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Best Practices in Implant Dentistry (eBook)

eBook Download: EPUB
2025
421 Seiten
Wiley (Verlag)
9781394199662 (ISBN)

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Best Practices in Implant Dentistry meets the need for a thorough, accessible guide to the knowledge and skills required to provide dental implant treatment. Aimed at all members of the dental team, from general practitioners to surgeons to nurses, this book begins with regulations, standards, and patients' safety before moving through well-organized sections on clinical aspects, including biomechanics, implant design, human factors, patient assessment, and implant maintenance. The growth of nanotechnology and digital workflows in the field of implant dentistry are also covered.

Best Practices in Implant Dentistry readers will also find:

  • Coverage of all stages of treatment, from assessment to maintenance phases
  • Detailed incorporation of principles from General Dental Council (GDC), Faculty of General Dental Practice (FGDP) good practice guidelines, and the Committee of Postgraduate Dental Deans and Directors (COPDEND) curriculum, International team for implantology (ITI), European association for osseointegration (EAO) and Association for dental implantology (ADI).
  • Promotion of high standards of education, documentation, and delivery of implant treatment
  • Updated guidance on digital implant workflows, nanotechnology, and surface treatment of implants

Best Practices in Implant Dentistry is fully informed by the latest approaches and institutional guidelines. It is a must-have purchase for dental professionals at every level who work with implants, including dentists, dental nurses, and oral surgeons.

The Authors

Simon Wright MBE BDS MSc PGCTLCP FHEA FDTFEd (RCSEd) SMFGDP(UK)A FCGDent is Professor of Dental Implantology at the School of Health and Society, University of Salford, UK Clinical Director of ICE Postgraduate Dental Institute and Hospital, and Principle Partner at Glencairn Practice Group.

Cemal Ucer BDS MSc PhD (OMFS) MFDS RCS (Eng) FCGDent FDTFEd RCS Ed is a Specialist Oral Surgeon, Professor in Dental Implantaology at the School of Health and Society, University of Salford and Clinical Director at ICE Dental Postgraduate Institute and Hospital in the UK.

Rabia Khan BDS MSc Oral Path PhD Medicine PgC Oral Surgery PgC Med Ed PgC OELP PgDip Aes Med FCGDent FICD FPFA FAoME FHEA is Education Director and Research Lead at ICE Postgraduate Dental Institute and Hospital and Professor at the School of Health and Society, University of Salford, UK.


Best Practices in Implant Dentistry meets the need for a thorough, accessible guide to the knowledge and skills required to provide dental implant treatment. Aimed at all members of the dental team, from general practitioners to surgeons to nurses, this book begins with regulations, standards, and patients safety before moving through well-organized sections on clinical aspects, including biomechanics, implant design, human factors, patient assessment, and implant maintenance. The growth of nanotechnology and digital workflows in the field of implant dentistry are also covered. Best Practices in Implant Dentistry readers will also find: Coverage of all stages of treatment, from assessment to maintenance phasesDetailed incorporation of principles from General Dental Council (GDC), Faculty of General Dental Practice (FGDP) good practice guidelines, and the Committee of Postgraduate Dental Deans and Directors (COPDEND) curriculum, International team for implantology (ITI), European association for osseointegration (EAO) and Association for dental implantology (ADI).Promotion of high standards of education, documentation, and delivery of implant treatmentUpdated guidance on digital implant workflows, nanotechnology, and surface treatment of implants Best Practices in Implant Dentistry is fully informed by the latest approaches and institutional guidelines. It is a must-have purchase for dental professionals at every level who work with implants, including dentists, dental nurses, and oral surgeons.

CHAPTER 1
Standards in Implant Dentistry


1.1 INTRODUCTION


Dental implant treatment has become routinely available in the UK for the management of tooth loss to restore dental function and aesthetics [1]. Currently, implant treatment is provided by dentists from different backgrounds and training, ranging from general dental practitioners to specialists in oral and maxillofacial surgery. Apart from guidance by the Faculty of General Dental Practice UK (FGDP(UK)) in Training Standards in Implant Dentistry (2016) [2] that set the standards for training in implant dentistry for dentists who wish to practise dental implant treatment, there are no specific national guidelines in this field. Nevertheless, it should be noted that Training Standards in Implant Dentistry has been adapted by the General Dental Council (GDC) to set the training standards for acquiring clinical competence in this field of dentistry.

Delivery of satisfactory dental implant treatment and its long‐term success and maintenance require complex and invasive surgical and restorative procedures using a variety of highly specialised products, biomaterials and equipment. These interact with the host tissues both biologically and mechanically [3]. Satisfactory delivery of dental implant treatment also requires a well‐trained team of dental professionals, therefore dentists who provide dental implant treatment have a legal and ethical duty to develop and maintain up‐to‐date evidence‐based knowledge and competence in the field. The treatment provided should involve the use of evidence‐based techniques and products, with the exception of a clinical trial consented to explicitly by the patient. The patient is entitled to, and expects, that the members of the dental team have the right skills, and that the products they use are safe and proven [3]. The patient is also entitled to have adequate information and advice on the alternative techniques, products, risks and outcomes, as well as the experience and scope of practise of the clinician proposing to carry it out before autonomously deciding to commence treatment [4].

Dental implant treatment is mainly an elective dental treatment option that requires complex and invasive procedures, followed by a need for meticulous life‐long maintenance. Patients' understanding of the nature and the mechanics of treatment, as well as their expectations regarding a realistic result, can often be lacking Figure 1.1. Thus, as in all elective surgery, dental implant treatment requires a higher standard of patient education and documentation, as well as meticulous attention to detail throughout every stage of treatment, from assessment and planning to delivery of treatment and maintenance phases.

These dynamic standards are intended to be good practice guidelines that could be applied to any clinical practice to promote safety and quality of care, rather than didactic or prescriptive rules that dictate how treatment should be delivered. Training Standards in Implant Dentistry is intended for the whole dental implant team. It covers all stages of treatment from assessment and surgery to maintenance phases. In this context, greater responsibility rests with the most experienced member of the team, particularly within the domains of professionalism, communication, leadership and management [2].

FIGURE 1.1 Diagrammatic representation of dental implants in jaw.

The standard of implant dentistry refers to the expectations and requirements that dental professionals must meet when providing implant treatment to patients. This standard is established to ensure that dental implants are placed safely, effectively and with the best possible outcomes for the patient. The standard of implant dentistry is constantly evolving with new research and developments in implant technology and techniques [5].

The standard of implant dentistry encompasses several areas, including the application of knowledge, skills and competence, professionalism, teamwork, safety and the quality of treatment equipment and products, and the provision of adequate information, communication and consent to patients. Dental professionals must gain adequate training and experience appropriate to each level of complexity of implant treatment offered, and recognise and work within the limits of their competence. They must update their knowledge and skills regularly through structured continuing professional development (CPD) in implant dentistry and take care and prudence in applying their knowledge and skills to deliver the treatment satisfactorily as planned [6].

Dental professionals must also seek and act on feedback from patients, colleagues and their team using specific outcome measures, audit results and treatment outcomes regularly, and use these to improve any shortcomings in their dental implant practice. They must follow best practice guidelines and keep up to date with evidence‐based developments in materials and procedures to ensure safe, predictable and effective treatment outcomes. The techniques, treatment and products used must be safe and predictable, and unproven products or techniques should be avoided unless carrying out clinical trials with explicit patient information and consent.

When providing implant treatment, dental professionals must work closely with patients and other colleagues in formulating patient‐centred, evidence‐based treatment plans to ensure that the desired expectations of the outcome can be achieved effectively for each patient. They must carry out a full risk assessment and consider the anatomical, functional, psychological and financial needs of the patient when formulating a treatment plan for each individual patient. They must also discuss the relative indications, advantages and disadvantages of the alternatives and provide adequate information, communication and consent to patients [7]. This includes informing patients of the expected prognosis of the proposed treatment with specific reference to the possible impact of each patient's individual systemic and local risk factors on the intended outcome, discussing the likely impact of the patient's dental and medical history, systemic condition and vulnerabilities on the prognosis of the proposed treatment, and providing itemised and transparent financial information.

Implant dentistry is a well‐established and rapidly growing field in the United Kingdom, and there are a number of standard practices and guidelines that are followed to ensure the safety and success of implant treatments. Here are some of the key training standards in implant dentistry in the United Kingdom:

  • Qualifications and training: To practise implant dentistry in the United Kingdom, dentists must have completed specific training and qualifications in implantology. The GDC has established standards for implant dentistry training, and dentists must be registered with the GDC to practise in the United Kingdom.
  • Consent and patient selection: Prior to any implant treatment, the dentist must obtain informed consent from the patient. This includes discussing the risks, benefits and alternatives to implant treatment, as well as ensuring that the patient is a suitable candidate for implants.
  • Sterilisation and infection control: Implant treatment requires a sterile environment to minimise the risk of infection. Dental practices must follow strict protocols for sterilising instruments and equipment, as well as maintaining a clean and hygienic environment.
  • Implant placement: The placement of dental implants must be carried out in accordance with established guidelines and protocols. This includes careful planning and assessment of the patient's oral health, as well as the use of appropriate techniques and materials.
  • Follow‐up and maintenance: After implant treatment, patients require ongoing care and maintenance to ensure the longevity of the implant. This may include regular check‐ups, cleaning and adjustments, as well as appropriate hygiene and home‐care instructions [24, 8].

Implant dentistry in the United Kingdom is subject to strict regulations and standards to ensure the safety and success of treatment. Dentists who practise implantology must have the necessary qualifications and training, and must adhere to established guidelines for patient selection, treatment and follow‐up care.

1.2 AIMS FOR STANDARDS IN IMPLANT DENTISTRY


The key aim of Training Standards in Implant Dentistry is to provide good practice guidelines on the knowledge, clinical competence and skills required of dentists who provide dental implant treatment to enhance the national standards of quality and safety of care (Figure 1.2).

Training Standards in Implant Dentistry incorporates general principles from the GDC guidance to dentists, FGDP good practice guidelines as well as Committee of Postgraduate Dental Deans and Directors (COPDEND) curriculum for Dental Foundation Training.

FIGURE 1.2 Educational requirements and constraints.

1.3 KEY FEATURES AND OBJECTIVES OF THE STANDARDS IN IMPLANT DENTISTRY


  1. Application of knowledge, skills and competence:
    • Gain adequate training and experience appropriate to each level of...

Erscheint lt. Verlag 26.2.2025
Sprache englisch
Themenwelt Medizin / Pharmazie Gesundheitsfachberufe
Medizin / Pharmazie Medizinische Fachgebiete
Medizin / Pharmazie Zahnmedizin
Schlagworte complication to implant treatment • digital implant workflow • Imaging • Infection control • maintenance of implant • Pain Control • radiography • restorative treatment • surface treatment of implant • surgical aseptic technique • Surgical management
ISBN-13 9781394199662 / 9781394199662
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