Dental Implants

Outline

Implant Dentistry and The Concept of Osseointegration: A Historical Perspective

v European Efforts

v Brånemark’s Contribution

v U.S. Developments After the Toronto Conference

v A Continuing Evolution

Table 1. Implant Systems With ADA Acceptance

v Current and Future Perspectives

References

Legends

Dental Implants: Implant Dentistry and The Concept of Osseointegration: A Historical Perspective

v European Efforts

v Brånemark’s Contribution

v U.S. Developments After the Toronto Conference

v A Continuing Evolution

Table 1.Implant Systems With ADA Acceptance

v v Current and Future Perspectives

References

Legends

Dental Implants: NIH Consensus Statement

v Introduction

v What Is the Evidence That Implants Are Effective for the Long Term?

v What Are the Indications and Contraindications of Various Types of Dental Implants?

v What Are the Requirements for Surgical, Restorative, and Periodontal Management of Patients With Dental Implants?

v What Are the Health Risks of Dental Implants?

v What Are the Future Directions for Research On Materials and Designs of Dental Implants and On Clinical Management?

Materials and Designs

Clinical Management

Patient Considerations

Conclusion

Consensus Development Panel

Speakers

Conference Sponsors

Treatment Planning for Success: Wise Choices for Maxillary Single-Tooth Implants

v     Functional Success With Esthetic Failure

v Assessment of Patient Expectations

v Assessment of Gingival Display

v Gingival Form

v Papilla Presence or Absence

v Adjacent Tooth Morphology

v Available Bone Height

v Available Bone Width

v Determining Available Bone

v Completing the Case

v Conclusion

Legends

References

The Immediate Dental Implant

v Patient Evaluation

v Clinical Procedure

Tooth Extraction

Implant Osteotomy

v The Implant to Socket Wall Space

v Postoperative Management

v Soft Tissue Management

v Advantages and Disadvantages

v Conclusion2

References

Legends

Implant-Borne Single Tooth Replacement– An Illustration and Rationale

v Treatment Planning

v Standard Abutment-Final Impressions

v Temporary Crowns

v Delivery of Final Restoration

v Other Abutments

v Custom Abutments

v Conclusion

Legends

Ten Years of Patients’ Experiences With Fixed Implant Supported Prostheses

v Introduction

v Review of the Literature

Oral Functions

Speech and Phonetics

Oral Self Care

Psychological and Social Factors

v Materials and Methods

Sample

Measurements

Procedure

Data Analysis

v Result

Demographic and Clinical Characteristics

Oral Functions

Table I. Demographic and Clinical Characteristics of 135 Patients in Relation to Length of Time Wearing ISP

Speech and Phonetics

Oral Self Care

Esthetics

Table II. Percentage of Patients Reporting Absence of Problems With Oral Functions, Speech, and Oral Self-Care (n=135)

Length of time wearing ISP

Life-Style Changes and Self-Confidence

Table III. Percentage of patients reporting positive influence of ISP on esthetics, improvement in life-style and self-confidence (n= 135)

Oral Comfort

Overall Satisfaction

Positive and Negative Experiences of the ISP

v Discussion

Conclusions 

Acknowledgment 

References 

Dental Implants: Patient Information

v A Unique Solution to a Troublesome Problem

Why Are People Choosing Dental Implants?

v An Alternative to Natural Teeth

v What to Expect

v A Team Effort Start a New Way of Living Today

v Start A New Way of Living Today5

Learning Objectives 

After completing the course, you’ll be able to:

Implant Dentistry and The Concept of Osseointegration: A Historical Perspective

    1.     Narrate the history of implant dentistry in modern times recounting the European      
            efforts and U.S. developments.

    2.    List 11 implant systems that have won ADA acceptance.

Dental Implants

    3.    Describe the magnitude of the missing tooth problem (edentulism) in the United                     States.

    4.    Discuss the available evidence regarding the effectiveness of implants for the long term.

    5.    List 8 factors that should be considered for long-term successful performance of dental implants.

    6.    List 10 general contraindications for dental implants that standards of dental practice dictate.

    7.    Identify indications for a specific implant type.

    8.    Discuss the requirements for surgical, restorative, and periodontal management of patients with dental implants.

    9.    Make an assessment of health risks of dental implants in a patient.

    10.  Relate to a patient temporary and long-term problems that may result from implant placement.

Treatment Planning for Success: Wise Choices for Maxillary Single-Tooth Implants

    11.  Identify 9 issues that a dentist should take into account to ensure an esthetically successful outcome. 

    12.  Determine the esthetic risk in an implant case by assessing gingival display. 

    13.  Differentiate between two "biotypes” of forms of periodontium and their implications in the success of dental implants. 

    14.  Recognize the importance of the position of the osseous crest as an indicator for potential loss of papillae after an implant           placement. 

    15.  Discuss the implications of gingival form, presence or absence of papilla, adjacent tooth morphology, and available                       bone height and width on the successful placement of dental implants.

The Immediate Dental Implants

    16.  Make a patient evaluation for immediate implant placement.

    17.  Describe the procedure involving tooth extraction, preparation of the extraction area and the apical bone for the placement of            the implant.

    18.  Discuss the importance of the space between the implant and socket walls and point out various techniques used to fill the           implant-to-socket-wall gap.

    19.  List the advantages and disadvantages of immediate implant placement.

    20.  Identify 4 factors that may prevent the immediate implant placement.

Implant-Borne Single Tooth Replacement-An Illustration and Rationale

    21.  List 3 reasons that more and more patients are choosing dental implants.

    22.  Recount for a patient the results of a national survey of oral and maxillofacial surgeons that found growing patient interest            and demand for dental implants.

    23.  Describe and practice implant-borne single tooth replacement technique.

Ten Years of Patients’ Experiences With Fixed Implant-Supported Prostheses

    24.  Discuss the results of study enumerating ten years of patients’ experiences with emphasis on oral function, speech,            oral self-care, esthetics, improvement in life-style and self-confidence.

Learning Objectives

To assess the effectiveness of the course material, we ask that you evaluate your achievement of each learning objective on a scale of A to D (A=excellent, B=good, C=fair, D=unsatisfactory). Please indicate your responses next to each learning objective and return it to us with your completed exam.