history,types of Implants 2013

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history,types of Implants 2013

  1. 1. ‫دو ر‬ ‫ة‬ Implantology course Basic course 01-2014 Dr kamal Masarwa 1
  2. 2. Dr. Kamal Masarwa 2
  3. 3. ?Why Implants Indications Single tooth anterior 3 Dr. Kamal Masarwa
  4. 4. Single tooth-Molar 4
  5. 5. 5
  6. 6. 6
  7. 7. Multiple Implants to Replace Multiple Missing Teeth 7
  8. 8. teeth missing 2 8
  9. 9. teeth missing 3 9
  10. 10. Free end 10
  11. 11. 11
  12. 12. 12
  13. 13. 13
  14. 14. Fully edentulous-Fixed Bridge 14
  15. 15. Fully edentulous- over denture Ball Attachment- 1 15
  16. 16. 16
  17. 17. Fully edentulous- over denture Dolder Bar 17
  18. 18. 18
  19. 19. ?How can a dentist start to make Implants 19
  20. 20. 20
  21. 21. Implantation ■Transfer of non-living tissue or material into a biological system Transplantatio n ■Transfer of living tissue 21
  22. 22. History of dental Implants 22
  23. 23. 23
  24. 24. TEETH WERE BOUND TOGETHER WITH GOLD WIRE At an ancient burial site, dental bridges are excavated. Most probably inserted post-mortem 24
  25. 25. THE EGYPTIANS sea shells 25
  26. 26. Jaw of ancient Egyptian showing drill holes used in dental repair. Courtesy of the Gordon Museum 26
  27. 27. THE MAYAS , strictly for ritual religious or purely self .adornment purposes Jade and turquoise stones are implanted .in the teeth 27
  28. 28. In 400 BC, the use of gold or wood tooth-shaped implants was reported Watzek G (ed), Blahout R. Historical Review. In: Endosseous Implants: Scientific and Clinical Aspects. Chicago: Quintessence Publishing Inc;1995:17-28. 28
  29. 29. B.C was the first Reference to the 720-609 therapeutic Extrction of teeth Assyrian physician associated diseased teeth with a systemic disturbance and recommended extraction in cases of oral sepsis 29
  30. 30. THE GREEKS HIPPOCRATES writes about tooth decay 30
  31. 31. Fingers or a thin linen towel were used . to cleanse the teeth 31
  32. 32. THE ROMANS gold crowns . fixed bridgework 32
  33. 33. The earliest known dental prosthesis from Rome resulted from multi-karat gold wire 33
  34. 34. ,The Siwak, a primitive form of toothbrush is used for cleaning teeth 34
  35. 35. The Favorite Dental ( Chair (circa 1901 35
  36. 36. 36
  37. 37. 37
  38. 38. 38
  39. 39. 39
  40. 40. 40
  41. 41. 1975 41
  42. 42. ‫الترجمه :‬ ‫”ورد أن الجراح العربي المشهور ابو القاسم‬ ‫الذي عاش في أسبانيا )كوردوفا( وتوفي حوالي سنة 3101‬ ‫كان قد اجرى عمليات زراعة اسنان في العظم ” .‬ ‫24‬
  43. 43. ‫:نبذة‬ ‫،هو أبو القاسم خلف بن عباس الزهراوي‬ ‫.اشتهر بالطب، توفي سنة 404 هجرية‬ ‫،لم يكن الزهراوي جراحا ماهرا فحسب‬ ‫ ً‬ ‫اّ‬ ‫.بل كان حكيما ذا خبرة واسعة‬ ‫ ً‬ ‫وقد أفرد قسما مهما من‬ ‫ ً ً‬ ‫،كتابه لمراض العين، والذن، والحنجرة‬ ‫،وقسما مهما لمراض السنان، واللثة، واللسان‬ ‫ ً ً‬ ‫،وأمراض النساء، وفن والولدة، والقبالة‬ ‫.وبابا كامل للجبر، وعل ج الفك والكسر‬ ‫ ً‬ ‫ ً‬ ‫34‬
  44. 44. 44
  45. 45. ”The first “Implants 45
  46. 46. Transdental Fixation 46
  47. 47. 47
  48. 48. Implant Types 48
  49. 49. .… Lets remember some facts 49
  50. 50. Subperiosteal Implants 50
  51. 51. Subperiosteal Implants 51
  52. 52. 52
  53. 53. Subperiosteal Implants 53
  54. 54. 54
  55. 55. In 1943, Dahl reported using a subperiosteal implant 55
  56. 56. Implant Types 1- Subperiosteal Implants 56
  57. 57. Transdental Fixation 57 Transdental Fixation
  58. 58. Needle Implants 58
  59. 59. Needle Implants Lambotte 1934 59
  60. 60. 60
  61. 61. 61
  62. 62. 62
  63. 63. 63
  64. 64. Implant Types 1- Subperiosteal Implants 2- Enossal Implants(needle) 64
  65. 65. Types of enossal Implants Needle Implants - 1 65
  66. 66. 66
  67. 67. 67
  68. 68. Blade Implants 68
  69. 69. Blade Implants 69
  70. 70. 1966 Blade Implants 70
  71. 71. 71
  72. 72. 72
  73. 73. Types of enossal Implants Needle Implants - 1 Blade Implants - 2 73
  74. 74. 74
  75. 75. Disc Implants- 75
  76. 76. 76
  77. 77. 77
  78. 78. 78
  79. 79. 79
  80. 80. Types of enossal Implants Needle Implants - 1 Blade Implants - 2 Disc Implants - 3 80
  81. 81. 81
  82. 82. Types of enossal Implants Needle Implants - 1 Blade Implants - 2 Disc Implants - 3 Root form Implants – 4 Cylider ImplantsScrew Implants- 82
  83. 83. Root form Implants – 4 A - Cylider Implants 83
  84. 84. Root form Implants – 4 Cylider Implantsperformed- Inserted with Hammercannot be removed84
  85. 85. 85
  86. 86. Stability development over time 86
  87. 87. Placement Stability Initial Stability Primary Stability 87
  88. 88. …To increase the mechanical Stability functional surface area 88
  89. 89. 89
  90. 90. 90
  91. 91. Ather way …To increase the mechanical Stability 91
  92. 92. Root form Implants – 4 B - Threaded,screw Implants The functional surface area of a threaded implant is greater than a cylinder implant by minimum of 30% and may eceed 500% dependending on the thread geometry 92
  93. 93. Types of Screw Implants 93
  94. 94. 94
  95. 95. screw Implants More functional Surface(Inserted with Hand (no hammerSelf thread(Less Boring (Bone DamageCan be removed- 95
  96. 96. Screw Implants 96
  97. 97. The “Sargon” expandable implant 97
  98. 98. 98
  99. 99. 99
  100. 100. NEW Orthodontic Implants 100
  101. 101. 101
  102. 102. 102
  103. 103. Implant Materials Ivory seashells bones of animals teeth from human donors Gold, platinum and other metal alloys 103
  104. 104. 1952 Professor Per-Ingvar Brånemark 104
  105. 105. 105
  106. 106. Dr. Brånemark demonstrated that under carefully controlled conditions titanium could be structurally integrated into living bone with a very high degree of predictability and, without long-term soft tissue inflammation or fixture rejection. Brånemark named the phenomenon Osseointegration 106
  107. 107. Osseointegrati on “A direct structural and functional connection between ordered , living bone and a surface of a loadcarrying implant “ Brånemark Brå 1985 107
  108. 108. Carl Misch 2001 Implant and restorative Denistry Dorland’s illustrated Medical Dictionary (1994) defines osseointegration as ‘the direct anchorage of an implant ,without the growth of fibrous tissue at the boneimplant interface’(between Implant and (.Bone 108
  109. 109. 109
  110. 110. 110
  111. 111. 111
  112. 112. 112
  113. 113. 113
  114. 114. 114
  115. 115. 115
  116. 116. Brånemark Implant Machined Surface about 1 µm 116
  117. 117. =Bone growth around inserted implant 0.6µm - 1µm / day healing period = 3-6 months 117
  118. 118. ?How to decrease the time 118
  119. 119. …To increase the biological Stability 119
  120. 120. What happened with the bone after ?inserting an implant Resorption 120
  121. 121. 121
  122. 122. 122
  123. 123. osteocytes 123
  124. 124. Formation 124
  125. 125. Osteozyt 125 ©
  126. 126. 126
  127. 127. 127
  128. 128. a bone cell attaching to titanium 128
  129. 129. 129
  130. 130. There are Materials who increase the . differentiation of osteoblasts Osteoconductiv characteristics 130
  131. 131. µm 1 Bone growth= 0.6 – 1µm / day 131
  132. 132. ,If the Valleys are bigger so the Bone growth is Faster Faster Osseointegration► Less wait time for Laoding► 132
  133. 133. 133
  134. 134. ‫‪Caoting‬‬ ‫ציפוי‬ ‫طل

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