Specialty Dentistry
Transcript of Specialty Dentistry
![Page 1: Specialty Dentistry](https://reader036.fdocuments.us/reader036/viewer/2022071518/613c55bbd5ddbd1b6607b0d3/html5/thumbnails/1.jpg)
![Page 2: Specialty Dentistry](https://reader036.fdocuments.us/reader036/viewer/2022071518/613c55bbd5ddbd1b6607b0d3/html5/thumbnails/2.jpg)
Specialty Dentistry
• Dentistry has nine specialty fields
recognized by the American Dental
Association – Dental Public Health
– Endodontics
– Oral and Maxillofacial Pathology
– Oral and Maxillofacial Radiology
– Oral and Maxillofacial Surgery
– Orthodontics
– Pedodontics
– Periodontics
– Prosthodontics
![Page 3: Specialty Dentistry](https://reader036.fdocuments.us/reader036/viewer/2022071518/613c55bbd5ddbd1b6607b0d3/html5/thumbnails/3.jpg)
History of dental implants
![Page 4: Specialty Dentistry](https://reader036.fdocuments.us/reader036/viewer/2022071518/613c55bbd5ddbd1b6607b0d3/html5/thumbnails/4.jpg)
Three major groups of dental
implants
• Subperiosteal “On Bone”
• Transosteal “Through Bone”
• Endosteal “In Bone”
![Page 5: Specialty Dentistry](https://reader036.fdocuments.us/reader036/viewer/2022071518/613c55bbd5ddbd1b6607b0d3/html5/thumbnails/5.jpg)
Subperiosteal
Implants
-Designed primarily to anchor dentures in the
completely edentulous patient.
-These implants consist of a metal framework
that attaches on top of the jawbone but
underneath the gum tissue
![Page 6: Specialty Dentistry](https://reader036.fdocuments.us/reader036/viewer/2022071518/613c55bbd5ddbd1b6607b0d3/html5/thumbnails/6.jpg)
Fabrication
![Page 7: Specialty Dentistry](https://reader036.fdocuments.us/reader036/viewer/2022071518/613c55bbd5ddbd1b6607b0d3/html5/thumbnails/7.jpg)
Subperiosteal
Implants
• Epithelial migration, development of
extended peri-implant pockets, and
chronic infections led to exposure of the
implant framework and its eventual
removal.
![Page 8: Specialty Dentistry](https://reader036.fdocuments.us/reader036/viewer/2022071518/613c55bbd5ddbd1b6607b0d3/html5/thumbnails/8.jpg)
![Page 9: Specialty Dentistry](https://reader036.fdocuments.us/reader036/viewer/2022071518/613c55bbd5ddbd1b6607b0d3/html5/thumbnails/9.jpg)
Transosteal
(staple) Implants
• Designed primarily to anchor dentures in
the completely edentulous patient
• These implants are either a metal pin or a
U-shaped frame that passes through the
jawbone and the gum tissue, into the
mouth
• Titanium
![Page 10: Specialty Dentistry](https://reader036.fdocuments.us/reader036/viewer/2022071518/613c55bbd5ddbd1b6607b0d3/html5/thumbnails/10.jpg)
Transosteal
(staple) Implants
1975 Small introduced transosteal mandibular staple
1976 bone plate Limited to mandible only
![Page 11: Specialty Dentistry](https://reader036.fdocuments.us/reader036/viewer/2022071518/613c55bbd5ddbd1b6607b0d3/html5/thumbnails/11.jpg)
Transosteal
(staple) Implants
![Page 12: Specialty Dentistry](https://reader036.fdocuments.us/reader036/viewer/2022071518/613c55bbd5ddbd1b6607b0d3/html5/thumbnails/12.jpg)
Transosteal
(staple) Implants
![Page 13: Specialty Dentistry](https://reader036.fdocuments.us/reader036/viewer/2022071518/613c55bbd5ddbd1b6607b0d3/html5/thumbnails/13.jpg)
Transosteal
(staple) Implants
![Page 14: Specialty Dentistry](https://reader036.fdocuments.us/reader036/viewer/2022071518/613c55bbd5ddbd1b6607b0d3/html5/thumbnails/14.jpg)
Root Form Implants
Root Form Implant System (Branemark)
Introduced in North America (Toronto, C.)
1982
![Page 15: Specialty Dentistry](https://reader036.fdocuments.us/reader036/viewer/2022071518/613c55bbd5ddbd1b6607b0d3/html5/thumbnails/15.jpg)
Osseointegration
• Discovered by P. I. Branemark in the 1960’s while he was conducting a series of animal experiments concerned with wound healing.
• In these experiments he used an optical chamber made of titanium. When he attempted to remove the chamber from its bone site he noticed that the bone adhered to the titanium chamber with great tenacity
* * *
*Courtesy P.I. Branemark
Bone
Chamber
Courtesy of John Beumer III DDS, MS
![Page 16: Specialty Dentistry](https://reader036.fdocuments.us/reader036/viewer/2022071518/613c55bbd5ddbd1b6607b0d3/html5/thumbnails/16.jpg)
Osseointegration
“Direct structural and functional connection
between live bone and the surface of an
implant under load” P.I. Brånemark, MD, PhD
Center for Applied Biotechnology
Götenburg, Sweden
![Page 17: Specialty Dentistry](https://reader036.fdocuments.us/reader036/viewer/2022071518/613c55bbd5ddbd1b6607b0d3/html5/thumbnails/17.jpg)
Osseointegration
-He recognized the
importance of this
phenomenon
-Over 50 designs were
tested. He and his
colleagues finally
settled on a simple
screw shape with a hex
on the top.
![Page 18: Specialty Dentistry](https://reader036.fdocuments.us/reader036/viewer/2022071518/613c55bbd5ddbd1b6607b0d3/html5/thumbnails/18.jpg)
Titanium
• Ninth most abundant element on earth
• Easy to divide into useful shapes which
maintain their strength
• Strong
![Page 19: Specialty Dentistry](https://reader036.fdocuments.us/reader036/viewer/2022071518/613c55bbd5ddbd1b6607b0d3/html5/thumbnails/19.jpg)
Titanium
• Resistant to corrosion
• Light weight
![Page 20: Specialty Dentistry](https://reader036.fdocuments.us/reader036/viewer/2022071518/613c55bbd5ddbd1b6607b0d3/html5/thumbnails/20.jpg)
Endosseous Implants
![Page 21: Specialty Dentistry](https://reader036.fdocuments.us/reader036/viewer/2022071518/613c55bbd5ddbd1b6607b0d3/html5/thumbnails/21.jpg)
Designs
Blades
Screw
Cylinder
Mini implants
![Page 22: Specialty Dentistry](https://reader036.fdocuments.us/reader036/viewer/2022071518/613c55bbd5ddbd1b6607b0d3/html5/thumbnails/22.jpg)
Designs
Zirconium Implant
![Page 23: Specialty Dentistry](https://reader036.fdocuments.us/reader036/viewer/2022071518/613c55bbd5ddbd1b6607b0d3/html5/thumbnails/23.jpg)
TiOblast™
![Page 24: Specialty Dentistry](https://reader036.fdocuments.us/reader036/viewer/2022071518/613c55bbd5ddbd1b6607b0d3/html5/thumbnails/24.jpg)
Benefits of Dental Implants
• Function
• Stability
• Improved nutrition
• Taste
• Preserves bone
• Improved appearance
• Preserves teeth
• Renewed self-confidence
![Page 25: Specialty Dentistry](https://reader036.fdocuments.us/reader036/viewer/2022071518/613c55bbd5ddbd1b6607b0d3/html5/thumbnails/25.jpg)
Osseointegration
• 6-8 weeks – mandible
• 2-4-6 months - maxilla
![Page 26: Specialty Dentistry](https://reader036.fdocuments.us/reader036/viewer/2022071518/613c55bbd5ddbd1b6607b0d3/html5/thumbnails/26.jpg)
Quality Type I, II, III, IV
![Page 27: Specialty Dentistry](https://reader036.fdocuments.us/reader036/viewer/2022071518/613c55bbd5ddbd1b6607b0d3/html5/thumbnails/27.jpg)
Type I Type I bone is comparable to oak wood, which is very hard and dense
![Page 28: Specialty Dentistry](https://reader036.fdocuments.us/reader036/viewer/2022071518/613c55bbd5ddbd1b6607b0d3/html5/thumbnails/28.jpg)
Type II Type II bone is comparable to pine wood, which isn't as hard as type I.
![Page 29: Specialty Dentistry](https://reader036.fdocuments.us/reader036/viewer/2022071518/613c55bbd5ddbd1b6607b0d3/html5/thumbnails/29.jpg)
Type III Type III bone is like balsa wood, which isn't as dense as type II
![Page 30: Specialty Dentistry](https://reader036.fdocuments.us/reader036/viewer/2022071518/613c55bbd5ddbd1b6607b0d3/html5/thumbnails/30.jpg)
Type IV Type IV bone is comparable to styrofoam
![Page 31: Specialty Dentistry](https://reader036.fdocuments.us/reader036/viewer/2022071518/613c55bbd5ddbd1b6607b0d3/html5/thumbnails/31.jpg)
Implant Procedure Sequence
• Consultation
– Medical evaluation
– Dental evaluation • Caries exam
• Periodontal disease evaluation
• Oral hygiene evaluation
• Occlusion
• Preliminary impressions
• FMX
• Diagnostic Wax up
• Fabrication of radiographic stent
• I-Cat
![Page 32: Specialty Dentistry](https://reader036.fdocuments.us/reader036/viewer/2022071518/613c55bbd5ddbd1b6607b0d3/html5/thumbnails/32.jpg)
Implant Procedure Sequence
• Treatment Plan
– Fabrication of surgical template
• Surgical Consult
– Implant Placement
• Fabrication of Prosthesis
• Hygiene maintenance
![Page 33: Specialty Dentistry](https://reader036.fdocuments.us/reader036/viewer/2022071518/613c55bbd5ddbd1b6607b0d3/html5/thumbnails/33.jpg)
Diagnostic Wax up
![Page 34: Specialty Dentistry](https://reader036.fdocuments.us/reader036/viewer/2022071518/613c55bbd5ddbd1b6607b0d3/html5/thumbnails/34.jpg)
Surgical Template
• A guide used to assist in proper surgical
placement and angulation of dental
implants
![Page 35: Specialty Dentistry](https://reader036.fdocuments.us/reader036/viewer/2022071518/613c55bbd5ddbd1b6607b0d3/html5/thumbnails/35.jpg)
![Page 36: Specialty Dentistry](https://reader036.fdocuments.us/reader036/viewer/2022071518/613c55bbd5ddbd1b6607b0d3/html5/thumbnails/36.jpg)
Implant Placement
![Page 37: Specialty Dentistry](https://reader036.fdocuments.us/reader036/viewer/2022071518/613c55bbd5ddbd1b6607b0d3/html5/thumbnails/37.jpg)
![Page 38: Specialty Dentistry](https://reader036.fdocuments.us/reader036/viewer/2022071518/613c55bbd5ddbd1b6607b0d3/html5/thumbnails/38.jpg)
![Page 39: Specialty Dentistry](https://reader036.fdocuments.us/reader036/viewer/2022071518/613c55bbd5ddbd1b6607b0d3/html5/thumbnails/39.jpg)
![Page 40: Specialty Dentistry](https://reader036.fdocuments.us/reader036/viewer/2022071518/613c55bbd5ddbd1b6607b0d3/html5/thumbnails/40.jpg)
![Page 41: Specialty Dentistry](https://reader036.fdocuments.us/reader036/viewer/2022071518/613c55bbd5ddbd1b6607b0d3/html5/thumbnails/41.jpg)
![Page 42: Specialty Dentistry](https://reader036.fdocuments.us/reader036/viewer/2022071518/613c55bbd5ddbd1b6607b0d3/html5/thumbnails/42.jpg)
![Page 43: Specialty Dentistry](https://reader036.fdocuments.us/reader036/viewer/2022071518/613c55bbd5ddbd1b6607b0d3/html5/thumbnails/43.jpg)
![Page 44: Specialty Dentistry](https://reader036.fdocuments.us/reader036/viewer/2022071518/613c55bbd5ddbd1b6607b0d3/html5/thumbnails/44.jpg)
![Page 45: Specialty Dentistry](https://reader036.fdocuments.us/reader036/viewer/2022071518/613c55bbd5ddbd1b6607b0d3/html5/thumbnails/45.jpg)
![Page 46: Specialty Dentistry](https://reader036.fdocuments.us/reader036/viewer/2022071518/613c55bbd5ddbd1b6607b0d3/html5/thumbnails/46.jpg)
![Page 47: Specialty Dentistry](https://reader036.fdocuments.us/reader036/viewer/2022071518/613c55bbd5ddbd1b6607b0d3/html5/thumbnails/47.jpg)
![Page 48: Specialty Dentistry](https://reader036.fdocuments.us/reader036/viewer/2022071518/613c55bbd5ddbd1b6607b0d3/html5/thumbnails/48.jpg)
![Page 49: Specialty Dentistry](https://reader036.fdocuments.us/reader036/viewer/2022071518/613c55bbd5ddbd1b6607b0d3/html5/thumbnails/49.jpg)
![Page 50: Specialty Dentistry](https://reader036.fdocuments.us/reader036/viewer/2022071518/613c55bbd5ddbd1b6607b0d3/html5/thumbnails/50.jpg)
![Page 51: Specialty Dentistry](https://reader036.fdocuments.us/reader036/viewer/2022071518/613c55bbd5ddbd1b6607b0d3/html5/thumbnails/51.jpg)
![Page 52: Specialty Dentistry](https://reader036.fdocuments.us/reader036/viewer/2022071518/613c55bbd5ddbd1b6607b0d3/html5/thumbnails/52.jpg)
![Page 53: Specialty Dentistry](https://reader036.fdocuments.us/reader036/viewer/2022071518/613c55bbd5ddbd1b6607b0d3/html5/thumbnails/53.jpg)
![Page 54: Specialty Dentistry](https://reader036.fdocuments.us/reader036/viewer/2022071518/613c55bbd5ddbd1b6607b0d3/html5/thumbnails/54.jpg)
![Page 55: Specialty Dentistry](https://reader036.fdocuments.us/reader036/viewer/2022071518/613c55bbd5ddbd1b6607b0d3/html5/thumbnails/55.jpg)
Computerized Guide Templates
• Dental implants can be placed in the correct position for esthetic and
function.
• Allows for a determination of the need for adjunctive grafting
procedures.
• Offers simplicity for the practitioner.
• Enables flapless surgery, reducing pain and swelling • Less risk of infections
![Page 56: Specialty Dentistry](https://reader036.fdocuments.us/reader036/viewer/2022071518/613c55bbd5ddbd1b6607b0d3/html5/thumbnails/56.jpg)
![Page 57: Specialty Dentistry](https://reader036.fdocuments.us/reader036/viewer/2022071518/613c55bbd5ddbd1b6607b0d3/html5/thumbnails/57.jpg)
![Page 58: Specialty Dentistry](https://reader036.fdocuments.us/reader036/viewer/2022071518/613c55bbd5ddbd1b6607b0d3/html5/thumbnails/58.jpg)
![Page 59: Specialty Dentistry](https://reader036.fdocuments.us/reader036/viewer/2022071518/613c55bbd5ddbd1b6607b0d3/html5/thumbnails/59.jpg)
![Page 60: Specialty Dentistry](https://reader036.fdocuments.us/reader036/viewer/2022071518/613c55bbd5ddbd1b6607b0d3/html5/thumbnails/60.jpg)
![Page 61: Specialty Dentistry](https://reader036.fdocuments.us/reader036/viewer/2022071518/613c55bbd5ddbd1b6607b0d3/html5/thumbnails/61.jpg)
![Page 62: Specialty Dentistry](https://reader036.fdocuments.us/reader036/viewer/2022071518/613c55bbd5ddbd1b6607b0d3/html5/thumbnails/62.jpg)
![Page 63: Specialty Dentistry](https://reader036.fdocuments.us/reader036/viewer/2022071518/613c55bbd5ddbd1b6607b0d3/html5/thumbnails/63.jpg)
![Page 64: Specialty Dentistry](https://reader036.fdocuments.us/reader036/viewer/2022071518/613c55bbd5ddbd1b6607b0d3/html5/thumbnails/64.jpg)
![Page 65: Specialty Dentistry](https://reader036.fdocuments.us/reader036/viewer/2022071518/613c55bbd5ddbd1b6607b0d3/html5/thumbnails/65.jpg)
![Page 66: Specialty Dentistry](https://reader036.fdocuments.us/reader036/viewer/2022071518/613c55bbd5ddbd1b6607b0d3/html5/thumbnails/66.jpg)
![Page 67: Specialty Dentistry](https://reader036.fdocuments.us/reader036/viewer/2022071518/613c55bbd5ddbd1b6607b0d3/html5/thumbnails/67.jpg)
![Page 68: Specialty Dentistry](https://reader036.fdocuments.us/reader036/viewer/2022071518/613c55bbd5ddbd1b6607b0d3/html5/thumbnails/68.jpg)
Computerized Guide Templates