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Questions and Answers
Smoking might produce negative effects on implant survival both directly and via a possible effect on jaw bone density. _______ has also been mentioned as a possible risk factor for lack of success with osseointegration.
Smoking might produce negative effects on implant survival both directly and via a possible effect on jaw bone density. _______ has also been mentioned as a possible risk factor for lack of success with osseointegration.
Systemic osteoporosis
Concerning osteopenia, it was demonstrated that implants placed in lower quantities of ______ were at higher risk of failure. Indirect evidence also comes from the recognition that shorter implants in the past had higher failure rates than longer ones in a given time period.
Concerning osteopenia, it was demonstrated that implants placed in lower quantities of ______ were at higher risk of failure. Indirect evidence also comes from the recognition that shorter implants in the past had higher failure rates than longer ones in a given time period.
bone
Uncontrolled diabetes has been shown to be a risk factor for periodontal disease. A 1-year report of implant survival in non-insulin-dependent diabetics indicated a 7.3% failure rate. This seems to indicate that osseointegration can be obtained in the majority of diabetic patients.
Uncontrolled diabetes has been shown to be a risk factor for periodontal disease. A 1-year report of implant survival in non-insulin-dependent diabetics indicated a 7.3% failure rate. This seems to indicate that osseointegration can be obtained in the majority of diabetic patients.
Diabetes
A medical and medication history has been associated with an increased risk of implant loss. Few isolated reports have associated implant failure with the assumption of anti-osteoporosis drugs and Diphosphonate in particular.
A medical and medication history has been associated with an increased risk of implant loss. Few isolated reports have associated implant failure with the assumption of anti-osteoporosis drugs and Diphosphonate in particular.
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_______ has been shown to be a psychological condition affecting treatment and has been linked to an increased risk of implant loss.
_______ has been shown to be a psychological condition affecting treatment and has been linked to an increased risk of implant loss.
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An important objective of the preoperative radiographic evaluation of the implant patient is to determine the height and the width of the bone available for implant insertion. Ideally, the bone width should allow complete coverage of all implant threads 1mm – 2mm on both the buccal and the lingual sides. The available bone height must be estimated from the part of the alveolar bone in which a sufficient bone width is found to a site specific anatomic border in the vertical direction, e.g. the lower border of the nasal cavity, the lower border of the maxillary sinus, or the upper border of the mandibular canal. Sufficiently accurate estimations of bone width and height cannot be obtained without cross sectional tomography. To achieve ideal conditions for a successful integration of the implant with the surrounding bone, it is important that good images of the implant recipient site can be obtained during the diagnostic phase. The most important factor is the presence of a sufficient amount of cancellous bone ratio to compact bone 3:1 in which the implant can be anchored: - The compact bone at the marginal bone crest can provide stability of the marginal part of the implant. The cancellous can provide the cells and nourishment for the implant. - Stability in the anterior part of the mandible is obtained by anchoring the implant in a layer of cortical bone at the base of the mandible.
An important objective of the preoperative radiographic evaluation of the implant patient is to determine the height and the width of the bone available for implant insertion. Ideally, the bone width should allow complete coverage of all implant threads 1mm – 2mm on both the buccal and the lingual sides. The available bone height must be estimated from the part of the alveolar bone in which a sufficient bone width is found to a site specific anatomic border in the vertical direction, e.g. the lower border of the nasal cavity, the lower border of the maxillary sinus, or the upper border of the mandibular canal. Sufficiently accurate estimations of bone width and height cannot be obtained without cross sectional tomography. To achieve ideal conditions for a successful integration of the implant with the surrounding bone, it is important that good images of the implant recipient site can be obtained during the diagnostic phase. The most important factor is the presence of a sufficient amount of cancellous bone ratio to compact bone 3:1 in which the implant can be anchored: - The compact bone at the marginal bone crest can provide stability of the marginal part of the implant. The cancellous can provide the cells and nourishment for the implant. - Stability in the anterior part of the mandible is obtained by anchoring the implant in a layer of cortical bone at the base of the mandible.
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Sufficiently accurate estimations of bone width and height cannot be obtained without ______ tomography.
Sufficiently accurate estimations of bone width and height cannot be obtained without ______ tomography.
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To achieve ideal conditions for a successful integration of the implant with the surrounding bone, it is important that good images of the implant recipient site can be obtained during the ______ phase.
To achieve ideal conditions for a successful integration of the implant with the surrounding bone, it is important that good images of the implant recipient site can be obtained during the ______ phase.
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The most important factor is the presence of a sufficient amount of cancellous bone ratio to compact bone 3:1 in which the implant can be ______.
The most important factor is the presence of a sufficient amount of cancellous bone ratio to compact bone 3:1 in which the implant can be ______.
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Stability in the anterior part of the mandible is obtained by anchoring the implant in a layer of ______ bone at the base of the mandible.
Stability in the anterior part of the mandible is obtained by anchoring the implant in a layer of ______ bone at the base of the mandible.
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The critical selection of patients and the critical application of endosteal dental implants are the two most important prerequisites for the treatment success that we're all desire, LANNEY 1986. The three most basic principles that apply to all medical treatment are of particular importance for implant therapy: - Nihil nocere ('do not harm'), - evaluate risks and benefits, - avoid ______ treatment.
The critical selection of patients and the critical application of endosteal dental implants are the two most important prerequisites for the treatment success that we're all desire, LANNEY 1986. The three most basic principles that apply to all medical treatment are of particular importance for implant therapy: - Nihil nocere ('do not harm'), - evaluate risks and benefits, - avoid ______ treatment.
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A brief review of the patient's general physical health: - is the patient's cardiovascular & renal system stable? - does the patient have any bleeding disorders? - is the patient immunocompromised? - does the patient have an uncontrolled endocrine disorder (e.g. ______)?
A brief review of the patient's general physical health: - is the patient's cardiovascular & renal system stable? - does the patient have any bleeding disorders? - is the patient immunocompromised? - does the patient have an uncontrolled endocrine disorder (e.g. ______)?
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A screening oral examination: - does the patient have an adequate oral hygiene? - is there sufficient soft and hard tissues for placing & ______ implants?
A screening oral examination: - does the patient have an adequate oral hygiene? - is there sufficient soft and hard tissues for placing & ______ implants?
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Radiographs of the implant sites: - Periapical radiograph for individual implant sites - Panoramic radiograph for overview of anatomical structures - Tomographies in case of anatomic proximities, surgical templates etc. ______: - Pre-operative Intraoral and extra oral photographs of the selected patient.
Radiographs of the implant sites: - Periapical radiograph for individual implant sites - Panoramic radiograph for overview of anatomical structures - Tomographies in case of anatomic proximities, surgical templates etc. ______: - Pre-operative Intraoral and extra oral photographs of the selected patient.
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Initial workup for patient selection: The critical selection of patients and the critical application of endosteal dental implants are the two most important prerequisites for the treatment success that we're all desire, LANNEY 1986. The three most basic principles that apply to all medical treatment are of particular importance for implant therapy: - Nihil nocere ('do not harm'), - evaluate risks and benefits, - avoid ______ treatment.
Initial workup for patient selection: The critical selection of patients and the critical application of endosteal dental implants are the two most important prerequisites for the treatment success that we're all desire, LANNEY 1986. The three most basic principles that apply to all medical treatment are of particular importance for implant therapy: - Nihil nocere ('do not harm'), - evaluate risks and benefits, - avoid ______ treatment.
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Concerning osteopenia, it was demonstrated that implants placed in lower quantities of ______ were at higher risk of failure.
Concerning osteopenia, it was demonstrated that implants placed in lower quantities of ______ were at higher risk of failure.
Signup and view all the answers
Uncontrolled diabetes has been shown to be a risk factor for periodontal disease. A 1-year report of implant survival in non-insulin-dependent diabetics indicated a 7.3% failure rate. This seems to indicate that osseointegration can be obtained in the majority of ______ patients.
Uncontrolled diabetes has been shown to be a risk factor for periodontal disease. A 1-year report of implant survival in non-insulin-dependent diabetics indicated a 7.3% failure rate. This seems to indicate that osseointegration can be obtained in the majority of ______ patients.
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_______ has been shown to be a psychological condition affecting treatment and has been linked to an increased risk of implant loss.
_______ has been shown to be a psychological condition affecting treatment and has been linked to an increased risk of implant loss.
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A medical and medication history has been associated with an increased risk of implant loss. Few isolated reports have associated implant failure with the assumption of anti-osteoporosis ______ and Diphosphonate in particular.
A medical and medication history has been associated with an increased risk of implant loss. Few isolated reports have associated implant failure with the assumption of anti-osteoporosis ______ and Diphosphonate in particular.
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Smoking might produce negative effects on implant survival both directly and via a possible effect on jaw bone density. _______ has also been mentioned as a possible risk factor for lack of success with osseointegration.
Smoking might produce negative effects on implant survival both directly and via a possible effect on jaw bone density. _______ has also been mentioned as a possible risk factor for lack of success with osseointegration.
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Differences in ______ surface have also been associated with increased risk of ______ loss: hydroxyapatite coated ______s have been found to be at higher risk for failure in a large independent medium term investigation (WEYANT 1994).This finding is no longer observed anymore (et al. 2008) with recent improved HA coated surfaces.Clinical Significance: Knowledge of subject risk should assist the clinician with determining the prognosis for the individual case and thus with patient selection.Improved understanding of subject based on risk for peri______itis and biomechanical overload combined with a careful preoperative assessment of ______ based risk could be useful in determining number, location and type of ______s as well as the design of the reconstruction.
Differences in ______ surface have also been associated with increased risk of ______ loss: hydroxyapatite coated ______s have been found to be at higher risk for failure in a large independent medium term investigation (WEYANT 1994).This finding is no longer observed anymore (et al. 2008) with recent improved HA coated surfaces.Clinical Significance: Knowledge of subject risk should assist the clinician with determining the prognosis for the individual case and thus with patient selection.Improved understanding of subject based on risk for peri______itis and biomechanical overload combined with a careful preoperative assessment of ______ based risk could be useful in determining number, location and type of ______s as well as the design of the reconstruction.
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_______ surface have also been associated with increased risk of implant loss: hydroxyapatite coated implants have been found to be at higher risk for failure in a large independent medium term investigation (WEYANT 1994).
_______ surface have also been associated with increased risk of implant loss: hydroxyapatite coated implants have been found to be at higher risk for failure in a large independent medium term investigation (WEYANT 1994).
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This finding is no longer observed anymore (et al. 2008) with recent improved HA coated surfaces.Clinical Significance: Knowledge of subject risk should assist the clinician with determining the prognosis for the individual case and thus with patient selection.
This finding is no longer observed anymore (et al. 2008) with recent improved HA coated surfaces.Clinical Significance: Knowledge of subject risk should assist the clinician with determining the prognosis for the individual case and thus with patient selection.
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Improved understanding of subject based on ______ for periimplantitis and biomechanical overload combined with a careful preoperative assessment of implant based ______ could be useful in determining number, location and type of implants as well as the design of the reconstruction.
Improved understanding of subject based on ______ for periimplantitis and biomechanical overload combined with a careful preoperative assessment of implant based ______ could be useful in determining number, location and type of implants as well as the design of the reconstruction.
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Study Notes
Implant Survival Risks
- Smoking negatively impacts implant survival and may affect jaw bone density.
- Osteopenia has been identified as a risk factor for osseointegration success, with low bone density associated with higher failure rates.
- Shorter implants historically had higher failure rates compared to longer ones due to inadequate bone support.
Clinical Risks and Conditions
- Uncontrolled diabetes increases the risk of periodontal disease and was linked to a 7.3% failure rate in non-insulin-dependent diabetics over one year.
- A patient’s medical and medication history can raise the likelihood of implant loss.
- Psychological conditions, such as anxiety, can adversely affect treatment success and implant survival.
- The use of anti-osteoporosis drugs and bisphosphonates may be connected to implant failure in isolated reports.
Diagnostic Importance
- Preoperative radiographic evaluation must assess bone height and width critical for implant insertion.
- Bone width must be sufficient to cover implant threads by 1-2 mm on both sides.
- Accurate estimations of bone dimensions require cross-sectional tomography to identify suitable sites.
Bone Composition and Implant Stability
- An ideal cancellous-to-compact bone ratio of 3:1 is essential for anchoring implants successfully.
- Stability is achieved by anchoring implants in cortical bone at the mandible's base.
Patient Selection and Treatment Principles
- Critical patient selection and methodical application of endosteal implants are essential for successful outcomes.
- Fundamental medical treatment principles apply to implant therapy: "do no harm," evaluate risks/benefits, and avoid unnecessary treatments.
Preoperative Assessments
- Assessment of the patient's overall health includes checking cardiovascular stability, bleeding disorders, immune status, and endocrine control.
- Adequate oral hygiene and sufficient soft/hard tissue are necessary for successful implant placement.
- Various radiographs – periapical, panoramic, and tomographies – are crucial for understanding the anatomical layout and surgical planning.
Research and Findings
- Hydroxyapatite-coated implants experienced higher failure rates in earlier studies but show improved survival in recent investigations.
- The understanding of risk factors for peri-implantitis and biomechanical overload aids in strategic implant planning and design for individual patients.
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Description
Explore the potential negative effects of smoking on implant survival, including its direct impact and possible effects on jaw bone density. Learn about the risks associated with systemic osteoporosis and osteopenia in relation to implant success.
