Evolution classification and components of implants4


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Evolution classification and components of implants4

  1. 1. www.indiandentalacademy.comwww.indiandentalacademy.com
  2. 2. EVOLUTIONEVOLUTION CLASSIFICATIONCLASSIFICATION ANDAND COMPONENTSCOMPONENTS OF IMPLANTSOF IMPLANTS INDIAN DENTAL ACADEMY Leader in continuing dental education www.indiandentalacademy.com www.indiandentalacademy.comwww.indiandentalacademy.com
  3. 3. 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
  4. 4. 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
  5. 5.  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
  6. 6.  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
  7. 7.  1887 -1887 - HarrisHarris  1886 –1886 – EdmundsEdmunds  1937 -1937 - StrockStrock www.indiandentalacademy.comwww.indiandentalacademy.com
  8. 8.  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
  9. 9.  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
  10. 10.  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
  11. 11.  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
  12. 12. The Original Titanium ScrewThe Original Titanium Screw www.indiandentalacademy.comwww.indiandentalacademy.com
  13. 13.  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
  14. 14.  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
  15. 15.  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
  16. 16.  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
  17. 17. CLASSIFICATION OFCLASSIFICATION OF IMPLANTSIMPLANTS www.indiandentalacademy.comwww.indiandentalacademy.com
  18. 18. 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
  19. 19. Implants Totally buried Semi buried Sub periosteal Endosseous www.indiandentalacademy.comwww.indiandentalacademy.com
  21. 21. Root Form Blade Formwww.indiandentalacademy.comwww.indiandentalacademy.com
  22. 22. Subperiosteal Implantwww.indiandentalacademy.comwww.indiandentalacademy.com
  23. 23. Intra mucosal insertwww.indiandentalacademy.comwww.indiandentalacademy.com
  24. 24.  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
  25. 25. Axial insertion Lateral insertionwww.indiandentalacademy.comwww.indiandentalacademy.com
  26. 26. 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
  27. 27. Root Form Blade Formwww.indiandentalacademy.comwww.indiandentalacademy.com
  28. 28. Mandibular ramus frame implant www.indiandentalacademy.comwww.indiandentalacademy.com
  29. 29. 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
  30. 30. Stepped cylinder Threadedwww.indiandentalacademy.comwww.indiandentalacademy.com
  31. 31.  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
  32. 32.  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
  33. 33. Blade / Plate FormBlade / Plate Form  Tapered orTapered or parallel sidedparallel sided  Narrower bucco-Narrower bucco- lingual widthlingual width www.indiandentalacademy.comwww.indiandentalacademy.com
  34. 34. 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
  35. 35. 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
  36. 36. Subperiosteal metal frameworkwww.indiandentalacademy.comwww.indiandentalacademy.com
  37. 37.  SubstructureSubstructure  Permucosal postsPermucosal posts  Super structureSuper structure Primary struts Secondary struts www.indiandentalacademy.comwww.indiandentalacademy.com
  38. 38. Unilateral Subperiosteal implantwww.indiandentalacademy.comwww.indiandentalacademy.com
  39. 39. TRANSOSTEAL IMPLANTSTRANSOSTEAL IMPLANTS  Most surgicallyMost surgically invasiveinvasive  MandibularMandibular staple implantstaple implant www.indiandentalacademy.comwww.indiandentalacademy.com
  40. 40. Tranosteal implant framework www.indiandentalacademy.comwww.indiandentalacademy.com
  41. 41. Transosteal implantwww.indiandentalacademy.comwww.indiandentalacademy.com
  42. 42. 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
  43. 43. 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
  44. 44. ABUTMENTSABUTMENTS  Joined to fixture with abutment screwJoined to fixture with abutment screw  Types:Types: • PrefabricatedPrefabricated • Custom madeCustom made www.indiandentalacademy.comwww.indiandentalacademy.com
  45. 45. Single piece Two piece abutmentwww.indiandentalacademy.comwww.indiandentalacademy.com
  46. 46.  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
  47. 47.  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
  48. 48. 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
  49. 49. www.indiandentalacademy.comwww.indiandentalacademy.com
  50. 50. www.indiandentalacademy.comwww.indiandentalacademy.com
  51. 51. 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
  52. 52. 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
  53. 53. 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
  54. 54. Angulatedwww.indiandentalacademy.comwww.indiandentalacademy.com
  55. 55. Transfer copingTransfer coping  Implant bodyImplant body copingcoping  Abutment transferAbutment transfer copingcoping  Direct transferDirect transfer copingcoping  Indirect transferIndirect transfer copingcoping www.indiandentalacademy.comwww.indiandentalacademy.com
  56. 56. Direct impression coping www.indiandentalacademy.comwww.indiandentalacademy.com
  57. 57. Indirect impression coping www.indiandentalacademy.comwww.indiandentalacademy.com
  58. 58. Implant Analog www.indiandentalacademy.comwww.indiandentalacademy.com
  59. 59. CopingCoping PrefabricatedPrefabricated CastableCastable www.indiandentalacademy.comwww.indiandentalacademy.com
  60. 60. Healing Caps www.indiandentalacademy.comwww.indiandentalacademy.com
  61. 61. COMMERCIALLY AVAILABLECOMMERCIALLY AVAILABLE IMPLANT SYSTEMSIMPLANT SYSTEMS www.indiandentalacademy.comwww.indiandentalacademy.com
  62. 62. BRANEMARK IMPLANTBRANEMARK IMPLANT  Branemark fixtureBranemark fixture  AbutmentsAbutments  Checked radiographicallyChecked radiographically  Healing capHealing cap Straight Angled for screw www.indiandentalacademy.comwww.indiandentalacademy.com
  63. 63.  Impression copingImpression coping  Fixture or implant replicaFixture or implant replica www.indiandentalacademy.comwww.indiandentalacademy.com
  64. 64. 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
  65. 65. 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
  66. 66. 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
  67. 67.  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
  68. 68. 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
  69. 69. 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
  70. 70. Thank you For more details please visit www.indiandentalacademy.com www.indiandentalacademy.comwww.indiandentalacademy.com