The dental implant therapy has a phenomenal rise and has occupied the summit in today's dentistry. The scientific societies and researchers are in constant effort toward improvement, excellence, and simplification of implant therapy. Today, the practitioners are enthusiastic to imbibe the simplified implant procedures and techniques and would like to carry out the same in their private practice. Implant design, bone biology, primary stability, osseointegration, prosthetic options etc., are the several issues taken into account for successful implant therapy. The factors which influence integration are design of implant, material composition of implant, variance in the bone quality (soft or hard), and type of surgical procedure employed (simple or complex). The primary stability is the initial engagement between the bone and implant and one has to ensure that it should be strong and paramount. Implantologists completely monitor the primary stability by synchronizing the above factors. The primary stability is unique and having singular expression is considered as the "password of Implant Integration Account." If the primary stability is good, implant can be loaded quickly and to the maximum.

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Temporary anchorage devices popularly called mini-implants or mini-screws are the latest addition to an orthodontist's armamentarium. The following case report describes the treatment of a 16-year-old girl with a pleasant profile, moderate crowding and Class II molar relationship. Maxillary molar distalization was planned and mini-implants were used to preserve the anterior anchorage. After 13 months of treatment Class I molar and canine relation was achieved bilaterally and there was no anterior proclination. Thus mini-implants provide a viable option to the clinician to carry out difficult tooth movements without any side effects.

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Tooth extraction socket typically undergoes remodeling and resorption; the resulting ridge deformation may cause severe functional and esthetic problems. Several techniques are available to augment the ridge/socket following extraction by means of soft and hard tissue regenerative procedures with the goal of establishing functional and esthetically pleasing implant restoration sites. However, most of these procedures are technically demanding and thus predicting a positive outcome becomes difficult in the hands of most clinicians. Strategic extraction reduces the need for restoring such challenging ridge defects by providing an alternative in the form of a simple, minimally invasive socket-preservation procedure immediately following atraumatic tooth extraction. This article reviews the rational of ridge preservation following atraumatic tooth extraction in order to minimize bone loss and the different treatment modalities for that purpose.

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Implants are the treatment of choice at present and placing implants in growing children stands to be one of the most controversial topics. A detailed search was carried out from literature available in English language from 1969 to 2012, which included review articles as well as case reports. The search was carried out in National Library of Medicine's Pubmed database, Google search, and Science Direct, as well as a manual search of hard copies of the available journals using implants in adolescents, implants in growing children, mini implants, and prosthodontic treatment in ectodermal dysplasia as the key words.

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Background: Immediate single-tooth implant has become an increasingly common and successful treatment. Single-tooth rehabilitation patients can be predictably treated with a favorable esthetic outcome using immediate provisionalization. Use of removable prosthesis soon after the extraction of anterior tooth has been replaced by single-tooth implants with immediate provisionalization. The goal of this study is to evaluate the long-term survival rate of single-tooth implants in fresh extracted sites at the maxillary and mandibular anterior region, followed by immediate provisionalization. Materials and Methods: A total of 42 implants were placed in 29 patients. Immediate provisionalization restorations were placed. Occlusal contacts were avoided. Follow-up started from the day of implantation, and ranged from 24 to 48 months, with an average of 36 months. Results: Two implants failed 1 month after placement due to bone loss and overloading, leading to peri-implantitis. Overall survival rate was 95%. The mean marginal bone loss was 1.5±2 mm. Conclusion: The greatest benefit from this procedure is patient's satisfaction. Immediate provisionalization of single-tooth implants at fresh extracted sites is effective, when minimal provisionalization criteria are met.

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Aim: The aim of the study reports on the influence of diabetes on surgically placed dental implants. Materials and Methods: This study reports on the results of placing implants in 34 patients with diabetes who were treated with 127 swiss plus zimmer implants. Results: Upon uncovering, 114 of the 127 implants were found to have osseointegrated, a success rate of 94.3 percent. Of the thirteen failed implants, four occurred in each of two patients (both non-smokers), two occurred in one patient (also a non-smoker), and one occurred in each of three patients. Of the latter, one was a smoker. Conclusion: The results of this retrospective study indicate that a high success rate is achievable when dental implants are placed in diabetic patients whose disease are under control.

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Dentigerous cysts are benign odontogenic cysts that arise from the dental follicle of an unerupted or developing tooth. They are the second most common odontogenic cysts after radicular cysts and account for approximately 24% of the jaw cysts. Patient may give the history of slowly enlarging swelling. A female patient aged 54 years came to our unit with a diffuse swelling on the left side of her face which was found to be dentigerous cyst on clinical, radiological and histopathological examination. The patient underwent enucleation with extraction of affected teeth leading to partial edentulous state without any pathological fracture of the mandible. Post-operatively after 8 months, adequate bone filling was noted. Implant-supported rehabilitation was done. The present case emphasizes the maintenance of the new bone formation without using any graft materials for the placement of dental implants and also the implant-supported rehabilitation has proven good results in benign pathological lesions.

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Continued bone loss in edentulous patients causes a great challenge in prosthetic rehabilitation by conventional denture. Retention and stability are greatly compromised in conventional dentures especially if mandibular ridge is greatly resorbed. Implant-supported overdentures are solutions to these problems. Implant-supported overdentures are stable, retentive, and are better adjusted than conventional dentures. This article presents a case report on attachment retained implant-supported overdenture.

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In the past decade, implants seem to be the mainstay of dentistry. The advent of periodontal tissue engineering has revolutionized not only periodontology but also implant dentistry at large. This brief report highlights on how the tissue engineered periodontal ligament on implants is going to change the traditional way of implant treatment.

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Radiographical images have always been an important part of implant diagnosis and treatment planning. Multi-planer imaging is a fairly new concept in diagnostic imaging. A number of modalities such as Dentascan, MRI, CBCT, SIMPlant, etc., are now available. This makes the diagnostic process more interactive and increases the diagnostic potential. This article reviews the various imaging modalities available for pre-operative implant site assessment, measurement of bone density in the future drilling site, use of a radio-opaque surgical guide and the simulation of implant placement using computerized application of CT.

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Context: Implant geometry is reported to be one of the several factors that influence bone loss. Aims: This study aimed to evaluate the effect of the length of mini-implants on radiographic bone loss measured mesially and distally. Materials and Methods: Twelve patients (four male and eight female), with a mean age of 21.6 years (range, 16-38), were included in this study. All selected patients had bilateral congenital missing maxillary lateral incisors. Each patient received two implants (Narrow ridge, MS, Osstem, Korea), which were fitted in limited interdental space cases and immediately loaded. The implants were divided randomly into two groups. Twelve 10-mm-long implants and twelve 13-mm-long implants were inserted. Bone loss measurements were obtained from the images of successive traditional radiographs, which were previously scanned and digitized, analyzed at 800% magnification. Statistical analysis was performed to assess the mean marginal bone loss at 12 months as well as to explore the potential effect of implant length on bone loss. Statistical Analysis Used: Chi-square analysis was used to compare the means. Results: The mean crestal bone loss in the group that received 10-mm implants was 1.36 (0.45) mm mesially and 1.55 (0.32) mm distally, while in the 13-mm group it was 0.71 (0.27) mm and 0.61 (0.35) mm, respectively; this demonstrated a significantly lower bone loss at 12 months on the mesial as well as distal side in the latter group. Conclusions: Within the limitations of the present study, we identified a negative correlation between mini-implant length and bone loss.

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Osseointegration is the basis of successful endosseous implantology. The process itself is complex, and many factors influence the formation and maintenance of bone at the implant surface. Studies have shown that implant-tissue interface can be influenced by different methods of surface treatment that affect the biologic response to the implant. Methods of surface treatment include alteration of the microstructure and physicochemical parameters of the implant surface.

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Meticulous assessment of gingival and periodontal status around a future implant site is must for optimizing healthy esthetic gingival appearance and to establish a functionally successful implant-supported restoration. A successful osseointegrated implant requires a direct bone-to-implant interface to provide long-term support for a prosthesis. However a cause-effect relationship between bacterial plaque accumulation and the development of inflammatory changes in the soft tissues surrounding oral implants has been shown and known to exist. Thus maintaining a healthy peri-implant status becomes an integral component for the success of implant-supported restorations.

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