Dental Implants (Tooth Implants)

A) What is an implant?

Tooth implants are dental devices that have been designed to substitute for individual missing teeth.

They function as an artificial tooth root, on top of which some type of dental prosthesis (a dental crown, bridge or denture) can then be placed.

"Endosseous root-form" tooth implants.

A dental implant replacing a molar.

The most common kind of implant placed by dentists is the "endosseous root-form" type.

The term "endosseous" refers to the fact that the implant is embedded within bone (the jawbone).

The term "root form" refers to the fact that the shape of the implant is somewhat similar to the shape of a natural tooth's root. (This isn't precisely accurate in the sense that some teeth have multiple roots. - See our picture to the right.)

"Osseointegrated" implants.

The term "osseointegrated" (or "osteointegrated") refers to the fact that there is a direct connection (fusion) between the surface of the implant and living bone tissue.

Virtually all endosseous root-form implants are the osseointegrated type.

B) Tooth implants have three basic parts.

The fixture and abutment portions of a dental implant.

#1) The implant "fixture."

The fixture is that part of the implant that is embedded in and becomes fused with the jawbone.

It's the portion that lies below the gum line and for all practical purposes can be considered to be an artificial root.

(In our animation below, Image #1 shows an x-ray of an implant fixture embedded in the patient's jawbone.)

Fixture construction.

Osseointegrated implant fixtures are made out of the metal titanium. It may either be "commercially pure" (over 99.5% pure) or an alloy (titanium combined with aluminum and vanadium, so to improve strength and fracture resistance).

Fixtures can have a hollow or solid, cylindrical or screw-shaped design.

X-rays showing the stages of dental implant restoration..

Special surface treatments.

The metal surface of the fixture portion of an implant may be smooth. As an alternative, some manufacturers grit-blast, machine or etch this surface so to roughen it up (at a microscopic level).

This increases the total external surface area of the fixture, thus increasing the amount of bone-to-implant fusion that takes place. (The need or benefit of this treatment is disputed.)

How a dental crown fits over an implant.

Special fixture coatings.

The surface of a fixture may be coated with a special bone-regeneration material such as hydroxyapatite. Some manufacturers feel that this helps the osseointegration (fusion) process take place more rapidly. (The need for this is also disputed.)

#2) The implant abutment.

The abutment portion of a tooth implant is that part that lies at and above the gum line. It's the part that supports and secures the dental work (crown, bridge, denture) that's placed on it.

The abutment is typically not added to (screwed on) the implant fixture until after the osseointegration process (implant-to-bone fusion) has taken place.

(In our animation above, Image #2 shows an x-ray of an implant fixture with its abutment in place.) smile makeovers that involve dental implants.
#1     #2 

#3) The dental prosthesis.

The dental prosthesis refers to the dental work that the implant supports.

Depending upon its design, it may be cemented or screwed (i.e. crowns, bridgework), or else clipped or snapped (i.e. dentures), into place.

(In our animation above, Image #3 shows an x-ray of an implant that supports a dental crown.)

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Next : Implant placement issues and considerations.
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