1.
IMPLANTATION
OPTIONS
Dr. Nashwan Abdulwahab Alkhawlani
MDSc Oral & Maxillofacial Surgery,
Implantology

2.
Standard Implant
01
Ridge Augmentations &
other ridge modifying tech.
02
Short Implants
03
All on 4
04
Contents
Zygomatic and Pterygoid
Implants
05

3.
STANDARD IMPLANTS
Implant lengths of 10mm or
greater have been considered
the standard in implant
dentistry.
Implants are generally available in lengths
from about 6 mm to as much as 20 mm. The
most common lengths employed are between
8 and 15 mm, which correspond quite closely
to normal root lengths.
Most implants are approximately 4 mm in
diameter A diameter of at least 3.3 mm is
normally recommended to ensure
adequate implant strength.

4.
Dental Implants in Resorbed Ridge

5.
02Ridge Augmentations & other modifying tech.
Distraction Osteogenesis
Sinus floor Elevation
Block Grafts
Guided bone Regeneration
And Interpositional Grafts
ALVEOLAR ridge Expansion
Nerve Transposition

6.
Ridge Augmentation

7.
Block grafts
Interpositional grafts

8.
Sinus Lifting
Grafting of the maxillary
sinus is most commonly
used and a very
predictable procedure
for vertical bone
augmentation in the
posterior maxilla
Sinus floor augmentation
is either performed by an
external or an internal
(transcrestal) approach
Sinus floor
augmentation can be
performed with
immediate or delayed
implant placement
Bone substitute materials
are as effective as
autogenous bone for
sinus floor augmentation.
Less than 4-6 mm of
vertical residual bone
height in the posterior
segment of the maxilla is
an indication for a sinus
augmentation procedure

9.
ALVEOLAR Ridge expansion
Ridge expansion: If the jaw isn’t wide enough to
support dental implants, bone graft material can be
added to a small ridge, or space, that is created
along the top of the jaw

10.
Inferior Alveolar Nerve
Lateralization

11.
Distraction
Osteogenesis

12.
Section Break

13.
Short Dental Implant
Short implants have demonstrated to be a
predictable treatment with survival rates
between 74-96% at 5 years.
The determinant factor
for short implant success
is known to be the low
quality bone, as it
compromises primary
stability at placement .
Short implants showed
marginal bone loss,
prosthesis failures and
complication rates similar
to standard implants.
The use of a short implant
(4 to 8 mm long) is an
interesting and straight
forward alternate treatment
modality
No consensus about the definition of short implants,
some considering them to be <10 mm , while others
consider <8 mm . Current clinical tendencies consider
implants ≤7 mm as short or extra-short implants .
03

14.
04 ALL on 4
***Two straight implants are inserted in the anterior region
(usually lateral incisor) and two dorsally tilted implants in the
posterior zone (2nd premolar).
***The limitation for the placement of the dorsal implants is the
maxillary sinus and the mental foramen. In the severely resorbed
maxilla the concept can be performed by placing zygomatic
implants (Pterygoid implants, Zygomatic implants).
Modern treatment methods
with reduced number of
implants and tilted implant
placement allow a less
invasive treatment
approach with only one
surgical intervention, and
without augmentive surgery

15.
.
 Zygomatic implants
are an evidence-
based surgical and
prosthetic solution for
both two-stage and
immediate loading
protocols.
 Today, zygomatic
implants are usually
placed using an
immediate loading
protocol
05 Zygomatic Implants
 The main indication for zygomatic implants is the severely resorbed edentulous maxilla.
 Indications for zygomatic implant insertion include: alternative for sinus augmentation, failed sinus augmentation,
rehabilitation after tumor resection or trauma, failure of conventional implants, failure of previous bone grafts
 The placement of zygomatic implants requires adequate training and surgical experience

16.
05 Pterygoid
Implants
The terms "pterygoid implants", "pterygo-maxillary
implants" and "tuberosity implants" are used
interchangeably in scientific literature (for what is
described as implants in the retromolar region).
By definition, all "pterygoid implants" encompass
the tuberosity region and engage the pterygoid
plate but not all "tuberosity implants" necessarily
engage the pterygoid plates (they are placed in a
more anterior position of the pterygo-maxillary
area, parallel to the posterior wall of the sinus).

17.
A Revolutionary
3D-Printed
Titanium Jaw
Implant
The customized implant
avoids bone grafting and
the associated months of
recovery takes a bite out
of surgery time and
provides the patient with
fixed teeth the same day
of surgery.

18.
THANK YOU