Evaluating Bone Quality and Volume for Successful Dental Implants

This report provides a comprehensive overview of assessing bone quality and volume for dental implants, a critical factor in the success of these procedures. It begins by introducing dental implants as a modern solution for missing teeth, emphasizing the importance of bone quality and vo...Read More

Assessing bone quality and
volume for dental implants

Table of Contents
INTRODUCTION...........................................................................................................................1
Assessing volume and quality of born available for placing dental implants.............................1
How we can maximize the information available from imagining.............................................3
CONCLUSION................................................................................................................................5
REFERENCES ...............................................................................................................................6

INTRODUCTION
Dental implants have become the most ideal option for replacement of missing teeth. It
has become one of the most predictable fixed treatment modality with maximum survival rates
(Park, 2001). Some authors have predicted the life span of an implant as 20 years approximately
provided the patient has no complicating medical, social and dental causes to hinder the overall
success of dental implants. However, like any other procedure there are parameters that make a
procedure more predictable. These include patient related parameters, procedure related
parameters and the implant itself. General health condition, periodontal dental health and
smoking should be sorted as the first step towards the decision making of an implant procedure
(Katsoulis and et.al., 2016). However, the most crucial step right before placing an implant is to
assess the quality and volume of bone available.
Assessing volume and quality of born available for placing dental implants
Dental implants can be determined as a modern dentistry in which missing teeth is
replaced. In other to understand this concept firstly one need to picture a natural tooth which is
divided into two parts that are crown and root (Norton and Gamble, 2011). Root are the part
which is fixed inside the born and crown is the part which is visible inside the mouth above the
gum line. With dental implant root part is replaced with the messing tooth and then it is tapped
with realistic looking dental crown.
Dental implant is used one or more than one missing teeth. It is important that the quality
of born should be strong. Further, there should be enough bone in the jaw. Moreover, the bone
need to be strong enough or else bone augmentation is added to make it strong. In addition to
this, supporting tissues need to be in healthy condition so that implant can be placed. Before
dental implant, the most important parameters of patient is bone quality (Maetre-Ferrin, Carrillo-
Garcia, Galan-Gil, Penarrocha-Diago, 2008). In this context, there are many risk factors involved
which are soft bone, transplanted born and irradiated bone.
The volume and quality of bone available for implant placement is fairly determined first
by a thorough clinical examination. Careful gathering of clinical data is followed by several
intra-oral and extra-oral radiographic methods such as peri-apical, occlusal, dental panaromic
tomograph, 3 dimensional imaging. But, these conventional radiologic evaluation of the recipient
site on which the implants have to be placed provide a bi-dimensional geometric projection.
Historically and even widely used today as the preliminary radiologic assessment tool are
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periapical radiographs in conjugation with panaromic imaging (Katsoulis and et.al., 2016). These
radiologic modalities yield adequate information with the least radiation risk and are at low cost
and convenience.
In order to measure the quality of bone, dentist make use of radiographic (x-ray)
examination which enables to know the volume and quality of bone. In case the quality and
volume is not what the dentist expected, then they make use of different meditation with the help
of which the tissues near the missing tooth and area in which dental implant has to be done is
made strong (Surapaneni and et.al., 2016). Most of the dental implant system that make use of
titanium allow which has the unique ability to fuse directly to bone and this process is known as
Osseo-integration. In order to plant a new tooth, it is important to have enough space and this
technology is helpful to make surface area to bone contract.
When a patient visit to dentist, first of all a comprehensive examination is conducted
which enables to know dental and medical history and impression is taken so that models can be
made. Further, Computed tomography scan is taken which enables to dentist to determine
volume of jawbone is available. In case, the patient do not have enough volume, then various
other methods are discussed to build up the bone. In this context, it includes methods like bone
distraction or bone grafting and making use of synthetic material (Sorrentino and et.al., 2009).
Bone grafting is helpful to take bone from other source and it is added to jaw. Synthetic materials
includes calcium phosphate or hydroxyapatite and these are used to cover the bone so that new
tooth can be implanted. Further, there are different type of treatments which are provided for the
Dental implant. In this context following are few of them:
Single tooth replacement: It is a type of option in this one implant is done and one single
crown is replaced.
Multiple tooth replacement: It includes dental implant of more than three teeth to be
replaced. For example, root of three teeth, two crowns, etc.
Combination of removable and fixed bridgework: This option is given when there is a
section of fixed bridgework on which removable section is attached.
Over-dentures: Implant is done in order to provide stabilization of denture. This is mainly
used on those conditions when whole teeth are replaced.
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Temporary bridgework: In this method, micro-mini implants are used in order to suport
bridgework temporarily. This enables to have teeth within no time. It creates compete different
form of structure for complete set of teeth.
By analysing all the things, dentist make sure that patient are provided with proper care
and dental implant is possible. In this process, it takes almost 6 months time as time is required
to make the artificial root to get mix up with the bone. When the root is fix, then dental crown is
fixed over the root.
How we can maximize the information available from imagining
21st century has witnessed a great development in the field of implantalogy. With
complex cases being treated by sinus lifts, bone grafting and extra-oral implants like the zygoma,
the evaluation of the recipient site is considered critical in treatment planning. Nowadays, the
most accurate of all methods is dental CBCT (Park, 2001). The benefit of cbct is that it is use for
pre-operative surgical site assessment, measures the density of bone, aids the use of radio-opaque
surgical guide and uses a software to improve implant placement.
In simpler terms, dental implants can be termed as an artificial tooth root and its main
objective is to hold the replacement tooth. Furthermore, dental implant is considered as a very
good and the best possible option for people who have lost their teeth due to any kind of reason.
There are two major types of dental implants which are being done in the medical field. The first
one is Endosteal which can be termed as the most common type of implant where implant is
done in the bone (Norton and Gamble, 2011). On the other side of this, Subperiosteal is another
way of implantation in w which implant is carried out on the bone. It can be stated that the
importance of medical imagining is growing with a very good pace along with the passage of
time. It can be defined as a process or technique which is the used to generate visual
representation of all internal part of human body. It helps doctors and medical professionals to
get insight into human body and provide the best possible treatment. It can be expressed that
nowadays imagining has started to play very important and crucial part in the entire process of
dental implant. The main reason or rationale behind why imagining has become so important is
that it provides more reliable and accurate information about the status of a patient or person
suffering from any kind of dental issue (Maetre-Ferrin, Carrillo-Garcia, Galan-Gil, Penarrocha-
Diago, 2008). There are some standard and complex techniques of imagining which is used by
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doctors and medical experts to carry out treatment of people. Intra oral and extra oral techniques
of imagining are commonly used in standard projection whereas cone beam computed
technology and computed technology are used complex imaging techniques. Computed
technology can be used in order to maximize the information generated through imaging.
Further, it is a digital technique which results in generating 3D images of a patient anatomy. The
use of computed technology helps in maximizing information because they help in providing
more clear view nerves, joints and bony architecture. Along with this, the information also
supports a lot in getting images associated with blood vessels, soft tissues and bone (Katsoulis
and et.al., 2016). The clinicians are able to provide more effective treatment by getting more
accurate and reliable information through the use of technology such as CT scans. However, it
can be argued that these technologies should be used in only those situations where facial x rays
and dental x rays are not able to generate adequate or required information. Here, the use of CT
scans helps doctors to gain 3D image and information regarding nerve path, soft tissue and teeth.
In the modern era, the use of computed tomography has become one of the most effective and
best tool to diagnose the patient with any kind of dental implants (Surapaneni and et.al., 2016).
The use of this technique is not only beneficial for doctors but it also provides several kinds of
benefits to person or individual. The key benefits include lowering down the level of anxiety
among patient and rising up the rate of treatment acceptance. In addition to this, it also plays
very important role in eliminating the chances of manual errors during the process of dental
implants. After imaging, doctors are required to carry out the best possible or appropriate
interpretations in order to deal with the patient. This interpretation includes identification of
height, width and size of bone. However, it can be argued that along with several kinds of
advantages, there are certain disadvantages associated with CT scan (Bornstein and et.al., 2014).
This includes cost incurred and higher radiation exposure which restricts people to make use of
the same. In terms of transferring information to patients mouth, it can be stated that there are
different ways through which information can be transferred. This includes surgical planing for
impacted tooth/teeth, carrying out the best possible and accurate placement of dental implants.
Other than this, information can be also transferred to patient mouth with the help of
cephalometric analysis and reconstructive analysis. There are certain risk associated with the use
of such technology and patients are required to take care of the same. One of the major and most
common risk here is associated with chances of having cancer (Yepes and Ai-Sabbagh, 2015).
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Furthermore, the treatment is also not suitable for women which are pregnant. In order to
overcome from all the major risk and disadvantages associated with CT scan, technique such as
CBCT scan was developed. Here, a cone shaped beam processing digital technology is used with
an objective to treat or carry out dental implant. Therefore, it can be also expressed that the
information of imaging can be maximized with the use of tools such as CBCT. The rationale
behind this is that it helps doctors by providing them with high and very accurate diagnosis.
Apart from this, it also plays a very important role in treatment of patients by acting as a very
effective planning tool (Bornstein and et.al., 2014.). The information can be maximized with the
help of CBCT scan in which provides more clear difference between various types of tissues in
the mouth. Therefore, it can be stated that the use of technology in dental implant can be very
beneficial and can provide different type of benefits to people. It is required by clinicians and
doctors to make sure that all precautions are taken in order to lower down the major risk
associated with dental implants.
CONCLUSION
From this report, it can be concluded that with the advancement in technology the
services and facilities are increasing. People are provided with high quality services and all their
needs and requirements are satisfied. There are many cases in which most of the people do not
have proper care towards their teeth and with time it creates serious issues. However, it is
recommended that people do have frequent check-ups so that the impact of issues related to
dental can be reduced.
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REFERENCES
Bornstein, M. M. and et.al., 2014. Cone Beam Computed Tomography in Implant Dentistry: A
Systematic Review Focusing on Guidelines, Indications, and Radiation Dose Risks. The
International Journal of Oral & Maxillofacial Implants. pp. 61.
Katsoulis, J. and et.al., 2016. Relative Bone Width of the Edentulous Maxillary Ridge. Clinical
Implications of Digital Assessment in Presurgical Implant Planning. Clinical Implant
Dentistry and Related Research. Volume 14. pp.e214.
Maetre-Ferrin L, Carrillo-Garcia C, Galan-Gil S, Penarrocha-Diago M., 2008. Ultrasound
transmission velocity for noninvasive evaluation of jaw bone quality before dental
implantation. Ultrasound Med Biol. 34(12) pp.1966-71. 18.
Norton, M. R. and Gamble C., 2011. Prevalence, location, and size of maxillary sinus septa:
panoramic radiograph versus computed tomography scan. J Oral Maxillofac Surg.
69(2).pp. 507-11. 19.
Park, J. B., 2001. Bone classification:an objective scale of bone density using the computerized
tomography scan. Clin Oral Implants Res.(1). pp.79-84. 20.
Sorrentino, R. and et.al., 2009. Effect of Implant Angulation, Connection Length, and Impression
Material on the Dimensional Accuracy of Implant Impressions: An In Vitro Comparative
Study. Clinical Implant Dentistry and Related Research. Volume 1.
Surapaneni, H. and et.al., 2016. Role of computed tomography imaging in dental implantology:
An overview. Journal of Oral and Maxillofacial Radiology. Vol 1.
Yepes, J. F. and Ai-Sabbagh, M., 2015. Cone-Beam Computed Tomography. Elsevier Inc.
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