Dental Implant Techniques Every New
Practitioner Should Know

Dental Implant Techniques Every New Practitioner Should Know:

Dental implants have evolved the industry of dentistry by giving permanent, aesthetically pleasing, functional, and durable solutions to teeth loss. For a new practitioner, it is mandatory to understand and master the art of implant techniques by taking proper dental implant training for delivering optimal patient care and good outcomes. 

In this blog, we’ll discuss the implant techniques ranging from initial assessments and planning to surgical placement and aftercare and maintenance. By learning these techniques and taking dental implantology training practitioners will enhance their professional skills and confidence, which will enhance patient outcomes and satisfaction. 

Dental Implant Techniques For Beginners:

Understanding the basic components of implant techniques is important for successful surgery and tooth replacement. A dental implant technique is divided into three parts: the implant fixture, the abutment and the crown. The fixture is placed surgically in the jawbone and works as an artificial root. The abutment connects the fixture with the crown, crown is a visible part that resembles a natural tooth. 

Initial Patient Assessment:

Dental History: Understand the need of an implant and reason for tooth loss, and any previous condition or surgery that may interfere with the implantation and affect the implant site. 

Oral Examination: Examine the oral cavity, assessing the condition of bone structure, gums, and teeth. This examination will help practitioners to initiate an implantation according to the patient’s needs. 

Diagnosis:

Diagnosis is crucial for a successful dental implant, following are the diagnostic tools for implantation: 

Cone Beam Computed Tomography (CBCT):

Cone beam computed tomography is a 3D imaging technology and technique that gives a detailed image of the jawbone and surrounding structures of teeth. CBCT creates specific and precise treatment plans according to the patient’s anatomical structure. This technology reduces the risk of complications related to implantation, increases accuracy, and enhances effective patient outcomes.

Radiography:

Radiography is a less detailed technique than CBCT, it provides a broad view of the jawbone and surrounding teeth structure. Radiography gives crucial information about bone quality, bone grafting for implants, and teeth position. 

Treatment Planning:

For Proper treatment planning essential dental implant skills are necessary for effective and satisfactory outcomes, key treatment plans are as follows:

  • Collect the proper bone assessment, and check the quality and quantity of bone that is available by diagnostic evaluation. If the available bone is not sufficient, do bone grafting for enhancement of the implant site.
  • Select the implant of proper size and shape, considering  factors like implant surface texture, length and diameter based on the patient’s clinical examination and requirements.
  • To enhance the function and aesthetic during the healing process, use proper provisional restoration which offers patient comfort and healing. 

All-on-4 Implant Technique:  

All-on-4 technique is a milestone technique for patients lacking teeth. It involves the replacement of the full arch of missing teeth with a fixed prosthesis supported by 4 implants.

Stages Of Implant Placement:

Following are the two stages of implant placement:

Single-Stage Implant: This involves the simultaneous placement of healing abutment and implant and reduces the need of a second surgery. This is a single tooth implant technique.

Two-Stage Implant: This implant offers a greater stability for compromised bone, involving the submerged of the implant which is then later exposed for prosthetic work. 

Types Of Surgical Techniques:

Flap and flapless surgery are two techniques used for implant surgeries.

 

                      Flap Surgery

                  Flapless Surgery 

Involve placing the implant with making an incision in the gum.

Involve placing the implant without making an incision in the gum.

This technique allows easy access to examine the bone quality and position implant accurately.

This technique is less invasive and reduces surgery discomfort and offers faster healing.

This technique increases postoperative discomfort and slower healing.

It requires proper imaging for accurate implant placement. 

 

Bone Grafting Technique:

If bone is insufficient for implant then bone grafting technique is used. Following are some bone grafting for implants:

Autograft:

In the autograft technique bone for the  implant is taken from the patient’s own body, generally from the ramus, chin, and iliac crest. This technique has the highest success rate due to graft material biocompatibility.

Allograft: 

In the allograft technique bone is taken from another donor and this bone is further subjected to different processes and sterilization techniques. This technique is used when patients don’t want to undergo a second surgery or do not have another sufficient donor site.

Xenograft:

In this technique, bone is taken from another species like bovine. This technique is often used with autograft.

Post-operative Care:

Afte care and maintenance of the implant is a key component for effective outcomes, Following are the important point for post-operative care:

Management Of Pain: Patients may experience pain and discomfort after implant surgery, prescribing medicines like analgesics which will reduce the patient’s discomfort and allow fast healing.

Control Of Infection: Guide patients to maintain their proper oral hygiene and rinse the  surgical site . Prescribe antibiotics for infection control.

 

                      DO      

                DON’T 

Gentle rinsing

Touch or poke

Gauze to control bleeding 

Hard brushing or rinsing

Use a cold compress

High intensity exercise

Switch to soft foods

Eat hard foods

Use a soft bristled toothbrush and visit the dentist

Consume alcohol

 

Complications:

Following are the complications that may arise during or after implant  surgery:

Implant Failure: Implant failure may occur due to infection, improper loading, or bone integration. Detection of the reason for implant failure is necessary to take the necessary action.

Peri-implantitis: Peri-implantitis is the inflammatory condition that affects the surrounding implant tissues and can lead to implant failure and bone loss. Instruct patients to maintain oral hygiene and follow regular checkups to prevent this condition.

Nerve Damaging Complication: Implant placement may damage nerves and cause pain and discomfort to patients. Using imaging techniques and understanding implant sites may prevent this complication. 

 

Implant Training For New Dentists:

  • Online Sessions And Workshops: Take online classes according to your own comfort schedule from the experts in the field. Attend workshops and seminars to enhance your professional skills and learn about advancement in dentistry. 
  • Engagement With Organizations: AAID (American Academy Of Implant Dentistry) offers educational resources, opportunities, and networking for dental professionals.

Conclusion:

For new practitioners understanding advanced and modern implant techniques and technologies is crucial for effective outcomes and patients satisfaction. From the implant surgery basics to postoperative care, practitioners will counteract the challenges of the dental implant industry. By continuing education practitioners will enhance their professional skills and achieve successful outcomes.