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Faculty of Dentistry
CDP 5.0/ Prosthodontics
Introduction to
Dental Implants
Year 5,
2016/2017 Dr. Omar
1
Learning Objectives
At the end of this lecture, the students are
expected to:
1. Define dental implants
2. Identify and differentiate the parts of implant
3. Discuss the various indications and
contraindications of implants
4. Describe treatment planning for implant
restoration
5. Describe the clinical, lab and prosthodontic
steps in implant placement
6. Discuss the different techniques for implant
impression
7. Discuss the implant retained prosthodontic
options
Definition of Dental Implant
Endosteal implant is an alloplastic material(s)
surgically inserted into a residual bony ridge
beneath the mucosal and periosteal layer, to
provide retention and support for a fixed or
removable dental prosthesis.
Osseointegration
Brånemark (1952)
Described the relationship between titanium and
bone for which they coined the term
osseointegration as
A direct structural and functional
connection between ordered living
bone and the surface of a load
carrying implant
Indications for Implant prosthodontic
Treatment
1. Crown
2. Abutment
3. Implant fixture
Others :…
Generic terms for implant components
Bar Retainers Retentive Anchors
Analog: used in the fabrication of the master cast to replicate
the retentive portion of the implant body or abutment
Three different surgical approaches for two-piece implant
systems:
• Cylindrical
• Screw shape
• combination
Abutment
A tooth, a portion of a tooth, or that portion of a dental
implant that serves to support and/or retain a
prosthesis.
It provides support for the crown (or several crowns i.e.
a bridge). It is also the interface between the crown
and the implant.
2. Removable
Fixed implant overdenture
Prosthodontic Approaches and Philosophies
Used for Implant Overdentures
Surgical stent
SIMPLANT software
Use of CAD/CAM in dental implants
• CBCT – DICOMS
• SIMPLANT software
• Selection of system
• Section of fixtures
• Designing the prosthesis
• CAM phase (Milling of Rapid
prototyping)
Surgical Stent
• https://www.youtube.com/watch?v=huipj7xFFwY
• https://www.youtube.com/watch?v=aLVv4pRvEwY
How is surgical stent used for
placement of implant
How is implant kept and delivered
The implant fixture is sterilized and protected,
introduced to touch only the site of placement
Implant emergence profile
Impression copings
Impression techniques for implant
Advantages:
1.It provide visual high torque assessment with
acceptable accuracy when implant placed manually
2.It offers tactile sensation for the resistance and
initial stability
Prognosis of implant treatment
option
Thank you