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 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.
Titanium mesh and autogenous bone graft was first introduced by Boyne in 1969, and was re-introduced by Von Arx and others in 1996 as the TIME technique. It is characterized by the use of microtitanium augmentation mesh. Although this technique is widely used for alveolar ridge augmentation, data in the literature regarding the amount of bone gain and the comparison with other augmentation technique is still not sufficient.
In a study of Dr. Tetsu Takahashi, the use of titanium mesh for alveolar ridge augmentation in atrophic jaws was evaluated in the overall success rate, magnitude of ridge augmentation and the rate of complications. Several complication can occur, but most of the trouble are not influenced by the implant treatment results. The results demonstrate that autogenous bone graft with titanium mesh has shown enough alveolar bone reconstruction quantitatively and qualitatively for the implant placement.
Dental Implant placement is determined by available bone present in the alveolar ridge. The bone present also determines if there is proper soft tissue contour necessary for an optimum esthetic result. Oftentimes there is insufficient bone to provide a proper foundation for the dental implants resulting to insufficiency of soft tissue contour.
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.
The success rate of bone grafts in the jaw for dental implants is high. But, there is always a chance that the bone graft will fail. They are not rejected like organ transplants. Failure of bone graft is usually because of infection. There’s also higher risk of bone graft failure in patients who smoke and those with certain medical conditions.