By Michael Norton
Creation to implantology for dental practitioners. writer is a medical consultant to Astra Tech Implants. Photographic colour plates.
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Additional resources for Dental Implants: A Guide for the General Practitioner
Th is is nece ssary in order to maintain a fun ctional and aesthetic interdental papilla which will otherw ise recede if it is stripped along with the mucoperiosteal flap. Furthermore it is also necessary to adapt the bone site to the design of the fixture. In this case the use of a con ical drill (Fig 4-5 ) flares the co ronal aspect of the bony site (Fig 4 - 6) to meet the geo metry of the Single tooth fixture (See Fig 2 -16) . The surface texture of this single tooth implant is roughened by a c leaning process that blasts titanium dioxide part icles at the implant (TiOblast '" ) thus roughening Ihe surface available for osseointegration by a pitting of the titan ium .
T. The clinical use of ITI tra ns mucosal implants. Bril Dent J 1992 : 173 : 6 7 - 7 1. R. T he long-term etncacv of cu rrently used dental implants: A review 'and proposed c riteria for success. Int J Oral Maxutotac Implants 1986 : 1: 11- 25. scnnnmen. , Shulman, L. B. Reco mmendations of the co nsensus devel opment con terence on dental implants, J Am Dent Assoc 1979 : 98 : 373 - 377. , Darius, P" van Steenberghe, O. Periotesr -: An objective c linica l diagnosis 0/ bon e app osit ion toward implants, J O ral M axutota c Implants 199 1; 6 : 55 -61.
As a rule it is worth remem bering that the ideal restora tion should not be compromised by the cause of tooth loss; and shoutd itself not compromise general dental health. 1 and for co n- 63 veni ence are split into surgi ca l and prosthodontic sections. The loss of an anterior single tooth can have a profound effect on the app eara nce of an individual (Fig 4 - 1), often resulting in social embarrassment. t? An esse ntial techn ical requirement has been the construction of an abutment that provides dual antirotation , not only between fixture and abutm ent (already available tor the hex top implants) but also between the abutment and the crown, which being unsplinted would be subject to loosen ing under torquing forces.
Dental Implants: A Guide for the General Practitioner by Michael Norton