Science Friday: Better Healing After Dental Implants

Science Friday: Better Healing After Dental ImplantsRestoring the front teeth of dental patients after a traumatic injury poses a particular challenge— both biologically, functionally, and aesthetically.

Even when all the procedures of successful dental implants are followed, healing of tissues can still be unpredictable.

One approach to improving the outcome of this type of implant is the use of blood platelet concentrates.

The current issue of the Journal of Oral Implantology reports the case study of a dental patient who had fractured an incisor during a sport-related accident. An all-inclusive dental procedure was performed to both extract the broken tooth and insert a dental implant. Additionally, a biomaterial of leukocyte and platelet-rich fibrin was used as part of the treatment, as reported by Newswire.

Restoring a fractured maxillary anterior tooth—one located in the upper front of the mouth—through dental implant surgery requires a number of steps.

The fractured root must be extracted, residual bone preserved, the implant correctly positioned, and the soft tissue properly contoured around the implant.

However, the dental implant still requires successful healing to complete the process.

Leukocyte and platelet-rich fibrin stimulates the healing process. Strong fibrin membranes enriched with cells and platelet growth factors make a biomaterial that is simple and inexpensive to use. Taking only 15 minutes to prepare, the biomaterial is a practical and effective application to use in implant dentistry.

Its antihemorrhage properties are well-suited for this surgery.

In the case study, the use of this fibrin meant that no incisions or sutures were needed, which allowed optimal healing conditions. Positive healing characteristics were noticed two days after the surgery; at 7 days the gingival aesthetic profile was well-defined.

At 6 months, a satisfactory final result of the surgery was evident.

2 years later, the restoration has proved to be stable and aesthetic — resulting in a much better healing process for the dental patient after dental implant surgery.

To view the full report see: The Use of Leukocyte and Platelet-Rich Fibrin During Immediate Postextractive Implantation and Loading for the Esthetic Replacement of a Fractured Maxillary Central Incisor

Science Friday: New Dental Imaging Software Helps with Dental Implant Treatment

Science Friday: New Dental Imaging Software Helps with Dental Implant TreatmentImaging Sciences International has announced the release of Tx STUDIO software for advanced 3D dental implant treatment and more.

This powerful software integration now creates the opportunity for general dentists and specialists alike to take advantage of i-CAT’s award-winning 3D imaging with comprehensive treatment planning tools for dental implants, airway, TMD, orthodontics, and a myriad of surgical procedures.

It is the only software to be bundled with a CBCT system that does everything from diagnostics to implant and orthodontic treatment planning, according to the iCat website.

Designed by clinicians for clinicians, Tx STUDIO delivers uniquely comprehensive tools covering treatments from implants to orthodontics. With its wide selection of treatment-planning features, Tx STUDIO is an excellent addition to i-CAT cone beam 3D systems which are known for their unparalleled clinical and dose control, as well as the industry’s fastest workflow.

With Tx STUDIO, implant, abutment, and restoration planning is simple, fast, and precise. The new abutment and restoration design feature allows dentists to plan an entire treatment, from the surgical placement of the implant and the abutment to the final restoration at the onset of planning.

Featuring an expanded implant library, single or multiple dental implants can be quickly placed in the 3D rendering or onto the panoramic layout. Scans are compatible with all major surgical guide systems; surgical guides from Anatomage can be conveniently ordered directly through the Tx STUDIO software.

For orthodontics, in addition to the included anchor pin library for virtual TAD placement, Tx STUDIO provides an optional 3D Cephalometric Analysis package which allows for the creation of ceph tracings with greater accuracy and in less time than traditional 2D ceph tracings. Also included in this package is the new face-MATCH photo-wrapping feature that allows easy and immediate wrapping of a facial photo taken with a standard digital camera onto the 3D volume.

Other optional services through this powerful software include AnatoModel which can provide virtual study models in occlusion that contain the full dentition— crowns, roots, and bone, and tools to predict soft tissue changes derived from orthodontic or surgical treatments.

Built into Tx STUDIO is a powerful application for airway analysis that allows for instant measurement of total airway volume, localization and area measurements of maximum constriction, and automatic color-coded constriction values of the airway volume.

The airway analysis tools benefit general dentists and specialists who treat sleep apnea or other airway disorders through dental procedures ranging from orthodontics to surgery to splints.2 TMJ visualization tools that allow for superimposition of changes to the TMJ complex over time are included in Tx STUDIO.

Through superimposition, changes in condylar position can be tracked over the course of a treatment to ensure treatment plans are having the desired effect.

The Diagnostic Reports Tool option allows for fast and efficient communication between health care providers. This new tool is optimized for power and speed, and is based on easy-tocreate templates that can be customized for the office. Knowing that clinicians seek ways to present dental plans to their patients, Tx STUDIO offers full 3D visualization.

Dental patients gain understanding of their anatomy, conditions, and treatment options as these come to life using 3D renderings. The software even allows video capture to further enhance patient education even after the appointment is over. Also, advanced annotation capabilities, such as custom labeling and layout displays, provide excellent tools for a dental implant patient and doctor communication.

To read more about iCat and Tx STUDIO 3D planning software see the company’s full press release (pdf).

Dental Implants for Pets? No, Not Really

Dental implants for petsDental implants are the best replacement for missing teeth, and most dental patients know this.

We also know that devoted pet owners will spare no expense when it comes to the comfort of their pet. And so some pet owners inquire about getting dental implants for their pets.

My cat broke his upper canine tooth two years ago and had to have it extracted. Do you think a dental implant is necessary? Is this painful and expensive?

Dental implants are not available for cats anywhere in the world, to my knowledge. The bone volume in a cat’s jaw is so small that it would be technically challenging and, anyway, there’s very rarely a need for a tooth to be replaced. It’s common for cats to have missing teeth and they nearly always manage to live normally with no adverse consequences, continuing to hunt and even eat dried food. I have seen cats with all their teeth extracted with no major impact on their lives.

In a small proportion of cases, loss of the upper canine tooth in a cat can lead to the lower canine tooth catching the upper lip, causing an abrasion. If this is happening, there are other ways of dealing with this that your vet can explain. Dental implants
have been done in dogs and cost more than £5,000 for each procedure. They are rarely necessary.

– Pete Wedderburn, “Pet Health” in the UK’s Telegraph

Given that the cost of dental implants keeps many people from dental implant therapy, it’s somehow reassuring that tooth implant dentistry for cats and dogs isn’t exactly a booming business.

General Dentistry & The Dental Implant Dentist

The dental implant dentistToday’s dental implant dentist isn’t necessarily a specialists. In fact, this survey found that 99% of general dentists restore dental implants, and 55% place the implants themselves in straightforward dental implant surgery cases.

“They were invented by GPs like us,” said one general dentist. “More dentists should be placing them. Specialists should not be arrogantly taking control.”

We also found that 30% place implants, even in difficult cases, and 33% offer immediate load dental implants. When it comes to mini dental implants/denture implants, 61% restore them, and 45% place them.

Here are some comments from dental implant dentists:

  • “Implants need to be the dentist’s deal….. Do not rely on the oral surgeon or periodontist for anything but placement.” (Connecticut dentist)
  • “I feel placement of dental implants is best left to board certified oral surgeons because I have seen a very high failure rate with the implants placed by dentists.” (Alabama dentist)
  • Mini dental implants do not have long-term clinical evidence to support widespread use under dentures as a definitive restoration.” (California prosthodontist)
  • “Significant slowdown of dental implants in this economy.” (Minnesota dentist)

Read more: Dental Implant Dentists: Who’s Doing Implant Dentistry

Dental Implants Simplified: Matches Consumers to Implant Dentists

Dental Implant Find a Dentist Website

Consumer portal website provides local listings of dentists who offer implant dentistry, as well as a variety of other dental implant resources. Consumer Information PortalThe Internet Dental Alliance announces the re-launch of its consumer information website The website offers patients a variety of implant dentistry resources. Patients can find a properly trained implant dentist, learn more about dental implants, ask questions of an expert dentist, and more.

The find-a-dentist website also offers up fascinating facts. For example, teeth implants that are over 1,000 years old have been found from the Mayan civilization. Tooth-shaped pieces of shell were found placed into the sockets of missing incisors and had actually been incorporated into the bone structure.

Learn more about the dental implant portal website


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