Implantology

A.B. Dental implants are used for one-stage, two-stage and one-piece implantation processes. The implants and abutments are made of titanium alloy. A.B. Dental implants are delivered in sterile, sealed containers. They are supplied with the understanding that only A.B. Dental surgical instruments, which complement each implant, will be used during surgery. If these conditions are not met, the manufacturer will refuse to accept responsibility. A.B. Dental implants are designed for prosthodontic reconstruction. They are to be inserted into areas of the maxillary or mandibular arch locations, for completely or partially endentious patients. Patients must have adequate alveolar bone width to support the width and length of the implant (minimum 1 mm circumferential and 2 mm apical). Sufficient volume and quality of bone used for placement of implant may be determined through adequate radiological data used by implant dentistry. For use in the following cases: single tooth loss, free-end saddle replacement, total tooth loss and stabilization of removable appliances. A thorough evaluation of the following must be made with their relation to the implant site: vital blood vessel location, nerve location, maxillary sinus and soft tissue spaces. Implants in the maxilla should not puncture the sinus, unless sinus augmentation is performed.

Guide to choosing the proper implant

After making a preliminary diagnosis, an X-ray and/or CT, in conjunction with a transparency that displays the necessary measurements, should be used to determine the dimensions of the implant suitable for the site in question. As a general rule, the widest and longest implant suitable for a particular site (density and dimensions of bone, dimensions of gums) should be used, in order for rehabilitation to be most effective. Another general rule is that implant and abutment combinations offer the greatest range of rehabilitation options. The use of the Integrated Implant offers some advantages that appeal to certain patients, and are appropriate for them.

The choice of an integrated implant/abutment (one-piece) requires immediate loading and rehabilitation, and cementing of the restoration device. There is no affixing of the abutment by screw, and no choice as to the structure of the abutment. That choice is made beforehand.

With a one-stage implant, the patient must deal with the exposed abutment during the stage of osseo-integration. In a two-stage implantation, if there is a need for immediate loading, the conical implant, which has good retention from the outset, should be used.

Below are some more specific guidelines for various situations: In the lower jaw, in Type 1 hard bones, all types of implants (I2, I5, I6 & I7) are suitable.

In the front, single-rooted teeth, in the upper teeth between tooth 4 and tooth 7, where the sinus cavity is found, wide conical implants are recommended in order to reduce pressure on the base of the sinus. When the bone is very wide, and the sinus cavity is distant, any implant can be used. When the bone is narrow, a wide implant should not be used.

Following extraction, if the bone is good, a conical implant, or integrated implant for immediate loading, is appropriate