INTRODUCTION TO THE COURSE AND

RATIONALE FOR DENTAL IMPLANTS

DR. N. KULASHEKAR REDDY MDS

ASST PROF
DEPT OF PROSTHODONTICS
COLLEGE OF DENTISTRY, JAZAN
What is the main purpose/objective for
this course?
 The purpose of this course is to teach the students the
rationale, patient evaluation, diagnosis and treatment
planning in dental implantology.

 The students will be taught the theoretical aspects of basic

and advanced surgical procedures as pertaining to the dental
implant placement.
SNO
LECTURE TOPICS FOR SDS 643 20191
LIST OF TOPICS SDS 643 DENTAL IMPLANTOLOGY 1
1 Introduction to the course and rationale for dental implants
2 Implant classification and generic root form implant component terminology
3 Bone physiology and implant osseointegration
4 Applied anatomy for dental implants
5 Diagnostic imaging and techniques
6 Diagnostic casts and stents, radiological and surgical
7 Available bone and bone density as a factor of implant success
8 Prosthodontic options in implant dentistry
9 Medical evaluation of the dental implant patient and pre surgical considerations

10 Treatment planning for single tooth replacement and implant in the esthetic zone

11 & Dental implant surgery

12
13 Prevention and management of infections
14 Surgical management of atrophic maxilla
 SEMESTER 2: DENTAL IMPLANTOLOGY 2

BIOMATERIALS FOR DENTAL IMPLANTS

KEYS TO BONE GRAFTING AND BONE GRAFTING MATERIALS
IMPLANT BIOMECHANICS AND SCIENTIFIC RATIONALE FOR DENTAL IMPLANT DESIGN
IMPLANT IMPRESSIONS
IMPLANT PROVISIONALIZATION
IMMEDIATE IMPLANTS VS DELAYED IMPLANTS
OCCLUSION IN IMPLANT DENTISTRY
LOADING IN IMPLANTOLOGY
PRINCIPLES CEMENT RETIANED VS SCREW RETAINED FIXED IMPLANT
PROSTHODONTICS
IMPLANT OVERDENTURES
MAINTENANCE OF DENTAL IMPLANTS
PERI-IMPLANTITIS ITS PREVENTION
IMPLANT FAILURES AND COMPLICATIONS : SURGICAL ASPECT
 Schedule of Assessment Tasks for Students During
the Semester

Assessment task (i.e., essay, test, Proportion of

Week
quizzes, group project, examination, Total
Due
etc.) Assessment
1 Quiz 4th 10%
2 Mid Term Exam 8/9th 30%
3 Written assignment 12th 10%
4 Final Exam 16th 50%
List Required Textbooks
 Hupp JR, Ellis E, Tucker MR, Contemporary oral and
Maxillofacial surgery. 6th ed: St Louis, Missouri: Mosby
Elsevier; 2008.
 Misch CE. Contemporary implant dentistry. 3rd ed: St Louis,
Missouri: Mosby Elsevier; 2008.
History of dental implants

Abraham CM. A Brief Historical Perspective on Dental Implants, Their Surface Coatings and
Treatments. The Open Dentistry Journal. 2014;8:50-55. doi:10.2174/1874210601408010050.
Rationale?
 a set of reasons or a logical basis for a course of action or
belief.
 E.g: "he explained the rationale behind the change"
 synonyms: reason(s), reasoning, thinking, (logical) basis,
 More than 90% of specialty dentists currently provide
dental implant treatment on a routine basis in their practices,
 90% of prosthodontists restore implants routinely, and
 More than 80% of general dentists have used implants to
support fixed and removable prostheses, compared with 65%
seen 15 years ago
Factors related to increased need and use
of implant-related treatments
(1) Aging population living longer,
(2) Tooth loss related to age,
(3) Consequences of fixed prosthesis failure,
(4) Anatomical consequences of edentulism,
(5) Poor performance of removable prostheses,
(6) Consequences of removable partial dentures,
(7) Psychological aspects of tooth loss and needs and desires of aging
population
(8) Predictable long-term results of implant-supported prostheses,
(9) Advantages of implant-supported restorations,
(10) Increased public awareness.
Increased life expectancy…..
Single-Tooth Edentulism
 The posterior regions of the mouth
often require the replacement of a
single tooth
 Fixed Partial Dentures are the
most common choice to replace a
posterior single tooth is a three-
unit fixed partial denture (FPD).
 This type of restoration can be
fabricated within 1 to 2 weeks and
satisfies the criteria of normal
contour, comfort, function,
esthetics, speech, and health.
 Because of these benefits, FPD has
been the treatment of choice for
the last 6 decades.
But…..
Partial Edentulism
 The most common missing teeth are molars.
 Partial free-end edentulism is of particular concern because
in these patients, teeth are often replaced with removable
partial prostheses.

 Mandibular free-end edentulism is greater than its maxillary

counterpart in all age groups.
 Unilateral free-end edentulism is more common than
bilateral edentulism in both maxillary and mandibular arches
in the younger age groups
Total Edentulism

 Edentulism is not an eventual, healthy occurrence in an adult

population.
 Rather it is most often the result of repeated tooth
extractions from the combined pathologic processes of dental
caries, periodontal disease, or a method to reduce the costs
associated with dental treatment.
 The average total edentulous rate around the world is 20% at
age 60, (Saudi Arabia incidence is 40 %)
 Complete edentulism, therefore, remains a significant
concern, and affected patients often require implant dentistry
to solve several related problems.
What’s the solution……?
What will be the appearance of this patient?
 SUMMARY
 The goal of modern dentistry is to return patients to oral health in a
predictable fashion.
 The partial and complete edentulous patient may be unable to
recover normal function, esthetics, comfort, or speech with a
traditional removable prosthesis.
 The patient’s function when wearing a denture may be reduced to
one sixth of that level formerly experienced with natural dentition;
however, an implant prosthesis may return the function to near-
normal limits.
 The esthetics of the edentulous patient are affected as a result of
muscle and bone atrophy.
 Continued bone resorption leads to irreversible facial changes.
 An implant prosthesis allows normal muscle function, and
the implant stimulates the bone and maintains its
dimension in a manner similar to healthy natural teeth.