Dental Implants for Hygienists and Therapists: A Comprehensive Guide

Dental Implants for Hygienists and Therapists, authored by Ulpee R. Darbar, is a valuable resource for dental professionals seeking a comprehensive understanding of dental implants. This handbook delves into the fundamental principles of tooth replacement with dental implants, covering the science and theory behind modern implants, factors impacting their success and survival, and more.

Understanding Dental Implants

Dental implants are a popular choice for tooth replacement due to their natural appearance and long-lasting results. They consist of a titanium post surgically placed into the jawbone, an abutment that connects the post to the crown, and a custom-made crown that mimics the appearance of a natural tooth.

History of Dental Implants and Osseointegration

The concept of dental implants dates back thousands of years, with ancient civilizations using various materials such as gold, ivory, and human teeth to replace missing teeth. However, it wasn’t until the discovery of osseointegration by Swedish orthopedic surgeon Per-Ingvar Brånemark in the 1950s that dental implants became a viable option for modern dentistry. Osseointegration refers to the process by which the titanium post fuses with the surrounding bone, providing a stable foundation for the implant.

One-Piece and Two-Piece Implant Systems

Dental implants come in two main types: one-piece and two-piece systems. One-piece implants consist of a single unit that includes the post, abutment, and crown. Two-piece implants, on the other hand, have a separate abutment that connects the post to the crown. Each type has its own advantages and disadvantages, and the choice between them depends on various factors such as the patient’s jawbone density and the location of the missing tooth.

Patient Selection and Indications for Implant Treatment

Not all patients are suitable for dental implant treatment. Ideal candidates should have good overall health, sufficient jawbone density to support the implant, and a commitment to maintaining good oral hygiene. Implants can be used to replace single teeth, multiple teeth, or even an entire arch of teeth. They can also be used to support dentures or bridges, providing added stability and comfort.

Surgical and Prosthodontic Protocols

The process of placing dental implants typically involves two stages: surgery and prosthodontic treatment. During the surgical phase, the titanium post is placed into the jawbone under local anesthesia. After a period of healing, the abutment is attached to the post, and an impression is taken to create the custom-made crown. Once the crown is ready, it is attached to the abutment, completing the implant process.

Peri-Implant Tissues in Health and Disease

Peri-implant tissues refer to the gums and bone surrounding the dental implant. These tissues play a crucial role in the success and survival of the implant, as they provide support and help to maintain the implant’s stability. Peri-implant disease can occur if these tissues become inflamed or infected, leading to bone loss and potentially the failure of the implant. Regular maintenance care, including non-surgical and surgical treatments, is essential to prevent and manage peri-implant disease.

Maintenance Care and Peri-Implant Disease Management

Maintenance care for dental implants involves regular check-ups with a dental professional to monitor the health of the peri-implant tissues. This may include non-surgical treatments such as scaling and polishing to remove plaque and tartar, as well as surgical treatments such as bone grafting to repair damaged bone. The role of the dental hygienist is critical in maintaining the health of the peri-implant tissues and ensuring the long-term success of the implant.

Dental Implants for Hygienists and Therapists provides a comprehensive overview of dental implantology, covering the history, science, and practical applications of dental implants. This valuable resource is essential for dental professionals seeking to expand their knowledge and skills in this rapidly evolving field.