Tag Archives: guidelines

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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Implant Therapy

Dental Implant Therapy constitutes the principal technique in dental rehabilitation. Nowadays, it is not imaginable to exclude dental implantology from the daily dental practice. According to a accredited data in international literature, one can attain success rates of more than 90% in 10 years. Scrupulous selection of patients and the formulation of a correct implant prosthodontic plan allows high predictability and implant success.

A good implant prosthetic treatment plan allows high dental implant success rate.

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Dental Implant Procedure Appointment Sequence

Appointment sequence for dental implant procedure

1. Examination and diagnosis.
2. Treatment planning.
3. First surgery, fixture installation.
4. Suture removal one week post surgery.
5. Soft denture reline insertion two weeks post surgery.
6. Relining procedures once a week for first month, then once every two to three weeks. Healing period is three to four months for mandible and four to six month for maxilla.
7. Second surgery, abutment connection.
8. Suture removal one week post-surgery.
9. Prosthesis insertion two weeks post surgery. Oral hygiene final instructions.
10. Regular recall appointments, one, three, six and twelve month time intervals. Remove and clean a free standing fixed partial denture once a year.

Hobo S, Ichida E, Garcia L T: Osseointegration and Occlusal Rehabilitation, Quintessence Publishing Co., Ltd. 1989

Post-operative Intructions for Dental Implant Patients

A list of post-surgery instructions should be given to dental implant patients. It is important to describe all post surgery home care instructions for the patients to follow.

It is important to follow the directions during the first 2 weeks after the operation to insure adequate healing.

1. Do not rinse your mouth vigorously during the first 24 hours after the operation.
2. Use ice packs over the surgical area for 20 minutes at a time, during the first 2 days after the operation.
3. If nose bleeding starts, do not blow your nose vigorously.
4. Maintain a liquid diet for the first 5 days after the operation. Do not smoke or consume alcoholic beverages during the first week.
5. Two weeks after the operation, begin a soft diet and restrict smoking and alcoholic consumption.
6. Use an elevates head rest or an extra pillow for the first 2 nights after the operation.
7. If bleeding begins in the surgical area, apply gentle pressure to the area by biting on a roll of gauze for 1 hour. If bleeding does not stop, please contact Dr. _______.
8. Rinse your mouth thoroughly with a salt water rinse or prescribed mouth rinse after every meal.
9. Do not use prosthesis until it has been relined.
10. Follow the directions carefully for any prescribed medications.
11. If you have any questions or any problems related to the healing of your operation, please contact Dr. _______.

Dental Implant Surgery Indications

Indications for Dental Implant Treatment

1. Edentulous patient.
2. Partially edentulous patient with history of difficulty in wearing removable partial dentures.
3. Patient with missing dentition requiring long span fixed partial denture (bridge) treatment.
4. Patient who refuses using removable type dental prosthesis.

Hobo S, Ichida E, Garcia L T: Osseointegration and Occlusal Rehabilitation, Quintessence Publishing Co., Ltd. 1989

Filling of Implant Cavities

Application of chlorhexidine gel for filling implant cavities prior to connecting implant components:

1. After removal of the existing implant component such as the insertion post, healing cap or abutment, rinse the implant cavity with 0.2% chlorhexidine solution for cleaning and disinfection, using a syringe with a plastic cannula.
2. Remove the remaining chlorhexidine solution with suction.
3. Fill the implant cavity completely with 1% chlorhexidine gel, again using a syringe with a plastic cannula.
4. Connect the previous or a new implant component to the implant using a torque device and the torque recommended by the implant manufacturer.
5. Remove any excess chlorhexidine gel that is extruded from the implant cavity during insertion of the implant components of suction.
6. Rinse chlorhexidine gel remnants with water spray.
7. Complete subsequent procedures.

Kern M: Antimicrobial Filling of Implant Cavities, The Journal of Prosthetic Dentistry May 2010

Aesthetic Dental Implants

These are the Guidelines in Treatment of Aesthetic Implant Cases, according to Dr. Sherwin Villareal, Resident Oral Implantology, Ashman Department of Periodontology and Implant Dentistry, New York University, College of Dentistry.

1. Pre-surgical planning
2. Site development
3. 3-D Implant positioning
4. Soft tissue management
5. Provisionalization
6. Prosthetic management

Dental Implant placed mesial to 14 - FDI Two-Digit Notation, upper right first premolar.

Dental Implant placed mesial to 14 - FDI Two-Digit Notation, upper right first premolar.