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Evolution classification and components of implants/ orthodontic therapist courses




Indian Dental Academy: will be one of the most relevant and exciting

training center with best faculty and flexible training programs

for dental professionals who wish to advance in their dental

practice,Offers certified courses in Dental

implants,Orthodontics,Endodontics,Cosmetic Dentistry, Prosthetic

Dentistry, Periodontics and General Dentistry.



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Evolution classification and components of implants/ orthodontic therapist courses Evolution classification and components of implants/ orthodontic therapist courses Presentation Transcript

  • www.indiandentalacademy.comwww.indiandentalacademy.com
  • EVOLUTIONEVOLUTION CLASSIFICATIONCLASSIFICATION ANDAND COMPONENTSCOMPONENTS OF IMPLANTSOF IMPLANTS INDIAN DENTAL ACADEMY Leader in continuing dental education www.indiandentalacademy.com www.indiandentalacademy.comwww.indiandentalacademy.com
  • INTRODUCTIONINTRODUCTION  Implants are devices inserted into theImplants are devices inserted into the body below the skin or oral mucosalbody below the skin or oral mucosal membranemembrane  They are used to improve the stabilityThey are used to improve the stability of dental prosthesisof dental prosthesis www.indiandentalacademy.comwww.indiandentalacademy.com View slide
  • EVOLUTION OF IMPLANTSEVOLUTION OF IMPLANTS  They have a history almost as old as thatThey have a history almost as old as that of dentistryof dentistry www.indiandentalacademy.comwww.indiandentalacademy.com View slide
  •  Early Historical Developments:Early Historical Developments: - bone-anchored device- bone-anchored device - Ancient history of dental implants dates- Ancient history of dental implants dates back to Egyptian times when sea shellsback to Egyptian times when sea shells were literally hammered into the jaw towere literally hammered into the jaw to replace missing teethreplace missing teeth www.indiandentalacademy.comwww.indiandentalacademy.com
  •  In the 18th century lost teeth wereIn the 18th century lost teeth were sometimes replaced with extracted teethsometimes replaced with extracted teeth of other humanof other human donorsdonors..  1809 -1809 - MaggioloMaggiolo www.indiandentalacademy.comwww.indiandentalacademy.com
  •  1887 -1887 - HarrisHarris  1886 –1886 – EdmundsEdmunds  1937 -1937 - StrockStrock www.indiandentalacademy.comwww.indiandentalacademy.com
  •  1937 – Gustav Dahl , subperiosteal1937 – Gustav Dahl , subperiosteal implantsimplants  1948 – Gershkoff and Goldberg1948 – Gershkoff and Goldberg  1966 – Linkow , Endosseous blade vent1966 – Linkow , Endosseous blade vent implantsimplants www.indiandentalacademy.comwww.indiandentalacademy.com
  •  1952 -1952 - Per IngvarPer Ingvar BranemarkBranemark in thein the Laboratory of Vital Microscopy at the UniversityLaboratory of Vital Microscopy at the University of Goteberg, Sweden.of Goteberg, Sweden.  OsseointegrationOsseointegration  The Osseointegration concept evolved closelyThe Osseointegration concept evolved closely coupled with the design of a cylindrical titaniumcoupled with the design of a cylindrical titanium screw with a specific surface treatment toscrew with a specific surface treatment to enhance its bioacceptance.enhance its bioacceptance. www.indiandentalacademy.comwww.indiandentalacademy.com
  •  Around 1980, Branemark brought hisAround 1980, Branemark brought his research to the U.S.research to the U.S.  Reported results of prospective clinicalReported results of prospective clinical research trials of totally edentulousresearch trials of totally edentulous patients restored with dental implantspatients restored with dental implants (since 1952)(since 1952) www.indiandentalacademy.comwww.indiandentalacademy.com
  •  In 1982, the Toronto Conference onIn 1982, the Toronto Conference on Osseointegration in Clinical Dentistry laidOsseointegration in Clinical Dentistry laid down the first parameters on what is to bedown the first parameters on what is to be considered successful implant treatmentconsidered successful implant treatment within the stringent confines of thewithin the stringent confines of the scientific communityscientific community www.indiandentalacademy.comwww.indiandentalacademy.com
  • The Original Titanium ScrewThe Original Titanium Screw www.indiandentalacademy.comwww.indiandentalacademy.com
  •  1981 – ITI non submerged implant system1981 – ITI non submerged implant system  1983 – IMZ (Krisch, Babbush and Mentag)1983 – IMZ (Krisch, Babbush and Mentag)  1985 – Bicon (Driskell, Stryker and Bicon)1985 – Bicon (Driskell, Stryker and Bicon)  1989 – 3i (Lazzara)1989 – 3i (Lazzara) www.indiandentalacademy.comwww.indiandentalacademy.com
  •  1986 – The year that root form implants1986 – The year that root form implants superceded the blade form implants assuperceded the blade form implants as “the most frequently placed type of“the most frequently placed type of implant”implant” www.indiandentalacademy.comwww.indiandentalacademy.com
  •  1984 – CT Scan1984 – CT Scan  1987 – Sinus lift1987 – Sinus lift  1988 – nerve Transposition1988 – nerve Transposition  1989 – Pterygoid implants1989 – Pterygoid implants  1991 – GTR1991 – GTR www.indiandentalacademy.comwww.indiandentalacademy.com
  •  For most of this period they have beenFor most of this period they have been dominated by the belief that success wasdominated by the belief that success was predominantly design related althoughpredominantly design related although more recently the importance of materialmore recently the importance of material of construction was also recognisedof construction was also recognised www.indiandentalacademy.comwww.indiandentalacademy.com
  • CLASSIFICATION OFCLASSIFICATION OF IMPLANTSIMPLANTS www.indiandentalacademy.comwww.indiandentalacademy.com
  • WILLIAM’S CLASSIFICATIONWILLIAM’S CLASSIFICATION Implants For prosthetic treatment For endodontic stabilization For periodontal sugery For simulation congenitally Absent tissue For treatment of facial fractures Directly Indirectly www.indiandentalacademy.comwww.indiandentalacademy.com
  • Implants Totally buried Semi buried Sub periosteal Endosseous www.indiandentalacademy.comwww.indiandentalacademy.com
  • Root Form Blade Formwww.indiandentalacademy.comwww.indiandentalacademy.com
  • Subperiosteal Implantwww.indiandentalacademy.comwww.indiandentalacademy.com
  • Intra mucosal insertwww.indiandentalacademy.comwww.indiandentalacademy.com
  •  Dynamic dental implant classificationDynamic dental implant classification (AFNOR,1998)(AFNOR,1998) • Axially insertedAxially inserted • Laterally insertedLaterally inserted  ““All Quality Bone” Structure implantAll Quality Bone” Structure implant www.indiandentalacademy.comwww.indiandentalacademy.com
  • Axial insertion Lateral insertionwww.indiandentalacademy.comwww.indiandentalacademy.com
  • ENDOSTEAL IMPLANTSENDOSTEAL IMPLANTS  Alloplastic material surgically inserted intoAlloplastic material surgically inserted into a residual bony ridge primarily to serve asa residual bony ridge primarily to serve as a prosthodontic foundationa prosthodontic foundation  Root forms and blade formsRoot forms and blade forms mostmost commonly used typescommonly used types www.indiandentalacademy.comwww.indiandentalacademy.com
  • Root Form Blade Formwww.indiandentalacademy.comwww.indiandentalacademy.com
  • Mandibular ramus frame implant www.indiandentalacademy.comwww.indiandentalacademy.com
  • ROOT FORMROOT FORM  Resemble the shape of a natural toothResemble the shape of a natural tooth rootroot  Usually circular in cross sectionUsually circular in cross section  Can be threaded, smooth, stepped ,Can be threaded, smooth, stepped , parallel- sided or tapered, with or withoutparallel- sided or tapered, with or without coating, with or without grooves or a ventcoating, with or without grooves or a vent  Must achieve osseointegration to succeedMust achieve osseointegration to succeed www.indiandentalacademy.comwww.indiandentalacademy.com
  • Stepped cylinder Threadedwww.indiandentalacademy.comwww.indiandentalacademy.com
  •  1988 - National Institutes of Health consensus1988 - National Institutes of Health consensus statement on dental implants and Americanstatement on dental implants and American Academy of Implant Dentistry recognize theAcademy of Implant Dentistry recognize the term root formterm root form  Primary types based on design:Primary types based on design: Cylinder or press fitCylinder or press fit Screw formScrew form CombinationCombination www.indiandentalacademy.comwww.indiandentalacademy.com
  •  Screw root form:Screw root form: V – threadV – thread Buttress threadButtress thread Power(square)Power(square) threadthread  Implant bodyImplant body Crest moduleCrest module BodyBody Apex regionApex region www.indiandentalacademy.comwww.indiandentalacademy.com
  • Blade / Plate FormBlade / Plate Form  Tapered orTapered or parallel sidedparallel sided  Narrower bucco-Narrower bucco- lingual widthlingual width www.indiandentalacademy.comwww.indiandentalacademy.com
  • Ramus Frame ImplantRamus Frame Implant  Safe and effectiveSafe and effective  Total mandibular edentulism withTotal mandibular edentulism with severe alveolar ridge resorptionsevere alveolar ridge resorption www.indiandentalacademy.comwww.indiandentalacademy.com
  • SUBPERIOSTEAL IMPLANTSSUBPERIOSTEAL IMPLANTS  1937 – Gustav Dahl1937 – Gustav Dahl  1948 – Gerhkoff and Goldberg1948 – Gerhkoff and Goldberg  1951 – Lew and Berman1951 – Lew and Berman  1978 – Cranin1978 – Cranin Early 1940’s – Co-Cr alloysEarly 1940’s – Co-Cr alloys 1980’s – Hydroxy apatite1980’s – Hydroxy apatite www.indiandentalacademy.comwww.indiandentalacademy.com
  • Subperiosteal metal frameworkwww.indiandentalacademy.comwww.indiandentalacademy.com
  •  SubstructureSubstructure  Permucosal postsPermucosal posts  Super structureSuper structure Primary struts Secondary struts www.indiandentalacademy.comwww.indiandentalacademy.com
  • Unilateral Subperiosteal implantwww.indiandentalacademy.comwww.indiandentalacademy.com
  • TRANSOSTEAL IMPLANTSTRANSOSTEAL IMPLANTS  Most surgicallyMost surgically invasiveinvasive  MandibularMandibular staple implantstaple implant www.indiandentalacademy.comwww.indiandentalacademy.com
  • Tranosteal implant framework www.indiandentalacademy.comwww.indiandentalacademy.com
  • Transosteal implantwww.indiandentalacademy.comwww.indiandentalacademy.com
  • Endodontic StabilizersEndodontic Stabilizers  Extend length of toExtend length of to existing tooth rootexisting tooth root to improveto improve prognosisprognosis  Threaded andThreaded and parallel sided withparallel sided with sluice ways insluice ways in threaded crestthreaded crest www.indiandentalacademy.comwww.indiandentalacademy.com
  • Intra Mucosal InsertsIntra Mucosal Inserts  Attached to tissue surface of prosthesisAttached to tissue surface of prosthesis  Provide support but do not provideProvide support but do not provide abutmentabutment Intra mucosal insertwww.indiandentalacademy.comwww.indiandentalacademy.com
  • ABUTMENTSABUTMENTS  Joined to fixture with abutment screwJoined to fixture with abutment screw  Types:Types: • PrefabricatedPrefabricated • Custom madeCustom made www.indiandentalacademy.comwww.indiandentalacademy.com
  • Single piece Two piece abutmentwww.indiandentalacademy.comwww.indiandentalacademy.com
  •  Acc to method by which prosthesis isAcc to method by which prosthesis is retained to abutment:retained to abutment: • Abutment for screwAbutment for screw • Abutment for cementAbutment for cement • Abutment for attachmentAbutment for attachment Each of the three types of abutments mayEach of the three types of abutments may be further classified into straight or angledbe further classified into straight or angled www.indiandentalacademy.comwww.indiandentalacademy.com
  •  An Abutment for screw uses aAn Abutment for screw uses a hygiene cover screw placed overhygiene cover screw placed over the abutment between prostheticthe abutment between prosthetic appointmentsappointments www.indiandentalacademy.comwww.indiandentalacademy.com
  • TERMINOLOGYTERMINOLOGY  The generic language for endostealThe generic language for endosteal implants, both root forms and plate forms,implants, both root forms and plate forms, has been developed by Misch and Mischhas been developed by Misch and Misch  It is presented in an order similar to theIt is presented in an order similar to the method of insertion and restoration.method of insertion and restoration. www.indiandentalacademy.comwww.indiandentalacademy.com
  • www.indiandentalacademy.comwww.indiandentalacademy.com
  • www.indiandentalacademy.comwww.indiandentalacademy.com
  • Fixture / BodyFixture / Body - Surgically placed into- Surgically placed into the bonethe bone Cover screwCover screw –– placed on top of theplaced on top of the fixture to prevent invasion into thefixture to prevent invasion into the threaded internal area of the fixturethreaded internal area of the fixture www.indiandentalacademy.comwww.indiandentalacademy.com
  • Second stage permucosal extensionSecond stage permucosal extension  Extends the implant above the softExtends the implant above the soft tissuestissues  Results in development of a permucosalResults in development of a permucosal sealseal www.indiandentalacademy.comwww.indiandentalacademy.com
  • AbutmentAbutment  Portion of implantPortion of implant that serves to supportthat serves to support and/ or retain aand/ or retain a prosthesis or implantprosthesis or implant superstructuresuperstructure 20 degree 45degreewww.indiandentalacademy.comwww.indiandentalacademy.com
  • Angulatedwww.indiandentalacademy.comwww.indiandentalacademy.com
  • Transfer copingTransfer coping  Implant bodyImplant body copingcoping  Abutment transferAbutment transfer copingcoping  Direct transferDirect transfer copingcoping  Indirect transferIndirect transfer copingcoping www.indiandentalacademy.comwww.indiandentalacademy.com
  • Direct impression coping www.indiandentalacademy.comwww.indiandentalacademy.com
  • Indirect impression coping www.indiandentalacademy.comwww.indiandentalacademy.com
  • Implant Analog www.indiandentalacademy.comwww.indiandentalacademy.com
  • CopingCoping PrefabricatedPrefabricated CastableCastable www.indiandentalacademy.comwww.indiandentalacademy.com
  • Healing Caps www.indiandentalacademy.comwww.indiandentalacademy.com
  • BRANEMARK IMPLANTBRANEMARK IMPLANT  Branemark fixtureBranemark fixture  AbutmentsAbutments  Checked radiographicallyChecked radiographically  Healing capHealing cap Straight Angled for screw www.indiandentalacademy.comwww.indiandentalacademy.com
  •  Impression copingImpression coping  Fixture or implant replicaFixture or implant replica www.indiandentalacademy.comwww.indiandentalacademy.com
  • ASTRA TECH IMPLANTASTRA TECH IMPLANT  Parallel sided, self tappingParallel sided, self tapping  Top part has micro threaded conical collarTop part has micro threaded conical collar  TiO blastedTiO blasted  Conical sealConical seal  Internal hex designInternal hex design www.indiandentalacademy.comwww.indiandentalacademy.com
  • STRAUMANN IMPLANTSTRAUMANN IMPLANT  Solid screw designSolid screw design  Plasma SprayedPlasma Sprayed  SLA (sand blasted-large grit-acid etched)SLA (sand blasted-large grit-acid etched)  Trans mucosal collarTrans mucosal collar www.indiandentalacademy.comwww.indiandentalacademy.com
  • FRIALIT IMPLANTFRIALIT IMPLANT  Tapered, stepped cylinderTapered, stepped cylinder  Both plasma sprayed and acid etched withBoth plasma sprayed and acid etched with grit blastedgrit blasted  Abutment is parallel sidedAbutment is parallel sided  Silicone washerSilicone washer www.indiandentalacademy.comwww.indiandentalacademy.com
  •  Calcitek – 1981Calcitek – 1981 Integral Omniloc fixtureIntegral Omniloc fixture  Dentsply- Gerald Niznick (1984-86)Dentsply- Gerald Niznick (1984-86)  Steri - oss systemSteri - oss system www.indiandentalacademy.comwww.indiandentalacademy.com
  • IMZ ImplantIMZ Implant  Developed by Axel kirsch (1980-83)Developed by Axel kirsch (1980-83)  Prosthetic components include IntraProsthetic components include Intra Mobile ElementMobile Element  Highly polished Ti – transmucosal implantHighly polished Ti – transmucosal implant extension for optimal soft tissueextension for optimal soft tissue adaptationadaptation www.indiandentalacademy.comwww.indiandentalacademy.com
  • BIBLIOGRAPHYBIBLIOGRAPHY  Contemporary Implant Dentistry- MischContemporary Implant Dentistry- Misch  Atlas of Oral Implants- CraninAtlas of Oral Implants- Cranin  Fundamentals Of Implant Dentistry- WeissFundamentals Of Implant Dentistry- Weiss and Weissand Weiss  Implants For Clinical Practitionar- DunitzImplants For Clinical Practitionar- Dunitz  Oral implantology- KakarOral implantology- Kakar www.indiandentalacademy.comwww.indiandentalacademy.com
  • Thank you For more details please visit www.indiandentalacademy.com www.indiandentalacademy.comwww.indiandentalacademy.com