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Dental Implants (Single Implant Crowns (Clinical Evaluation :check:…

- - - - Amount of attached gingiva
        
        Interpapillary height
        
        Buccal plate
      - Labial/Buccal Deficiencies
        ie Horizontal
    - - Interarch Distance
        (min 2 mm Anterior; min 4 mm Posterior)
        
        Mesiodistal Distance ~ 7mm
        
        Size of contralateral tooth
    - - Prognosis of adjacent teeth (ie pathology risks?!)
        
        Soft tissue contours and levels (will it affect aesthetics?)
        
        Position of adjacent teeth
        
        Wear facets (occlusal pattern)
    - - Plane of occlusion
        
        Occlusal Scheme
        
        Type of restorations (Fixed vs Rem)
        
        Prognosis of a compromised tooth
    - - Anatomical Considerations
        
        Mx = Floor of sinus, Floor of nose
        
        Mdb = Metal foramina, IAN canal, Submand fossa
        
        Teeth = adjacent roots
        
        At least 2mm clearance from neurovasc structures
- - - - Load Bearing Capacity
        
        no. implants
        (consider surgical morbidity and cost)
        
        MUST BE 22mm APART
        (dual implants – ie 11m either side of the midline)
      - Bone Considerations
        
        Quality of bone-implant interface
        (osseointegration)
        
        Bone quality
        
        Nature of the implant surface
        
        Best quality and most quantity - Anterior Mandible
        Least quantity and worst quality- Posterior Maxilla