Recent Advances in Implant Dentistry

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www.indiandentalacademy.com

RECENT ADVANCES
IN IMPLANT
DENTISTRYINDIAN DENTAL ACADEMY
Leader in continuing dental education

CONTENTS-
1- Introduction,
2-Advances in dental implant(fixture),
3-Advancement in implant Surface,
4-Advances in abutment design,
5-Recent method to measure
osseointegration,
6-Advanced surgical guide for implant
placement,

7- All on Four concept in implant
placement,
8-conclusion ,
9-Bibliography.

Introduction

JADA, Vol. 135, January 2004

JADA, Vol. 136 August 2005www.indiandentalacademy.com

Advances in dental implant-
Nobel active implant,
Nobel perfect implant,
SLA active implant,
Transitional implant,
Single piece implant,
Mini implant.

Nobel active implants
• High initial stability, even in
compromised bone situations
• Bone condensing property
• Redirecting capability for optimal
placement
• Built-in Platform Shifting
• Dual-function prosthetic connection

General design
1-Expanding tapered body with double
variable thread design and apical
drilling blades,
2-TiUnite®,
3-Groovy™.

Surgical properties
1-Back-tapered coronal region,
2-Expanding tapered body that acts
like a threaded osteotome,
3-Reverse cutting flutes,
4-Drilling blades on apex.

Prosthetic properties
1-Conical connection,
2-Built-in Platform Shifting,
3-Hexagonal interlocking,
4-Dual-function
prosthetic connection.

SCALLOPED IMPLANT DESIGN:
NOBEL PERFECT-
• The ultimate goal of the scalloped
implant design is to minimize the
remodeling seen around implants,
thus significantly improving the quality
of survival by maintaining three
dimensional osseous and soft tissue
contours.

Clinical Implant Dentistry and Related
Research, Vol 5, Suppl 1, 2003

SLA active implant
Titanium implant surface
Sand lasting
Acid etching
Conditioning with nitrogen and immediate
preservation in isotonic saline
Increased hydrophilicity
J Dent Res 2004;83:529-533.

Transitional implant
• Primary function is to absorb masticatory
stress during healing phase
• Ensuring stress free maturation of bone
around the implants
• Allowing them to heal uneventfully.

(J Prosthet Dent 2005;93:514-7.)

Advantages:
 Undisturbed healing of bone grafts,
 Provisionalisation of fully and partially
edentulous jaws,
 Where immediate loading not possible but
patient insists for fixed transitional prosthesis
 Effective way to generate aesthetics
transitional appliances,
 Allows evaluation of phonetics and function.www.indiandentalacademy.com

• Single piece implant
Advantages-
1-Eliminates micro movement and
helps to minimize bone loss.
2- Eliminates secondary component
placement, saving time and improving soft
tissue apposition
One-Piece Implants bring greater
simplicity and convenience to the
restoration process.

3- Pre-contoured abutment delivers better
esthetics with little or no preparation
4- Available in a wide range of lengths in
both straight and angled abutment
versions.
Disadvantage –
Separate surgical kit required.
Indication-
 Single tooth replacement,
 Short span bridge.

• European journal of prosthodontics and
restorative dentistry 2009 dec 17;188-91

Mini implant
• Ultra small diameter-1.8 mm diameter
implant for mandible and 2.4 mm diameter
for maxilla.
• Can be used not only as transitional or
temporary but as a long term device,
• Most effectively used for mandibular denture
stabilization,

There is two type of mini implant
 Square head
 Ball head
• Available in 6 lengths: 6, 8, 10,13, 15 & 18mm.
• Typically inserted directly through the
overlying gums and into the bone beneath
• No need to surgically cut and raise flap

Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2007;103:e22-e25)

ADVANCES IN SURFACES
MACRO NANO
MICRO

Clin. Oral Impl. Res. 21, 2010 / 129–136

CONCEPT OF MICROTHREAD
ON CRESTAL MODULE
• Clin. Oral Impl. Res. 21, 2010 / 129–136

dental materials 2 3 ( 2 0 0 7 ) 844–854
MICRO LEVEL MODIFICATION
1-Roughening of implants by titanium
plasma-spraying
2-Roughening of implants by grit-blasting
3-Roughening of implants by acid-etching
4-Roughening of implants by anodization
5-Osteoconductive calcium phosphate
coatings on dental implants

Nano level Modification-
1-Surface roughness at the nano scale
level,
2-Biomimetic calcium phosphate coatings
on titanium dental implants,
3-Incorporation of biologically active
drugs into titanium dental implants,
(dental materials 2 3 ( 2 0 0 7 ) 844–854)

CharecterizationCode=
Core.G4Ti/Mod.Po.Mo.Fo/Nano.S/Archi.NF.Ho.EC
• (Trends in Biotechnology 2010 Vol.28 No.4 page198-206 )

Advances in abutment designing,
A- Nobel Procera,
B-3i Encode abutment system,
C- CAD CAM designing of abutment

J Oral Maxillofac Surg 67:74-81, 2009, Suppl 3

• 3i Encode abutment system

Journal of Biomechanics (2010),

SURGICAL GUIDE-
NOBEL GUIDE

Recent technique to measure
ossiointegration
• Resonance frequency analysis
• Implatest
Other method include-
• Percussion test
• Periotest
• Dynamic model testing
• Revese torque
• Impulse testing

Resonance frequency analysis
Periodontology 2000, Vol. 47, 2008, 51–66

JADA, Vol. 133, April
• IMPLATEST

ALL ON 4 CONCEPT OF IMPLANT
PLACEMENT

Ultrasound: A potential technique to improve
osseointegration of dental implants (Medical Hypotheses
(2008) 71, 568–571)
DENTIS IMPLASONIC

(www.ec21.com/product-details/Implasonic--
3028162.)
DENTIS IMPLASONIC offers followings
• Reducing failure rates of implant surgery.
• High success rate of implant surgery with
difficult case.
• Reliance of successful surgery to patient.
• The ultimate solution for an unreasonable
failed osseointegration case.

REFRENCES
• JADA, Vol. 135, January 2004
• JADA, Vol. 136 August 2005
• Clinical Implant Dentistry and Related
Research, Vol 5, Suppl 1, 2003
• J Prosthet Dent 2005;93:514-7
• European journal of prosthodontics and
restorative dentistry 2009 dec 17;188-91
• J Oral Maxillofac Surg 67:74-81, 2009, Suppl 3
• Journal of Biomechanics (2010),
• J Dent Res 2004;83:529-533.www.indiandentalacademy.com

• Oral Surg Oral Med Oral Pathol Oral Radiol
Endod 2007;103:e22-e25
• Clin. Oral Impl. Res. 21, 2010 / 129–136
• Trends in Biotechnology 2010 Vol.28 No.4
page198-206
• dental materials 2 3 ( 2 0 0 7 ) 844–854
• Journal of Oral Implantology Vol. XXXIV/No.
Six/2008
• Periodontology 2000, Vol. 47, 2008, 51–66
• JADA, Vol. 133, April
• Medical Hypotheses (2008) 71, 568–571)www.indiandentalacademy.com

INTERNET REFRENCES
• www.biomet3i.com(encode system),
• www.nobelbiocare.com
• www.straumenn.com
• www.zeimmars.com
• Google search for videos

conclusionwww.indiandentalacademy.com

Thank you
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• Once a new technology rolls over you, if
you're not part of the steamroller, you're
part of the road.
• Science and technology multiply around
us. To an increasing extent they dictate
the languages in which we speak and
think. Either we use those languages, or
we remain mute.
J G Ballard

Recent Advances in Implant Dentistry

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