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‫دو ر‬
‫ة‬
Implantology course
Basic course
01-2014

Dr kamal Masarwa

1
Dr. Kamal Masarwa

2
?Why Implants
Indications
Single tooth anterior

3

Dr. Kamal Masarwa
Single tooth-Molar

4
5
6
Multiple Implants to Replace
Multiple Missing Teeth

7
teeth missing 2

8
teeth missing 3

9
Free end

10
11
12
13
Fully edentulous-Fixed Bridge

14
Fully edentulous- over denture
Ball Attachment- 1

15
16
Fully edentulous- over denture

Dolder Bar

17
18
?How can a dentist start to make Implants

19
20
Implantation
■Transfer of non-living tissue or material into a
biological system

Transplantatio
n ■Transfer of living tissue

21
History of dental Implants

22
23
TEETH WERE BOUND TOGETHER
WITH GOLD WIRE
At an ancient burial site, dental bridges
are excavated. Most probably inserted
post-mortem

24
THE EGYPTIANS

sea shells

25
Jaw of ancient Egyptian showing drill holes
used in dental repair.
Courtesy of the Gordon Museum

26
THE MAYAS

, strictly for ritual
religious or purely self
.adornment purposes
Jade and turquoise stones are implanted
.in the teeth
27
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
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
THE GREEKS

HIPPOCRATES
writes about tooth decay

30
Fingers or a thin linen towel were used
. to cleanse the teeth

31
THE ROMANS

gold crowns
. fixed bridgework

32
The earliest known dental prosthesis from
Rome resulted from multi-karat gold wire
33
,The Siwak, a primitive form of toothbrush
is used for cleaning teeth
34
The Favorite Dental
( Chair (circa 1901

35
36
37
38
39
40
1975

41
‫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
‫: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
”The first “Implants

45
Transdental Fixation
46
47
Implant Types

48
.… Lets remember some facts

49
Subperiosteal Implants

50
Subperiosteal Implants

51
52
Subperiosteal Implants
53
54
In 1943, Dahl reported using a
subperiosteal implant

55
Implant Types
1- Subperiosteal Implants

56
Transdental Fixation

57

Transdental Fixation
Needle Implants
58
Needle Implants
Lambotte 1934

59
60
61
62
63
Implant Types
1- Subperiosteal Implants
2- Enossal Implants(needle)

64
Types of enossal Implants
Needle Implants - 1

65
66
67
Blade Implants
68
Blade Implants

69
1966

Blade Implants
70
71
72
Types of enossal Implants
Needle Implants - 1
Blade Implants - 2

73
74
Disc Implants-

75
76
77
78
79
Types of enossal Implants
Needle Implants - 1
Blade Implants - 2
Disc Implants - 3

80
81
Types of enossal Implants
Needle Implants - 1
Blade Implants - 2
Disc Implants - 3
Root form Implants – 4
Cylider ImplantsScrew Implants-

82
Root form Implants – 4
A - Cylider Implants

83
Root form Implants – 4

Cylider Implantsperformed-

Inserted with Hammercannot be removed84
85
Stability development over time

86
Placement Stability
Initial Stability
Primary Stability

87
…To increase the mechanical Stability
functional surface area

88
89
90
Ather way
…To increase the mechanical Stability

91
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
Types of Screw Implants

93
94
screw Implants

More functional Surface(Inserted with Hand (no hammerSelf thread(Less Boring (Bone DamageCan be removed-

95
Screw Implants

96
The “Sargon” expandable implant

97
98
99
NEW

Orthodontic Implants

100
101
102
Implant Materials
Ivory
seashells
bones of animals
teeth from human donors
Gold, platinum and other metal alloys

103
1952

Professor
Per-Ingvar
Brånemark
104
105
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
Osseointegrati
on
“A direct structural and functional
connection between ordered , living
bone and a surface of a loadcarrying implant “
Brånemark
Brå

1985
107
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
110
111
112
113
114
115
Brånemark Implant
Machined Surface

about 1 µm

116
=Bone growth around inserted implant
0.6µm - 1µm / day
healing period = 3-6 months

117
?How to decrease the time
118
…To increase the biological Stability
119
What happened with the bone after
?inserting an implant

Resorption

120
121
122
osteocytes

123
Formation

124
Osteozyt
125

©
126
127
a bone cell attaching to titanium
128
129
There are Materials who increase the
. differentiation of osteoblasts
Osteoconductiv characteristics

130
µm 1
Bone growth= 0.6 – 1µm / day
131
,If the Valleys are bigger
so the Bone growth is
Faster

Faster Osseointegration►
Less wait time for Laoding►
132
133
‫‪Caoting‬‬
‫ציפוי‬
‫طلء‬
‫431‬
1-TPS (Titanium Plasma Spraying)

about 15 µm

bigger 6-10

135
2 - SLA (Sand Blasting and Acid-Etched)

136
3 – HA (Hydroxyapatite) Coating

of the bone 70%
Hydroxylapatite can be
found in teeth and
bones
137
138
4 - TCP (Tricalciumphosphat)

Osteoconductiv

Bioactive

139
BONIT®coating
BONIT is a fully resorbable
bioactive coating

that is replaced by new bone
in 6-10 weeks.
This coating allows early loading of dental
and orthopaedic implants.
The application is preferred on rough
implant surfaces.

140
141
142
143
144
►Affinity ,Attachment and Growth of
bone forming cells (osteoprogrnitors)

145
146
- Bioaktive Calcium-Phosphat
CaP)-Coating
(
BONIT®coating

147
148
?Are all Implants titanium maded

149
150
Metalfree Implantation

151
152
153
154
155

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