The Implant Society : [periodical]最新文献

However, accepting the route of dental implantology's evolution, and with a positive outlook for the future, the author believes that the four types of root form implants described here will be utilized. This belief in their application, has come from vast experience placing thousands of implants into various types of bone. It is now up to those dentists who have become exclusively involved with one type of root form implant to reflect on the ideas expressed in this article, and start to challenge what has been considered the "norm", and consider treating their patients with implants that will most likely prove to be superior in design and function.

The application of the KAL-Technique to the field of implant dentistry allows both patients and dental practices to benefit. It is an exciting advance that decreases frustration and stress in providing implant procedures and lowers overall costs. Professionals using the KAL-Technique report significant predictability in achieving passive framework fit. They are also lowering overall cost of implant cases, which increases the number of patients who can accept implant treatment. It has been well established that the more individuals in a practice that receive implants, the more referrals a practice will gain. This is because implant patients find tremendous advances in the quality of life, and do not hesitate to tell others who can take advantage of this opportunity. Implant dentistry is one of the fastest growing fields in dentistry today. While some other areas of dentistry begin to decline in volume and need, implant dentistry provides the opportunity to keep practices strong and to insure long-term success.

As stated at the outset, this technique is not for every case. Each case must be selected with great care, consideration and careful planning. In concert with observing the Implant Lighthouses, this technique can produce a successful case. It can be done to save time, without compromising the prescribed techniques and quality.

Implant overload can be caused by a great number of factors, including suboptimal implant design and size; an insufficient number of implants to support the restoration; improperly splinted abutments; violation of conventional prosthetic limitations for natural dentition; excessively cantilevered pontics; splinting to natural dentition, even with a stress-breaking attachment; improperly positioned implants; the wrong type of restoration for the clinical condition; loss of supporting bone; excessive parafunctional forces; and non-maintenance of the components. Screws loosening or crestal bone loss are frequently the first detectable signs of implant overload, and warrant immediate action. Other signs of occlusal overload include infection, inflammation and peri-implant radiolucency. Balancing the whole arch, reducing contacts and surface area of the implant-supported areas, and shortening or eliminating cantilevers whenever possible are initial steps that can be taken to eliminate or lessen the excessive stress. The strongest possible implant and restorative materials should be used, and the patient should also be instructed as to proper implant function. As oral implantology develops at a seemingly exponential rate, it is extremely important to keep abreast of the latest advancements. Overload, rather than component design, is the primary factor in the majority of prosthetic and implant failures. Safeguarding the long-term integrity of the restoration should be a shared responsibility involving the patient and the health care team.