Our Summary

This research paper explores the factors that impact the success of dental implants. When a tooth is lost, a dental implant is often used to replace it, not just for appearance, but also to help with chewing food. For the implant to work well, it needs to be properly integrated into the hard tissue of the mouth. The shape, texture and chemical makeup of the implant surface can influence this integration.

In addition to this, it’s vital to make sure that a strong barrier is formed between the gums and the base of the implant (the abutment) to prevent bacteria from entering the area where the implant is connected to the bone. The way that skin and connective tissue cells react to the abutment surface can be influenced by the abutment’s surface characteristics and the materials it’s made from.

In particular, the way the implant and abutment connect (the biomechanics) is crucial for both creating a strong seal with the soft gum tissue and for integrating with the hard tissue. The paper discusses the importance of these three interfaces in dental implants: the connection between the bone and implant, the gums and the abutment, and the implant and the abutment.

FAQs

  1. What is the purpose of a dental implant?
  2. How do the microtopography and chemistry of the implant surface enhance osseointegration?
  3. Why is the biomechanics of the implant-abutment connection structure important for both the soft tissue seal and hard tissue integration?

Doctor’s Tip

One helpful tip a doctor might tell a patient about dental implant surgery is to follow post-operative care instructions carefully. This may include avoiding hard or sticky foods, practicing good oral hygiene, taking prescribed medications, and attending follow-up appointments as scheduled. By following these instructions, patients can help ensure successful healing and integration of the dental implant.

Suitable For

Patients who are typically recommended dental implant surgery include those who have lost one or more teeth due to injury, decay, or periodontal disease. It is also recommended for patients who have difficulty chewing or speaking due to missing teeth, as well as those who are looking to improve their smile and overall oral health. Additionally, patients who have adequate bone density and good oral hygiene are good candidates for dental implant surgery. However, patients with certain medical conditions such as uncontrolled diabetes, autoimmune diseases, or those who smoke heavily may not be suitable candidates for dental implants. Ultimately, a thorough evaluation by a dentist or oral surgeon is necessary to determine if a patient is a good candidate for dental implant surgery.

Timeline

Before dental implant surgery:

  • Patient consults with a dentist or oral surgeon to discuss the need for a dental implant
  • X-rays and scans are taken to assess the bone structure and determine the best location for the implant
  • Treatment plan is developed, including the type of implant and the timeline for the procedure
  • Patient may need to undergo bone grafting or other preparatory procedures to ensure a successful implant surgery

After dental implant surgery:

  • Patient undergoes the surgical procedure to place the implant into the jawbone
  • Healing period of several months is required for the implant to integrate with the bone (osseointegration)
  • Once the implant has healed, an abutment is attached to the implant to connect the implant to the replacement tooth
  • A crown or other prosthetic is then attached to the abutment to complete the restoration
  • Follow-up appointments are scheduled to ensure the implant is functioning properly and the patient’s oral health is maintained

Overall, the process of dental implant surgery involves careful planning, surgical placement of the implant, and a healing period before the replacement tooth is attached. The success of the implant is dependent on the integration of the implant with the bone, the health of the surrounding soft tissues, and the stability of the implant-abutment connection.

What to Ask Your Doctor

  1. What is the success rate of dental implant surgery?
  2. How long does the dental implant process typically take from start to finish?
  3. What are the potential risks and complications associated with dental implant surgery?
  4. How long is the recovery period after dental implant surgery?
  5. Will I need to follow any special post-operative care instructions?
  6. What type of anesthesia will be used during the surgery?
  7. How many dental implants do I need to replace my missing teeth?
  8. What materials will be used for the dental implants and abutments?
  9. Will I be able to eat and speak normally after the dental implant surgery?
  10. How often will I need to follow up with you after the surgery for monitoring and maintenance?

Reference

Authors: Kim JC, Lee M, Yeo IL. Journal: Mater Horiz. 2022 May 10;9(5):1387-1411. doi: 10.1039/d1mh01621k. PMID: 35293401