Immediate Placement of Dental Implants: a Safe a Predictable Treatment Option

Micro structure is the microscopic surface topography of an implant. In simple terms, is it smooth or is it rough. The rougher the surface, the better. A roughened surface is directly associated with higher implant survival rates (Figure 1) [2]. Micro structure has a direct effect on the osseointegrative process and therefore most important in the long term stability of an implant after healing. Titanium implants with micro-rough surfaces achieve a faster bone integration, a higher percentage of one implant contact (BIC), and a higher resistance to shear documented with higher removal torque values (RTV) when compared with titanium implants with a polished or machined surface [3]. Nanotechnology has received wide attention in public and scientific media and its scale ranges from 1 to 100 nm. While the microtopography of the implant surface has been proposed to act at the cellular level of osseointegration [4], nanotopography of dental implants is thought to influence cell-implant interactions at the cellular and protein level. The surface of an implant can be roughened in many ways. The most common ways to create a porous titanium surface is to utilize, blasting the surface with resorbable blast media (RBM), blast with aluminum oxide, acid etch, a combination of etching and blasting (SLA) or a host of other methods. Received: 03/06/2016 Accepted: 06/08/2016 Published: 13/08/2016 *For Correspondence