How to choose dental implants
Steps to choose the right dental implant for dental professionals
-
The patient's bone density from D1 to D4
-
Dental Implant Fixture Surface Treatment
-
Dental Implant Fixture Brand
-
Dental Implant Fixture Type
-
Dental Implant Fixture Level
-
Dental Implant Fixture Connection
-
Dental Implant Fixture Head Shape
-
Dental Implant Fixture Body Shape
-
Dental Implant Fixture Body Thread
-
Dental Implant Fixture Apex Shape
-
Dental Implant Fixture Diameter
-
Dental Implant Fixture Length
The patient's bone type-level from 1 to 4
-
D1(Strong): Dense cortical - Oak - Anterior mandible
-
D2(Tight): Porous cortical & coarse trabecular - White pine - Anterior & posterior mandible
-
D3(Mild): Porous cortical and fine trabecular - Balsa wood - Anterior & posterior maxilla
-
D4(Weak): Fine trabecular - Styrofoam - Posterior Maxilla
How to determine the bone density
-
Computed tomography(CT) scan - Recommended
-
Tactile determination during bone drilling
What are the pros/cons depending on bone density?
D1: Highest stability, best surface contact between bone and fixture, possible immediate loading, the highest risk of surgery failure, longest healing time & surgery time, required a high-speed motor
D2: Strong bone & good regeneration, good stability, relatively short time spent on surgery, higher success rate, most of the implant fixtures can be used, fixture removal and replacement is ok
D3: Acceptable bone density to place the implant, relatively easy & fast, bone grafting may be required
D4: Weakest stability, worst surface contact between bone and fixture, bone grafting is required, the highest failure rate of dental implant placement, the wide-body fixture is recommended.
Dental Implant Fixture Surface Treatment(coat/coating)
-
Acid-etched surface treatment
-
Anodized surface treatment
-
Blasted surface treatment
-
Hydroxyapatite(HA)
-
Laser ablation
-
Plasma-sprayed
-
Resorbable Blast Media(RBM)
-
Alumina(Sand) Large-grit Blasting and acid etching(SLA)