Treatment Planning for Implant Dentistry

The capacity to substitute missing teeth with dental implants has been estimated at a considerable degree of predictability with long-term accomplishment rates of more than 95% approximately.

The purpose of this article is to provide the general dentist with an overview of the steps that should be undertaken when planning a fixed implant restoration.

An Introductory Overview: Implant Dentistry

The fundamental objective of implant dentistry is to restore Edentulous or Partially Edentulous patients with Fixed Dental Prostheses that are both functional and aesthetic while achieving treatment success and patient satisfaction.

The placement of dental implants is a challenging procedure, and it is critical that the clinician be well versed in the various aspects of implant dentistry.

Hence the respective article will provide a comprehensive review of the evaluation and treatment planning for implant dentistry. It will enable participants to diagnose and treat patients with advanced Periodontal Disease and/or Congenitally Missing Teeth.

implant dentistry

The use of dental implants as a treatment modality, particularly for the replacement of missing teeth, has become increasingly popular in both general dental practice and specialist referral centers.

The main advantages of dental implants over the more traditional treatment options such as Fixed Partial Dentures, Complete Denture Prostheses, and Removable Partial Dentures can be found well documented. If you are looking for best implant dentistry in Plano, TX then book your appointment for implant dentistry at Plano Top Dental.

Before proceeding to the focal area of implant dentistry, let us discuss the fundamental objectives:

  • Firstly, a thorough understanding of the basic science behind implant technologyis obligatory.
  • Secondly, a complete patient assessmentis mandatory.
  • Thirdly, an end-to-end knowledge of relevant surgical techniques and prosthetic options is required.
  • Fourthly, affinity with an accurate diagnosis.
  • Fifthly, careful planning for thetreatment.
  • And finally, intensive aftercare.


Prerequisite for Treatment Planning Implant Dentistry: Periodontal Prognostication of Compromised Teeth

The decision between Extraction and Retention with an attempt at Periodontal Repair should be based on the patient’s overall health status, the extent and location of bone loss, the presence or absence of furcation involvement, the amount of functional occlusal support from other teeth, and the overall oral hygiene status.

In general, teeth that have Good Functional Occlusal Support from other teeth in the arch have a better Prognosis than those lost to extractions. The majority of patients who seek Periodontal Treatment have already lost teeth due to Gingival Disease. When possible, retained teeth should be treated with regenerative techniques in order to maintain their integrity for as long as possible.

Good Functional Occlusal Support


In this era of on-demand implant dentistry, there are plenty of chances to undervalue the long-term Prognosis of a tooth with a Compromised Periodontium, be it untreated as well as treated.

The question then arises as to whether the respective tooth should be extracted as well as replaced with an implant or if it should be maintained. Many authors have undertaken a systematic review of the published literature on the respective topic.

Fundamentally, teeth with interproximal bone loss > 4 mm have been noted to have reduced survival rates compared with their counterparts with < 4 mm of bone loss. However, when other factors are considered, such as the presence of vertical bone loss and the amount of overlying crown present, it becomes more difficult to predict which teeth will survive and which will not.

On that basis, even when considering implants for single-tooth replacement, it is recommended to ensure the preservation of the natural teeth, if at all possible, by carrying out appropriate Restorative Procedures and Surgical Intervention where indicated.

Precaution: Risk Assessment in Implant Dentistry

Implant Dentistry is a surgical procedure that requires the appropriate attention and care to ensure the best possible outcome. A thorough evaluation of the medical history, general condition, and oral health must be undertaken prior to the surgery. The doctor and patient should discuss the potential risks and compare them to those of traditional treatment options.

A dental implant is generally considered an extremely safe procedure. However, as with all surgeries, there are some potential risks such as infection, excessive bleeding, or nerve damage. The most common risk associated with dental implants is the failure of Osseointegration, which occurs when the implant is not able to fuse with the jawbone sufficiently. If this occurs, it will often necessitate the removal of the implant.


Further surgery may then be required to facilitate repair of the jawbone before another attempt can be made at placing an implant in this area. Other possible risks include nerve damage that could lead to pain or numbness in the lips or chin, sinus perforation, or fracture of adjacent teeth.

The risks of complications can be reduced through careful planning and meticulous surgical technique. Consequently, risk assessment for the patient of implant dentistry should be a key part of the individual treatment plan.

Several risk factors for dental implant failure have been identified. These include periodontal disease, bruxism, smoking, alcohol consumption, poor oral hygiene, and poor general health.

A recent systematic review noted that Peri-Implantitis rates varied from 0% in implants placed in healthy sites to more than 40% in implants placed in diseased sites.

Moreover, patient habits may also play a role in the dental implant failure rate. Smoking has been found to increase the risk of failure by 5 times compared with non-smokers. The same study also showed that heavy alcohol consumption was associated with an increased risk of implant loss.

Diabetes mellitus is also a well-known systemic disease associated with adverse oral health outcomes, including tooth decay, tooth loss, and Periodontal Disease. Previous studies have shown that inadequately controlled diabetes leads is significantly higher risks of implant failure.


Fundamentally, there are numerous factors such as patient, clinician, prosthesis, and implant that can influence the outcome of an implant-supported restoration. Hence, a comprehensive treatment planning approach must be applied to every individual case. Consequently, the successful delivery of implant treatment requires detailed knowledge of Surgical, Prosthodontics, and Restorative aspects of implant dentistry.

Whether you are looking for implant dentistry or Root Canal Treatment for Saving Infected Teeth, Visit Plano Top Dental.

Give Us a Call!

Are you looking for Dentist in Plano, TX? Call Plano Top Dental for a free consultation by calling (214) 241-4017. We’re located at 8000 Coit Rd #200, Plano, TX 75025. Read our dental care blogs to get more information.