implant history and development-口腔种植

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1、HistoryandDevelopmentofDentalimplantPreviousnon-integratingformsofimplantsmayhavebeenanchoredtobonebymeansofasurroundingsheathofpseudoperiodontalligament,butthisfibroussheathwasapoorlydifferentiatedlayerofscartissue.Inmostcases,loadingandgradualwideningofthisledtolooseningoftheimplant

2、andsubsequentimplantfailure.ImplantsImplantsconsistofthreemainparts.ThethreecomponentsincludeImplant,abutmentandsuperstructure.ImplantsMostcontemporarydentalimplantsaremadeofcommerciallypuretitanium,whichhasbeenshowntohaveexcellentbiocompatibility.Titaniumisalightmetal.ImplantsWhenexp

3、osedtoair,asurfaceoxideisrapidlyformed.Thislayerofoxidedeterminesthebiologicalresponse.Commerciallypuretitaniumisalsohighlyresistanttocorrosion.ImplantsOthermetalshavebeenusedforosseointegration,includingzirconium,goldandtitanium-aluminium-vanadiumalloys.Thesealloysmaystrengthentheimp

4、lantbuthavebeenshowntohaverelativelypoorbone-to-implantcontact.ImplantsImplantdesignhasagreatinfluenceonthestabilityandsubsequentfunctionoftheimplantinbone.Themainparametersareimplantshape,implantlength,implantdiameterandsurfacecharacteristics.ImplantsRoot-formimplants,suchasscrewsand

5、cylinders,arethedominatingimplantdesignstodays.Screwimplantsareconsideredtobesuperiortocylindricalonesintermsofinitialstabilityandresistancetocompressionandtensionstressesunderloading.AbutmentAdentalabutmentistypicallyamachinedorcustom-madecomponentthatconnectsthefinalprosthesistothei

6、mplant.Theabutmentmaybemadefromavarietyofmaterials.AbutmentAmachinedabutmentistypicallymanufacturedfromtitanium,goldorceramic.Theadvantagesarethatitissimpletouse,requiresminimalchairsideandlaboratorytimeandhasapredictableprecisionfitandgoodretention.AbutmentAcustomisedabutmentmaybepre

7、pable,custom-madeinthelaboratoryorcomputer-aideddesign-computer-aidedmanufacture(CAD-CAM)designed.Aprepableabutmentisgenerallysuppliedbythemanufactureasablankintitaniumorceramictobemodifiedbytheclinicianatthechairsideorbythedentaltechnicianonthemastermodel.AbutmentCustomisationinthela

8、borat