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BIOLOGIC RESPONSE TO

DENTAL IMPLANT
OLEH

HANANTO SENO
INDONESIAN SOCIETY OF IMPLANT DENTISTRY

DIFINISI
SUATU

REAKSI JARINGAN TUBUH AKIBAT


ADANYA METERIAL IMPLAN YANG
DITANAMKAN UNTUK MENGGANTIKAN
FUNGSI ORGAN TUBUH YANG HILANG
MATERIAL IMPLAN = DENTAL IMPALNT

BIOLOGIC RESPONSE
JARINGAN TUBUH

> < DENTAL IMPLANT

HIDUP

MATI

RESPONSE

HUMAN TISSUE
1. SOFT TISSUE
> SULCUS
> SULCUS EPITHELIUM
> ORAL EPITHELIUM
> JUNCTIONAL EPITHELIUM
> CONNECTIVE TISSUE FIBERS
> SUPRACRESTAL CT
> DIRECT CONTACT TO IMPLANT

SOFT TISSUE RESPONSE


GAMBAR

SOFT TISSUE RESPONSE


GAMBAR

SOFT TISSUE RESPONSE


.

SOFT TISSUE RESPONSE


POST OPS
1. INNER CT ZONE
BLOOD CLOTH
GRANULASI & EPITHELISASI
OUTER CT ZONE
JUNCTIONAL EPITHELIUM
MITOSIS
EPITHEL CELL

PERI IMPLANT SULCUS

EPITHEL CELL BAG DALAM


MEMBENTUK

BASAL CELL
SUPRA BASAL CELL
EPITHELIAL ATTACHMENT
&
SULCUS EPITHELIUM

2. SUB EPITHELIAL CT
COLLAGEN FIBER
BUNDLE
SUPRA CRESTAL CT
PERPEDUNCULAR CT
F
VERTICAL CT F
CIRCULAR CT F

HARD TISSUE RESPONSE

PEMASANGAN IMPLAN
MICRO GAB
BLOOD
OSTEOBLAST
REVASCULARISASI
FIBRO-CALLUS
OSTEOGENESIS
BONE FORMATION

PREPARASI
NECROSIS
OSTEOCLAST
MACROPHAG

PERMUKAN KASAR & PORUS


HA
TPS
SLA
MICROBOND

ANKYLOTIC BONDING PHENOMENON

LAPISAN LUAR IMPLAN TITANIUM

RESPON JARINGAN
1. HA
COLLAGEN FIBRILE
2. TPS/C
PROTEOGLICANS LAYER
OSTEOBLAST
OSTEOCYTE
3. TOL ( TIT. OXYD LAYER )
MINERALYZED BONE TISSUE
BIOLOGIC STIMULATION PROCESS
4. SLA
OSTEON BONDED DIRECTLY

HARD TISSUE RESPONSE


.OSTEOINTEGRATION

HARD TISSUE RESPONSE


.OSTEOINTEGRATION

SIFAT IMPLAN TITANIUM


REACTIVE METAL
NOBLE METAL
BIONERT
TOUGH & MALLEABLE
BIO ACTIVE MATERIAL
BIO MATERIAL
BIOCOMPATIBLE
GLUING BIOMOLECULS &
IMPLANT
THERMODINAMIC
CORROSION RESISTENT
MAX 0,0003 A/CM2

HEALING AROUND ENDOSTEAL


IMPLANT
CARLES WEISS & ADAM WEISS ( 2001 )
STAGE ONE : VASCULAR SPROUTING
STAGE
STAGE TWO: EARLY BONE FORMATION
STAGE
STAGE THREE: BONE GROWTH STAGE
STAGE FOUR : BONE MATURATION STAGE

Healing Phase
Block ( 2000 )
BLEEDING PHASE
2.
CLOTHING PHASE
3. ORGANIZING PHASE
GRANULATION STAGE
EPITHELIZATION STAGE
4. ANGIOGENESIS / NEURO-VASCULARIZATION PHASE
5.
NEW BONE FORMATION PHASE
BONE GROWTH STAGE
FIBRO-CALLUS
PRIMARY BONE CALLUS
SCUNDARY BONE CALLUS
6. REMODELLING / RECONTRUCTION
1.

INTEGRATION IMPLANT
1. FIBRO INTEGRATION
2. FIBRO-OSTEO INTEGRATION
3. OSTEO INTEGRATION
4. OSSEOUS INTEGRATION

IMMEDIATE LOADING IMPLANT


BONE TYPE : 1 OR 2
CLASIFICATIONS BONE JAW : A OR B
DIAMETER IMPLAN
PANJANG IMPLAN
TEKANAN KUNYAH
IMPLANT BAD PREPARATION
INFRACLUSION
DLL.

TEKANAN KUNYAH
DITERIMA SECARA MEKANIK
PERMUKAAN IMPLAN DENGAN TULANG
TREATH
ULIR IMPLAN DAN ULIR TULANG
BENTUK
MENGECIL KEARAH APIKAL IMPLAN
UJUNG IMPLAN
LANGSUNG DISALURKAN KE TULANG SECARA
VETKAL.

TEKANAN KUNYAH

I. L. IMPLANT
.

I. L. IMPLANT
.

I. L. IMPLANT
.

I. L. IMPLANT
.

SEKIAN DAN TERIMA KASIH