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IMPLANTS
Seminar by : Dr Shruti Khade
Guided by : Dr Anita Sanap Tandale
INTRODUCTION
21 SUCCESS/ FAILURE
Functional
Factors in 3
1
rehabilitation
decision
making. psychological
4
1
differences
51 COMPLICATIONS RELATED TO
THE TREATMENT
6
1 COST BENEFIT
CONSIDERATION
GENERAL HEALTH AND
LIFESTYLE OF THE PATIENT
• MEDICAL HISTORY
Medical history doesn’t effect RC treatment much.
• But in case of extraction followed with implant, it as important factor to be
taken into consideration
• Diabetes, hypertension other debilitating diseases, bleeding and clotting
disorders etc. are considered as these can affect the planning and
prognosis of dental implants.
• A few of the exclusions found in the implant literature includes smokers,
diabetics, type IV bone, bruxism, preloading failures, hemophilia, renal
failure, corticosteroid treatment, and untreated or uncontrolled
periodontal pathology.
Dental history
When planning RCT, the oral hygine conditions, parafunctional
habits, remaining dentition, other restorations should be
considered.
In cases of implant, dental statust required is:
• Remaining dentition,
• Periodontal status
• Anatomical landmarks
Habits
Parafunctional habits, habits like smoking also affect the
treatment planning of implant.
SUCCESS AND FAILURE
• In an epidemiologic study of more than 1.4 million patients assessed
during a period of 8 years,
Salehrabi and Rotstein (7) found that nonsurgical endodontic treatment,
performed by both general dentists and endodontists, had a very
predictable outcome, with 97% of the teeth retained.
• Most of the untoward events such as retreatment, apical surgery, and
extraction occurred within 3 years of treatment.
Of those teeth extracted, 85% had no full coronal coverage after
endodontic treatment.
• a high level of survivability of endodontically treated teeth in a large
population sample of average life of 5 yrs.
• Hence, RCT outcome is better evaluated in terms of “healed
or healing/success,” “diseased/survival,” and “failure”
rather than just “success” and “failure.”
• Single-tooth implants have also experienced a high rate of survival. In a
case series study of 1377 posterior single-tooth implants, Misch et al (30)
found a 98.9% survival rate at an average follow-up period of 61 months.