Introduction of the Implant

Dental

Clinical situation

Clinical situation

Clinical situation

Materials of Implant body

Implant- supported
prosthesis

Abutment
Pure Titanium ( Grade 1-4)
Implant body ( Fixture )

Titanium alloy (Ti6Al4V)

: intensification of mechanical
strength, narrow implant

Classification of the Dental Implant

Implant design

Submerged VS non-submerged

Screw VS non-screw (cylinder, fin)

Flat top VS conical seal (External Vs Internal)

Implant surface

Smooth (machined) surface

Rough surface

Titanium plasma spraying (TPS)

Projection of Titanium particle

Grit-blasting
Alumina (Al2O3) : + acid etching > SLA
Titanium oxide : Astra TiOblast
Calcium phosphate : RBM (resorbable blast media )

Acid-etching
HCl, H2SO4, HNO3
Fluoride : Astra OsseoSpeed

Anodizing : thick oxide layer

HA coating

TPS

*Evidence-based practice
The rate & quality of osseointegration are related to
surface properties.

SLA

TiOblast

Titanium implants with roughened surfaces have

greater contact with bone than titanium implants
with smoother surfaces.
The surface roughness of Ti implants affect the rate
of osseointegration & biomechanical fixation.
A moderate roughness of 1-2m show stronger
bone response and prevent peri-implantitis.

Anodizing

HA coating

Osseointegration

Direct bone-implant contact without an

intervening connective tissue layer
This biologic fixation is considered to be a
prerequisite for implant-supported prostheses
and long-term success

History of the Implant

Subperiosteal implant

Endosteal blade implant

In 1948 by Gustav dahl

In 1967 by Leonard Linkow

Endosteal root form implant

In 1952- 1960s by Igvar Branemark
(Orthopedic surgeon in sweden)
In 1981 long- term(15Y) data published
In 1982 the Toronto conference on
osseointegration

Dental implant is a successful Tx modality

Trend of the newest implant design

Nobel biocare

Nobelactive

Straumann

Soft tissue level implant

NobelSpeedy Replace

bone level implant

Rough surface to top of implant body

Microthreaded design
Conical seal design : prevent micromovement
Tapered root form design
1-stage or 2-stage possible

Design concept of implantium

Bacteria resistant high
polished surface

Conical seal design internal connection

Taper Portion : Abutment housing

& more stable in loose bone
condition
Synchronized double micro-thread ;
Cortical bone stimulation

Biological Thread ;

Parallel Portion : Even stress

distribution

Rich bone housing design

S.L.A.
surface

Round end; less perforation tendency

Characteristics of Implantium

Optimal fixation thread (Microthread)

Excellent initial stability due to Double thread

Form the fittest condition around Cortical bone.

Tapered design
Upper Part(Top): Excellent initial stability
Middle Part(Central): Connecting the upper and lower parts, even stress
distribution to fixture body
Lower Part(Bottom): fixture sinks upto the middle part without drilling,
providing operation convenience.

SLA (Sandblasting with Large grit & Acid etching)surface

Early osseointegration due to rapid attachment and proliferation

of osteoblast early osseointegration

Characteristics of Implantium

Biologic connection
Structure of the Internal connection forms better condition for
stress.
Greater distributional effect of force around Cortical bone
Prevention of Screw loosening
Abutment is exchangeable (4.5.5.5.6.5), regardless of diameter.

Conical Sealing & Cold Welding between fixture &

Abutments
Marginal Opening is
less than 1m

Connecting point of bevel at Fixture Neck, when

combining Fixture and Abutment
Gap between the upper and lower parts prevents bone destruction towards a
lower tissue.
Enough quantity of upper soft tissue protects lower bone tissue.
Help to form an Interproximal Bone with adjacent Fixture.
Marginal bone loss is less.

Cold Welding
Abutment &
Fixture

Characteristics of Implant
- Load-Distribution
-Screw Loosening Fracture /
- Conical Sealing Bacteria Bone
Resorption .

Load-Distributional
effect of Prosthesis
minimizes bone
destruction.

mechanical/
structural problemsolving, such as Screw
Loosening or Fracture,
Effectiveness of
etc.

Load-Distribution
Effectiveness
of
Load-Distribution
Almost no Bone
resorption by bacteria
due to Conical Sealing

J.Wolffs law

In connecting Abutment with

Fixture, Perfect connection of
Conical Sealing:
Self-Guiding of Abutment

When beneficial stress condition is formed to keep a normal state of bone tissue close
installed implant, resorption of surrounding marginal bone tissue does not occur.

Features of Implantium

Biologic thread
The rich bone housing design creates extra bone filling spaces.
The sharper edge penetrates and engages to the bone readily.

Bacteria Resistant High Polish Surface

The tapered bevel platform design makes the bone profiling

procedure unnecessary at 1st, 2nd surgery.

Features of Implantium

Easy flap coverage & Minimum exposure during 1st surgery

Putting the Cover screw on the Fixture, it becomes easier to not only suture a soft tissue,
but also make it look better.

Fixture exposure is improbable due to Tension free flap closure.

0.8mm

1.1mm

Simple installation of healing abutment during 2nd surgery

After the incision less than 1cm on the top of Fixture, detach the Cover screw with a driver so that it becomes easier to
attach the Healing Abutment.
Minimizing the incision , less damage offers a patient Minimal Trauma.