Custom abutments are best suited for anterior restorations, where chewing forces are high. Aside from a few stipulations such as the length of the gingival tissue, the choice is mostly a matter of preference. Among other things, a custom abutment is better suited for thin gums or non-typical modifications, such as removing a filling or re-contouring a root canal.
On the other hand, a prefabricated abutment provides a solid connection between an implant and a restoration. The abutment is produced by the manufacturer. It is paired with an implant and bonded with dental cement to complete the assembly. Although prefabricated abutments are generally used with implants, they are sometimes used alone to support a removable denture.
Dental implant surgery is a procedure that can help restore your smile. However, it is important to know how to care for the implant site and your adjacent teeth. This will allow you to avoid complications that could arise.
Dental implants provide a permanent, durable solution to missing teeth. They act as an artificial "root" for a crown, and are placed in the jawbone next to the missing tooth. The implant is then ready to support a new crown when it heals.
After dental implant surgery, you should follow a regular routine of flossing and brushing your teeth. You should also visit the dentist as often as possible to make sure that your oral health is in order.
A poorly aligned implant can cause issues with your bite. This can result in tooth chipping, gum recession, and pain. In addition, it can prevent the bone from growing around the implant, affecting your appearance and oral health.
The dentist will need to take precise measurements of your mouth. He or she will use this information to craft your new crown. The process of inserting the dental implant is typically done over several office visits.
It is important to take note of your medical history and medications. Your dentist will need to know if you have diabetes or conditions such as uncontrolled gum disease.
If you have an HSA, it may be possible to pay for the implant through the plan. Generally, payment plans offer low interest financing.
The aforementioned one is the trifecta. This is a family affair with the likes of a dentist, hygienist, and techie. It's a win-win scenario for all concerned. One of the most enlightening aspects is the fact that all of the employees are part of the same dental office. All employees are treated with the best of the best. For a small group of execs, it is an ego boost to get the best docs in town. A bonus is that the company enables each member to schedule time off work for a quality dental checkup. Despite the benefits, the office can be a zoo at times. For a small fee, you can have a vetted hygienist, a dentist and a techie to boot all in one room. Of course, there is a lot of overhead to negotiate but it's all in the name of a quality dental care. The result is a happy and healthy patient.
Dental implants require a strong bone level surrounding them for long-term stability. This is an important question to consider when planning an implant overdenture. Several studies have been conducted to evaluate the prognosis of dental implants. However, little data is available on the longer-term function of these implants.
The amount of initial crestal remodeling has been associated with the design of the implant, the surgical protocol, and the host factors. A recent study evaluated peri-implant bone resorption in patients with laser-modified implants.
A two-year follow-up study examined the crestal bone levels around dental implants. They found that platform-switched implants had less crestal bone loss. But, the overall marginal bone loss was more pronounced during the first year of function.
A recent study examined a group of 174 patients who had received laser micro-grooved collars. They found that the bone levels in the area around the collar had a marginal change of 0.24 mm.
Another study measured peri-implant bone level changes in a group of surface-modified implants. They found that the mean crestal bone level change was 0.05 +- 1.8 mm at mesial sites, and - 0.08 +- 1.11 mm at distal sites.
Some clinicians have tried several clinical methods to avoid or minimize crestal bone loss. Nevertheless, no method has completely prevented this deleterious process. In fact, more research is needed to determine the causes of this problem.
The author believes that certain bone stimulating forces lead to desirable outcomes. He also believes that the presence of a transgingival implant neck leads to an excellent outcome.
The use of antibiotics before and after dental implant amputation has been controversial. Infection around biomaterials is difficult to treat, and many implants fail because of contamination during surgery. Various systemic antibiotics have been proposed to minimize the risk of infection after dental implant placement.
Several studies have examined the use of antibiotics before and after dental implant surgery. However, the benefits of these treatments are not clear. It is important to obtain a comprehensive understanding of the role of antibiotics in reducing the risk of infection following dental implant amputation.
A systematic review of 12 articles was performed. Data on the frequency of antibiotic prescription were collected from a total of 2,777 dentists from three continents. Almost two-thirds of the respondents claimed to routinely prescribe antibiotic prophylaxis for dental implant surgery.
The results of the study showed that the most commonly prescribed antibiotic was amoxicillin. Among the other antibiotics, amoxicillin plus clavulanic acid was the second most frequently used.
The systematic review indicated that perioperative antibiotic prophylaxis had equivalent outcomes to exclusive preoperative single-dose prophylaxis. This suggests that most dentists may be overprescripting antibiotics.
The 5-day antibiotic regimen was not effective in reducing the rate of surgical site infection. It was associated with a significantly higher rate of antibiotic-related complications.
Preoperative single-dose antibiotic prophylaxis (SDOAP) is not effective in preventing postoperative infections. Instead, patients should be encouraged to rinse with 0.12% chlorhexidine for suture removal and then use a warm saltwater rinse for 4 to 5 days.