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Dental Implants for the general dental practitioner. Part 1: overview and assessment

From Volume 48, Issue 11, December 2021 | Pages 915-924

Authors

Oliver Jones

BDS(Hons), PGCert (MedEd)

BDS(Hons), PGCert(MedEd), Dental Core Trainee

Articles by Oliver Jones

Philippa Hoyle

BChD(Hons), MJDF RCS(Eng), MPros RCS(Ed)

Consultant in Restorative Dentistry, Department of Restorative Dentistry, Charles Clifford Dental Hospital, 76 Wellesley Road, Sheffield S10 2SZ, UK (philippahoyle1@hotmail.co.uk)

Articles by Philippa Hoyle

Rajesh Patel

FDS RCPS, LDS RCS, MSc, BDS

Consultant in Restorative Dentistry, Charles Clifford Dental Hospital, Sheffield, UK

Articles by Rajesh Patel

Abstract

Dental implants have become an increasingly prevalent treatment option for the replacement of missing teeth. Multiple studies have reported survival rates for implant supported restorations above 90% after 10 years. However, dental implants are not without complications and with their increasing placement, it is more likely that primary care dentists and dental care professionals will encounter patients presenting with problems. The first article in this two-part series provides an overview of implant components and relevant anatomy, as well as outlining a systematic method of undertaking a clinical and radiographical examination of dental implants.

CPD/Clinical Relevance: This series highlights important aspects of dental implants and their associated restorations that dental care professionals should consider when examining and maintaining such restorations, as well as providing an overview of associated biological and mechanical complications.

Article

Dental implants have become an increasingly prevalent treatment option for the replacement of missing teeth.1 They can be used to retain and support both fixed and removable dental prostheses, with some studies showing implant fixture survival rates above 90% after 10 years.2,3,4,5 The positive impact that such prostheses have on a patient's oral health-related quality of life has also been demonstrated over shorter follow-up periods.6,7,8 It should be noted that success and survival are not analogous terms when considering dental implants, and they can be applied to either the implant fixture or the attached prosthesis. Survival with regards to the implant fixture means that it is simply present in the mouth, with possible bone loss, and success means the implant is functional without mobility, bone loss or symptoms.9 With increasing implant placement and good success and survival rates, it is likely that patients with dental implants will be encountered within primary care.

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