September 19th, 2009 by admin
After an extraction or implant placement, it is important for a blood clot to form to stop the bleeding and begin the healing process — that’s why we ask you to bite on a gauze pad for 30 to 45 minutes after surgery. If bleeding or oozing continues after you remove the gauze pad, place another sterile gauze pad and bite firmly for another thirty minutes.
After the blood clot forms, it is important to protect it, especially for the next 24 hours. So, for the next 24 hours, DON’T: smoke, suck through a straw, rinse vigorously or spit. These activities will dislodge the clot, possibly causing bleeding to recur and slow down the healing process.
Limit yourself to calm activities for the first 24 hours, this keeps your blood pressure lower, which reduces bleeding and helps the healing process. Read the rest of this entry »
September 12th, 2009 by admin
According to the best available evidence, traditional periodontal
infection control including plaque control regimens and mechanical
instrumentation of the affected areas possessing surgical flap access should
be performed. It is essential to inform the patient about the need for effective
oral hygiene procedures (particularly around implants), and the patient
should be carefully instructed in the proper use of necessary additional oral
hygiene aids. Oral hygiene procedures should be trained under professional
supervision (Figs. 3–8).
A systematic review of the studies done on anti-infective therapy for Read the rest of this entry »
September 12th, 2009 by admin
The soft tissue surrounding healthy osseointegrated dental implants shares
anatomic and functional features with the gingiva around teeth. The
microstructure has been described in dog models and in human tissues. The
outer surface of the peri-implant mucosa is lined by a stratified keratinized
oral epithelium that is continuous with a junctional epithelium attached to the
titanium surface by a basal lamina and by hemidesmosomes. The 2-mm long
nonkeratinized junctional epithelium is only a few cell layers thick in the apical
portion and separated from the alveolar bone by 1 to 2 mm of collagen-rich
connective tissue. This 3- to 4-mm ‘‘biological barrier,’’ formed irrespective of
the original mucosal thickness, protects the zone of osseointegration from Read the rest of this entry »
August 27th, 2009 by admin
Implants offer an alternative method of treatment
for the replacement of missing teeth which can be
used instead of dentures or fi xed bridges. They
generally have a structure which enables one part
of the implant to be located beneath the oral soft
tissues (mucosa) such that it can be stabilized
by resting on the bone or by being embedded in
the bone. The other part of the implant structure Read the rest of this entry »
August 26th, 2009 by admin
If a potential anterior implant site does not possess sufficient
ridge width and/or soft tissue configuration for the
prospective prosthetic suprastructure to be attached to the
implant, the patient will be asked to select and decide,
either in favor of a conventional solution, or in favor of being
subjected to preparatory augmentative intervention. An
implant restoration with adequate emergency profile must
be the goal of therapy in this case.
If the surgical and prosthetic treatment steps presented
here are followed in detail, aesthetically very beautiful
results can be achieved.
August 26th, 2009 by admin
During surgery, the implant should be placed into a favorable
three-dimensional position. The implant thus becomes
the apical extension of the future implant crown. Regarding
the vertical position of the implant shoulder, the implant is
placed approximately 2 mm deeper into the bone as compared
to other locations. That means that with an ITI
implant, the smooth neck part of the implant will lie in the
enossal region. To limit bone resorption, special implants
should be used, on which the TPS coating is extended about Read the rest of this entry »
August 26th, 2009 by admin
Patients’ expectations are always high and room for compromises
with implant-supported dentures is, therefore,
particularly in the presence of a high smile-line, correspondingly
small.
Consequently, an optimal aesthetic implant treatment
depends not only on the prosthetic and technical procedures,
but also to a great extent on the following anatomical
and surgical parameters:
-Submucosal localization of the implant shoulder.
-Proper three-dimensional implant position that is determined Read the rest of this entry »
August 26th, 2009 by admin
More recently, dental restorations have been increasingly
influenced by aesthetic considerations. Two main reasons
were and still are responsible for this development: the
wish of the patients to have as natural an aesthetics as possible
and the continuing search within dentistry for less
invasive restorative treatment procedures (Magne et al.
1993a, 1993b, 1994). Missing front teeth can either be Read the rest of this entry »
August 26th, 2009 by admin
Today one does not consider that placing endosseous
implants in partially edentulous patients is a special, independent
therapeutic modality, but rather as one of many
options to be considered within an extensive restorative
treatment plan. The following questions are of importance,
primarily from a prosthetic point of view:
-Can the implant substantially decrease the invasiveness Read the rest of this entry »
August 26th, 2009 by admin
Nowadays, titanium implants with an axial symmetrical
design are mostly on offer. A great variety of screw-shaped
implants predominate. Extension implants, like blade
implants or subperiostal framework implants, have lost in
importance because they can cause considerable bone
defects in the jaw in case of failure. A recently conducted
long-term, multicenter clinical study with more than 2300
ITI implants (Buser et al. 1997) showed that after eight years
the cumulative survival rate was 96.7%, while the respective
success rate was 93.2%.
For an osseointegrated implant to succeed in a healthy
patient, the implant bed needs to be carefully prepared and
the implant inserted and stabilized, whereupon a healing Read the rest of this entry »
