Placing Dental Implants in the Simplest Cases
By Dental Implant Expert Dr. Charles Babbush
A simple implant is one that has obtained a simplistic state of the art cutting edge design and materials. It should be an implant which can be utilized by the vast majority of dentists to restore the simple clinical cases ranging from single tooth to full arch edentulous patients and/or soon to be partially or totally edentulous.
The various components of the implant system should be easy to identify as well as simplistic to use. The implant system can accept various designs and materials for the prosthesis ranging from screw retained or cemented single crowns to fixed removable, snap-on or screw retained full arch prosthesis.
The Zuga implant system is a drill based solution that simplifies the surgical procedure into 5 easy steps. The majority of dentists will be able to place ZUGA implants following orientation at ZUGA training seminars. The specially designed drills, which feature automatic stop guides and color coding, reduces over drilling thus reducing potential complications. The ZUGA implant system bone level implants with built-in platform switching is designed to maintain crestal bone heights as well as soft tissue retention for a more natural esthetic result.
A conical low angle taper design, which approximates a modified morse like taper with an internal hex connection, offers a tight and secure position of the abutment allowing the ZUGA implant to achieve higher fatigue strength while preventing leakage. The ZUGA tapered cylinder shaped implant body with half circle thread(s) allows for self-tapping insertion which produces increased initial stability, due to expansion of the approximating bone as well as gradually condensing of the surrounding bone.
There are several options in regards to placement of implants. First, the patient had a congenitally missing tooth and/or the tooth was previously removed and the patient presents with a healed edentulous site. The implant can be placed, no extraction needed. The second option deals with an existing tooth which can no longer be restored or maintained. This dental unit may have fractured, has extensive decay or can no longer be maintained due to periodontal involvement. The tooth can then be extracted and an implant placed immediately, with or without bone grafting, and restored with a single crown prosthesis. Lastly, in some cases with the extraction of the tooth, an insufficient volume of bone at the site will not allow the placement of the implant immediately. This requires a staged procedure with the placement of bone graft material of your choice placed into the defect. Closure/suturing of the soft tissue over the ridge crest aids in maintaining the graft material over the next several months (3-4) until regeneration takes place. The implant would then be placed and restored. The Zuga implant system was developed and designed so the concept of simple, fast, secure and cost effective is upheld.
The procedure is carried out depending on the presentation of the patient as listed above; an existing healed edentulous site, an extraction immediate placement or an extraction delayed/staged procedure which requires a bone graft, 3 to 4 month wait followed by implant placement.
Steps for healed site no extraction
- Soft tissue punch – removal of muco-gingival tissue
- Pilot drill – initial penetration into bone receptor site to establish proper mesial-distal, buccal lingual direction
- Twist drill – carry to appropriate depth and diameter without skipping a drill to establish bone receptor site depth as well as mesial-distal, buccal lingual enhanced angulation i.e. for a 4.3×13mm implant the sequence would be 3.5×13,4.3×13
- Cortical drill – carry to appropriate depth and diameter without skipping a drill
- Tap drill (dense bone drill) 3.5,4.3,5.0mm depending on implant size only used when dense bone is present as often seen in the mandibular symphysis region
- Place the implant
- Temporary crown if >35Ncm or greater is achieved or place a healing abutment to create a one-stage procedure if no temporary prosthesis is required
- Final prosthesis is fabricated once osteointegration is achieved
Steps for extraction immediate implant
- Extract tooth
- Carryout steps 2-8 as above
Steps for extraction bone graft delayed
- Extract tooth
- Carryout bone graft procedure
- Carryout steps 1-8 after bone graft regeneration is completed usually at 3-4 months.
In conclusion, the Zuga medical implant system is designed specifically for simple applications for general dentist. Learn more about the ease of use with Zuga implants now.