As of today, most dental implants are made from titanium, which is a special metal that has specific qualities that makes it valuable to the process of dental implantation.
Titanium produces a thin coating on its surface that shields it from corrosion. It is resistant to acids, salt solutions, and oxygen, among other things. Additionally, titanium is almost completely nonmagnetic and is incredibly strong for its weight.
Even more so, the body does not reject or recognize titanium implants as foreign objects. When implants are inserted in bone, the bone grows around the implant in a process called osseointegration.
Titanium implants come with an assortment of surfaces, including acid etched, plasma sprayed, acid etched and grit blasted, and hydroxyapatite coated. Hydroxyapatite is a part of what bone is made from. Therefore, it naturally bonds with bone in a process called biointegration.
There are numerous forms of dental implants, but the most popular are root-form dental implants.
Root-form implants are called endosseous or endosteal implants, meaning they are inserted in the bone. They look like screws, thick nails or cones, and come in various widths and lengths. For root-form implants to be effective, the bone has to be deep enough and wide enough to provide a stable foundation.
Your dentist determines which kind of implant to use based on the quality of the bone in your jaw and the type of crown, bridge, or denture that will be put on the implant.
Root-form implants can be placed in a two-stage process, the conventional manner of insertion, or in a single-stage procedure. In the two-stage procedure, the implant is "buried" under the gum tissue for a period of three to four months and is then exposed during a second surgical procedure. In a single-stage procedure, the implant is placed in the bone and remains exposed in the mouth.
TRATE AG, a leading Swiss implant manufacture, in collaboration with Open Dental Community based on the ECRS principle (E: Eliminate C: Combine R: Rearrange. S: Simplify) have developed a new system which consist of the different types of implants for different clinical cases.
The new ROOTT dental implant system is composed of three different kinds of implants: Rootform, Compressive, and Basal, which are all particularly developed for the different bone level, loading protocols, and clinical situations.
Rootform: is a two-component ROOTFORM screw implant with active thread. Appropriate for single and multiple restorations with instant and delayed loading in the upper and lower jaws in all types of bone tissue. Implant can be inserted by flap or flapless approach. Implant placement is also achievable immediately after tooth extraction, as long as adequate bone tissue is available vertically and horizontally. | ||
Compressive: a single-component implant with a compression thread. It is used for various unit restorations with instant loading in the upper and lower jaws with sufficient bone tissue. It can be used in accordance with basal implants and allows flap and flapless placement. Abutment direction can be adjusted using a special instrument up to 15° in relation to the implant axis. Can be used with caution to create single restorations in situations where high primary stability is attained on placement. | ||
Basal: used to create multiple unit restorations in the upper and lower jaws. They can be inserted in extraction sockets and also in healed bone. The structural qaulities allow placement in bone that is lacking in height and width. They can be placed with flap or flapless method. A reasonable amount of understanding of the maxillofacial anatomy is recommended so that bi-cortical engagement is achieved. Can be used to circumvent the mandibular nerve, and for engagement of the cortical bone at the fusion of the pterygoid with the maxilla. Can be used in conjunction with compressive implants. Using a particular instrument abutment direction can be adjusted up to 15° in relation to the implant axis. |
The one real downfall of the ROOTT system is that it calls for deep knowledge and experience in implantology; therefore the system could be quite difficult for beginners. In addition, companies are legally barred from selling to dentists without a qualifying certificate for ROOTT implantation as standard care and procedure that ensures that users would follow and abide by the international rules established by Open Dental Community and basically have not more than one certified clinic per region.
The ROOTT dental implant system is now available for purchase on the European dental market.