materials for implants (3)
- Titanium
- Titanium Zirconium
- Ceramic implant
Indications for a tissue level implant?
Posteriorly
Indications for a bone level implant?
Aesthetic zone
Indications for tapered implant (2)
- Immediate placement
- When root convergence apically
Ideal length of implants
Narrow + short <10mm implants
How is the implant surface prepped? (3)
- Sandblast
- Acid etch
- Plasma spray
Medical issues that may affect implant survival
- Smoking
- Poorly controlled diabetes
- On bisphosphonates
- On steroids
- Radiotherapy
- CVD
How does smoking affect implant prognosis?
Affects vascularity, fibroblasts/osteoblast function
What is a high smile line characterised as?
> 2mm ST
Risks of narrow bone for implant placement
Risk of damaging adjacent teeth + necrosis of bone between teeth and implants
Minimum bone measurements for implants (2)
Mesiodistal - min 1.5mm
Buccopalatal - >1mm of bone labially
High risk factors for implants
High smile line
Smoker
Thin biotype
More than 2 teeth
Restored dentition
Different impression techniques for implants
Open tray impression
Closed tray impression
Cases where compromised tissue sites are to be expected (5)
- Post Xla
- Trauma
- Hypodontia
- Periodontal disease
- Thin biotype