BIOLOGIC RESPONSE TO DENTAL IMPLANT OLEH HANANTO SENO INDONESIAN SOCIETY OF IMPLANT DENTISTRY
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BIOLOGIC RESPONSE TO DENTAL IMPLANT
OLEH
HANANTO SENOINDONESIAN SOCIETY OF IMPLANT DENTISTRY
DIFINISI
SUATU REAKSI JARINGAN TUBUH AKIBAT ADANYA METERIAL IMPLAN YANG DITANAMKAN UNTUK MENGGANTIKAN FUNGSI ORGAN TUBUH YANG HILANG
MATERIAL IMPLAN = DENTAL IMPALNT
BIOLOGIC RESPONSE
JARINGAN TUBUH > < DENTAL IMPLANT
HIDUP MATI
RESPONSE ?
HUMAN TISSUE
1. SOFT TISSUE
> SULCUS
> SULCUS EPITHELIUM
> ORAL EPITHELIUM
> JUNCTIONAL EPITHELIUM
> CONNECTIVE TISSUE FIBERS
> SUPRACRESTAL CT
> DIRECT CONTACT TO IMPLANT
SOFT TISSUE RESPONSE
GAMBAR
SOFT TISSUE RESPONSE
GAMBAR
SOFT TISSUE RESPONSE
.
SOFT TISSUE RESPONSE
POST OPS
1. INNER CT ZONE
BLOOD CLOTH
GRANULASI & EPITHELISASI
OUTER CT ZONE
JUNCTIONAL EPITHELIUM
MITOSIS
EPITHEL CELL PERI IMPLANT SULCUS
EPITHEL CELL BAG DALAM
MEMBENTUK BASAL CELL SUPRA BASAL CELL
EPITHELIAL ATTACHMENT & SULCUS EPITHELIUM
2. SUB EPITHELIAL CT
COLLAGEN FIBER BUNDLE SUPRA CRESTAL CT
PERPEDUNCULAR CT F VERTICAL CT F CIRCULAR CT F
HARD TISSUE RESPONSE PEMASANGAN IMPLAN PREPARASI
MICRO GAB NECROSIS BLOOD OSTEOCLAST OSTEOBLAST MACROPHAG REVASCULARISASI FIBRO-CALLUS OSTEOGENESIS BONE FORMATION
• PERMUKAN KASAR & PORUS HA TPS SLA MICROBOND
ANKYLOTIC BONDING PHENOMENON
OSTEOINTEGRATION
LAPISAN LUAR IMPLAN TITANIUM
RESPON JARINGAN 1. HA COLLAGEN FIBRILE 2. TPS/C PROTEOGLICANS LAYER OSTEOBLAST OSTEOCYTE 3. TOL ( TIT. OXYD LAYER ) MINERALYZED BONE TISSUE BIOLOGIC STIMULATION PROCESS 4. SLA OSTEON BONDED DIRECTLY
HARD TISSUE RESPONSE
.OSTEOINTEGRATION
HARD TISSUE RESPONSE
.OSTEOINTEGRATION
SIFAT IMPLAN TITANIUM
REACTIVE METAL NOBLE METAL BIONERT TOUGH & MALLEABLE BIO ACTIVE MATERIAL BIO MATERIAL BIOCOMPATIBLE GLUING BIOMOLECULS &
IMPLANT THERMODINAMIC CORROSION RESISTENT MAX 0,0003 µA/CM2
HEALING AROUND ENDOSTEAL
IMPLANT
CARLES WEISS & ADAM WEISS ( 2001 ) STAGE ONE : VASCULAR SPROUTING
STAGE STAGE TWO: EARLY BONE FORMATION
STAGE STAGE THREE: BONE GROWTH STAGE STAGE FOUR : BONE MATURATION STAGE
Healing Phase Block ( 2000 )1. BLEEDING PHASE2. CLOTHING PHASE3. ORGANIZING PHASE GRANULATION STAGE EPITHELIZATION STAGE4. ANGIOGENESIS / NEURO-VASCULARIZATION PHASE5. NEW BONE FORMATION PHASE BONE GROWTH
STAGE FIBRO-CALLUS PRIMARY BONE CALLUS SCUNDARY BONE CALLUS6. REMODELLING / RECONTRUCTION
INTEGRATION IMPLANT
1. FIBRO INTEGRATION
2. FIBRO-OSTEO INTEGRATION
3. OSTEO INTEGRATION
4. OSSEOUS INTEGRATION
IMMEDIATE LOADING IMPLANT BONE TYPE : 1 OR 2 CLASIFICATIONS BONE JAW : A OR B DIAMETER IMPLAN PANJANG IMPLAN TEKANAN KUNYAH IMPLANT BAD PREPARATION INFRACLUSION DLL.
TEKANAN KUNYAH DITERIMA SECARA MEKANIK PERMUKAAN IMPLAN DENGAN TULANG TREATH ULIR IMPLAN DAN ULIR TULANG BENTUK MENGECIL KEARAH APIKAL IMPLAN UJUNG IMPLAN LANGSUNG DISALURKAN KE TULANG SECARA
VETKAL.
TEKANAN KUNYAH
I. L. IMPLANT
.
I. L. IMPLANT
.
I. L. IMPLANT
.
I. L. IMPLANT
.
SEKIAN DAN TERIMA KASIH
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