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A guide to implant dentistry part 1: treatment planning Despoina Chatzistavrianou Paul HR Wilson Philip Taylor Dental Update 2024 46:5, 707-709.
Authors
DespoinaChatzistavrianou
DDS MFDS RCSEd, MClinDent Pro, MPros RCSEd
Specialist in Prosthodontics, Specialty Registrar in Restorative Dentistry, Birmingham Dental Hospital and University of Birmingham School of Dentistry, Birmingham Community Healthcare NHS Trust, Birmingham, UK
Senior Lecturer and Honorary Consultant in Restorative Dentistry, The Royal London Dental Hospital and Queen Mary University of London, Barts and the London School of Medicine and Dentistry, London, UK
Implant rehabilitation is considered a predictable treatment modality to replace single and multiple missing units, with high survival rates. Technical and biological complications are commonly encountered and careful treatment planning, restorative-driven implant placement and long-term maintenance are prerequisites of a successful implant rehabilitation. The aim of this two-part series is to provide an evidence-based overview regarding the sequence of treatment planning and the treatment stages of a successful implant rehabilitation. The first part of the series will focus on new patient assessment and pre-operative planning. The second part of the series will discuss the surgical and prosthodontic considerations and maintenance of implant-supported restorations.
CPD/Clinical Relevance: To provide the dental practitioner with an evidence-based overview regarding treatment planning, surgical and prosthodontic considerations and maintenance of implant-supported restorations.
Article
The rapid development of implant dentistry has led to an increase in the application of this treatment modality for the replacement of missing teeth. Implant rehabilitation is considered a predictable treatment option to replace single and multiple missing units with high survival rates; survival of implants supporting single crowns and fixed bridges is reported to be 95.2% and 93.1%, respectively, at 10 years.1, 2 Osseo-integration of the implant, absence of peri-implant infection, stable bone levels radiographically, prosthetic stability, pink and white aesthetic harmony and patient satisfaction are the main criteria defining success in implant dentistry.3
Although implant-supported reconstructions offer a predictable replacement option for missing teeth, their complication rate and level of maintenance are high.2 Careful treatment planning and restoratively driven implant placement are the most important elements for a long-term successful outcome.2, 4 The long-term success of implant-supported restorations is determined by:5, 6, 7
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