I will be discussing some parameters based on what implants are chosen during the planning of a case of dental implantology:
1. - By their shape may be conical or straight, may be bolts or threaded as being smooth, and then with various connections to the crown. According to its base it can be in many ways, as an example of a rough surface (microarenadas or etched), or smooth, treated with fluorine, or hydroxyapatite, etc. .. This is one of the most distinguishing, in my opinion, between the different houses that sell dental implants. The surface, in some of the best brands (also more expensive), strongly influences the osseointegration time, very valuable, because the sooner I finish this period, before you can put those implants crowns. It is also a time in which the implant is exposed to any movements that may compromise their survival. Depending on their size may also have different diameters and lengths, useful to overcome various anatomical structures, either nerves or cavities within the bone where the implants will be housed.
2. - But we can divide the type of implant to perform according to the time of placement when first necessary to extract a tooth. If placed immediately after tooth extraction, or it waits for the socket remaining in the bone heal after tooth extraction (4 months approx). At first, unlike the conventional immediate implants are called post-extraction. These implants immediately after extraction has the advantage that it saves considerable time, and the disadvantage that they are more susceptible to failure during the osseointegration period because they have virtually no primary stability. It is obvious you have to assess very carefully the feasibility in each case
3. - They may be classified according to whether dental implants when placed leaving the implant head poking through the gum or not. An implant of two phases mean that the implant is completely buried under the gum (1 phase) and later when you go to the crown of metal / porcelain, make a small incision in the gum to access the implant and to screw the crown to it (phase 2). In the case of implants in a phase would not be necessary this incision, the latter are a little longer to complete that part that goes from bone to that poke through the gum. The suitability of either statement must taken into value.
4. - So far we have discussed the type of implant referring to the actual implanted in the bone. Another aspect that serves to classify dental implants is the time of placement of the crown with respect to placement of the implant. It is usual to fix the implant in the bone and after waiting a period of three or 4 months to heal and it oseointegre (to merge chemically with the bone), this is what is called lazy loading. But at present it is also practiced the so-called immediate loading, ie, the patient leaves the office with implants and crowns as well. You can not always repeat the latter manner, only in certain cases.
5. - Another problem closely related, and the first thing you should think about when planning treatment of implants, the prosthesis is indicated for the patient. According to what you want and what you can afford, we have to assess whether the best for that patient is compatible from the point of view of health, function and aesthetics. That said, we have fixed or removable prosthesis, the primary have obvious advantages. Within fixed prostheses, these can be unitary, can be partial bridges or dentures. Sometimes these latter have to compensate by adding pink resin (to simulate the gum) in the bone defects, the other being very sensitive in the area of the smile in patients smile showing the gum (gingival smiles or high). It is also important to consider the thickness of the bone, since the defect in it may require us to make dentures, because if we want to hold the prosthesis in his lip aesthetic position that would be incompatible with hygiene below it, why we have to do either removable or schedule prior to implant a bone graft to increase it (which changes the course of planning 180 °).
Conclusion: A well placed implant solves a major problem and today is the best solution to lack teeth. However, a misplaced implant is very difficult to remove because it is tightly bound (chemical bond) to the bone by a mechanism called osseointegration, ie it is a very serious problem, which sometimes can only be solved by hard bone reconstructions of the jaws. So only highly qualified professionals should plan their implants. Furthermore it is always necessary to carry out an assessment of the feasibility taking into account related to dental periodontics
1. - By their shape may be conical or straight, may be bolts or threaded as being smooth, and then with various connections to the crown. According to its base it can be in many ways, as an example of a rough surface (microarenadas or etched), or smooth, treated with fluorine, or hydroxyapatite, etc. .. This is one of the most distinguishing, in my opinion, between the different houses that sell dental implants. The surface, in some of the best brands (also more expensive), strongly influences the osseointegration time, very valuable, because the sooner I finish this period, before you can put those implants crowns. It is also a time in which the implant is exposed to any movements that may compromise their survival. Depending on their size may also have different diameters and lengths, useful to overcome various anatomical structures, either nerves or cavities within the bone where the implants will be housed.
2. - But we can divide the type of implant to perform according to the time of placement when first necessary to extract a tooth. If placed immediately after tooth extraction, or it waits for the socket remaining in the bone heal after tooth extraction (4 months approx). At first, unlike the conventional immediate implants are called post-extraction. These implants immediately after extraction has the advantage that it saves considerable time, and the disadvantage that they are more susceptible to failure during the osseointegration period because they have virtually no primary stability. It is obvious you have to assess very carefully the feasibility in each case
3. - They may be classified according to whether dental implants when placed leaving the implant head poking through the gum or not. An implant of two phases mean that the implant is completely buried under the gum (1 phase) and later when you go to the crown of metal / porcelain, make a small incision in the gum to access the implant and to screw the crown to it (phase 2). In the case of implants in a phase would not be necessary this incision, the latter are a little longer to complete that part that goes from bone to that poke through the gum. The suitability of either statement must taken into value.
4. - So far we have discussed the type of implant referring to the actual implanted in the bone. Another aspect that serves to classify dental implants is the time of placement of the crown with respect to placement of the implant. It is usual to fix the implant in the bone and after waiting a period of three or 4 months to heal and it oseointegre (to merge chemically with the bone), this is what is called lazy loading. But at present it is also practiced the so-called immediate loading, ie, the patient leaves the office with implants and crowns as well. You can not always repeat the latter manner, only in certain cases.
5. - Another problem closely related, and the first thing you should think about when planning treatment of implants, the prosthesis is indicated for the patient. According to what you want and what you can afford, we have to assess whether the best for that patient is compatible from the point of view of health, function and aesthetics. That said, we have fixed or removable prosthesis, the primary have obvious advantages. Within fixed prostheses, these can be unitary, can be partial bridges or dentures. Sometimes these latter have to compensate by adding pink resin (to simulate the gum) in the bone defects, the other being very sensitive in the area of the smile in patients smile showing the gum (gingival smiles or high). It is also important to consider the thickness of the bone, since the defect in it may require us to make dentures, because if we want to hold the prosthesis in his lip aesthetic position that would be incompatible with hygiene below it, why we have to do either removable or schedule prior to implant a bone graft to increase it (which changes the course of planning 180 °).
Conclusion: A well placed implant solves a major problem and today is the best solution to lack teeth. However, a misplaced implant is very difficult to remove because it is tightly bound (chemical bond) to the bone by a mechanism called osseointegration, ie it is a very serious problem, which sometimes can only be solved by hard bone reconstructions of the jaws. So only highly qualified professionals should plan their implants. Furthermore it is always necessary to carry out an assessment of the feasibility taking into account related to dental periodontics
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