Introduction of the Implant
Dental
Clinical situation
Clinical situation
Clinical situation
Materials of Implant body
Implant- supported
prosthesis
Abutment
Pure Titanium ( Grade 1-4)
Implant body ( Fixture )
Titanium alloy (Ti6Al4V)
: intensification of mechanical
strength, narrow implant
Classification of the Dental Implant
Implant design
Submerged VS non-submerged
Screw VS non-screw (cylinder, fin)
Flat top VS conical seal (External Vs Internal)
Implant surface
Smooth (machined) surface
Rough surface
Titanium plasma spraying (TPS)
Projection of Titanium particle
Grit-blasting
Alumina (Al2O3) : + acid etching > SLA
Titanium oxide : Astra TiOblast
Calcium phosphate : RBM (resorbable blast media )
Acid-etching
HCl, H2SO4, HNO3
Fluoride : Astra OsseoSpeed
Anodizing : thick oxide layer
HA coating
TPS
*Evidence-based practice
The rate & quality of osseointegration are related to
surface properties.
SLA
TiOblast
Titanium implants with roughened surfaces have
greater contact with bone than titanium implants
with smoother surfaces.
The surface roughness of Ti implants affect the rate
of osseointegration & biomechanical fixation.
A moderate roughness of 1-2m show stronger
bone response and prevent peri-implantitis.
Anodizing
HA coating
Osseointegration
Direct bone-implant contact without an
intervening connective tissue layer
This biologic fixation is considered to be a
prerequisite for implant-supported prostheses
and long-term success
History of the Implant
Subperiosteal implant
Endosteal blade implant
In 1948 by Gustav dahl
In 1967 by Leonard Linkow
Endosteal root form implant
In 1952- 1960s by Igvar Branemark
(Orthopedic surgeon in sweden)
In 1981 long- term(15Y) data published
In 1982 the Toronto conference on
osseointegration
Dental implant is a successful Tx modality
Trend of the newest implant design
Nobel biocare
Nobelactive
Straumann
Soft tissue level implant
NobelSpeedy Replace
bone level implant
Rough surface to top of implant body
Microthreaded design
Conical seal design : prevent micromovement
Tapered root form design
1-stage or 2-stage possible
Design concept of implantium
Bacteria resistant high
polished surface
Conical seal design internal connection
Taper Portion : Abutment housing
& more stable in loose bone
condition
Synchronized double micro-thread ;
Cortical bone stimulation
Biological Thread ;
Parallel Portion : Even stress
distribution
Rich bone housing design
S.L.A.
surface
Round end; less perforation tendency
Characteristics of Implantium
Optimal fixation thread (Microthread)
Excellent initial stability due to Double thread
Form the fittest condition around Cortical bone.
Tapered design
Upper Part(Top): Excellent initial stability
Middle Part(Central): Connecting the upper and lower parts, even stress
distribution to fixture body
Lower Part(Bottom): fixture sinks upto the middle part without drilling,
providing operation convenience.
SLA (Sandblasting with Large grit & Acid etching)surface
Early osseointegration due to rapid attachment and proliferation
of osteoblast early osseointegration
Characteristics of Implantium
Biologic connection
Structure of the Internal connection forms better condition for
stress.
Greater distributional effect of force around Cortical bone
Prevention of Screw loosening
Abutment is exchangeable (4.5.5.5.6.5), regardless of diameter.
Conical Sealing & Cold Welding between fixture &
Abutments
Marginal Opening is
less than 1m
Connecting point of bevel at Fixture Neck, when
combining Fixture and Abutment
Gap between the upper and lower parts prevents bone destruction towards a
lower tissue.
Enough quantity of upper soft tissue protects lower bone tissue.
Help to form an Interproximal Bone with adjacent Fixture.
Marginal bone loss is less.
Cold Welding
Abutment &
Fixture
Characteristics of Implant
- Load-Distribution
-Screw Loosening Fracture /
- Conical Sealing Bacteria Bone
Resorption .
Load-Distributional
effect of Prosthesis
minimizes bone
destruction.
mechanical/
structural problemsolving, such as Screw
Loosening or Fracture,
Effectiveness of
etc.
Load-Distribution
Effectiveness
of
Load-Distribution
Almost no Bone
resorption by bacteria
due to Conical Sealing
J.Wolffs law
In connecting Abutment with
Fixture, Perfect connection of
Conical Sealing:
Self-Guiding of Abutment
When beneficial stress condition is formed to keep a normal state of bone tissue close
installed implant, resorption of surrounding marginal bone tissue does not occur.
Features of Implantium
Biologic thread
The rich bone housing design creates extra bone filling spaces.
The sharper edge penetrates and engages to the bone readily.
Bacteria Resistant High Polish Surface
The tapered bevel platform design makes the bone profiling
procedure unnecessary at 1st, 2nd surgery.
Features of Implantium
Easy flap coverage & Minimum exposure during 1st surgery
Putting the Cover screw on the Fixture, it becomes easier to not only suture a soft tissue,
but also make it look better.
Fixture exposure is improbable due to Tension free flap closure.
0.8mm
1.1mm
Simple installation of healing abutment during 2nd surgery
After the incision less than 1cm on the top of Fixture, detach the Cover screw with a driver so that it becomes easier to
attach the Healing Abutment.
Minimizing the incision , less damage offers a patient Minimal Trauma.
