Parameter on Placement and Management of the Dental Implant (1)|palmerah.implantgigi.com

The American Academy of Periodontology has developed the following parameter on the placement and management of dental implants. Dental implants are a recognized form of tooth replacement and as such should be presented as an alternative for the replacement of missing teeth. A comprehensive treatment plan should be developed in consultation with all parties involved. Patients should be informed about all therapeutic alternatives, including non-replacement, potential complications, expected results, and their responsibility in treatment. The patient should also be informed that, to insure implant health, close monitoring and professional care by the dental team and good personal home care are imperative. Appropriate educational materials are an essential part of gaining informed consent. Given this information, patients should then be able to make informed decisions regarding their implant therapy. J Periodontol 2000;71:870-872.

DEFINITION

A dental implant is a biomedical device usually composed of an inert metal or metallic alloy that is placed on or within the osseous tissues. The implant restoration consists of components that attach the prosthesis to the implant.

Dental implants are used to replace single or multiple teeth or to serve as an abutment(s) for ﬁxed or removable prostheses with the goal of restoring masticatory function and/or esthetics.

THERAPEUTIC GOAL

The therapeutic goal of implant therapy is to support restorations that replace a tooth or missing teeth so as to provide patient comfort, function, and esthetics.

PRETREATMENT CONSIDERATIONS

The periodontist and other members of the dental team often share the responsibility of evaluating the patient for implants. A systematic and coordinated plan delineating the responsibilities of each member of the team should be developed and followed. Treatment considerations for implant patients should include an evaluation of:

Oral health status;
Medical and psychological status;
Patient motivation/ability to provide home care;
Patient expectations of therapy outcome
The various habits and conditions which may place the patient at higher risk for implant failure; e.g., alcoholism, smoking, high American Society of Anesthesiology (ASA) score, bruxism, periodontal disease, and radiation therapy;
Periodontal and restorative status of the remaining dentition.

Surgical considerations for patients requiring implant placement should include evaluation of anatomy and location of vital structures, bone quality, quantity and contour, and soft tissues. The following diagnostic aids may be utilized in presurgical considerations to assist in determining the number, location, type, and angulation of the implants and abutments:

Diagnostic casts, mounted or mountable;
Imaging techniques;
Surgical template.