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 DEFINITION
An implant osteointegrado is an artificial element that is placed in the maxillary bone for the purpose of returning the lost teeth and that osteointegra. The osteointegración is defined as the direct, both functional and structural union between the living bone and the surface of an implant submitted to load. SYMPTOMS
The implants osteointegrados are indicated in situations of partial and finished desdentación. Some absolute considered contraindications exist for the implants use like pregnancy, granulocitopenia, corticoterapia concubine, uncontrolled diabetes, hemophilia, osteorradionecrosis, chronic renal insufficiency, etc.
Not all the patients can receive implants osteointegrados.
SKILL
A good case history and an exploration bucofacial and radiological meticulous they are indispensable before initiating the skill of laying of an implant.
Most of the skills has the first surgical phase consisting of the insertion of the implant observing four fundamental principles: - sterility,
- careful milling,
- not contamination, and
- initial stability of the implant.
The second surgical phase realizes once to passed the necessary time (months) so that the osteointegración takes place, and in her one proceeds to the connection of the props transepiteliales. Realized the healing is in this moment in which the implant is prepared to initiate the laying of the prosthesis.
COMPLICATIONS
The complications are infrequent and they split in immediate and mediate (secondary or late). The immediate complications can be: bony breaks, tuberosidad, nasal soil or sinusal or jaw; tears, hemorrhages hurt by soft parts; injuries of the nerves; displacement of the implant, submucous emphysema, break of set of instruments, break of obstructions or prosthesis neighbors, etc. The mediate complications can be: infectious (osteitis, abscesses, osteorradionecrosis, cellulitis, lockjaw, sinusitis, etc); hemorrhagic (of local or general cause); mucositis and periimplantitis; personal details (bacteriemas, septicemias, glomerulonefritis, crisis hiperglucémica or hyperthyroid, descompensaciones cardiac, hepatitis, etc). Sometimes it can be necessary to withdraw an implant.
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DEFINITION 
