There are two types of x-ray imagery commonly used in dentistry. Conventional 2 dimension (2D) and Computerized tomography (3D). Each has their advantages and disadvantages, but with the availability of 3D, and being able to see in 3D dimensions, not only it is much easier to work around dangerous anatomical areas, but surgical guides can be fabricated with high accuracy from this data. The type of 3D machines used in dental offices is of the Cone Beam type (CBCT). These machines have about 30 times less radiation as conventional helical scan 3D (CAT) machines found in hospitals, and are thus much safer. Dimensional distortion is very small as compared to 2D images. 20% or more uneven distortion can occur with 2D, and the distortion varies with film and patient position, as well as the manufacturer brand of machine involved. 3D imagery does not have this limitation. Our office provide complimentary implant consultations with free CBCT scans.
There have been many advances in improving wound healing (implant integration). Natural products from the body include extracting growth factors from the blood or tissues. In implant dentistry. 3 types of growth factor techniques are used to extract growth factors. Platet Rich Plasma (PRP). Platelet Rich Growth Factors (PRGF), and Platelet Rich Fibrin (PRF, CGF). Each of these too, has their advantages and disadvantages. For those who do not like the idea of having blood drawn, there are 2 synthetic growth factor products available in the US that can also improve wound healing. GEM-21 (PDGF) and Infuse (BMP-2). We use all of these techniques, and more.
Especially with the availability of 3D imagery, minimal surgical techniques are becoming more popular. Only a small hole is needed in the tissues for implant placement. Healing is more rapid, and there is very little or no pain afterwards. Although it is not possible to use these techniques with every patient, this is our preference.
Dental implant design and manufacturer
This is a complicated subject that most don't understand. In summary, because there is no "best" implant for all situations, it is important to use an implant that has a scientific documented high success rate (not just an advertising claim), be from a reputable company that likely will still be here many years from now for spare parts if needed, and the use of a particular design optimized for each particular patient. This is better than trying to use one kind of implant for everyone. Some systems we use are from Nobel Biocare, Astra, Zimmer, Hiossen, Neoss, Alpha Bio, and Ritter.