Implant Surgical Procedures: Patient Preparation and Site

Expected bone loss around the implant after the first year of placement is 0.1mm or less.

Avoid excessive heat during implant site preparation to reduce the risk of failure.

Compact bone offers a much larger surface area for bone-to-implant contact compared to cancellous bone.

Implants need to be made of sterile and biocompatible materials to ensure osseointegration (bone bonding).

Implant sites must be prepared with gentle, atraumatic surgical techniques to prevent bone damage.

Patients must receive complete information about the risks and benefits of the surgery before signing an informed consent form.

Implants need to heal for 2-4 months without any loading, such as chewing, to allow proper bone bonding.

In the two-stage approach, the implant or abutment is completely covered by a flap closure during initial placement.

Crestal flap design is the most common type used in implant surgery.

A round bur is used to create the initial hole (osteotomy) for implant placement.

Implants are typically inserted by hand using a wrench.

In crestal flap design, the alveolar ridge is raised to or slightly beyond the mucogingival junction.

Implants in good quality bone or altered surface microtopography can have shorter healing periods.

A surgical guide or stent helps to direct the implant placement accurately.

Mucoperiosteum/gingival tissue is made along the crest of the ridge and bisects the area of keratinized mucosa

Implants must be allowed to heal without loading or movement to facilitate osseointegration.

One-stage implants emerge directly, while two-stage implants are initially covered and exposed later.

Crestal flap design exposes the alveolar ridge and simplifies implant surgery.

Bone quality at the implant site affects the implant healing period.

A series of drills for implant placement prepares the area for the implant.

Altered surfaces of implants speed up the healing time.

The alveolar ridge (bone) of the implant site is exposed in the crestal flap design to simplify surgery.

A surgical guide or stent directs the implant placement precisely throughout the surgery.

A small, round bur is used to make the initial penetration into the bone for implant placement.

Guide pins provide a visual guidance for placement when multiple implants are needed

Combination of alternating horizontal mattress and interrupted sutures give good tissue approximation and primary closure in a tension-free manner.

Antibiotics may be prescribed if the surgery is extensive or if the patient has underlying medical conditions.

One-stage implant placement involves the implant emerging through the soft tissue directly during the procedure.

The objective of second-stage surgery is to create or preserve keratinized tissue around the implant.

Adequate zones of keratinized tissue around the implant allow a simple circular 'punch' or crestal incision.