Key Principles of Implant Dentistry

April 19, 2022| Barbara W. Andrade| 0 Comment | 9:54 am

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Before your consultation with your dentist at implant dentistry san diego, you should know what to expect from your procedure. The main points of this article are the importance of soft tissue, bone, and implant placement. Occlusal contact is also a crucial point to consider. All these points should be carefully examined before treatment. The goal of your GP is to protect you and the staff. Before you go in for your appointment, ask yourself if you have any of these risk factors.

Bone

Whether the procedure is a flap-less or traditional surgery, it requires careful planning. In either case, a series of drills gradually enlarges the site of the implant. The final bur is slightly smaller than the implant itself, and it is placed with a torque-controlled wrench to avoid overheating the bone. The bone surrounding the implant is then reshaped to accommodate the new fixture.

Osteointegration occurs when the biomaterial that is used to support dental implants is osteoconductive. This material enables the dental implant to integrate with the bone surface. Histological studies have shown that implant surface contacts the host bone and initiates the healing process. The procedure follows a sequence similar to that of bone regeneration in fractures and small defects. It ends with “restoration ad integrum,” or the absence of scar tissue.

Soft tissue

The success of dental implants depends on the stability of soft tissue surrounding the implants. This stability is best achieved through proper diagnosis and surgical planning. Inadequate soft tissue evaluation can lead to improper placement of dental implants, which is detrimental to both patient and implant health. Soft tissue grafting can be performed to address these soft tissue concerns. Grafting techniques differ according to patient anatomy and morphology. The biotype of the gingival tissues is based on the morphology of the tooth, bone, and gum tissue. An underdeveloped biotype can lead to pocket formation. A biotype with thick, flat tissue may not be suitable for implant placement.

The graft site must provide adequate vascularisation for the graft. It must be rigidly immobilised and provide adequate hemostasis. The donor tissue must be large enough to facilitate immobilization and achieve the desired volume augmentation after secondary contraction. Soft tissue grafting should be performed before the bone grafting procedure. If soft tissue grafting is not possible, connective tissue autografts can be used.

Implant placement

If successful dental implant placement is the ultimate goal, then a modern dentist will implement reproducible treatment protocols, which will ultimately lead to more successful outcomes. There are five key principles of implant dentistry, including past medical history, examination, occlusion, dental imaging, fixed versus removable prosthodontics, and surgery. This article will discuss each of these concepts and their proven contributions to implant dentistry. You should consider implementing these principles into your practice, too.

While successful implant placement is crucial, it’s also the most challenging aspect. Implant placement can go wrong, causing the implant to misalign with the bone. This can lead to unnatural crowns, gum recession, and dark grey metal around the gum. Improper implant placement can result in poor oral health and failure. In order to minimize these risks, patients should follow oral hygiene and care instructions closely for the long-term success of their implants.

Occlusal contact

Occlusal contact is an important component of implant prosthesis and must be accounted for. Ideally, occlusal contact should occur over a flat surface perpendicular to the implant body and be centered over the implant abutment. Secondary occlusal contacts should be placed within one millimeter of the implant body’s periphery to reduce the moment loads. Contacts with the marginal ridges should be avoided, as they are the most susceptible to cantilever forces and should be recontoured to occlude with the central fossa.

When there is an occlusal disparity, the dentist can utilize articulating papers or ribbons to check the occlusion. While these devices leave a contact mark, they are not effective because they are too thick and don’t give enough information to detect an occlusal disparity. Further, the thicknesses of dental marking ribbons vary from 20 microns to 200 microns.

Maintenance

Among other things, the maintenance phase of dental implants entails various parameters and risk factors. During this phase, patients should be informed of the procedures and associated risks. This is because a maintenance procedure involves the continued replacement of a dental implant with a new one. Informed consent is the key to a successful maintenance process. Here are some of the most critical aspects of the maintenance phase. Read on to learn more about the important aspects of this phase of dental implants.

A typical dental implant maintenance visit should last approximately an hour. The dentist will check for any changes to the patient’s medical and dental history. Instrument selection is also important, to avoid trauma to the implant surface or peri-implant tissues. Although an increasing number of patients opt for dental implants, they should understand the challenges of their treatment and follow their recommendations for routine dental care. Listed below are some tips for maintaining dental implants:

Complications

There are a number of complications associated with dental implants. While these complications are relatively rare, they can still occur. Listed below are some of the most common ones. These complications can occur for several reasons, including bone loss, smoking, gum disease, or poor oral hygiene. If you experience any of these symptoms after implant dentistry, contact your dentist as soon as possible. If you’re unsure whether implant surgery is right for you, read on to learn about the potential complications and how to prevent them.

Biomechanical stress is the leading cause of implant failure. This stress causes the implant to fail early or fracture, abutment or prosthetic screw to loosen, and implant crestal bone to collapse. Additionally, implants can become loose and cause overdentures to fall out. These complications are avoidable through a systematic engineering approach, including the identification of underlying causes. In general, implant placement is a successful procedure in 95% of cases.

Still muscles at 70 like at 30? Doctor will explain how to do itStill muscles at 70 like at 30? Doctor will explain how to do it

April 15, 2020| Barbara W. Andrade| 0 Comment| 7:26 am

Older people often do not do sports. However, this is exactly the wrong way to protect the joints. Because especially after a certain age, the muscles break down rapidly. That can be dangerous. But with simple training you can maintain your strength well into old age.

If you rest, you rust. There is a lot of truth in this banal wisdom – especially when it comes to muscles and joints. Those who are young have often integrated sport into everyday life as a matter of course. But with age, people often give up. That is fatal.

Because it is precisely at the age of three that there is a significant drop in performance, explains Karl-Dieter Heller, chief physician at the Orthopedic Clinic Duchess Elisabeth Hospital. The muscles begin to break down. Right here it is called to hold against.

The orthopedic surgeon is certain: “With good training, even as a 70-year-old, I can still have the muscles of a moderately trained 30-year-old. Because the healthy old person reacts to stimuli just like the healthy young person. “

If you don’t do anything, you lose your muscles. But: It can also be trained back quickly.

Muscles break down rapidly

From the age of 55 the muscles break down faster than before, from the age of 70 very quickly. “That means that by the age of 70, around 40 percent of muscle mass is lost if you do nothing,” explains Heller. Consequently, people lose strength, endurance and speed. A lack of mobility, coordination and balance increases the risk of falling.

That’s how much sport people should do in old age

An optimal exercise program in old age would be a combination of 60 percent endurance training , 30 percent training in flexibility and agility and 10 percent strength and endurance training (a combination of strength and endurance that trains the various muscle groups with little weight and a lot of repetitions.

“The prerequisite for intensive sporting activity is of course that it is safe for the doctor to stress the circulatory system,” adds the joint expert. The pulse should not exceed certain limits. This is especially true for the untrained.

Endurance training has the greatest health effect : 45 minutes three times a week. As a result, everyone slowly but continuously builds up muscles. If you want to supplement this with strength training, make sure that you do not fall into pressure breathing.

For muscle building Heller recommends an exercise program. Flexibility training is important to keep the joints flexible. For example, do swing, twist, or pendulum exercises three times a day for 15 minutes. The coordination can be trained through games, dancing or similar sports.

Nobody is too old to train

The skeletal muscles can be trained at any age, so that specific exercises can stop and reverse the loss of muscles. Heller knows experiments that have shown: Even those older than 90 can build up muscles again – even if they no longer achieve the status of a 50-year-old.

“It is essential that the elderly remain active,” emphasizes the orthopedic surgeon. Regular exercise is no longer essential, but everyone should exercise.

At least avoid these inactivity traps, like

Escalators,
Elevators and
Treadmills.

Instead:

Better to go shopping on foot.
Use your bike instead of driving your car.
Practice demanding hobbies: hiking, swimming, dancing and gardening.

“That is what every old person can do excellently and he should do without technical aids,” explains Heller. If at all possible, the lawn mower should be pushed and it does not have to be a ride-on mower.

Strengthen muscles and joints to prevent falls

Sport and exercise in old age not only keep you fit, but also make a decisive contribution to falling prevention. Because older people in particular often fall down. On the one hand, this is due to the fact that your joints are no longer as stable. On the other hand, the muscles lose their strength.

When that all comes together and people also see and hear worse, it becomes dangerous. That means, according to Heller: “For this reason, training and sport are of inestimable value, especially for stopping aging.”

Ultimate Pest Control GuideUltimate Pest Control Guide

October 4, 2025| Barbara W. Andrade| 0 Comment| 5:03 am

When it comes to maintaining a healthy and pest-free environment in your home or workplace, pest control is essential. Pests can not only be a nuisance but also pose health risks and cause damage to property. Therefore, it is important to have a well-executed pest control plan in place to prevent infestations and keep your space safe and clean.

From cockroaches and ants to rodents and termites, there are a variety of pests that can invade your space. Hiring professional pest control services can help you identify and address any pest issues effectively. In this article, we will discuss the importance of pest control, common pests to watch out for, and tips for preventing infestations in your home or workplace.

Why Pest Control is Important

Pest control is crucial for a variety of reasons. Not only can pests carry diseases and contaminate food, but they can also cause structural damage to buildings. Termites, for example, are notorious for chewing through wood, causing thousands of dollars in damage. By implementing a pest control plan, you can protect your property, health, and overall well-being. Hiring professional pest management NSW services ensures that any infestations are promptly identified and effectively dealt with.

Common Pests and Prevention Tips

There are several common pests to watch out for in both residential and commercial spaces. Cockroaches, ants, rodents, and bed bugs are just a few examples of pests that can quickly multiply if left unchecked. To prevent infestations, it is important to keep your space clean and free of food debris. Sealing cracks and crevices, storing food properly, and decluttering can also help reduce the likelihood of pest problems. Regular inspections by professional pest management NSW experts can further ensure that your space remains pest-free.

By being proactive about pest control, you can safeguard your property and health from the damages and risks associated with pest infestations. Implementing preventive measures, such as maintaining cleanliness and promptly addressing any signs of pests, can go a long way in keeping your space free of unwanted visitors. Remember that professional pest control services are always available to assist in identifying and eliminating any pest issues effectively and efficiently. By establishing a solid pest control plan, you can create a safe, healthy, and pest-free environment for yourself and those around you. Stay vigilant, and take action to keep pests at bay.

What really helps against joint painWhat really helps against joint pain

April 24, 2020| Barbara W. Andrade| 0 Comment| 7:42 am

Natural active ingredients such as devil’s claw or NSAID drugs and opioids: These drugs are supposed to relieve joint pain in osteoarthritis. But what helps whom? FOCUS Online explains which treatments work for joint pain caused by osteoarthritis and what side effects they have.

Osteoarthritis results from wear and tear on bones and joint capsules.
Five million Germans suffer from the consequences.
Briefly explained: which osteoarthritis treatment helps whom?

If the joints hurt, it is usually osteoarthritis : it is the most common of all joint diseases. About five million Germans suffer from it. Osteoarthritis occurs when bones, ligaments, tendons and joint capsules wear out.

This is important to differentiate the disease from rheumatoid arthritis. Inflammation is the cause here.

This is important for osteoarthritis treatment

“Arthrosis is a disease that runs in waves,” explains Johannes Flechtenmacher, President of the Professional Association of Orthopedists and Trauma Surgeons. Less painful phases alternate with those that torment those affected.

The aim of the treatment is to relieve the pain on the one hand and to maintain or restore the ability to move on the other.

Osteoarthritis needs combination treatments

Ideally, the doctor combines non-drug treatments such as physiotherapy, nutritional recommendations, and hot or cold applications with medication. These are mainly used in the acute pain phase.

“In the less painful episodes, patients should try to avoid medication,” explains Flechtenmacher. In principle, movement in particular is an important component of therapy. His motto: “Move a lot, load little.”

Five osteoarthritis treatments put to the test:

1. NSAIDs: cortisone-free pain relievers

This is how the drug works: The non-steroidal anti-inflammatory drugs (NSAIDs) are the classic all-rounders in pain relief. They have both anti-inflammatory and analgesic effects, but do not contain cortisone.

Medicines include ibuprofen, diclofenac, or naproxen. They block two important enzymes that play a role in the sensation of pain: Cyclooxygenase (COX) isoenzymes I and II.

The so-called Cox II inhibitors are therefore well suited to treat acute joint pain associated with osteoarthritis.

NSAIDs also have an antipyretic effect.

Side effects: Gastrointestinal complaints and an increased risk of cardiovascular diseases are among the risks of NSAIDs. “That is why it is particularly important to tailor the osteoarthritis treatment to the patient,” explains orthopedist Flechtenmacher.

For example, ibuprofen is not suitable for patients with kidney problems, and diclofenac hits the liver. Both drugs also have a negative effect on the cardiovascular system. Naproxin is therefore better suited for heart disease patients with osteoarthritis.

2. Opioids

This is how the drug works: Opioids are effective remedies that are used against severe joint pain. By attacking the opioid receptors, they prevent pain from developing and being transmitted.

Tramadol is one of the morphine-like drugs. “Morphines are not suitable for treating acute phases of pain in osteoarthritis,” says Flechtenmacher. This is especially true for plasters. Morphine should only be used for chronic treatment if no other therapy is helping the patient.

Side effects: Many sufferers suffer from the exhaustion caused by morphine. Especially in older people, opioids aggravate many age problems. These include, for example, constipation and dizziness. This also increases the risk of frail patients falling.

3. Hyaluronic acid

In addition to drugs that directly combat pain, there are active ingredients that intervene in the mechanism of the disease. A typical representative is hyluronic acid.

This is how the drug works: Doctors inject hyaluronic acid into the joint to treat osteoarthritis. That’s the only way it works. “In contrast, it is pointless in tablet form, as is sometimes offered,” explains Flechtenmacher. Only in the joint does the drug help the knees or fingers move more smoothly.

With regard to evidence-based studies, hyaluronic acid should be viewed critically, adds the doctor. For example, the relief of osteoarthritis on knock knees or bow legs, where it is biomechanically induced, works less well than on straight legs.

Nevertheless, medical professionals have high hopes for hyaluronic acid. They are currently researching the structure of cartilage: “There are actually very promising developments in which hyaluronic acid is combined with stem cells or other molecules,” says Flechtenmacher. Damaged cartilage structures could be rebuilt.

Side effects: As a rule, osteoarthritis patients tolerate hyaluronic acid very well. Since it is injected directly into the joint, there is the usual risk of infection from the method.

4. Natural medicine

This is how the treatment works: Natural active ingredients such as nettle leaves, willow bark or devil’s claw should also relieve pain. The latter contains, among other things, harpagoside. Similar to the non-steroidal anti-inflammatory drugs, they are supposed to inhibit the formation of the pain messenger prostaglandin.

“So far, however, nothing has been identified in evidence-based studies that proves the effectiveness of the natural active ingredients,” explains Flechtenmacher.

Side effects: They are dependent on the natural medicine product. The instruction leaflet of the devil’s claw, for example, warns of possible gastrointestinal complaints such as diarrhea, nausea, flatulence, vomiting as well as dizziness and headaches or rashes.

5. Acupuncture

This is how the treatment works: As with natural active ingredients, evidence of how acupuncture works for osteoarthritis has not yet been provided in scientific studies.

On the contrary. An Australian study looked at the effects of acupuncture. The results published in the “JAMA” magazine showed: Acupuncture with needles or laser has no relevant effect on pain and function in patients over 50 with knee osteoarthritis and moderate or severe chronic pain.

However, acupuncture helps some osteoarthritis sufferers. Johannes Flechtenmacher, for example, relies on the alternative form of treatment

light and irregular pain
when many illnesses in the affected person rule out other drugs.

In addition, there are many patients who benefit from the doctor’s attention and empathy alone.

Side effects: The symptoms can get worse at first, writes the German Pain Society on acupuncture . And adds: “Occasionally there are slight bruises or bruises, and brief circulatory reactions can also occur during acupuncture treatment.”

In any case, those affected should not treat their joint pain independently, but should always have it checked out by a specialist.