Why is asepsis so important in dental implantology?

The main task of every good dentist is to have an opportunity to assist more of those in need.  In practice, this means that top-ranked specialists in the modern high-tech equipped office should pay much attention   to aseptic and antiseptic of the equipment, materials and department. Why is it so important?  The fact is that the flow of patients is a continuous exchange of microflora between a doctor and a patient, between a patient and indoor air, surfaces and tools. Such exchange promotes the transfer of infectious organisms and breach of sterility, but it is not acceptable in surgical treatment and it must be regulated with certain mandatory actions.

Thus, asepsis (gr. the negative prefix a- + septikos, causing suppuration) is a very important aspect in the work of the implant surgeon because it is an action for creating sterile conditions during the implant surgery when germs entry is not acceptable. Asepsis in the dental office with dental implantation includes:

a) sterilization (processing for eliminating germs) tools, materials, devices;

b) surgical handscrub with special bleach solutions;

c) awareness and application of special rules and practices for performing operations, researches and examinations;

d) realization of all necessary sanitary-hygienic and organizational activities in the office and clinic.

Why is traditionalism preserved in all the modern approaches to materials and process supply in dental implantology according to aseptic and antiseptic measures? Solutions, products for disinfection and sterilization equipment are constantly changing, but the approach is the same – to achieve sterile purity in any way. Because time-tested information about complications due to microbial influence, has not changed.  Ignoring these proven life truths, leads to the fact that when investing enormous efforts and resources, skill and trust, use and knowledge of complex, but inattention to the little can affect the predictability of the result.

Well, now it will be much easier to understand and accept the strict attitude of doctors to patients and staff on this point in question. Very often such facts cause confusion and irritation when visiting the doctor’s office is not allowed without shoe covers and disposable medical clothing, when the presence of attendants is limited, the implantation is not  permitted until all associated diseases of the oral cavity are treated; the patient is also insisted not simply on learning all the steps, but accepting the necessary instructions concerning the proper care and rehabilitation of the operated area after dental  implantation. After all genius is simplicity! And if the manufacturing country is responsible for the quality of materials and perfect design of the implant, the physician and the patient are responsible to avoid the effects of such factors as microbial contamination and the lack of attention to hygiene and cleanliness. Only with a help of close cooperation of all parts dental implantology has been able to achieve a good level of survival rate and osseointegration of implants, it means that many patients will gain the ability to restore health and beauty