Scribd
Upload
161 views1 page

Consequences of Implant Design: Archie A. Jones, DDS, David L. Cochran, PHD, Dds

This document discusses the consequences of implant design. It describes two basic types of root-form dental implants that are commonly used: two-piece implants introduced by Branemark, and one-piece implants. Two-piece implants involve a two-stage surgery, with the implant body placed initially and allowed to osseointegrate, followed by connection of a separate abutment. One-piece implants have the abutment connected to the implant body as a single unit, allowing for immediate restoration. The design and placement technique can impact soft and hard tissue outcomes as well as prosthetic options.

Uploaded by

dr parveen bathla
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
161 views1 page

Consequences of Implant Design: Archie A. Jones, DDS, David L. Cochran, PHD, Dds

This document discusses the consequences of implant design. It describes two basic types of root-form dental implants that are commonly used: two-piece implants introduced by Branemark, and one-piece implants. Two-piece implants involve a two-stage surgery, with the implant body placed initially and allowed to osseointegrate, followed by connection of a separate abutment. One-piece implants have the abutment connected to the implant body as a single unit, allowing for immediate restoration. The design and placement technique can impact soft and hard tissue outcomes as well as prosthetic options.

Uploaded by

dr parveen bathla
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 1

Consequences of Implant Design

Archie A. Jones, DDS, David L. Cochran, PhD, DDS


*
Department of PeriodonticsMSC 7894, University of Texas Health Science Center,
7703 Floyd Curl Drive, San Antonio, TX 78229-3900, USA
The use of dental implants to replace missing teeth is becoming a preferred
alternative for restorative dentists and their patients. Patients who previously
did not seek dental replacements now present to dental practitioners and re-
quest information and replacement care. Furthermore, patients have gained
such awareness of these new options that they increasingly request modica-
tion or replacement of existing dental restorations (eg, dentures, xed par-
tial dentures, and removable partial dentures). Quality of life analyses
indicate that patients perceive their oral health status as improved by their
experience with dental implants [1]. Root-form dental implants now com-
prise the most widely used form of treatment and often have success rates
of 90% to 100%. Success and survival rates continue to improve as the
physical design, surface technology, and clinician experience evolve.
Currently, two basic types of root-form implants are used. The rst cat-
egory of implants was introduced and developed by Branemark and col-
leagues [2] and the implants are referred to as two-piece implants. The
two pieces consist of an implant body and a separate abutment. The implant
is placed during a surgical procedure; the top of the implant is at the level of
the bone crest or some distance apical to it (Fig. 1). The gingival tissues are
re-approximated for primary closure over the top of the implant, which is
then left undisturbed for a period of time, usually 3 to 6 months, for osseoin-
tegration. This surgical placement technique is referred to as submerged
placement.
After successful integration in the bone, a second surgery is performed
and a healing or restorative abutment is connected to the implant (Fig. 2).
This is referred to as second-stage surgery. The gingival tissues are re-
approximated around the abutment as they would be around a tooth.
* Corresponding author.
E-mail address: cochran@uthscsa.edu (D.L. Cochran).
0011-8532/06/$ - see front matter 2006 Elsevier Inc. All rights reserved.
doi:10.1016/j.cden.2006.03.008 dental.theclinics.com
Dent Clin N Am 50 (2006) 339360

You might also like