3. • Conventional x-rays are 2D image for 3D
image
• Conventional x-rays are subjected to distortion
and magnification
• Don’t use single image for diagnosis
47. Implant surgery
Two stage
surgery
First stage
implant
placement
Second stage
placement of
healing abutment
One stage
surgery
The implant is
exposed from day
one
48. First stage
surgery
• Flap or
flapless
Implant
placement
• Immediate or
delayed
3 to 6
months
healing
Second
stage
surgery
• Flap or
flapless
Healing
abutment 2
weeks
Final
restoration
49. One stage
surgery
• Flap or
flapless
Implant
placement
• Immediate or delayed
placement
• Immediate or delayed loading
Healing for 3
to 6 months
• With or
without
loading
Final
restoration
50. Implant surgery
Flapless
More conservative
Better soft tissue healing
Less bone loss
More esthetic outcome
Less visibility
Risk of bone dehiscence or
fenestration
More sensitive technique
Flap elevation
More visibility
Better irrigation
Bone augmentation
Complete wound closer
Bone resorption
More healing time
Risk of flap dehiscence
80. Implant
placement
delayed
3 to 6 months
after tooth
extraction
Early
1 week to 2
months after
extraction
Immediate
At the same
time of tooth
extraction
81. Implant loading
delayed
3 to 6 months
after implant
placement
Early
from 2 weeks to
2 months of
implant
placement
Immediate
within 1 week of
implant
placement
83. Immediate placement
Advantages
reduce the
treatment
time
reducing the
number of
surgical
procedures
Bone
preservation
at the
extraction site
Disadvantages
risk of
infection from
residual
bacterial
poor esthetic
outcomes
unpredictable
amount of
alveolar wall
resorption
87. • primary stability
achieved by direct contact between implant body
and threads with bone during implant placement.
• Secondary stability
As healing progresses, the original bone around
the implant surface remodels and areas of new
bone emerge at the implant surface. The
remodeled bone contact and new bone contact
result in secondary or biologic stability.
88. Immediate VS. delayed
• Esthetics:
esthetic recovery is more difficult in implant site
• Function:
Anterior vs posterior
• Structure:
Soft tissue
surrounding teeth teeth
• Biology:
primary stability
Quantity and quality of bone
Pace of bone formation around the implant
89.
90. • Esthetics: The implant site is in the esthetic
zone
• Function: The patient lacks posterior support,
deep vertical overlap (overbite) present
• Structure: Additional teeth require restoration
due to dental caries
• Biology: Thin biotype