2.1 Implant surgery

Implant surgery is similar to many other oral surgical procedures. It starts with appropriate preparation for the surgery. Like in other oral sur­gical interventions, working under sterile conditions is mandatory. Im­plant placement normally requires raising a soft tissue flap, preparing the implant beds by drilling the alveolar bone, placement of the im­plants and healing components, fol­lowed by adequate closure of the wound.

Learning objectives

  • Know how to prepare the patient for surgery by providing appropriate antibiotic prophylaxis, premedication, antiseptic mouthwash and adequate local anesthesia at the surgical sites.

  • Be familiar with drilling procedures and their general considerations.

  • Know how to assess bone quality, perform an appropriate incision to raise a full-thickness flap and expose the bone.

  • Be able to place the implants in the correct three-dimensional position.

  • Know what complications can occur intra- and/or post-operatively and how to handle such situations.

  • Know how to inform the patient about post-operative care, medication and oral hygiene measures.

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