Training Program on DIO Dental Implant System

DIO Dental Implants

A skill enhancement program on the foundation of dental implantology by means of profound lectures, surgical and laboratory hands-on and case presentations designed to equip the dentists to confidently place implants on their actual patients.

General Objective: At the end program, the participants are expected to be able to perform an ideal case of dental implant from diagnosis and treatment planning, surgical techniques and final restoration using the DIO dental Implant System.

Training Outline
Introduction
Diagnosis
DIagnostic Aid
Laboratory Aids
Treatment Planning
SUrgical Protocol
Soft and Hard Tissue Rehabilitation
Prosthodontic Procedures
Complications and Post Operative Procedure
Immediate Placement after Extraction
Special Lectures
Maintenance of Dental Implants

Training Methodology
Lecture
Journal Report
Laboratory Exercises
Actual implant Placement on Patient
Case Presentation

For more inquiries, contact
DIO Dental Implants
Phone: 02 712 3384
02 708 4409

Basic Dental Implants Course

Basic Dental Implants Course


University of the Philippines Manila
The Health Sciences Center
Office of Continuing Education

Basic Dental Implants Course

Outline
1. Implant concepts
2. Treatment planning
3. Implant placement procedures
4. Implant restoration
5. Complications
6. Esthetics

Basic Dental Implants Course fulfills the requirement of the Professional Regulation Commission on Continuing Education Courses.

Registration
University of the Philippines College of Dentistry
Pedro Gil cor Taft Avenue

Phone: 303 3603
09178682028
09175325178
Limited Slots Only

Advantages of PRP

Advantages of PRP


Advantages of Platelet Rich Plasma (PRP) in Implant Dentistry
Analogous Material as Accelerator for Reconstitution of Bone Tissue.

Lecturer
Mendelssohn T. Manalaysay, DMD

November 18 2011 6:00 PM
Ambassador Sala, Traders Hotel Pasay City

RSVP
Dr. Claire Autencio 0917.515.4248
Dr. Leslie Arcilla 0917.592.8438

Dental Implants Cost and Implant Dentistry

Dental Implants Cost

The cost of dental implants depends on several factors like: the number of implants to be placed, implant system to be used, the fee of dentists performing the procedure and the location where the implant placement restoration is performed. These are only the major ones that have a big impact on the final cost.

Other factors are: how much bone is left in the patient’s upper or lower jaw, specialization of the dentist, difficulty of the case and fees charged by dental technologist/dental laboratory

Single implants may range in cost from $1,000 to $3,000 while the cost of full-mouth implant restoration can range from $6,000 to $100,000.

Dental implant treatment is usually not covered by dental insurance.

Advantages of Dental Implants

A dental implant replaces the root of your missing tooth. It is basically an artificial root placed by an oral surgeon or a periodontist. Dental implants will hold or support the denture or dental crowns cemented or screwed on top of them. With dental implants, you will still wear a denture. The difference is your prosthesis is more stable and secured.

Dental implant restoration is conservative if you compare it to traditional fixed bridge. Traditional bridgework requires reduction to adjacent teeth for them to hold the prosthesis. While in implant dentistry, the adjacent teeth will remain intact because the dental implant will hold the crown or denture in place.

Implants offer a long term solution to tooth loss. If maintained correctly, dental implants are stable and functionally durable.

Dental Implant Candidate

If you are allowed to undergo tooth extraction in the past, you are normally a good candidate for implants. If not, you should consult a dentist offline. Choose a dentist who has undergone an extensive training on Implant Dentistry.

In implant dentistry, periodontists tend to understand tissue better while prosthodontists can make the most ideal restoration. The concept in the practice of dental implant is prosthodontic driven and not bone driven.

Dental Implant Treatment Indications

Indications for dental implant treatment
1. Edentulous patient.
2. Partially edentulous patient with difficulty in wearing removable partial dentures.
3. Patient with missing dentition requiring long span dental bridge.
4. Patients refusing to use a removable denture.

Dental Implant Treatment Contraindications

Absolute contraindications to dental implant treatment
1. High dose irradiated patients.
2. Patient with psychiatric problems like psychoses, dysmorphophobia.
3. Hematologic systemic disorders.

Relative contraindications to dental implant treatment
1. pathology of hard or soft tissues,
2. patient with drug, alcohol or chewing tobacco abuse
3. Low dose irradiated patients.

Radiation therapy is defined as the therapeutic use of ionizing radiation. In irradiation of implants in bone, it is recommended the removal of all abutments and superstructures and closure of skin and mucosa over the implants prior to radiation. Medical conditions, like active diabetes, cancer or periodontal disease, require treatment before a dental implant procedure can be performed.

Factors to Consider in Dental Implant Treatment

1. How does the patient feel about surgery?
2. Is the patient prepared to pay the costs involved in implant theraphy?
3. Does the patient have sufficient bone to place dental implants? Bone grafting may be required and this could be a barrier to treatment.
4. If bone grafting is required, is the patient prepared to accept this?
5. Is the patient prepared to accept the burden of maintenance associated with implant retained prosthesis?

Success of Dental Implants

Based on recent studies, dental implants have 96% success rate. Bone quantity and quality influence success rates of the Implant Procedure. The upper anterior region has less bone quality and lower bone quantity when compared to the lower anterior region. A fully implant supported prosthesis in the maxilla has a lower success rate than in the mandible due to different bone densities.

Standards for Success of Implants

1. That an individual, unattached implant is immobile when tested clinically.
2. That a radiograph does not demonstrate any evidence of peri-implant radiolucency.
3. That vertical bone loss be less than 0.2 mm annually following the implant’s first year of service.
4. That an individual implant performance be characterized by an absence of persistent and/or irreversible signs and symptoms such as pain, infections, neuropathies, paresthesia or violation of mandibular canal.
5. That in context of the above, a success rate of 85% at the end of a 5 year observation period and 80% at the end of a ten-year period be a minimum criterion for success.

Dental Implant Risks

There are 2 main reasons why implants would fail: poor oral hygiene and wrong prosthodontic treatment (denture component). Sound prosthodontic principles are important to osseointegrated dental implants. Poorly restored occlusion in osseointegrated dental implants could result in deleterious effects to the prosthesis and supporting bone.

Good plaque control is important in preventing complications such as peri-implantitis around dental implants. Periimplantitis is a disease that is similar to the development of periodontitis.

Hygiene maintenance is tedious and requires considerable effort.

Mini Dental Implants

Mini Dental Implants are small diameter implants that are designed to stabilize the lower denture. MDIs should not be used as conventional dental implants. Read the mini dental implants post for more info.

References
Granstrom G, Tjellstrom A, ALbrektsson T: Postimplantation irradiation for head and neck cancer treatment. Int J Oral Maxillofacial Implants 1993;8(4):495-500.
Albretsson T, Zarb G, Worthington P, Eriksson A: The long term efficacy of currently used implants. A review and proposed criteria of success. Int J of Oral Maxillofac Imp, 1:11-25, 1986

Written by:
Jesus Lecitona+, DMD, MScD-Prosthodontics

Parts of a Branemark Dental Implant

Parts of a Branemark Dental Implant

Based on years of research and clinical use, the Branemark dental implant system showed the highest success rate. It has set the precedence for surgical techniques that result in a successful implant system.

The Branemark Dental Implant System consists of six components:
1. The implant fixture.
2. Cover screw.
3. Abutment.
4. Abutment screw.
5. Gold cylinder.
6. Gold screw.

The dental implant fixture is the component which is surgically installed into the jawbone. The cover screw is screwed into the top of of the fixture to prevent downgrowth of soft and hard tissue into the internal, threaded area. The abutment is the transmucosal component which is conneted using an abutment screw into the fixture. Gold cylinder is an integral part of the prosthetic component. It is connnected to the abutment with the gold screw.

The dental implant fixture is made of pure titanium with machined threads on the outer surface as well as the inner channel. The fixture is threaded into the jawbone using a series of surgical procedures to achieve an intimate contact between the dental implant fixture and bone. The top of the fixture has usually a hexagonal design and threads are visible in the internal channel. The apical portion is tapered and it has vertical notches.
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History of Dental Implants

History of Dental Implants. Photo credit: Oris Neobiotech


History of Implant Dentistry dates back to early Egypt. At that time, it was done by transplanting teetrh from slaves who would willingly sell their teeth. Teeth from animals were also used for dental implantation.

In early 16th century, replantation was performed on avulsed teeth. In 1886, tooth buds were tried to be implanted.
From late 1880 to early 1900, gold, porcelain, gutta percha and platinum were used as implant materials.

In early 1890, ceramics are used as a dental implant material. Ceramics are considered a biocompatible material,

In 1940’s, Modern Implantology began with a screw-type implant created by Formiggini. Chercheve introduced another screw type dental implant in 1962. It was made of chrome cobalt.

In 1966, blade type implant was developed by Linkow. The implant was made from chromium, nickel and vanadium. This used a one step procedure for implant placement through mucosa into bone. Blade-type implants were not proven clinically successful.

In 1967, Hodosh tried acrylic resin to fabricate dental implants in tooth forms and tested their biocompatibiliy in monkeys.

In 1982, single crystalline forms of ceramics have been developed for implant purposes. This is to increase hardness and to overcome ceramics’ brittleness problem. Single sapphire crystal implants have been used to support fixed partial dentures in the mandible. It was found out that the said implant was well tolerated by soft tissue.
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Parts of a Dental Implant

Components of a dental implant.

The Dental Implant consists of four components:
1. The implant fixture.
2. Cover screw.
3. Abutment.
4. Abutment screw.

The dental implant fixture is the component which is surgically placed into the jawbone. The cover screw is screwed into the top of of the fixture to prevent downgrowth of soft and hard tissue into the internal, threaded area. The abutment is the transmucosal component which is conneted using an abutment screw into the fixture.

The implant fixture is made of pure titanium with machined threads on the outer surface as well as the inner channel. The fixture is threaded into the jawbone using a series of surgical procedures to achieve an intimate contact between the dental implant fixture and bone. The top of the fixture has usually a hexagonal design and threads are visible in the internal channel.
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Q&A: Dental Implant Pain and Gum Disease

Question: Do implants get gum disease? Do dental implants give pain?

Answer: Yes. Dental implants can get gum disease and give pain. Gum disease results from local inflammation. Plaque accumulation and trauma can cause this inflammation. The plaque inflammatory responses can cause periimplantitis and bone resorption. Bone resorption can result from: Direct action of plaque products on progenitor cells to differentiate in osteoclasts. Plaque products act directly on bone through a non cellular mechanism. They can stimulate gingival cells, causing them to release mediators which in turn induce bone progenitor cells to differentiate into osteoclasts. Plaque products cause gingival cells to release agents that can act as cofactors in bone resoption.
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Hyaluronic Acid in Dental Implants

Hyaluronic Acid is a natural occurring substance found in our joints, eyes and neural tissues with the highest concentration in the connective tissue and skin. It plays an important role in tissue repair and regeneration but unfortunately it gets depleted as we age. Extensive research has shown that this can be reproduced and prescribed as a supplement to minimize inflammation and accelerate wound healing. Aside from dental implant placement, its various dental applications are for: gingivitis, periodontitis, tooth extraction and bone grafting.

Dental Implant Dentist

Dental Implantology is not a specialty yet. It is not correct to call a dentist as Dental Implant Dentist.

With adequate training, any dentist can perform a dental implant procedure.

A general dentist can perform basic dental implant surgery only if he has acquired the skills to do such procedure. A general practitioner can also carry out bone grafting, but he must have an additional training first.

Bone grafting is not a simple procedure. It requires special training and clinical experience before doing this procedure correctly in the patient’s oral cavity.

A Prosthodontist is one of the most qualified specialists to carry out a dental implant procedure. His specialty lies in dentures. Prosthodontics is a specialty that requires 2 to 3 years of university based or dental school based education. It is the dental specialty pertaining to the diagnosis, treatment planning, rehabilitation and maintenance of the oral function, comfort, appearance and health of patients with clinical conditions associated with missing or deficient teeth and/or oral and maxillofacial tissues using biocompatible substitutes. He is the most qualified to do the the prosthetic aspect of the dental implant treatment.
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