Osseo-Intergration

a direct functional and structural connection between living bone and the surface of a load carrying
implant

1st : wound is filled with blood clot around implant
2nd : provisional CT established by granulation tissue replacing part of clot
3rd : 1 week later (rich vascular and mesenchymal cells)
4th : two weeks later, the formation of immature bone in mesenchymal tissues around titanium
surface.
5th : 6-14 weeks later mineralized bone primary and secondary osteons formed (Remodeling)
trabeculae to lamellae and marrow.



Classification Of Dental Implant

According to Design

1- Endosteal Impant : a. blade implant b. ramus frame implant c. root form implant
2- Subperiosteal Implant
3- Transosteal Implant
4- Intramucosal Implant

According to attachment mechanism

1- Fibro-integration
2- Osseo-integration

According to macroscopic body of implant

1- Cylindrical dental implant
2- Threaded dental implant
3- Plateau dental implant
4- Perforated dental implant
5- Solid dental implant
6- Vented dental implant
7- Hollow dental implant

According to implant surface

1- Smooth surface implant
2- Machined surface implant
3- Textured surface implant
4- Coated surface implant

According to implant material

1- Metallic implant
2- Ceramic or ceramic coated implant
3- Polymeric implant
4- Carbon implant




Peri-implantitis

inflammatory process around an implant characterized by inflammatory lesions in peri-implant
mucosa and loss of peri-implant bone.

mostly affecting the marginal part of peri-implant mucosa.

Radiographic bone loss, crater shaped loss, BoP , Suppuration.


Peri-implant Mucositis

reversible inflammatory process in the soft tissue surrounding a functioning implant.

assessed by BoP



CIST Protocol Charts

Mechanical debridement; CIST protocol A
BoP positive, suppuration negative , PPD 4 mm

Antiseptic therapy; CIST protocol A+B
BoP positive, suppuration negative , probing depth (45 mm)

Antibiotic therapy; CIST protocol ABC
BoP-positive , deep pockets (PPD 6mm) , (suppuration may or may not be present) , radiographic signs
of bone loss

Regenerative or resective therapy; CIST protocol ABCD
BoP negative , no suppuration , reduced probing depth





Bone Density assessment classification

D1 : quality 1 comprises homogeneous compact bone

D2 : quality 2, a thick layer of compact bone surrounding a core of dense trabecular bone

D3 : quality 3, a thin layer of cortical bone surrounding dense trabecular bone of favorable strength

D4 : quality 4, a thin layer of cortical bone surrounding a core of low-density trabecular bone


Components of implant restoration

1- Implant Body a. body ( screws, baskets, plateaus, balls, cylinders, diameters, lengths, prosthetic
attachment, surface condition)

b. Crest module (retain prosthetic component)

2- Prosthetic abutment (screw retention or cement retention)

3- Prosthesis