Indian Dental Academy: will be one of the most relevant and exciting
training center with best faculty and flexible training programs
for dental professionals who wish to advance in their dental
practice,Offers certified courses in Dental
implants,Orthodontics,Endodontics,Cosmetic Dentistry, Prosthetic
Dentistry, Periodontics and General Dentistry.
3. INTRODUCTIONINTRODUCTION
Implants are devices inserted into theImplants are devices inserted into the
body below the skin or oral mucosalbody below the skin or oral mucosal
membranemembrane
They are used to improve the stabilityThey are used to improve the stability
of dental prosthesisof dental prosthesis
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4. EVOLUTION OF IMPLANTSEVOLUTION OF IMPLANTS
They have a history almost as old as thatThey have a history almost as old as that
of dentistryof dentistry
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5. Early Historical Developments:Early Historical Developments:
- bone-anchored device- bone-anchored device
- Ancient history of dental implants dates- Ancient history of dental implants dates
back to Egyptian times when sea shellsback to Egyptian times when sea shells
were literally hammered into the jaw towere literally hammered into the jaw to
replace missing teethreplace missing teeth
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6. In the 18th century lost teeth wereIn the 18th century lost teeth were
sometimes replaced with extracted teethsometimes replaced with extracted teeth
of other humanof other human donorsdonors..
1809 -1809 - MaggioloMaggiolo
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8. 1937 – Gustav Dahl , subperiosteal1937 – Gustav Dahl , subperiosteal
implantsimplants
1948 – Gershkoff and Goldberg1948 – Gershkoff and Goldberg
1966 – Linkow , Endosseous blade vent1966 – Linkow , Endosseous blade vent
implantsimplants
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9. 1952 -1952 - Per IngvarPer Ingvar BranemarkBranemark in thein the
Laboratory of Vital Microscopy at the UniversityLaboratory of Vital Microscopy at the University
of Goteberg, Sweden.of Goteberg, Sweden.
OsseointegrationOsseointegration
The Osseointegration concept evolved closelyThe Osseointegration concept evolved closely
coupled with the design of a cylindrical titaniumcoupled with the design of a cylindrical titanium
screw with a specific surface treatment toscrew with a specific surface treatment to
enhance its bioacceptance.enhance its bioacceptance.
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10. Around 1980, Branemark brought hisAround 1980, Branemark brought his
research to the U.S.research to the U.S.
Reported results of prospective clinicalReported results of prospective clinical
research trials of totally edentulousresearch trials of totally edentulous
patients restored with dental implantspatients restored with dental implants
(since 1952)(since 1952)
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11. In 1982, the Toronto Conference onIn 1982, the Toronto Conference on
Osseointegration in Clinical Dentistry laidOsseointegration in Clinical Dentistry laid
down the first parameters on what is to bedown the first parameters on what is to be
considered successful implant treatmentconsidered successful implant treatment
within the stringent confines of thewithin the stringent confines of the
scientific communityscientific community
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12. The Original Titanium ScrewThe Original Titanium Screw
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13. 1981 – ITI non submerged implant system1981 – ITI non submerged implant system
1983 – IMZ (Krisch, Babbush and Mentag)1983 – IMZ (Krisch, Babbush and Mentag)
1985 – Bicon (Driskell, Stryker and Bicon)1985 – Bicon (Driskell, Stryker and Bicon)
1989 – 3i (Lazzara)1989 – 3i (Lazzara)
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14. 1986 – The year that root form implants1986 – The year that root form implants
superceded the blade form implants assuperceded the blade form implants as
“the most frequently placed type of“the most frequently placed type of
implant”implant”
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16. For most of this period they have beenFor most of this period they have been
dominated by the belief that success wasdominated by the belief that success was
predominantly design related althoughpredominantly design related although
more recently the importance of materialmore recently the importance of material
of construction was also recognisedof construction was also recognised
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18. WILLIAM’S CLASSIFICATIONWILLIAM’S CLASSIFICATION
Implants
For prosthetic treatment
For endodontic stabilization
For periodontal sugery
For simulation congenitally
Absent tissue
For treatment of facial fractures
Directly Indirectly
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19. Implants
Totally buried Semi buried
Sub periosteal Endosseous
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20. ACC. TO WEISS AND WEISSACC. TO WEISS AND WEISS
IMPLANTS
ENDOSTEAL
SUBPERIOSTEAL
INTRAMUCOSAL INSERTS
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21. Root Form Blade Formwww.indiandentalacademy.comwww.indiandentalacademy.com
26. ENDOSTEAL IMPLANTSENDOSTEAL IMPLANTS
Alloplastic material surgically inserted intoAlloplastic material surgically inserted into
a residual bony ridge primarily to serve asa residual bony ridge primarily to serve as
a prosthodontic foundationa prosthodontic foundation
Root forms and blade formsRoot forms and blade forms mostmost
commonly used typescommonly used types
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27. Root Form Blade Formwww.indiandentalacademy.comwww.indiandentalacademy.com
29. ROOT FORMROOT FORM
Resemble the shape of a natural toothResemble the shape of a natural tooth
rootroot
Usually circular in cross sectionUsually circular in cross section
Can be threaded, smooth, stepped ,Can be threaded, smooth, stepped ,
parallel- sided or tapered, with or withoutparallel- sided or tapered, with or without
coating, with or without grooves or a ventcoating, with or without grooves or a vent
Must achieve osseointegration to succeedMust achieve osseointegration to succeed
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31. 1988 - National Institutes of Health consensus1988 - National Institutes of Health consensus
statement on dental implants and Americanstatement on dental implants and American
Academy of Implant Dentistry recognize theAcademy of Implant Dentistry recognize the
term root formterm root form
Primary types based on design:Primary types based on design:
Cylinder or press fitCylinder or press fit
Screw formScrew form
CombinationCombination
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32. Screw root form:Screw root form:
V – threadV – thread
Buttress threadButtress thread
Power(square)Power(square)
threadthread
Implant bodyImplant body
Crest moduleCrest module
BodyBody
Apex regionApex region
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42. Endodontic StabilizersEndodontic Stabilizers
Extend length of toExtend length of to
existing tooth rootexisting tooth root
to improveto improve
prognosisprognosis
Threaded andThreaded and
parallel sided withparallel sided with
sluice ways insluice ways in
threaded crestthreaded crest
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43. Intra Mucosal InsertsIntra Mucosal Inserts
Attached to tissue surface of prosthesisAttached to tissue surface of prosthesis
Provide support but do not provideProvide support but do not provide
abutmentabutment
Intra mucosal insertwww.indiandentalacademy.comwww.indiandentalacademy.com
44. ABUTMENTSABUTMENTS
Joined to fixture with abutment screwJoined to fixture with abutment screw
Types:Types:
• PrefabricatedPrefabricated
• Custom madeCustom made
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45. Single piece Two piece abutmentwww.indiandentalacademy.comwww.indiandentalacademy.com
46. Acc to method by which prosthesis isAcc to method by which prosthesis is
retained to abutment:retained to abutment:
• Abutment for screwAbutment for screw
• Abutment for cementAbutment for cement
• Abutment for attachmentAbutment for attachment
Each of the three types of abutments mayEach of the three types of abutments may
be further classified into straight or angledbe further classified into straight or angled
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47. An Abutment for screw uses aAn Abutment for screw uses a
hygiene cover screw placed overhygiene cover screw placed over
the abutment between prostheticthe abutment between prosthetic
appointmentsappointments
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48. TERMINOLOGYTERMINOLOGY
The generic language for endostealThe generic language for endosteal
implants, both root forms and plate forms,implants, both root forms and plate forms,
has been developed by Misch and Mischhas been developed by Misch and Misch
It is presented in an order similar to theIt is presented in an order similar to the
method of insertion and restoration.method of insertion and restoration.
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51. Fixture / BodyFixture / Body - Surgically placed into- Surgically placed into
the bonethe bone
Cover screwCover screw –– placed on top of theplaced on top of the
fixture to prevent invasion into thefixture to prevent invasion into the
threaded internal area of the fixturethreaded internal area of the fixture
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52. Second stage permucosal extensionSecond stage permucosal extension
Extends the implant above the softExtends the implant above the soft
tissuestissues
Results in development of a permucosalResults in development of a permucosal
sealseal
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53. AbutmentAbutment
Portion of implantPortion of implant
that serves to supportthat serves to support
and/ or retain aand/ or retain a
prosthesis or implantprosthesis or implant
superstructuresuperstructure
20 degree 45degreewww.indiandentalacademy.comwww.indiandentalacademy.com
55. Transfer copingTransfer coping
Implant bodyImplant body
copingcoping
Abutment transferAbutment transfer
copingcoping
Direct transferDirect transfer
copingcoping
Indirect transferIndirect transfer
copingcoping
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68. IMZ ImplantIMZ Implant
Developed by Axel kirsch (1980-83)Developed by Axel kirsch (1980-83)
Prosthetic components include IntraProsthetic components include Intra
Mobile ElementMobile Element
Highly polished Ti – transmucosal implantHighly polished Ti – transmucosal implant
extension for optimal soft tissueextension for optimal soft tissue
adaptationadaptation
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69. BIBLIOGRAPHYBIBLIOGRAPHY
Contemporary Implant Dentistry- MischContemporary Implant Dentistry- Misch
Atlas of Oral Implants- CraninAtlas of Oral Implants- Cranin
Fundamentals Of Implant Dentistry- WeissFundamentals Of Implant Dentistry- Weiss
and Weissand Weiss
Implants For Clinical Practitionar- DunitzImplants For Clinical Practitionar- Dunitz
Oral implantology- KakarOral implantology- Kakar
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70. Thank you
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