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Thursday 24 October 2013

PRINCIPLES OF ORTHOPAEDIC BONE SURGERY AND A COMPARISON TO DENTAL IMPLANTOLOGY

Although a number of fractures is still today preferably treated by stabilizing the sites with gypsum, surgical procedures and adequate medical devices have been developed during the last three decades, these include:

1. Screws and plates
2. Intra - bony nails
3. Intra - bony blades
4. Basal implants



Dental Implants and the prosthetic construction of the same resemble the same. 

The intraoral situation is special and different from extra- oral applications
1. The mucosal penetration area around dental implants is under constant and vicious bacterial attack.
2. The saliva washes away bacteria as their excretion products and it stabilizes the pH.
3. Jaw bones are not at all prone to osteomyelitic activity

In orthopaedic surgery (knee and hip replacement surgeries) it is taught that immediate loading(using) after plating or screwing will lead to good healing and bone remodelling. The same concept is follwed in immediate loading dental implants. 




Primary implant stability refers to the stability of a dental implant immediately after implantation. Its value is derived from a mechanical engraving  of the titanium screw implant in the patient's bone tissue. High initial stabilization may be an indication for immediate loading with prosthetic reconstruction. When the healing process is complete, the initial mechanical stability is fully replaced by biological stability. The most critical moment for implantation success is the moment very less initial stabilisation, pending sufficient bone reconstruction supporting long-term maintenance of the implant. Usually this occurs during the 3–4 weeks after implantation. If primary stability was not high enough following implantation, the implant's mobility is high and can cause failure.


For more details on treatment options visist us at: 
www.chinthamanilaserdentalclinic.com
www.youtube.com/chinthamanidental
For appointments: 044- 43800059/ 9283786776 



1 comment:

  1. If the strain is adequate, resorption balances formation and the bone maintains its volume.Dental Hospital in Chennai

    ReplyDelete