Category: Two Stage

Black gums and Allergic Inflammation of gums

This really is frequently triggered by low quality alloy. Lesser quality alloys frequently contain non-refined metallic elements which yield toxic substances throughout formulation. These non-refined metallic elements contain lead, cadmium, iron, mercury along with other undesirable elements.

Porcelain fused to tilite metal fixed partial denture.


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Dental Implant Surgery: Two Stages

The success of a Dental Implant treatment depends on adherence to Dental Implant Surgery principles, the Prosthodontic aspect of the treatment, and proper Dental Implant Maintenance.

There are two types of Dental Implant Surgery according to number of stages; the single stage and the two stage dental implant surgery. The type of surgery may increase or decrease the dental implants cost.
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Bone Graft – bone augmentation

A good brand of particulate allograft is Puros Allografts by Zimmer. From its line of allografts for bone augmentation, puros cancellous particulate allograft has become the bone grafting of choice for many dentists.

Cancellous particulate allograft acts as an osteoconductive scaffold for new bone formation. In large volume of applications, studies have shown faster bone regeneration at 6 months than grafts containing sintered bovine bone matrix. While in small volume applications, regeneration of hard bone has been reported as early as 3-5 months.

Cancellous particulate allograft retains osteconductive properties due to preservation of the natural bone matrix collagen and mineral composition, trabecular pattern, and original porosity enabling the ingrowth of vascular and cellular connective tissue.
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Perforated Lingual or Buccal There will be no problem if the fixture threads are imbedded in bone.

Perforated Bone Coronally Do a bone graft procedure if fixture threads are exposed at the coronal. Section small amounts of bone, mix with Resorbable Tissue Replacement, then place the bone graft material over the exposed threads.

Bone Graft Procedure on buccal bone plate. Photo credit: Oris Neobiotech


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Dental Implant Torque

For final tightening of the dental implant, torque ratchet is used. It is also used to measure the exact torque of the dental implant. Over threading is also prevented by using the torque ratchet. Over threading could strip all threads in bone.

Neobiotech torque ratchet is used to measure the exact torque of the dental implant. Photo credit: Oris Neobiotech

The dental implant fixture mount is attached to the fixture using the open ended wrench. The inner hexagonal surface should fit properly over the fixture head. Match the inner surface of the handpiece connector to the square top of the fixture mount and apply gentle pressure between the components.

When the apex of the fixture is threaded and no longer visible, begin irrigation. Photo credit: Oris Neobiotech


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Dental Implant Fixture Parallelism

The direction indicators are inserted into the dental implant site to check and maintain parallelism during preparation.

Poor fixture alignment

If the angle with adjacent fixture is less than 35 degrees, there will be not be a major problem prosthetically.

Direction indicators are inserted after each twist drill procedure is completed to verify parallel fixture sites. Photo credit: Oris Neobiotech


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Dental Implant Drilling Procedure

Copious saline irrigation is required in the use of any drilling instruments. A surgical splint is used to determine dental implant fixture insertion site. In the maxilla, a fixture for 11 or 21, is placed 3 mm from the midline suture line.

After pilot drilling is done, the fixture site is enlarged using a 3.0 mm diameter twist drill. The procedure is important for preparing the implant fixture site to proper depth. The indicator mark on the drill should be level with the bony margin.

Use the twist drill to finalize enlargement fo dental implant fixture site. Photo credit: Oris Neobiotech

Implant Supported Complete Denture is an optimum solution for Completely Edentulous patient. Implant Supported Denture virtually eliminates slipping and movement. Patients will be able to laugh and speak with confidence and eat food with ease.

Dental Implant supported complete denture have the following advantages:

  • It increases comfort and stability.
  • It restores a secure biting ability.
  • Maintains integrity of facial structure.
  • It eliminates need for adhesives.
  • It improves facial appearance.
  • It improves eating.
  • Improves speech and confidence in speaking.

Multiple Dental Implants

Implant Supported Bridge is an optimum solution for multiple missing teeth. Implant supported dental bridge stays secure and strong. It is comfortable, natural and look like natural dentition.

Dental Implant supported bridge have the following advantages:

  • It looks, feels and performs similar to natural teeth.
  • Sound adjacent teeth are not compromised to support a bridge.
  • Preserves sorrounding bone.
  • Dental bridge attached securely to dental implants.
  • It prevents resorption of bone.
  • Recurrent wear around abutment is eliminated.
  • Seld esteem of the patient is improved.

Dental Implants will maintain surrounding bone and soft tissue, as well as replace missing teeth.