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Choice of an implant system
Core tip:In routine cases it may not matter which system is chosen,this is particularly the case with treatment in the anterior mandible.However,in our experience the choice of a system in any particular case depends upon: The aesthetic requirement
In routine cases it may not matter which system is chosen,this is particularly the case with treatment in the anterior mandible.However,in our experience the choice of a system in any particular case depends upon:
The aesthetic requirements
The available bone height,width and quality(including whether the site has been grafted)
Perceived restorative difficulties
Desired surgical protocol
Therefore,we should suggest the following:
In the aesthetic zone,choose an implant where the crown contour can achieve good emergence from the soft tissue with a readily maintainable healthy submucosal margin.
Choose an implant of the appropriate length and width for the existing crestal morphology.Ensure that choice of a reduced width implant does not compromise strength in the particular situation.
If the site will only accommodate a short implant or if the bone quality is poor or grafted,then choose an implant with a roughened surface rather than a machined surface.
If there are likely to be difficulties with prosthodontic construction due to difficult angulation of the implants,choose a system that is versatile enough to cope with these difficulties,i.e. has a good range of solutions/components.
If you wish to use a submerged or non-submerged protocol,then choose a system that has a proven published record with that particular protocol.
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