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Using Implants to Replace Missing Teeth: Implant Placement

Dennis P. Tarnow, DDS

Learning Objectives:

This video demonstrates the treatment of a single missing mandibular molar with the placement of an internally interfaced, surface-enhanced implant, and a patient specific restoration with new CAD/CAM technology.

By viewing this case, you’ll learn:

  • The clinical benefits of an internally connected implant system
  • How to know that there is positive seating of the restorative component into the implant
  • Why color coded implant systems make implant dentistry easier for all clinicians
  • How the osseotide surface facilitates faster osseointegration
  • How a hybrid surface can create healthy soft tissue at the coronal aspect
  • Where to align the 2 mm twist drill during the drilling sequence

Prior to surgery, the patient is anesthetized in preparation for implant placement. The implant site is determined, an initial crestal incision and a releasing incision are made to facilitate access. Small releasing incisions give the clinician excellent access and limits the surgical site to one tooth. An alternative is an instrasulcular incision including one tooth anteriorly and posteriorly. However, this expands the wound healing to three teeth instead of one. The soft-tissue flaps are reflected to provide access to the surgical site. There is preparation of the oseotomy with the appropriate drills for the selected implant and the process is carried out following the manufacturer’s surgical protocol.

*Director of Implant Education, Columbia University College of Dental Medicine

Related Reading:

  1. Johnson K. A study of the dimensional changes occurring in the maxilla following tooth extraction. Aust Dent J 1969;14(4):241-244.
  2. Johnson K. A study of the dimensional changes occurring in the maxilla following closed face immediate denture treatment. Aust Dent J 1969;14(6):370-376.
  3. Shanaman RH. The use of guided tissue regeneration to facilitate ideal prosthetic placement of implants. Int J Periodont Rest Dent 1992;12(4):257-265.
  4. Hultin M, Gustafsson A, Klinge B. Long-term evaluation of osseointegrated dental implants in the treatment of partly edentulous patients. J Clin Periodontol 2000;27(2):128-133.
  5. Proffit W. Contemporary Orthodontics. St. Louis, MO: Mosby; 1986.
  6. Thilander B, Odman J, Jemt T. Single implants in the upper incisor region and their relationship to the adjacent teeth. An 8-year follow-up study. Clin Oral Impl Res 1999;10(5):346-355.
  7. Johnson EL, Roberts MW, Guckes AD, et al. Analysis of craniofacial development in children with hypohidrotic ectodermal dysplasia. Am J Med Genet 2002;112(4):327-334.
  8. Salma H, Salma MA, Garber D, Adar P. The interproximal height of bone: A Guidepost to predictable aesthetic strategies and soft tissue contours in anterior tooth replacement. Pract Periodont Aesthet Dent 1998;10(9):1131-1141.
  9. Albrektsson T, Zarb G, Worthington P, Eriksson AR. The long-term efficacy of currently used dental implants: A review and proposed criteria of success. Int J Oral Maxillofac Impl 1986;1(1):11-25.
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