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By
Mahmoud Ramadan
BDS MUST 2003
HDD Mans. Univ. 2007
MDS Mans. Univ. 2011
President of 4Dent Int. Community
DK Syndicate Ass. Secretary
Definition
Etiology of Failure
I.
II.
III.
IV.
1)
3)
B.
1)
2)
C.
Intraoral Condition:
1)
2)
2)
2)
Implant angulation:
3)
4)
5)
Inter-implant space:
6)
-
7)
-
Implant contamination
(before insertion):
8)
2)
Implant length:
3)
-
4)
-
5)
-
Implant diameter:
Large diameter implant (greater surface area mechanical
anchorage initial rigidity).
Wide implant in narrow ridge (less than 1 mm bone buccal and
lingual) affect blood supply, dehiscence and failure.
Narrow implant in wide ridge (stress concentration).
Implant number:
Increase implant no. reduce implant failure.
Implant design:
Solid implants better than hollow implants. (dead space)
Cylindrical and screw implants better than conical implants. (stress)
Press fit design (ease of placement in difficult access locations).
Surface treatment.
2)
Abutment fit:
Misfit leads to screw joint failure.
Clinical and radiographic exam. before impression making.
3)
-
Pier abutment:
Change the situation into total implant supported or using stressbreaking designs.
4)
-
5)
-
6)
-
Excessive cantilever:
Result in (fracture of prosthesis loss of osseointegration bone
fracture).
Cantilever and bone type.
Cantilever and biomechanics.
Bad esthetics:
Improper implant placement.
Improper soft tissue management.
7) Traumatic occlusion:
- More offensive than natural teeth (lack of proprioception).
8)
-
9)
-
Over load:
Caused by (leverage bruxism).
Premature load:
Stress free healing period (3 6 months) is recommended for
osseointegration.
Role of temporary implants to support temporary prosth. to prevent
stresses on defintive implants.
Immediate loading reports early failure 7 times higher than delayed
cases.
Time of loading depends on (Bone quality implant characteristics).
10) Torqueing:
- Preloading of implant components was introduced
to apply a fixed load not more than (20 N) using torque
wrenches.
Stage of failure
A.
1)
4)
B.
Loading failures:
C.
2)
3)
Signs of failure
1)
2)
3)
4)
5)
6)
7)
8)
Thank You