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Oral Surgery

Chapter 17. Dental Implantology (V.I. Olesova)

6 topics with concise breakdowns: definitions, key facts, and class questions.

Chapter 17 is dedicated to one of the most sought-after areas of surgical dentistry: dental implantology. Edited by V.I. Olesova, it compiles the fundamental principles of restoring missing teeth using endosseous structures.

The section covers the entire course of implant treatment. You will study the classification and types of dental implants, strict indications and contraindications for surgery, and algorithms for clinical and radiological examination and planning. The surgical protocol for placement is analyzed in detail, along with concomitant reconstructive interventions: guided bone regeneration and sinus lifting.

During practical classes and exams, instructors are most stringent regarding the algorithms for preventing and managing complications of dental implantation. Pay special attention to absolute contraindications, the rules for bone bed preparation, and the indications for open or closed sinus lifting. This knowledge forms the basis for safe clinical practice.

Section Topics

Frequently asked questions for this section

Does the patient's general health affect the indications for implantation?

Yes, the patient's health status is one of the fundamental factors determining the very feasibility of implant placement and the ultimate quality of its osseointegration.

What is the purpose of the anti-rotational element in the implant design?

It is necessary to prevent the rotation of the intraoral component (abutment) relative to the implant itself during masticatory loading.

Is it possible to preserve a tooth with advanced periodontitis instead of getting an implant?

This is impractical. Prolonged retention of such a tooth will lead to extensive alveolar resorption, which will subsequently make implant placement impossible.

Why are the posterior teeth recreated in the shape of premolars during wax-up of the surgical guide?

This clinically important rule allows making the occlusal surface of implant crowns smaller than that of natural molars. As a result, the masticatory load on the artificial support is significantly reduced.

Is it possible to place an implant immediately after tooth extraction?

Yes, this is immediate implantation. It is possible in the absence of inflammation, tumors, and when suitable socket dimensions are present.

What is the essence of osseointegration of endosseous implants?

The process involves the formation of direct contact between the bone tissue and the surface of the placed implant, without the formation of a fibrous capsule or periodontium.

Master the entire topic in the course "Surgical Dentistry"

This is a summary. The course covers everything tested in classes and exams.

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