Dentistry focuses on diagnosing, preventing, and treating conditions of the teeth, gums, and oral structures, supporting oral health and overall well-being.

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Dental Implants Diagnosis and Evaluation

Diagnosing for dental implants involves careful planning and advanced technology. At Liv Hospital, we start with a full medical and dental history, then use high-quality digital scans. The main tool is Cone Beam CT (CBCT), which gives a 3D image of the jaw. This helps us measure bone quality and see important structures like nerves and sinuses, making sure implants are placed safely and accurately.

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Digital Planning and Virtual Simulation

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For complex cases like all-on-4 or full-mouth implants, we also look at how your teeth fit together and your facial appearance. Digital scanners create a virtual model of your mouth, which we combine with 3D scans to plan surgery on a computer. This lets us choose the best implant size and position before the actual procedure, which is especially important for same-day implants.

 

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Metabolic and Systemic Profiling

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We also check your overall health, since it affects how well implants heal. Conditions like uncontrolled diabetes or immune problems can slow healing. Blood tests may be done to check bone health and Vitamin D levels. Sometimes, genetic tests are used to see if you are more likely to have inflammation around implants.

Bone Density and Implant Selection

Choosing the right implant depends on your bone density. Softer bone may need implants with special threads to hold better, while very dense bone requires careful drilling to avoid damage. Every implant procedure is customized to fit your unique needs.

Diagnostic biomarkers and metabolic panels

  • Serum 25-hydroxyvitamin D levels are measured to ensure adequate substrate for bone metabolism and mineralization.
  • Glycated hemoglobin (HbA1c) is tested to evaluate long-term glycemic control and predict wound healing capacity.
  • C-reactive protein (CRP) serves as a sensitive marker of systemic inflammation and potential cardiovascular risk.
  • Parathyroid hormone (PTH) levels are assessed to verify calcium homeostasis and bone turnover.
  • Coagulation profiles, including PT/INR, are essential for ensuring surgical safety and hemostasis.
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Physiological classification of bone density (Lekholm and Zarb)

  • Type I bone consists of homogeneous compact bone, offering high primary stability but a risk of overheating.
  • Type II bone features a thick cortical layer and a dense trabecular core, making it ideal for implant placement.
  • Type III bone has a thin cortical layer with a dense trabecular core, commonly found in the anterior maxilla.
  • Type IV bone is characterized by a thin cortical layer and a low-density trabecular core, which requires specialized surgical techniques.
  • Assessment of the alveolar ridge width and vertical height is conducted relative to anatomical boundaries.

Advanced imaging and planning technologies

  • Cone Beam Computed Tomography (CBCT) provides 3D volumetric analysis for precise anatomical mapping.
  • Intraoral optical scanning enables digital impression-taking without the distortion associated with traditional materials.
  • Computer-aided design (CAD) is used to fabricate stereolithographic surgical guides.
  • Virtual articulation software analyzes occlusal forces to prevent overload on future implants.
  • Photogrammetry is used to transfer implant positions in full-arch rehabilitation cases precisely.

Systemic contraindications and risk stratification

  • A history of intravenous bisphosphonate therapy presents a risk of medication-related osteonecrosis of the jaw.
  • Immunocompromised states, such as HIV/AIDS or chemotherapy, require careful management of infection risk.
  • Uncontrolled metabolic disorders like Diabetes Mellitus can impair neutrophil function and osseointegration.
  • Heavy smoking causes vasoconstriction and fibroblast inhibition, significantly increasing the failure rate.
  • A history of head and neck radiation therapy compromises the vascularity and cellularity of the bone.

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Assoc. Prof. MD. Elif Dilara Arslan Assoc. Prof. MD. Elif Dilara Arslan Dentistry
Group 346 LIV Hospital

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FREQUENTLY ASKED QUESTIONS

Why is a 3D scan (CBCT) necessary for dental implants?

A standard dental X-ray is 2D and distorts dimensions. A CBCT provides a 3D view of the jaw, allowing the dentist to measure the exact width and height of the bone, locate nerves and sinuses, and check bone density. This is critical for safe and precise implant placement.

It means the implant is placed in the best position to support the future tooth, rather than just in the best bone. We plan the tooth first using software, and then place the implant to match that tooth position, ensuring the final result looks and works naturally.

Yes, but it must be controlled. Uncontrolled diabetes affects healing and increases the risk of infection. We look at your HbA1c levels (a measure of long-term blood sugar). If your levels are within a safe range (usually under 7%), implants are generally safe and successful.

Bone density refers to how hard or soft your jawbone is. Dense bone provides a strong foundation for the implant to grip immediately. Soft bone may require special surgical techniques or longer healing times to ensure the implant becomes stable enough to support a tooth.

Vitamin D is essential for bone health and immune function. It helps your body absorb calcium to build new bone around the implant. Low Vitamin D levels can slow down healing and increase the risk of the implant failing to integrate with the bone.

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