Sept 12 Kennedy Lecture Flashcards
What are clinical requirements for dental implants?
Biocompatable implant material Healthy immune-competent patient Healthy, tissue-adequate tissue Sound surgical technique Uncompromised healing phase
What are the ABSOLUTE Contraindications to Implants?
Acute/terminal illness Pregnancy Uncontrolled metabolic disease IV anti-resorptive drugs Unrealistic expectaitons Improper motivation
What are the RELATIVE Contraindications to Implants?
Smoking Active Perio disease Oral Bisphosphonate use Radiation therapy to jaws Growing, partially dentate patient Severe bruxism
Describe a one-stage implant system
Implant + healing abutment placed in 1 surgery
Implant is left open to the mouth
Describe a two-stage implant system
Implant placed and covered with soft tissue
A second surgery is performed for implant uncovery later
How far below the intended CEJ of the Tooth does an implant need to be?
3-4mm
What is the minimum distance from the B/L cortical plate required?
1mm
What is the minimum distance from the maxillary sinus required?
1mm
What is the minimum distance from the nasal cavity required?
1mm
What is the minimal distance required from the Incisive canal?
Just avoid the midline
What is the minimum distance required from an adjacent natural tooth?
2mm
What is the minimal distance required from an adjacent implant?
3mm
What is the minimum distance required from the IAN?
2mm from the superior cortex
What is the minimum distance required from the mental nerve?
5mm anterior to foramen
What is the importance of a surgical guide?
It translates the final restoration from lab to patient It shows the: -Axis of rotation -Embrassure locaiton -Facial contour of planned restoration -Planned CEJ