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References

Feloutzis A, Lang NP, Tonetti MS, Burgin W, Bragger U, Buser D IL-1 gene polymorphism and smoking as risk factors for peri-implant bone loss in a well-maintained population. Clin Oral Implants Res. 2003; 14:(1)10-17
McDermott NE, Chuang SK, Woo VV, Dodson TB. Complications of dental implants: identification, frequency, and associated risk factors. Int J Oral Maxillofac Implants. 2003; 18:(6)848-855
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Implant assessment

From Volume 39, Issue 2, March 2012 | Pages 128-134

Authors

Dean Barker

BDS, DDS, FDS RCSEd, FDS(Rest Dent) RCSEd, FDTFEd

Consultant and Honorary Clinical Senior Lecturer in Restorative Dentistry, University of Aberdeen Dental School and Hospital, Cornhill Road, Aberdeen AB31 6NL, UK

Articles by Dean Barker

Abstract

Meticulous planning in implant dentistry is essential in order to achieve a predictable and successful outcome for both the operator and the patient. This paper summarizes the important aspects of planning, including factors related to clinical and radiographic examination and the use of study models.

Clinical Relevance: This paper has relevance to practitioners carrying out implant treatment and also to colleagues who are likely to refer patients for implants.

Article

Success in treating patients with implant-retained restorations is dependent on careful pre-operative assessment and planning. Implant therapy should not be seen as a single treatment modality and must be incorporated into a comprehensive treatment approach. This should begin with a careful evaluation of the patient's expectations, motivation and compliance for prolonged and costly treatment. A thorough history, including the reasons for tooth loss, medical history and social history are all essential.

Caution needs to be exercised in treating patients who have lost teeth due to uncontrolled caries or periodontal disease and even the cause of traumatic tooth loss must be considered. A competitor in a combat sport for example would be at high risk of sustaining further damage in the future.

Any medical condition or medication that may affect the surgical procedure or wound healing should be considered a relative contra-indication at least, but there are few absolute contra-indications. In all cases a risk:benefit assessment must be made. Similarly, smoking is a risk factor for implant failure and this is an even greater concern in patients with periodontitis.1,2 Many sources are available that consider the impact of various medical conditions and smoking on implant success and this will not be considered further in this paper.

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