The document outlines essential factors for successful dental implant procedures, focusing on anatomical considerations such as the amount and density of available bone, as well as positioning principles for optimal esthetic and biologic results. It details surgical techniques including flapless and flap raised methods, post-operative care instructions, and recent advancements in implant technologies like osseo densification and customized 3D printed implants. Additionally, it discusses the rule of distances for implant placement and introduces innovative implant designs aimed at improving osseointegration and reducing bone resorption.

2. Basic Implant procedure

3. 3
Anatomic Considerations

4. 4
Available bone
It is the amount of bone in the edentulous area considered for implantation.
• Width
• Height
• Length
• Angulation
• Crown/implant ratio
Measured in :

5. 5
Principles of Implant Positioning
ALWAYS PROSTHETIC DRIVEN
X
X
X

6. 6
Principles of Implant Positioning
Four factors must be correctly addressed to achieve both optimal esthetic results
and biologic health.
Vertical
positioning of
implant in the
bone
Buccolingual
positioning of
implant in the
bone
Mesiodistal
placement of
implant in the
bone
Trajectory
or angle of
the implant

7. 7
Available bone height
Minimum height of
available is in part
related to density of
available bone.
More dense bone
Less dense and weaker bone
Shorter implants(8mm)
Longer implants(12mm)

9. 9
Mesiodistal positioning
One of the most important factors to be considered while placing implants.
The greater the number of teeth replaced with implants the greater the esthetic
challenge.

10. 10
Rule of 1,2,3 & 7
07
03
02
01
A rule has been suggested to guide in the placement of implants:
Bucco- lingually
1 mm of bone is
present after
implant
placement
Distance
between
tooth and
implant in
mm.
Distance
between
implant and
implant in mm
Distance
between crest
of bone and
opposing tooth.

12. Surgical Procedure

13. 13
Surgical Procedure

14. 14
Flapless Technique

15. 15
Flap Raised Technique
Papilla Preserving
Single stroke Incision

16. 16

17. 17

18. 18

19. 19

20. 20

21. 21

22. 22
Suturing the flap
• The flap is sutured back into place using monofilament suture.
• The anterior papilla should be secured first.
• The vertical release is then sutured, followed by the mesial and distal sides of
the abutment.
• These are routine interrupted sutures tied in the same fashion as the first
suture described

23. 23
Post operative Instructions
Dietary Instructions
Antibiotics Analgesics
Oral hygiene instructions

24. Recent
Advances

25. Osseo densification
• A new method of biomechanical bone
preparation
• Densah burs are used
• Bone preservation and condensation
• OD does not excavate bone
Implant placement
25

26. • Root is bisected.
• Buccal 2/3rd of root is preserved in the socket
• Periodontium along with bundle bone remain intact.
• Buccal bone remains intact
Socket shield
26

27. • Use of smaller diameter abutment on a larger
diameter implant collar
• Preserves crestal bone
Platform switching
27

28. • Peek
• Trinia
• Biohpp
• Shape memory niti implant
Implant materials
28

29. Customized 3d printed implants
29

30. • TTPHIL-ALL TILT(Tall Tilted Pin Hole Immediate Loading
• Bicortical engagement of implants
• Less stress on the bone with reduced chances of bone
resorption
• No cantileverage
• Tall (16-25mm) tilted (30°-45°).-tall implants more
surface area for osseointegration
• Implants placed in pinhole manner ie,flapless
All On Four
30

31. Zygomatic ,Basal, Pterygoid Implants
31