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Choice of an implant system

    In routine cases it may not matter which system is chosen,this is particularly the case with treatment in the anterior mandible.However,in our experience the choice of a system in any particular case depends upon:

    The aesthetic requirements

    The available bone height,width and quality(including whether the site has been grafted)

    Perceived restorative difficulties

    Desired surgical protocol

    Therefore,we should suggest the following:

    In the aesthetic zone,choose an implant where the crown contour can achieve good emergence from the soft tissue with a readily maintainable healthy submucosal margin.

    Choose an implant of the appropriate length and width for the existing crestal morphology.Ensure that choice of a reduced width implant does not compromise strength in the particular situation.

    If the site will only accommodate a short implant or if the bone quality is poor or grafted,then choose an implant with a roughened surface rather than a machined surface.

    If there are likely to be difficulties with prosthodontic construction due to difficult angulation of the implants,choose a system that is versatile enough to cope with these difficulties,i.e. has a good range of solutions/components.

    If you wish to use a submerged or non-submerged protocol,then choose a system that has a proven published record with that particular protocol.

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