Using Implants to Replace Missing Teeth: Implant Placement
Dennis P. Tarnow, DDS
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
By viewing this case, you’ll learn:
- The clinical benefits of an internally connected
- 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
- How a hybrid surface can create healthy soft
tissue at the coronal aspect
- Where to align the 2 mm twist drill during the
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
K. A study of the dimensional changes occurring in the maxilla following tooth
extraction. Aust Dent J 1969;14(4):241-244.
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.
RH. The use of guided tissue regeneration to facilitate ideal prosthetic
placement of implants. Int J Periodont Rest Dent 1992;12(4):257-265.
M, Gustafsson A, Klinge B. Long-term evaluation of osseointegrated dental
implants in the treatment of partly edentulous patients. J Clin Periodontol
W. Contemporary Orthodontics. St.
Louis, MO: Mosby; 1986.
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
EL, Roberts MW, Guckes AD, et al. Analysis of craniofacial development in
children with hypohidrotic ectodermal dysplasia. Am J Med Genet
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.
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.