Minimising the risk

Implants are now a common and predictable method for replacing natural teeth, and we are able to quote high success rates in both the maxilla and the mandible. When we refer to success, we are describing an implant that is in optimum health, aesthetic, and is restored with a restoration that is maintainable.

Our treatment planning protocols are now centred on recognising and minimising the potential risk factors that may affect the long-term success. The importance of these is heightened in an aesthetic case. The most significant risks or factors are:

 Host Susceptibility: history of periodontal disease, history of peri-implant disease, uncontrolled diabetes and genetic disorders.

The literature is clear that optimum periodontal health, adequate oral hygiene, smoking cessation advice and well controlled system conditions are a pre-requisite prior to implant treatment. However, is it also clear that our implant and prosthetic design is important for long-term success. The following case study highlights a number of simple ways to minimise risk factors and ensure aesthetic results.