• December 1, 2022

How To Avoid Microbial Infection During Dental Implant Osteotomy?

 How To Avoid Microbial Infection During Dental Implant Osteotomy?

Implant dentistry offers an effective replacement for failing teeth. However, it has its complications, like increased chances of infection. Due to advancements in dentistry, direct contact between the bone and implant is now possible. It enables the surgeons to start placing the respective implant immediately. However, such surfaces are prone to bacteria which can eventually lead to microbial disease.

With the right dental surgery technique and high-quality implant osteotomy drill, dental experts can minimize the chances of microbial infection. We have explained the best practices that can help facilitate an infection-free dental surgery. But, first of all, let’s check out how osteotomy drills can minimize the chances of microbial infection.

How Implant Osteotomy Drills Can Help Avoid Infection?

Using high-quality implant osteotomy drills enables you to achieve high accuracy and precision while creating the cavity for the implant. So, if you use them properly, they can minimize the chances of bone damage. Damaged bones are more prone to infection because bacteria can enter them and eventually grow. 

A good approach is to keep the bone-drill contact time to a minimum. This way, there will be less friction and heat, which helps to avoid bone damage. As a result, there are low chances of the patient having a microbial infection.

#1. Using The Right Implant System

To facilitate contact osteogenesis, implants with a comparatively rough surface are preferred. In addition, the macro design is equally important. If the implant has a progressive thread along with a tapered body, its stability becomes very good.

Furthermore, the implants should come with the right set of abutments. The ones conically connected with the respective implant, are the best. If the abutment and the implant are tightly sealed to each other, it yields better results. Such abutments can be used from multiple angles and complement the sulcus height, facilitating immediate restoration. 

#2. Incorporating Proper Techniques For Surgery

As mentioned above, immediate placement of the implant is the best for the patients. So, the respective implant needs to be placed on the bone as quickly as possible.

For instance, suppose the patient’s central incisor is fractured. Now, the respective dental surgeon needs the help of a software tool to plan the surgery using interactive 3D imaging. 

So, the ideal treatment technique for this scenario will be constructing a transition restoration that possesses a hollow acrylic structure. It can be fitted while placing the implant. Afterward, the osteotomy is performed using the right implant osteotomy drill at a slow speed to reduce bone damage. 

The whole process is carried forward based on bone density and site selection which can be analyzed through a CT scan. Although the density was verified manually before, now we use computed reports for it. 

#3. Assuring A Perfect Fit For The Abutment

While inserting the implant, the right torque must be there. Afterward, it is inserted into the bone up to a certain depth. During this process, using a non-indexed abutment is highly preferred because it prevents abutment-implant leakage by creating a tight seal. 

Moreover, the respective bone should develop above the implant level to ensure its protection. So, implant positioning at a level that is lower than that of the bone is the best option for effective results. 

Besides, the abutment should have a prefabricated sleeve, above which the acrylic transitional restoration needs to be aligned with acrylic that polymerizes automatically. It helps create a seal around the gingival margin so that the blood clot can stay in the socket. 

To facilitate proper healing, there should be a gap of around 3 months after the integration is done. It helps the implant to set properly in the bone, and the damaged sections are recovered completely. Afterward, the restoration process can be effectively performed. 

#4. Performing The Restoration Process Effectively

The first step is connecting the abutment and the prosthesis in a proper way to ensure a tight fit. For that, conically-retained crowns are the best as they prevent leakage with good fitting. Among all the available techniques, this approach is used the most because it is fast and simple compared to others. 

The pick-up impression of the coping (conical-shaped) that rests on the abutment, is required. After that, the plaster model is prepared, which consists of a dowel pin and the resin pattern. It is followed by fabricating the respective restoration. For example, in some cases, the metal crown is fused with porcelain which connects it permanently to the composite cement. 

Conclusion

If you follow the above approaches, you can easily eliminate micro leakages related to screw retention. Plus, the chances of deposition of excess cement are also reduced. All these factors collaboratively offer you protection from microbial infections. In addition, using the right implant osteotomy drills at the right pace, also helps you facilitate infection-free dental surgery. This way, you can ensure good oral health for your patients who have implants.

Robin Williams

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