What is dental

implant?
?What is implant

It's screw fixed in the bone made from

. titanium
: Implant has three components
Implant itself replacing the root -1
. part of the tooth
Abutment is the supporting the-2
. coronal restoration
Restoration which could be -3:
,a)Fixed prosethises crown or bridge
b)Removable denture
? Why we do implant
Missing single tooth between two-1
. healthy teeth
Multipal missing teeth for young-2
patients witch doesn’t wants
. removable denture
Patient has free end sadle and they -3
. wants fixed prosthetics
. Nice appearance cosmetic -4
Contra Indications
: Absolute Contraindications-
.Osteoporosis-1
.Nephropathy-2
.Ischemic cardiopathy-3
Severe pathoiogies of breathing.-4
.apparatus

: Relative Contraindications-
.Bruxisam & Xerostomia-1
. Psychosis ,depression or neurosis-2
Infective Diseases ; Adis ,Hepatitis type-3
.B,C
? History of implant
In 1956 branamark has discovered that
the titanium Is combatable and
Osseointegrated with human being
. bone
: Mechanism of implant
The osteointegration based on the
surface treatment of the implant:
.Surface 2- geometry-1

Treatment of implant surface, in the past they-1

treat the implant surface by Hydroxyaptite
. ( Calcium hydroxide & calcium phosphate )
They developed and they start treat the surface to
get fastest osseointegration by Acid etch & sand
blast (Macro cavity ),Later on they found the
implant surface which is treated only by Bio-
organic Acid etch it get more osseointegration
(Micro cavity ) & good distribution for the
. osteoblast cells and good healing

It's important of geometry is to gave us the -2

. primary stability
: Implant form
They design the implant as cylindrical with
external Hex for abutment connection and 1mm
polish nick ,they discovered the connection
between the abutment and the implant with
external hex is broken ,They developed the
implant design to cylindrical implant with
inertial hex 1mm polished nick ,After that they
found the forces coming to the implant due to
mastication has not good distribution to the
bone and could have bone resorption around the
implant. so they developed the design of the
implant to cylindrical implant internal Hex with
1mm polish nick and tapered apix 2 mm, They
developed the design of the implant to get the
shape root of the natural tooth and introduce the
tapered implant. The indication of tapered
implant, 1-in case of space less than 6mm
between the natural roots. 2- In case of
.Immediate implantation after root extraction
: Implant surgery

One step surgery technique they open

the flap and insert the implant in
the bone and closing the flap around
the implant waiting for the
osseointegration then we
. did the prosthetic phase

Two Steps surgery we open the flap

and insert the implant , put the
cover screw close the flap over the
implant ,waiting for the
osseointegration ,then we exposure
the implant from the gingiva then
. we did the prosthetic phase
Treatment plan of
implant
: Panorama X ray or CT scan
A- Anatomical Structure ( Siuns ,Lingual Nerve )
. B- Measurement the length implant

Study model
-. Position of the implant
-Space between the teeth
Relationship Between the maxilla and -
Occlusion))mandibulla arch

Surgical stent ( Guide)

 Surgical technique
Open the flap start drilling with deferent-1
. sizes of drill bit
By using the connectors to hold the-2
implant from the vial to the implant
. socket
Tiete the implant by ratchet to the bone-3
.level, remove the connector
Un screw the mount ,we put the cover-4
. screw after that we close the flap
After the osseointegration we Exposure-5
. the implant using the tissue punches
We remove the cover screw ,inserting the-6
healing screw (gingiva former ,gingival
. healing )for 10-15 days
Remove the healing screw ,inserting the -7
. Impartation transfer in the implant
We take Impartation by using special tray with-8
.inside of it the Impartation transfer
Insert the healing screw in the implant-9
We insert Laboratory analogue with implant-10
.transfer
Send it to the lab ,when the Laboratory-11
made the study model, Inside it the implant
.analogue, we select the right abatement
Dental Implant
Terminology
Coronal restoration Mount
Fixed prosethises Screw driver
Removable denture Cover screw
Free end sadle / Tissue catering
Osteointegration Tissue punches
Hydroxyaptite Implant
Macro cavity Healing Screw
Micro cavity (Gingeva Former )
Osstioblast cells Impartation transfer(
Geometry Laboratory transfer
Primary stability . Laboratory analogue(
Bone Resorption Abatement
Tapered Apix Special tray
Immediate implantation Connection) connector(
Root Extraction Ratchet
Prosthatic Phase
Exposure
!!!! Have nice day
Leader
.Leader implant Made titanium Grade 4
surface treated with bioorganic Acid treatment,
. BOAT
. Produce uniform appearance with micro-cavity
This new surface can stimulate and accelerate of
, bone healing to obtain fast Ostiongration
. The geometry produce primer stability
. leader has : ImpLus , Nano , S- type , Fix Type
Implus : Cylindrical, Tapered
Polished neck internal Hex 0.4 mm , TTA total
. treated surface
Dim : 3.3 , 3.75 , 4.5 , 5.5
Length : 8, 10, 11.5 , 13 ,16
Surgical Protocol : Round drill ,Cortical drill ,
. Pilot Drill ,Twist Drill, Counter sink , Bone tap