2.1 Implant surgery

Implant surgery starts with appropriate preparation for the surgery. Like other oral surgical interventions, working under sterile conditions is mandatory. Implant placement normally requires raising a soft tissue flap, pre­paring the implant bed by drilling the alveolar bone, placement of the implant and healing component, followed by adequate closure of the wound.

Learning objectives

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

Be familiar with drilling procedures and its 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 implant in the correct three-dimensional position.

Know what to inform the patient about post-operative aftercare, medication and oral hygiene measures.

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

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