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Chapter 18 : Dental Implants

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Dental Implants, Page 1 of 2

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Abstract:

In the beginning, the clinical evaluation of osscointegrated implants comprised primarily edentulous patients, suffering mostly from advanced atrophy of the osseous alveolar ridge as a consequence of tooth loss. During the last decade, the clinical use of osseointegrated dental implants has also been extended to partially dentate patients, addressing distally shortened dental arches and extended edentulous gaps, as well as single missing teeth, involving both the maxilla and the mandible. Single-tooth replacement with dental implants has recently become an increasingly applied treatment option, even in the esthetically sensitive anterior maxilla, and the few prospective studies available to date have reported favorable results. A recent study reported that out of 1,352 placed implants, 1,147 concerned partially dentate patients. As they are widely used in sites of limited bone height but high levels of occlusal load, distinctly increased requirements comprising both quality of osseointegration and biomechanical properties of the fixture-abutment complex itself are currently associated with dental implants. Osseointegrated dental implants or their secondary prosthetic components are in direct contact with the complex oral ecosystem, comprising fluids and high concentrations of various microbiota. Depending on the respective continuing diagnosis during the maintenance phase, developing peri-implant lesions should be intercepted as early as possible and treated according to the principles of the cumulative interceptive supportive therapy (CIST) protocols. Promising reports related to novel preventive and therapeutic approaches and concepts, including regenerative procedures and tissue engineering, indicate that dental implant therapy will continue to evolve as a highly effective and predictable treatment modality.

Citation: Belser U, Meyer J. 2000. Dental Implants, p 373-393. In Waldvogel F, Bisno A (ed), Infections Associated with Indwelling Medical Devices, Third Edition. ASM Press, Washington, DC. doi: 10.1128/9781555818067.ch18

Key Concept Ranking

Aluminum Oxide
0.46974623
Antibacterial Therapy
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Calcium Phosphate
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Antimicrobial Therapy
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Titanium
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Gram-Positive Cocci
0.41601753
Bone Marrow
0.41601753
0.46974623
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Figures

Image of Figure 1
Figure 1

(A) Histological section of a titanium implant 3 months after insertion in the mandibular bone of a beagle dog (magnification, × 10.8). (B) Histological close-up view of the peri-implant mucosa and the alveolar bone crest (magnification, × 26.9). (C) Histological close-up view of the implant-to-bone interface at the crestal cortical bone level (magnification, × 84). (D) Histological close-up view of the implant-to-bone interface at the apical cancellous bone level (magnification, × 42). (Photos courtesy of R. K. Schenk.)

Citation: Belser U, Meyer J. 2000. Dental Implants, p 373-393. In Waldvogel F, Bisno A (ed), Infections Associated with Indwelling Medical Devices, Third Edition. ASM Press, Washington, DC. doi: 10.1128/9781555818067.ch18
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Image of Figure 2
Figure 2

(A) Clinical view 3 months after placement of a titanium dental implant in the location of the missing right maxillary central incisor. (B) Final view after insertion of a screw-retained ceramo-metal suprastructure replacing tooth 11. (C) The corresponding 3-year postoperative radiograph documents stable osseous peri-implant conditions.

Citation: Belser U, Meyer J. 2000. Dental Implants, p 373-393. In Waldvogel F, Bisno A (ed), Infections Associated with Indwelling Medical Devices, Third Edition. ASM Press, Washington, DC. doi: 10.1128/9781555818067.ch18
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Image of Figure 3
Figure 3

Horizontal histological section of a titanium implant at the soft tissue level. Note the orientation of the collagen fibers, which is parallel to the implant surface (magnification, × 26.8). (Photo courtesy of D. Buser.)

Citation: Belser U, Meyer J. 2000. Dental Implants, p 373-393. In Waldvogel F, Bisno A (ed), Infections Associated with Indwelling Medical Devices, Third Edition. ASM Press, Washington, DC. doi: 10.1128/9781555818067.ch18
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Tables

Generic image for table
Table 1

Current trends in the clinical use of oral implants

Citation: Belser U, Meyer J. 2000. Dental Implants, p 373-393. In Waldvogel F, Bisno A (ed), Infections Associated with Indwelling Medical Devices, Third Edition. ASM Press, Washington, DC. doi: 10.1128/9781555818067.ch18
Generic image for table
Table 2

Advantages of an open, transmucosal healing mode

Citation: Belser U, Meyer J. 2000. Dental Implants, p 373-393. In Waldvogel F, Bisno A (ed), Infections Associated with Indwelling Medical Devices, Third Edition. ASM Press, Washington, DC. doi: 10.1128/9781555818067.ch18
Generic image for table
Table 3

CIST clinical parameters

Citation: Belser U, Meyer J. 2000. Dental Implants, p 373-393. In Waldvogel F, Bisno A (ed), Infections Associated with Indwelling Medical Devices, Third Edition. ASM Press, Washington, DC. doi: 10.1128/9781555818067.ch18
Generic image for table
Table 4

CIST modalities

Citation: Belser U, Meyer J. 2000. Dental Implants, p 373-393. In Waldvogel F, Bisno A (ed), Infections Associated with Indwelling Medical Devices, Third Edition. ASM Press, Washington, DC. doi: 10.1128/9781555818067.ch18

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