Dental implants are an increasingly valuable part of modern dentistry.
Although they’ve been available for more than a quarter of a century, it is only in the last decade, since the technology has advanced, allowing them to be considered the optimal way to replace missing teeth. Instead of endless rounds of heroic attempts to save a failing tooth, it’s increasingly simpler, less invasive, and more cost-effective over the long haul to replace the failing tooth with a dental implant. Besides, patients are increasingly reluctant to let good teeth be cut down to support bridgework contra angle handpiece.
If relatively little remaining tooth structure is left supra gingival, or if there’s an incipient furcation involvement, then conventional therapy may be tedious, time-consuming, and short-lived. If root caries is rampant or periodontal disease is aggressive—or if the systemic health is in decline then aggressive therapy to save a failing dentition may be as counterproductive as it is contraindicated. Interceptive implant therapy should be considered. It’s no wonder that implantology is fast becoming an essential component of any modern dental practice.
These days, most dental implants can be placed in simple one-stage surgical procedures. Their long-term survival rates have been steadily improving, even for smokers, and the restorative processes are now simplified and far more reliable. With modern “deep-engagement” connection systems the days of failing screws and damaged implant interfaces are over dental equipment. Modern systems increasingly permit implant platforms to be placed at “bone-level” and the deeper “emergence profile.” This allows for a more natural “tooth-like” emergence. The abutments providing these emergences are trending to be custom formed of zirconia attached to CAD/CAM bases. These biocompatible, aesthetic, and functional abutments, contrast with those formed by traditional cast-based technology, which we now know fail to develop any adhesion to the peri-implant gingival tissues. This allows infection down to the abutment-implant platform interface.
So how can dentists come up to speed with the fast-moving developments in implantology? How can they incorporate implantology into their practice water picker? There are many advanced-level education programs available to help dentists get started, but many dentists falter when they get back to their practices and look for suitable cases. Some find their investments in implants and surgical kits staying stuck on the shelf. What a waste!