The Modern Technology of Dental Implant

The primary use of dental implants is to support dental prosthetics. Modern dental implants make use of osseointegration, the biologic process where bone fuses tightly to the surface of specific materials such as titanium and some ceramics. The integration of implant and bone can support physical loads for decades without failure.

For individual tooth replacement, an implant abutment is first secured to the implant with an abutment screw. A crown (the dental prosthesis) is then connected to the abutment with dental cement, a small screw, or fused with the abutment as one piece during fabrication. Dental implants, in the same way, can also be used to retain a multiple tooth dental prosthesis either in the form of a fixed bridge or removable dentures.

Dental Laboratories and dental technicians( dental laboratory equipment ) often work behind the scene with the dentist and/or the specialist and are an integral part of the treatment process for patients. A thorough understanding of patients’ anatomical limitations during treatment planning is essential, as is recommending and implementing the appropriate impression/transfer techniques, abutment design, and restoration design.

The modern dental laboratory, armed with a dental technician with the appropriate knowledge, skill, and experience can provide implant restorations in a financially, technically and esthetically predictable manner, delivering the highest standard of patient care.

In order to improve the predictability of any treatment outcome, it is critical to understand whether the patient’s anatomy, bone, and soft tissue, is favorable for esthetic integration. Dr. John Kois has noted that the patients’ presenting situation is the most important factor in determining whether an optimum esthetic result can be achieved.

As every situation is different, it is important for the patient to realize that compromises to the way the teeth look may still occur. Considerations that may compromise the symmetry of an attractive smile may include medical and/or dental history, gum, bone or existing teeth.

An implant supported bridge (or fixed denture) is a group of teeth secured to dental implants so the prosthetic cannot be removed by the user. Bridges typically connect to more than one implant and may also connect to teeth as anchor points. Typically the number of teeth will outnumber the anchor points with the teeth that are directly over the implants referred to as abutments and those between abutments referred to as pontics. Implant supported bridges attach to implant abutments in the same way as a single tooth implant replacement by dental implant machine. A fixed bridge may replace as few as two teeth (also known as a fixed partial denture) and may extend to replace an entire arch of teeth (also known as a fixed full denture). In both cases, the prosthesis is said to be fixed because it cannot be removed by the denture wearer.


What Can Intraoral Camera Do for You

The intraoral cameras designed for use in dental facilities come with disposable probes or probe covers to ensure that germs are not passed between patients, and they may come with a variety of options which enhance the functionality of the camera. Versions designed for home use are usually much more basic, but they can still be useful for people who want to see the inside of the mouth. Using a camera at home, someone can identify an issue which requires a dentist’s attention, keep an eye on a recovering surgical site, or teach children about the importance of oral hygiene.

One of the primary uses for an intraoral camera is in patient education. Dentists often find it helpful to be able to show patients exactly what is going on inside their mouths, and to highlight areas where medical attention may be needed. Patients are also less likely to defer or refuse procedures when they can clearly see the area at issue, as some people are suspicious of recommendations for dental procedures, due to concerns about cost, potential pain, or the fears about members of the dental profession.

In addition to being used in patient education, such cameras can also be used to take clear visual records for patient files, and to generate material which can be used in consultations and discussions with other dental providers. For example, a general dentist might use an intraoral camera to take images of a tooth or area of the jaw which requires oral surgery so that a maxillofacial surgeon can examine the information before he or she meets the patient to get an idea of the kind of surgery which might be required.

Images taken by an wireless intraoral camera can also be reviewed later, which can be useful for a dentist who feels a nagging suspicion that something is not quite right in the mouth of a patient. The intraoral camera can also be used to document procedures for legal and educational reasons, and to create projections of a patient’s mouth which can be used in medical schools for the purpose of educating future dentists about various issues which pertain to oral health.

The intra-oral camera makes record keeping a breeze. Because the camera can take pictures of decay or the beginnings of oral health conditions, images can be printed and placed into patient files. Previously, dentists merely attempted to write an explanation of problems found during exams. Now, dentists can accurately track the progress of treatments or problems for years following a visit. Furthermore, patients can receive printed pictures of the conditions the dentist finds, which may be beneficial for filing insurance claims.


Treatment Planning Always Poses a Challenge to the Clinicians

An expectation of a beautiful smile at the end of treatment is a primary concern for all patients, but most are also concerned with appearance while undergoing treatment. The anterior maxilla is often referred to as the aesthetic zone. Missing maxillary lateral incisors creates an aesthetic problem with specific orthodontic and prosthetic considerations, therefore treatment planning always poses a challenge to the clinicians.

Treatment alternatives for missing teeth include removable partial dentures, conventional fixed bridges, resin bonded fixed bridges, autotransplantation and dental implants. Treatment of tooth loss or agenesis in the anterior maxilla with single-tooth implant supported crowns is well documented. Depending on the type of final restoration that is chosen, interdisciplinary management of these patients often plays a vital role in the facilitation of treatment. One of the most common treatment alternatives for the replacement of congenitally missing teeth is a single-tooth implant. The main advantage of this type of restoration is that it leaves the adjacent teeth intact.

The healing period after implant placement by dental implant equipment is generally 3-4 months and the appearance of a gap from a missing tooth can be a concern during healing phase, especially if it is in the display zone of a patient’s smile. If the treatment plan includes prosthetic replacement of the missing tooth rather than space closure, then space maintenance is also an issue. In an appearance conscious patient, use of riding pontics as space maintainers is a good option during treatment.

Implant was loaded in the region of missing tooth under anaesthesia and post operative instructions were given. The healing period after implant placement was 3-4 months and the appearance of a gap from a missing tooth was a concern during healing phase, especially because patient had high aesthetic demands. So, an interim restoration was planned along with an Essix retainer.

Mesiodistal width determination – When a single anterior tooth is missing, mesiodistal width of the pontic should be determined by considering the width of the contralateral natural tooth. When teeth are missing bilaterally, the mesiodistal width of the pontic should be determined by analyzing the space available and the dimensions of the remaining natural teeth. So in this case, the mesiodistal width of the contralateral natural tooth was considered.

Height determination- The cervical end of the pontic should touch the gingiva with a smooth contour. If the cervical end of the pontic does not touch to the gingiva, then the negative space between the pontic and the gingiva can affect the aesthetics, especially in high smile line patients. The incisal edge or cusp tip of the pontic should be in harmony with the adjacent natural tooth for maximum esthetics.

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