Enrico Agliardi Stefano Panigatti Matteo Clericò Cristina Villa Paulo Malò
|
|
- Jerome Byrd
- 5 years ago
- Views:
Transcription
1 Enrico Agliardi Stefano Panigatti Matteo Clericò Cristina Villa Paulo Malò Immediate rehabilitation of the edentulous jaws with full fixed prostheses supported by four : interim results of a single cohort prospective study Authors affiliations: Enrico Agliardi, Private Practice, Bollate, Milano, Italy Stefano Panigatti, Private practice, Milano, Italy Matteo Clericò, Private practice, Arese (MI), Italy Cristina Villa, Private practice, Monza, Italy Paulo Malò, MaloClinic, Lisbon, Portugal Correspondence to: Enrico Agliardi viaroma Bollate Milano, Italy eagliardi@studioagliardi.it Key words: dental, edentulous mandible, edentulous maxilla, immediate loading, tilted Abstract Objectives: The purpose of this study was to prospectively evaluate the clinical and radiographic outcomes of immediately loaded full-arch fixed prostheses supported by a combination of axially and non-axially positioned in a large cohort of patients with completely edentulous jaws, up to 5 years of function. Materials and methods: One hundred and seventy-three edentulous patients (80 males and 93 females) were enrolled according to specific selection criteria. Each patient received a full-arch fixed prosthesis supported by two distal tilted and two anterior axially placed. The provisional functional acrylic prosthesis was delivered the same day as surgery in all cases. All cases were finalized 4 6 months later. The patients were scheduled for follow-up at 6 and 12 months of function, and annually up to 5 years. At each follow-up plaque and bleeding score was assessed and radiographic evaluation of marginal bone level was performed. Results: The overall follow-up range was 4 59 months. A total of 154 immediately loaded prostheses (61 in the maxilla and 93 in the mandible) were in function for at least 1 year and were considered for the analysis. Four axially placed failed in the maxilla and one tilted implant in the mandible, all within 6 months of loading. No further implant failure occurred to date. Implant survival at 1 year was 98.36% and 99.73% for the maxilla and the mandible, respectively. Marginal bone loss at 1 year averaged mm in the maxilla (204 ) and mm in the mandible (292 ). No difference was found in marginal bone loss between axial and tilted. Plaque and bleeding scores progressively improved from 6 to 12 months. Fracture of the acrylic prosthesis occurred in 14% of total cases. Conclusions: The present preliminary results from a relatively large sample size suggest that the present technique can be considered a viable treatment option for the immediate rehabilitation of both mandible and maxilla. Date: Accepted 5 September 2009 To cite this article: Agliardi E, Panigatti S, Clericò M, Villa C, Malò P. Immediate rehabilitation of the edentulous jaws with full fixed prostheses supported by four : interim results of a single cohort prospective study. Clin. Oral Impl. Res. xx, 2010; doi: /j x In the recent years, the immediate loading procedure for the rehabilitation of edentulous jaws using osseointegrated has gained popularity among clinicians. This was due to both the excellent success rates for several types of immediately loaded prosthetic reconstructions, and the technical advantages and simplification introduced by such procedure as widely reported in previous reviews (Attard & Zarb 2005; Ioannidou & Doufexi 2005; Del Fabbro et al. 2006; Nkenke & Fenner 2006; Avila et al. 2007; Esposito et al. 2007; Jokstad & Carr 2007; Sennerby & Gottlow 2008). However, the rehabilitation of edentulous jaws is often complicated by poor bone c 2010 John Wiley & Sons A/S 1
2 quality, especially in the posterior region, and reduced bone volume due to long-term edentulism. Bone grafting procedures to increase the bone volume available for implant placement may be a viable treatment option but they often imply demanding surgical procedures and can be associated to complications, morbidity and high costs. Therefore their acceptance by patients is often poor. In order to overcome such limitations, different therapeutic alternatives have been proposed, such as long distal cantilever (Shackleton et al. 1994), short (Goené et al. 2005; Renouard & Nisand 2005; Maló et al. 2007) or placed in specific anatomical areas like, for the maxilla, the pterygoid region, the tuber or the zygoma (Bahat 1992; Khayat & Nader 1994; Venturelli 1996; Balshi et al. 1999; Brånemark et al. 2004; Galán Gil et al. 2007; Aparicio et al. 2008; Maló et al. 2008). Any of these procedures requires considerable surgical expertise and has its own advantages, limits, surgical risks and complications involving biological and financial costs. In the last years, several clinical studies have reported that tilting of the may represent another feasible treatment option (Krekmanov 2000; Krekmanov et al. 2000; Aparicio et al. 2001; Fortin et al. 2002; Maló et al. 2003, 2005; Calandriello & Tomatis 2005; Capelli et al. 2007; Agliardi et al. 2008, 2009). Such technique is related to several surgical and prosthetic advantages, like the possibility of placing long with improvement of bone anchorage, the reduction of the need for bone grafting, the avoidance of long cantilevers and the possibility of increasing the distance between anterior and posterior abutments, with improvement of the load distribution. Furthermore, no difference in the marginal bone loss between tilted and axially placed, placed in either jaw has been reported, suggesting that tilting of the causes no detrimental effect on the osseointegration process (Krekmanov 2000; Aparicio et al. 2001; Capelli et al. 2007; Koutouzis & Wennström 2007; Agliardi et al. 2009). A high degree of patient satisfaction was also reported as related to this clinical procedure (Capelli et al. 2007; Testori et al. 2008; Agliardi et al. 2009). The aim of this prospective study was to assess the clinical and radiographic outcome of immediately loaded full-arch fixed prostheses supported by a combination of axially and non-axially placed in a large cohort of patients with edentulous jaws, up to 5 years of function. This article reports preliminary data on survival and peri-implant bone loss. Materials and methods Study protocol This was an open, single cohort prospective study in which patients with severely resorbed mandible or maxilla were consecutively enrolled and treated. The investigation was conducted according to the principles embodied in the Helsinki Declaration of 1975 for biomedical research involving human subjects, as revised in At the preliminary visit all patients were duly informed on the nature of the study and on any possible alternative treatment. Before enrolment a written informed consent was obtained. Selection criteria Patients of any race and gender were included in the study if they were at least 18 years old and in good general health condition, physically and psychologically able to undergo conventional implant surgery and restorative procedures (ASA-1, ASA-2). Further inclusion criteria were: presence of atrophic fully edentulous mandible or maxilla, in need for bone augmentation procedures, or presence of teeth with an unfavourable long-term prognosis; rehabilitation with oral was the elective treatment; patients manifested their preference for a fixed solution but were reluctant to undergo grafting procedures. Exclusion criteria were: presence of active infection or inflammation at the sites Fig. 1. Pre-operative OPG. intended for implantation; presence of systemic diseases (i.e. haematologic disease, uncontrolled diabetes, serious coagulopathies and diseases of the immune system); irradiation to the head or neck region within 12 months before surgery; presence of unresorbed allograft at the implant site; severe bruxism or clenching habits; pregnancy; poor oral hygiene; poor motivation to return for scheduled follow-up visits. Preliminary radiographic screening was performed using panoramic orthopantomographs and computed tomography (CT) scans. A careful clinical examination of the patients was performed assessing jaw size and relations, bone volume and occlusal relations. Figs 1 and 2 show examples of a panoramic radiograph and a CT scan, respectively, for a patient included in the study. The included patients were treated in a dental clinic by a single surgeon (E.A.) with considerable clinical expertise in immediate loading procedures. According to the above criteria from April 2004 to January 2009 a total of 173 patients have been rehabilitated with an immediately loaded implant supported fixed full prosthesis supported by four in the mandible or in the maxilla. A total of 692 was inserted (404 in themandibleand288inthemaxilla). Pharmacological treatment associated with surgical procedure Antibiotic prophylaxis was prescribed 1 h before surgery, consisting of 2 g of amoxicillin and clavulanic acid (Augmentin s, Roche S.p.A., Milan, Italy). Starting 3 days before surgery and then daily for 7 days following surgery, chlorhexidine digluconate 0.2% mouthwash (Curasept s, Curaden HealthCare s.r.l., Saronno, Italy) was prescribed. A sedative presurgery medication with 5 mg i.v. 2 Clin. Oral Impl. Res /j x c 2010 John Wiley & Sons A/S
3 Multi-unit abutments (MUA s, Nobel Biocare AB) were connected to the. On the distal fixtures abutments with an inclination of 301 relative to the fixture axis were placed (n ¼ 202), to allow for an optimal prosthetic screw access, while standard abutments were placed over the mesial fixtures (n ¼ 202). A torque controller (Osseocare s, Nobel Biocare AB) with a torque limit of 50 N cm was used to tight abutment screws at 25 N cm. Fig. 2. Pre-operative CT-Scan. diazepam (Valium s, Roche S.p.A.) was administered. Implant surgery was performed using local anaesthesia with articaine chlorhydrate 4% and epinephrin 1 : 100,000 (Alfacaina N, Weimer Pharma, Rastat, Germany). Corticosteroids (dexamethasone 4 mg, Soldesam s, Laboratorio Farmacologico Milanese S.r.L., Milano, Italy), anti-inflammatory drugs (ketorolac tromethamine 30 mg, Lixidol s, Roche S.p.A.) and anti-acidity drugs (ranitidine, Zantac s 50 mg, Glaxo Wellcome S.p.A., Verona, Italy) were given during the surgery. Surgical procedure for the mandible A crestal incision was made from the first molar region to the contralateral side. The incision started on the lingual side of the crest, and was as smaller as possible in order to preserve vascularization as much as possible and reduce the patient discomfort. A full-thickness buccal flap was raised exposing the vestibulary bony wall. After flap reflection and detection of the mental foramina, the length of the mental nerve loop and the shape of the bone were assessed, using an atraumatic instrument, in order to determine the ideal angulation of the posterior. Soon before placement all compromised teeth were extracted, when present, and sockets were carefully debrided. All patients received four intraforaminal (Brånemark System s MKIV or NobelSpeedyt Groovy s, Nobel Biocare AB, Göteborg, Sweden). At first the two distal tilted fixtures were placed. The drill was inserted crestally in correspondence with the alveolar nerve foramen and tilted by about 301 relative to the occlusal plane. Thereafter, the two mesial fixtures were inserted at the level of the lateral incisors. Bone density was assessed by the clinician during the early phase of drilling and scored according to the Lekholm and Zarb classification (Lekholm & Zarb 1985). The implant site was usually under prepared by avoiding countersink, so as to maximize implant stability. A torque controller (Osseocare s,nobel Biocare AB) with a torque limit of 50 N cm was used during implant placement. A manual wrench was also used in case of incomplete seating of the fixture. Surgical procedure for the maxilla A crestal incision was performed starting from the pterygomaxillary region and a mucoperiosteal buccal flap was raised exposing the vestibular bony wall so as to identify the anterior wall of the maxillary sinus. The most distal were firstly placed, engaging the anterior wall of the maxillary sinus. They were inserted with an angulation of about relative to the occlusal plane. In order to control if the implant site was entirely bordered by bone and to assess the proper axis of the drill, a direction pin was positioned into the implant site before fixture insertion and a radiograph taken. In case of risk of perforation of the sinus membrane, the drilling axis was corrected. The two axial were then inserted in the lateral incisors position. All the implant sites were underprepared avoiding countersinking so as engage as much cortical bone as possible. Multi-unit abutments (MUA s, Nobel Biocare AB) were connected to the. On the distal fixtures, abutments with an inclination of 301 relative to the fixture axis were placed (n ¼ 144), while standard (n ¼ 127) or 171 (n ¼ 20) abutments were placed over the mesial fixtures (n ¼ 202). The same torque controller used for mandible was used to tight abutment screws at 25 N cm. Delivery of the provisional prosthesis After positioning the coping, the soft tissues were sutured with a 5-0 resorbable suture (monocryl or vicryl, Johnson & Johnson Intl., St Stevens, Woluwe, Belgium) and an impression was taken by means of a silicon putty (Elite Implant Impression Material, Zhermack S.p.A., Badia Polesine, Italy) directly on the coping. Healing caps were then positioned over the multi-unit abutments. c 2010 John Wiley & Sons A/S 3 Clin. Oral Impl. Res /j x
4 No later than 3 h of surgery an acrylic provisional prosthesis with 10 teeth was delivered. Again a torque controller was used to tight prosthetic screws at 15 N cm. Centric and lateral contacts were limited to the intercanine zone. An orthopantomograph was made to check implant position and the coupling between prosthetic components (Fig. 3). Post-surgical phase After surgery patients were instructed to avoid brushing and any trauma to the surgical site. Cold food was suggested for the first day and a soft diet for the first week. Pain killers (sodium naproxene, Synflex Forte s, Recordati, Milano, Italy) were prescribed in case of pain. After 4 6 months of function, in the absence of pain and inflammation, the patients underwent the final prosthetic protocol. The final prosthesis was fabricated using the CAD-CAM Procera s System (Nobel Biocare, Stockholm, Sweden) (Fig. 4). Fig. 3. Post-surgical OPG. Fig. 4. Final prosthesis. Variables assessed The following outcome measures were evaluated in this study: (a) Implant survival: Implant functional and stable (the stability of individual was tested using two opposing instruments pressure after unscrewing the prosthesis), no peri-implant radiolucency on radiographs, no suppuration or pain at the implant site, no signs of peri-implantitis, no neuropathies or persistent paraesthesia. Marginal bone level: All radiographs were scanned at 600 dpi with a scanner and the marginal bone level (the most coronal bone-to-implant contact) was assessed on mesial and distal aspects using an image analysis software. The implant neck was the reference for each measurement. Mesial and distal values were averaged so as to have a single value for each implant. Plaque index and bleeding index: Every implant was inspected on four sites. The sites in which plaque or bleeding could be detected were recorded as positive or negative, as described previously (Francetti et al. 2008). Fig. 5. OPG with final prosthesis. (b) (c) (d) Prosthesis success (i.e. prosthesis functional and stable): A prosthesis was considered failed if the function was compromised for any reason. All biological complications such as periimplantitis, periimplant mucositis, bleeding on probing, suppuration, fistulas, abscesses numbness of the lower lip or chin, as well as mechanical or prosthetic complications, like fracture of the implant or of any prosthetic component, were recorded. Follow-up During the first month after surgery the patients were seen once a week for control visits, in which tissue healing and prosthesis function were evaluated. Further visits were scheduled at 6 and 12 months and yearly thereafter up to 5 years. During the first year plaque index and bleeding index were assessed every 6 months. Orthopantomographs and, when possible, periapical radiographs were taken at any scheduled control visit to assess the marginal bone loss and the overall bone level throughout the study. Fig. 5 shows OPT follow-up. At the 1-year control visit stability of the and prosthesis as well as proper occlusion were also checked. Data analysis Cumulative implant survival rate was assessed using the Kaplan Meier statistics 4 Clin. Oral Impl. Res /j x c 2010 John Wiley & Sons A/S
5 (life table analysis). Marginal bone loss around axially placed and tilted was compared using paired Student s t-test. For the analysis of the plaque and bleeding index the Pearson w 2 -test was used. P ¼ 0.05 was considered as the significance level. Results A total of 692 (92 Brånemark System MKIV and 600 Nobel Speedy Groovy, all with TiUnite surface) were placed in 173 patients [80 males and 93 females, mean age at surgery (SD) years, range years]. Forty-eight of the included patients (27.8%) were smokers. Seventy-two maxillary and 101 mandibular prostheses were delivered. All prostheses were supported by four. All could be seated with an insertion torque of at least 30 N cm. All provisional prostheses could be delivered the same day of surgery as planned. Implant distribution according to implant type and implant length is detailed in Tables 1 and 2, respectively. The outcome analysis is based on those 154 patients (89% of total patients treated) that have had their prosthesis in function for at least 1 year at the time of the present clinical report. Ninety-three prostheses (372 ) were immediately loaded in the mandible. The follow-up range was months (mean value m). Patients had different types of opposing dentition: removable prostheses (50 cases), natural teeth (15 cases), natural teeth and fixed prostheses on natural teeth (12 cases), fixed prostheses on natural teeth (three cases), implant-supported bridges (nine cases), Table 1. Implant distribution according to the implant type Maxilla Mandible Total MKIV Speedy groovy Total natural teeth and two implant-supported bridges (four cases). Sixty-one prostheses (244 ) were immediately loaded in the maxilla. The follow-up range was months (mean value m). The opposing dentitions were implant-supported fixed prostheses (25 cases), removable prostheses (22 cases), natural teeth (nine cases) and fixed prostheses on teeth (five cases). No complications occurred during the surgical phase. None of the patients reported any post-surgical biological complication. Four axially placed in the maxilla (in four female patients) and one tilted implant in the mandible (in one male patient) failed within 6 months of function, due to mobility. In all cases implant failure did not compromise prosthesis function. All could be successfully replaced. No late failures have been recorded to date. No relation was found between implant failure and the opposing dentition. The overall cumulative implant survival after 1 year was 99.19% (98.36% and 99.73% for placed in the maxilla and mandible, respectively, as shown in the two life table analyses of Tables 3 and 4 that include only cases with more than 1- year follow-up). The only prosthetic complication in this study was the fracture of the acrylic prosthesis that occurred in 24 cases (15.6%), of which 14 in the mandible (15%) and 10 in the maxilla (16.4%). The average marginal bone loss after 1 year from implant placement was mm in the maxilla (204 in 51 patients) and mm in the mandible (292 in 73 patients). Such difference was not statistically significant. No significant differences in bone loss were found between axially placed and tilted. A progressive decrease in plaque and bleeding scores was observed in the first year. Plaque index averaged 29.1% at 6 months (from 153 patients) and 20.7% at 12 months (from 124 patients); bleeding on probing averaged 7.4% at 6 months and 2.6% at 12 months. The improvement at 12 months was statistically significant for both indexes. Discussion This prospective study aimed at evaluating the clinical and radiographic outcomes of a technique for the immediate rehabilitation of patients with edentulous jaws. The preliminary results indicate that such technique may lead to excellent prognosis, at least in the short term. To our knowledge, this is the largest prospective study on patients treated using a combination of axially placed and tilted in either jaw. The excellent results of the present study are well comparable with previous retrospective (Malò et al. 2003, 2005) and prospective single cohort studies (Capelli et al. 2007; Agliardi et al. 2008, 2009; Testori et al. 2008) that adopted similar techniques. Indeed, in some of these prospective reports (Capelli et al. 2007; Agliardi et al. 2008, 2009; Testori et al. 2008), six instead of four were used for the immediate maxillary rehabilitation. Furthermore, a different implant system was adopted in two of these studies (Capelli et al. 2007; Testori et al. 2008), with a different type and angulation of the implant abutment connection for the tilted, and also a different technique for the fabrication of the final prosthesis. The incidence of fracture of the acrylic prostheses in the present study (15.6% of the total cases) was lower as compared with that reported by Maló et al. (2003) (27%), and similar to that previously reported by Francetti et al. (2008) and Agliardi et al. (2008) (11%). This complication was observed mainly in men with a short face morphotype, usually between 3 and 6 months of function. It could be hypothesized that a possible cause for such trouble was the progressive modification of the diet, from a diet consisting of Table 2. Implant distribution according to the implant length 18 mm 15 mm 13 mm 11.5 mm 10 mm 8.5 mm Total (% maxilla) 18 (6.25) 164 (56.94) 49 (17.01) 40 (13.88) 17 (5.91) (100) (% mandible) (51.98) 101 (25) 53 (13.11) 28 (6.93) 12 (2.98) 404 (100) (% total) 18 (2.6) 374 (54.05) 150 (21.68) 93 (13.44) 45 (6.5) 12 (1.73) 692 (100) c 2010 John Wiley & Sons A/S 5 Clin. Oral Impl. Res /j x
6 Table 3. Life table analysis for placed in the maxilla (months) patients soft food to a one including hard food. Another factor in the genesis of provisional prosthesis fracture could be the progressive wear of the resin due to repeated deglutition and mastication cycles. It was noted that most of the fractures took place next to one of the anterior temporary abutments, which is a weak point of the prosthetic reconstruction. All the fractures had been promptly repaired by the clinician without sending the prostheses back to the laboratory, thereby avoiding further discomfort to the patient. No correlation between these fractures and the type of opposing dentition could be found. For the rehabilitation of the edentulous mandible and maxilla, especially in those Failed Cumulative Table 4. Life table analysis for placed in the mandible (months) patients Failed Cumulative cases of extremely reduced posterior ridges, the ideal approach should endeavour at the following: minimization of the total number of to decrease surgical morbidity, reduction of the distal cantilever without compromising the functional support, avoidance of demanding bone grafting procedures and decrease of total treatment time and costs. The latter item may be achieved by adopting an immediate loading protocol. Another predictable and costeffective solution for the immediate rehabilitation of the fully edentulous mandible can be represented by implant-supported overdentures (Bryant et al. 2007). However, due to their partial mucosal support in the posterior regions, patients with extremely reduced posterior mandible might experience pain due to compression of the retroforaminal zones during mastication. With the present protocol the level of patient s satisfaction was very good, postsurgical discomfort was limited and an immediate recovery of mastication and aesthetic function could be provided. In general, the treatment acceptance by patients was extremely favourable. The progressive reduction of plaque and bleeding scores reflected a good compliance of the patients to the oral hygiene instructions. In this instance, the role of the dental hygienist could be of utmost importance, not only for the professional cleaning but also for its active role in patient s education and motivation. Concluding remarks The results of the present prospective study show that a combination of axially placed and tilted implant for the immediate rehabilitation of edentulous jaws leads to excellent clinical outcomes. The advantages of the immediate loading procedure, the reduced morbidity, the high patient s satisfaction and the relatively low costs of this surgical technique should be taken into account when a decision among the alternative therapeutic options has to be made. References Agliardi, E., Francetti, L., Romeo, D. & Del Fabbro, M. (2009) Immediate rehabilitation of the edentulous maxilla: preliminary results of a single cohort prospective study. The International Journal of Oral & Maxillofacial Implants 24, Agliardi, E.L., Francetti, L., Romeo, D., Taschieri, S. & Del Fabbro, M. (2008) Immediate loading in the fully edentulous maxilla without bone grafting: the V-II-V technique. Minerva Stomatologica 57: Aparicio, C., Ouazzani, W. & Hatano, N. (2008) The use of zygomatic for prosthetic rehabilitation of the severely resorbed maxilla. Periodontology : Aparicio, C., Perales, P. & Rangert, B. (2001) Tilted as an alternative to maxillary sinus grafting: a clinical, radiologic, and periotest study. Clinical Implant Dentistry & Related Research 3: Attard, N.J. & Zarb, G.A. (2005) Immediate and early implant loading protocols: a literature review of clinical studies. The Journal of Prosthetic Dentistry 3: Avila, G., Galindo, P., Rios, H. & Wang, H.L. (2007) Immediate implant loading: current status from available literature. Implant Dentistry 16: Bahat, O. (1992) Osseointegrated in the maxillary tuberosity: report on 45 consecutive patients. The International Journal of Oral & Maxillofacial Implants 7: Balshi, T.J., Wolfinger, G.J. & Balshi, S.F. (1999) Analysis of 356 pterygo-maxillary in edentulous arches for fixed prosthesis anchorage. Implants 14: Brånemark, P.I., Gröndahl, K., Ohrnell, L.O., Nilsson, P., Petruson, B., Svensson, B., Engstrand, P. & Nannmark, U. (2004) Zygoma fixture in the management of advanced atrophy of the maxilla: technique and long-term results. Scandinavian Journal of Plastic and Reconstructive Surgery andhandsurgery38: Bryant, S.R., MacDonald-Jankowski, D. & Kim, K. (2007) Does the type of implant prosthesis affect outcomes for the completely edentulous arch? Implants 22 (Suppl.): Calandriello, R. & Tomatis, M. (2005) Simplified treatment of the atrophic posterior maxilla via immediate/early function and tilted : a prospective 1-year clinical study. Clinical Implant Dentistry & Related Research 7: Capelli, M., Zuffetti, F., Testori, T. & Del Fabbro, M. (2007) Immediate rehabilitation of the completely edentulous jaws with fixed prostheses supported by upright and tilted. A multicenter clinical study. The International Journal of Oral & Maxillofacial Implants 22: Del Fabbro, M., Testori, T., Francetti, L., Taschieri, S. & Weinstein, R. (2006) Systematic review of survival rates for immediately loaded dental. The International Journal of Periodontics and Restorative Dentistry 26: Clin. Oral Impl. Res /j x c 2010 John Wiley & Sons A/S
7 Esposito, M., Grusovin, M.G., Willings, M., Coulthard, P. & Worthington, H.V. (2007) Interventions for replacing missing teeth: different times for loading dental. Cochrane Database of Systematic Reviews. Chichester, UK: John Wiley & Sons Ltd. Fortin, Y., Sullivan, R. & Rangert, B.R. (2002) The marius implant bridge: surgical and prosthetic rehabilitation for the completely edentulous upper jaw with moderate to severe resorption: a 5-year retrospective clinical study. Clinical Implant Dentistry & Related Research 4: Francetti, L., Agliardi, E., Testori, T., Romeo, D., Taschieri, S. & Del Fabbro, M. (2008) Immediate rehabilitation of the mandible with full prosthesis supported by axial and tilted : interim results of a single cohort prospective study. Clinical Implant Dentistry & Related Research 10: Galán Gil, S., Peñarrocha Diago, M., Balaguer Martínez, J. & Marti Bowen, E. (2007) Rehabilitation of severely resorbed maxillae with zygomatic : an update. Medicina oral, patología oral y cirugía bucal 12: E216 E220. Goené, R., Bianchesi, C., Huerzeler, M., Del Lupo, R., Testori, T., Davarpanah, M. & Jalbout, Z. (2005) Performance of short in partial restorations: 3-year follow-up of osseotite. Implant Dentistry 14: Ioannidou, E. & Doufexi, A. (2005) Does loading time affect implant survival? A meta-analysis of 1,266. The Journal of Periodontology 76: Jokstad, A. & Carr, A.B. (2007) What is the effect on outcomes of time-to-loading of a fixed or removable prosthesis placed on implant(s)? The International Journal of Oral & Maxillofacial Implants 22 (Suppl.): Erratum in: The International Journal of Oral & Maxillofacial Implants (2008) 23: 56. Khayat, P. & Nader, N. (1994) The use of osseointegrated in the maxillary tuberosity. Practical Periodontics and Aesthetic Dentistry 6: Koutouzis, T. & Wennström, J.L. (2007) Bone level changes at axial- and non-axial-positioned supporting fixed partial dentures. A 5-year retrospective longitudinal study. Clinical Oral Implants Research 18: Krekmanov, L. (2000) Placement of posterior mandibular and maxillary in patients with severe bone deficiency: a clinical report of procedure. Implants 15: Krekmanov, L., Kahn, M., Rangert, B. & Lindstrom, H. (2000) Tilting of posterior mandibular and maxillary of improved prosthesis support. Implants 15: Lekholm, U. & Zarb, G.A. (1985) Patient selection and preparation. In: Brånemark, P.-I., Zarb, G.A. & Albrektsson, T., eds. Tissue-Integrated Prostheses: Osseointegration in Clinical Dentistry, Chicago, IL: Quintessence. Maló, P.,deAraújo Nobre, M. & Rangert, B. (2007) Short placed one-stage in Maxillae and Mandibles: a retrospective clinical study with1to9yearsoffollow-up.clinical Implant Dentistry & Related Research 9: Maló, P., De Araújo Nobre, M. & Lopes, I. (2008) A new approach to rehabilitate the severily atrophic maxilla using extramaxillary anchored in immediate function: A pilot study. Journal of Prosthetic Dentistry 100: Maló, P., Rangert, B. & Nobre, M. (2003) All-on- Four immediate-function concept with Brånemark system for completely edentulous mandibles: a retrospective clinical study. Clinical Implant Dentistry & Related Research 5 (Suppl. 1): 2 9. Maló, P., Rangert, B. & Nobre, M. (2005) All-on-4 immediate-function concept with Branemark System for completely edentulous maxillae: a 1-year retrospective clinical study. Clinical Implant Dentistry & Related Research 7 (Suppl. 1): S88 S94. Nkenke, E. & Fenner, M. (2006) Indications for immediate loading of and implant success. Clinical Oral Implants Research 17 (Suppl. 2): Renouard, F. & Nisand, D. (2005) Short in the severely resorbed maxilla: a 2-year retrospective clinical study. Clinical Implant Dentistry & Related Research 7: Sennerby, L. & Gottlow, J. (2008) Clinical outcomes of immediate/early loading of dental. A literature review of recent controlled prospective clinical studies. Australian Dental Journal 53 (Suppl. 1): S82 S88. Shackleton, J.L., Carr, L., Slabbert, J.C. & Becker, P.J. (1994) Survival of fixed implant-supported prostheses related to cantilever lengths. The Journal of Prosthetic Dentistry 71: Testori, T., Del Fabbro, M., Capelli, M., Zuffetti, F., Francetti, L. & Weinstein, R.L. (2008) Immediate occlusal loading and tilted for the rehabilitation of the atrophic edentulous maxilla: 1- year interim results of a multicenter prospective study. Clinical Oral Implants Research 19: Venturelli, A. (1996) A modified surgical protocol for placing in the maxillary tuberosity: clinical results at 36 months after loading with fixed partial dentures. The International Journal of Oral & Maxillofacial Implants 11: c 2010 John Wiley & Sons A/S 7 Clin. Oral Impl. Res /j x
Tilted Implants for the Rehabilitation of Edentulous Jaws: A Systematic Reviewcid_
Tilted Implants for the Rehabilitation of Edentulous Jaws: A Systematic Reviewcid_288 612..621 Massimo Del Fabbro, BSc, PhD;* Chiara M. Bellini, MSEng; Davide Romeo, DDS, PhD; Luca Francetti, MD, DDS ABSTRACT
More informationYoung-Jin Park, DDS,* and Sung-Am Cho, DDS, MS, PhD
J Oral Maxillofac Surg 68:1338-1344, 2010 Retrospective Chart Analysis on Survival Rate of Fixtures Installed at the Tuberosity Bone for Cases With Missing Unilateral Upper Molars: A Study of 7 Cases Young-Jin
More informationCHAPTER. 1. Uncontrolled systemic disease 2. Retrognathic jaw relationship
CHAPTER 7 Immediate Implant Supported Restoration of the Edentulous Arch Stephen G. Alfano and Robert M. Laughlin Department of Oral and Maxillofacial Surgery, Naval Medical Center San Diego, San Diego,
More informationPALATAL POSITIONING OF IMPLANTS IN SEVERELY RESORBED POSTERIOR MAXILLAE F. Atamni, M.Atamni, M.Atamna, Private Practice Tel-aviv Israel
PALATAL POSITIONING OF IMPLANTS IN SEVERELY RESORBED POSTERIOR MAXILLAE F. Atamni, M.Atamni, M.Atamna, Private Practice Tel-aviv Israel Abstract: Objectives: To evaluate an alternative treatment for rehabilitation
More informationA Clinical Study of Edentulous Patients Rehabilitated According to the All on Four Immediate Function Protocol
A Clinical Study of Edentulous Patients Rehabilitated According to the All on Four Immediate Function Protocol Roberto Crespi, MD, MS 1 /Raffaele Vinci, MD, DMD 2 /Paolo Capparé, MD 3 / George E. Romanos,
More informationThe Use Of 6mm Long Implants In Cases With Limited Bone Height: A Preliminary 6-Month Clinical Study
26 News No.26 January 2011 The Use Of 6mm Long Implants In Cases With Limited Bone Height: A Preliminary 6-Month Clinical Study Make it Simple 2 The Use Of 6mm Long Implants In Cases With Limited Bone
More informationMALO CLINIC PROTOCOL IMMEDIATE-FUNCTION CONCEPT UPPER AND LOWER JAW REHABILITATION: A CLINICAL REPORT
MALO CLINIC PROTOCOL IMMEDIATE-FUNCTION CONCEPT UPPER AND LOWER JAW REHABILITATION: A CLINICAL REPORT PURPOSE Rehabilitation case with an implant-supported rehabilitation with immediate function implants.
More informationUniversità degli Studi di Milano, Department of Biomedical, Surgical and Dental Sciences, Research Centre in Oral Implantology, Milan, Italy
Implant success rates in full-arch rehabilitations supported by upright and tilted implants: a retrospective investigation with up to five years of follow-up Luca Francetti 1,2, Andrea Rodolfi 1,2, Bruno
More informationNarrow-diameter implants in premolar and molar areas
2 Long-term follow-up of 2.5mm NDIs supporting a fixed prosthesis Narrow-diameter implants in premolar and molar areas EDUARDO ANITUA, DDS, MD, PHD¹,² A narrow-diameter implant (NDI) is an implant with
More informationGuided Implant Surgery and Extraction Sockets. Silvio Mario Meloni Giacomo De Riu Milena Pisano Antonio Tullio
J. Maxillofac. Oral Surg. (July-Sept 2013) 12(3):321 325 DOI 10.1007/s12663-012-0429-8 ORIGINAL PAPER Full Arch Restoration with Computer-Assisted Implant Surgery and Immediate Loading in Edentulous Ridges
More informationOsseointegrated dental implant treatment generally
Placement of Dental Implants Without Flap Surgery: A Clinical Report Bader H. Al-Ansari, BDS, MScD*/Robert R. Morris, DMD** Traditionally, the procedure of implant placement requires a surgical periosteal
More informationA risk assessment treatment planning protocol for the four implant immediately loaded maxilla: preliminary findings
A risk assessment treatment planning protocol for the four implant immediately loaded maxilla: preliminary findings Stephen M. Parel, DDS, FABP, a and William R. Phillips, MD, DDS b Statement of problem.
More informationDental Implants: A Predictable Solution for Tooth Loss. Reena Talwar, DDS PhD FRCD(C) Oral & Maxillofacial Surgeon Associate Clinical Professor
Dental Implants: A Predictable Solution for Tooth Loss Reena Talwar, DDS PhD FRCD(C) Oral & Maxillofacial Surgeon Associate Clinical Professor What are Dental Implants? Titanium posts used to replace missing
More informationPlacement of Posterior Mandibular and Maxillary Implants in Patients with Severe Bone Deficiency: A Clinical Report of Procedure
Placement of Posterior Mandibular and Maxillary Implants in Patients with Severe Bone Deficiency: A Clinical Report of Procedure Leonard Krekmanov, DDS, PhD 1 The purpose of this investigation was to modify
More informationContemporary Implant Dentistry
Contemporary Implant Dentistry C H A P T ER 1 4 O F C O N T E M P OR A R Y O R A L A N D M A X I L L OFA C IA L S U R G E RY B Y : D R A R A S H K H O J A S T EH Dental implant is suitable for: completely
More informationLong-term success of osseointegrated implants
Against All Odds A No Bone Solution Long-term success of osseointegrated implants depends on the length of the implants used and the quality and quantity of bone surrounding these implants. As surgical
More informationBone Reduction Surgical Guide for the Novum Implant Procedure: Technical Note
Bone Reduction Surgical Guide for the Novum Implant Procedure: Technical Note Stephen M. Parel, DDS 1 /Steven L. Ruff, CDT 2 /R. Gilbert Triplett, DDS, PhD 3 /Sterling R. Schow, DMD 4 The Novum System
More informationMULTIDIRECTIONAL APPROACH OF ORAL REHABILITATION WITH IMPLANTS IN A PATIENT WITH LIMITED MOUTH OPENING: A CASE REPORT
ISSN: 0976-2876 (Print) ISSN: 2250-0138 (Online) MULTIDIRECTIONAL APPROACH OF ORAL REHABILITATION WITH IMPLANTS IN A PATIENT WITH LIMITED MOUTH OPENING: A CASE REPORT ROMESH SONI a, HARAKH CHAND BARANWAL
More informationPatient s Presenting Complaint V.C. presented with discomfort and mobility from the crowned maxillary left central incisor tooth. Fig 1.
Patient s Presenting Complaint V.C. presented with discomfort and mobility from the crowned maxillary left central incisor tooth. Fig 1. A longitudinal root fracture was suspected and confirmed when the
More informationThe International Journal of Periodontics & Restorative Dentistry
The International Journal of Periodontics & Restorative Dentistry 2011 BY QUINTESSENCE PUBLISHING CO, INC. PRINTING OF THIS DOCUMENT IS RESTRICTED TO PERSONAL USE ONLY.. 255 Multicenter Retrospective Analysis
More informationConsensus Statements and Recommended Clinical Procedures Regarding Loading Protocols
Group 3 Consensus Statements Consensus Statements and Recommended Clinical Procedures Regarding Loading Protocols Hans-Peter Weber, DMD, Dr Med Dent 1 /Dean Morton, BDS, MS 2 /German O. Gallucci, DMD,
More informationBasic information on the. Straumann Pro Arch TL. Straumann Pro Arch TL
Basic information on the Straumann Pro Arch TL Straumann Pro Arch TL Contents 1. Introduction 2 1.1 Discover more treatment options with the 4 mm Short Implant 2 2. Technical information 3 3. Step-by-step
More informationGuided surgery as a way to simplify surgical implant treatment in complex cases
52 STARGET 1 I 12 StraUMaNN CareS r ry vincenzo MiriSOLA Di TOrreSANTO AND LUCA COrDArO Guided surgery as a way to simplify surgical implant treatment in complex cases Background A 41-year-old woman with
More informationA retrospective study on separate single-tooth implant restorations to replace two or more consecutive. maxillary posterior teeth up to 6 years.
Original Article A retrospective study on separate single-tooth implant restorations to replace two or more consecutive maxillary posterior teeth up to 6 years follow up Myat Nyan Department of Prosthodontics,
More informationThe Brånemark osseointegration method, using titanium dental implants (fixtures)
Early Failures in 4,641 Consecutively Placed Brånemark Dental Implants: A Study From Stage 1 Surgery to the Connection of Completed Prostheses Bertil Friberg, DDS/Torsten Jemt, DDS, PhD/Ulf Lekholm, DDS,
More informationCreating emergence profiles in immediate implant dentistry
Creating emergence profiles in immediate implant dentistry AUTHORS Dr. Daniel Capitán Maraver Dr. Manuel Fuentes Ortiz Visiting lecturers in the Master s Degree in Clinical Practice in Implantology and
More informationInternational Journal of Research and Review E-ISSN: ; P-ISSN:
International Journal of Research and Review www.ijrrjournal.com E-ISSN: 2349-9788; P-ISSN: 2454-2237 Case Report Tall and Tilted Pin Hole Immediately Loaded Implants (TTPHIL) Technique for Dr. P. Venkat
More informationImmediate fixed teeth a treatment concept for edentulous patients
52 Maxillary rehabilitation using the All-on-4 concept Immediate fixed teeth a treatment concept for edentulous patients DR DUSAN VASILJEVIC AND VLADAN VASILJEVIC, FRIEDEBURG, GERMANY The number of edentulous
More informationEndosseous dental implants initially showed very
Five-mm-Diameter Implants without a Smooth Surface Collar: Report on 98 Consecutive Placements Franck Renouard, DDS*/Jean-Pierre Arnoux, DDS**/David P. Sarment, DDS*** In recent years, indications for
More informationImmediate Function with the Zygomatic Implant: A Graftless Solution for the Patient with Mild to Advanced Atrophy of the Maxilla
Immediate Function with the Zygomatic Implant: A Graftless Solution for the Patient with Mild to Advanced Atrophy of the Maxilla Edmond Bedrossian, DDS 1 /Bo Rangert, PhD Mech Eng 2 /Lambert Stumpel, DDS
More informationCase Study. Case # 1 Author: Dr. Suheil Boutros (USA) 2013 Zimmer Dental, Inc. All rights reserved. 6557, Rev. 03/13.
Placement of a Zimmer Trabecular Metal Dental Implant with Simultaneous Ridge Augmentation and Immediate Non-Functional Loading Following Tooth Extraction and Orthodontic Treatment for Implant Site Development
More informationZygomatic Implants Using the Sinus Slot Technique: Clinical Report of a Patient Series
Zygomatic Implants Using the Sinus Slot Technique: Clinical Report of a Patient Series Miguel Peñarrocha, MD, DDS, PhD 1 /Roberto Uribe, DDS, MDS 2 /Berta García, DDS, MDS 3 /Eva Martí, DDS 4 Purpose:
More informationImmediate Loading with Flapless Implant Surgery for Rehabilitation of Single Bound Edentulous Space
Case Report Immediate Loading with Flapless Implant Surgery for Rehabilitation of Single Bound Edentulous Space Nidhi Bhatia 1, Shweta Bali 2, Meenu Taneja Bhasin 3, Priyanka Aggarwal 4, Vaibhav Joshi
More informationSamantha W. Chou, D.M.D N. Southport Ave. Chicago, Illinois Phone: Fax:
Samantha W. Chou, D.M.D. 2325 N. Southport Ave. Chicago, Illinois 60614 Phone: 312-608-6881 Fax: 773-296-0601 Samanthawchou@gmail.com What is our role as the dentist? "We live in a culture in which people
More information1- Implant-supported vs. implant retained distal extension mandibular partial overdentures and residual ridge resorption. Abstract Purpose: This
1- Implant-supported vs. implant retained distal extension mandibular partial overdentures and residual ridge resorption. Abstract Purpose: This retrospective study in male patients sought to examine posterior
More informationThe majority of the early research concerning
Gingival Recession Around Implants: A 1-Year Longitudinal Prospective Study Paula N. Small, DDS, MPH 1 /Dennis P. Tarnow, DDS 2 A longitudinal study was performed, which measured the soft tissue around
More informationPeri-implant health, clinical outcome and patient-centred outcomes of implant-supported overdentures in the mandible and the maxilla
www.nature.com/bdjopen ARTICLE OPEN Peri-implant health, clinical outcome and patient-centred outcomes of implant-supported overdentures in the mandible and the maxilla David Offord 1, Grant Mathieson
More informationRehabilitation of a Patient with Completely Edentulous Maxillary Arch using All on 4 Concept of Implantation
IJopRD K Harshakumar et al CASE REPORT 10.5005/jp-journals-10019-1179 Rehabilitation of a Patient with Completely Edentulous Maxillary Arch using All on 4 Concept of Implantation 1 K Harshakumar, 2 Nimisha
More informationImplants- immediate restoration of postextraction edentation both esthetically and functionally
Implants- immediate restoration of postextraction edentation both esthetically and functionally Otilia Stana (Gag), LileIoana Elena, Freiman Paul, Mugur Popescu, Elisei Gabriela, Sebesan Voicu, Vincze
More informationProsthetic Options in Implant Dentistry. Hakimeh Siadat, DDS, MSc Associate Professor
Prosthetic Options in Dentistry Hakimeh Siadat, DDS, MSc Associate Professor Dental Research Center, Department of Prosthodontics & Dental s Faculty of Dentistry, Tehran University of Medical Sciences
More informationMANAGEMENT OF ATROPHIC ANTERIOR MAXILLA USING RIDGE SPLIT TECHNIQUE, IMMEDIATE IMPLANTATION AND TEMPORIZATION
Case Report International Journal of Dental and Health Sciences Volume 02, Issue 06 MANAGEMENT OF ATROPHIC ANTERIOR MAXILLA USING RIDGE SPLIT TECHNIQUE, IMMEDIATE IMPLANTATION AND TEMPORIZATION Rakshith
More informationUse of Tilted Implants in Prosthetic Rehabilitation
Int. J. Odontostomat., 8(3):329-335, 2014. Use of Tilted Implants in Prosthetic Rehabilitation Uso de Implantes Inclinados en la Rehabilitación Protésica Pablo Naldini*; Enrique Fernandez-Bodereau** &
More informationDental implants, compared to teeth, are less tolerable
Marginal Bone Loss Around Tilted Implants in Comparison to Straight Implants: A Meta-Analysis Alberto Monje, DDS 1 /Hsun-Liang Chan, DDS, MS 2 /Fernando Suarez, DDS 1 / Pablo Galindo-Moreno, DDS, PhD 3
More informationRevitaliZe Patient Solutions: preliminary results from a single cohort prospective study using Screw-Vent TSVT implants
RevitaliZe Patient Solutions: preliminary results from a single cohort prospective study using Screw-Vent TSVT implants Alessandro Agnini,* Maurice A Salama,** Andrea Mastrorosa Agnini,*** Henry Salama,****
More informationJournal of Dental Research, Dental Clinics, Dental Prospects. Original Article
Journal of Dental Research, Dental Clinics, Dental Prospects Original Article The Comparison of Stress Distribution with Different Implant Numbers and Inclination Angles In All-on-four and Conventional
More informationClinical Perspectives
Clinical Perspectives Inside This Issue: Revised Drilling Guidelines For Parallel Walled Implants Case Presentation By: Pär-Olov Östman, DDS, PhD, MD Volume 8, Issue 1 Recommended Drilling Guidelines For
More informationWhile the protocol for direct bone-to-implant
Immediate Functional Loading of Brånemark System Implants in Edentulous Mandibles: Clinical Report of the Results of Developmental and Simplified Protocols Glenn J. Wolfinger, DMD 1 / Thomas J. Balshi,
More informationThe International Journal of Periodontics & Restorative Dentistry
The International Journal of Periodontics & Restorative Dentistry 827 Thirty-Two Year Success of Dental Implants in Periodontally Compromised Dentition Thomas J. Balshi, DDS, PhD, FACP 1 Glenn J. Wolfinger,
More informationFailures in implant therapy. Biological and mechanical complications. Their prevention management. Dr. Katalin Csurgay Dr.
Failures in implant therapy. Biological and mechanical complications. Their prevention management. Dr. Katalin Csurgay Dr. Tatiana Shkolnik Complications could be: Doctor related Patient related Early
More informationConus Concept: A Rewarding Complete Denture Treatment
Conus Concept: A Rewarding Complete Denture Treatment Complete dentures have largely become the domain of the denturist due to the dissatisfaction general dentists feel with this treatment. Multiple visits,
More informationThe anatomy of the posterior maxilla is limited by
Partial Rehabilitation with Distally Tilted and Straight Implants in the Posterior Maxilla with Immediate Loading Protocol: A Retrospective Cohort Study with 5-Year Follow-up Bruno M. T. Queridinha, DDS,
More informationWORKSHOP ON THE STATE OF THE SCIENCE OF IMPLANT DENTISTRY. Chicago August 2006
WORKSHOP ON THE STATE OF THE SCIENCE OF IMPLANT DENTISTRY. Chicago August 2006 Group 1. What Is the Effect on Outcomes of Time to Loading of a Fixed or Removable Prosthesis Placed on Implant(s)? How does
More informationFrequency and Type of Prosthetic Complications Associated with Interim, Immediately Loaded Full-Arch Prostheses: A 2-Year Retrospective Chart Review
Frequency and Type of Prosthetic Complications Associated with Interim, Immediately Loaded Full-Arch Prostheses: A 2-Year Retrospective Chart Review Carl Drago, DDS, MS, FACP 1,2,3 1 Department of Dental
More informationThe All-on-Four Treatment Concept: A Systematic Review
The All-on-Four Treatment Concept: A Systematic Review Sebastian B. M. Patzelt, DMD, Dr med dent;*, Oded Bahat, BDS, MSD, FACD; Mark A. Reynolds, DDS, PhD; Joerg R. Strub, DMD, PhD, Dr med dent habil,
More informationJMSCR Vol 06 Issue 07 Page July 2018
www.jmscr.igmpublication.org Impact Factor (SJIF): 6.379 Index Copernicus Value: 71.58 ISSN (e)-2347-176x ISSN (p) 2455-0450 DOI: https://dx.doi.org/10.18535/jmscr/v6i7.101 Immediate Implant Following
More informationloading of implant supported hybrid prostheses after multiple extractions: A case series
Planning implant placement on 3D stereolithographic models applied with immediate loading of implant supported hybrid prostheses after multiple extractions: A case series Ian Aires* *Corresponding author:
More informationBUILDING A. Achieving total reconstruction in a single operation. 70 OCTOBER 2016 // dentaltown.com
BUILDING A MANDI Achieving total reconstruction in a single operation by Dr. Fayette C. Williams Fayette C. Williams, DDS, MD, FACS, is clinical faculty at John Peter Smith Hospital in Fort Worth, Texas,
More informationModule 2 Introduction to immediate full arch fixed implant treatment - surgical options
Module 2 Introduction to immediate full arch fixed implant treatment - surgical options First Name Last Name Objectives Identify the need and opportunity to treat full arch patients with fixed detachable
More informationThe use of endosseous implants is currently a routine
Evaluation of 31 Zygomatic Implants and 74 Regular Dental Implants Used in 16 Patients for Prosthetic Reconstruction of the Atrophic Maxilla with Cross-Arch Fixed Bridges Jonas P. Becktor, DDS;* Sten Isaksson,
More informationSCD Case Study. The ability of the integrated implant to bear a load must be greater than the anticipated load during function.
SCD Case Study Dental implants offer an effective and predictable way to replace teeth. Function, aesthetics and phonetics are regained. The long-term success clinically and aesthetically depends upon
More informationImplant Placement in Maxillary Anterior Region Along with Soft and Hard Tissue Grafting- A Case Report.
IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) e-issn: 2279-0853, p-issn: 2279-0861.Volume 15, Issue 10 Ver. XII (October. 2016), PP 68-73 www.iosrjournals.org Implant Placement in Maxillary Anterior
More informationWhen considering restoring the edentulous arch, it is important to individualise treatment
implant DENTISTRY All-on-4 graftless approach: Not the panacea for all cases When considering restoring the edentulous arch, it is important to individualise treatment By Dr David B. Dunn, BDS (Hons),
More informationINDIAN DENTAL JOURNAL
ACHIEVING OPTIMAL AESTHETICS WITH IMMEDIATE IMPLANT PLACEMENT Dr. Mayank Singh 1 Dr. Lakshya Kumar 2 Dr. Shahid Ahmad Shah 3 Dr. Ronak Bhatt 4 1, 2 Assistant Professor, Department of Prosthodontics, King
More informationImmediate Implant Placement Along With Guided Bone Regeneration In Mandibular Anterior Region A Case Report.
IMMEDIATE IMPLANT PLACEMENT ALONG WITH GUIDED BONE REGENERATION IN MANDIBULAR ANTERIOR REGION A CASE REPORT. Dr.C.P.Dhivakar 1, Dr.T.Saravanan 2, Dr.A.Aniz 3 1) Department of Periodontics, Karpaga Vinayaga
More informationcross-arch fixed dental prosthesis, immediate implant placement, immediate loading, maxillary edentulous patients
CLINICAL ARTICLE 71 Luc Gillot, Bernard Cannas, Jacopo Buti, Renaud Noharet A retrospective cohort study of 113 patients rehabilitated with immediately loaded maxillary cross-arch fixed dental prostheses
More informationSPLINTED DYNAMIC UCLA FOR THREE PROSTHODONTICALLY UNFAVOURABLE IMPLANTS IN AN ESTHETIC REGION: A CASE REPORT
Case Report International Journal of Dental and Health Sciences Volume 03, Issue 02 SPLINTED DYNAMIC UCLA FOR THREE PROSTHODONTICALLY UNFAVOURABLE IMPLANTS IN AN ESTHETIC REGION: A CASE REPORT D. R. Prithviraj
More information4. What about age? There is no age limit. After puberty, anyone can get dental implants.
Dental Implants 1. What are Osseointegrated implants? Osseointegrated implants are a new generation of dental implants in Rio de Janeiro, introduced in the 1960 s, they come in different shapes and sizes.
More informationThe Use of Alpha-Bio Tec's Narrow NeO Implants with Cone Connection for Restoration of Limited Width Ridges
Case Study 48 The Use of Alpha-Bio Tec's Narrow NeO Implants with Cone Connection for Restoration of Limited Width Ridges Dr. Amir Gazmawe DMD, Specialist in Prosthodontics, Israel Dr. Amir Gazmawe graduated
More informationA FAMILY FULL OF SMILES
A FAMILY FULL OF SMILES Prologue The saga started years ago. As a poor southern boy, when Danny had a toothache, the normal protocol was to extract the offending tooth. Subsequently, as an adult, Dan chewed
More informationEFFECTIVE DATE: 04/24/14 REVISED DATE: 04/23/15, 04/28/16, 06/22/17, 06/28/18 POLICY NUMBER: CATEGORY: Dental
MEDICAL POLICY SUBJECT: DENTAL IMPLANTS PAGE: 1 OF: 5 If a product excludes coverage for a service, it is not covered, and medical policy criteria do not apply. If a commercial product (including an Essential
More informationARTICLE IN PRESS. Available online at British Journal of Oral and Maxillofacial Surgery xxx (2011) xxx xxx
Available online at www.sciencedirect.com British Journal of Oral and Maxillofacial Surgery xxx (2011) xxx xxx Computed tomography-guided implant surgery for dental rehabilitation in mandible reconstructed
More informationImmediate versus delayed loading of single mandibular molars. One-year results from a randomised controlled trial
RANDOMISED CONTROLLED CLINICAL TRIAL 345 Silvio Mario Meloni, Giacomo De Riu, Milena Pisano, Nicola De Riu, Antonio Tullio Immediate versus delayed loading of single mandibular molars. One-year results
More informationReplacement of a congenitally missing lateral incisor in the maxillary anterior aesthetic zone using a narrow diameter implant: A case report
C A S E R E P O R T Replacement of a congenitally missing lateral incisor in the maxillary anterior aesthetic zone using a narrow diameter implant: A case report Rhoodie Garrana 1 and Govindrau Mohangi
More informationA CRITICAL REVIEW INTO PROSTHODONTIC FACTORS FOR BONE LOSS ASSOCIATED WITH DENTAL IMPLANTS
A CRITICAL REVIEW INTO PROSTHODONTIC FACTORS FOR BONE LOSS ASSOCIATED WITH DENTAL IMPLANTS DR CHRISTOPHER C.K. HO ORAL RESTORATIVE SCIENCES PROSTHODONTICS REGISTRAR SUPERVISOR: PROF IVEN KLINEBERG INTRODUCTION
More informationThe restoration of partially and completely
CLINICAL MANAGEMENT OF DENTAL IMPLANT FRACTURES. ACASE HISTORY Firas A. M. AL Quran, PhD, MSc Med; Bashar A. Rashan, MS; Ziad N. AL-Dwairi, PhD The widespread use of endosseous osseointegrated implants
More informationPreliminary Data of a Prospective Clinical Study on the Osseotite NT Implant: 18-month Follow-up
Preliminary Data of a Prospective Clinical Study on the Osseotite NT Implant: 18-month Follow-up Mithridade Davarpanah, MD, DDS 1 / Mihaela Caraman, DDS 2 /Serge Szmukler-Moncler, DDS, PhD 3 / Boris Jakubowicz-Kohen,
More informationThe patient gave a history of hypertension and gastritis for which was taking Lacidipine 4mg, Omeprazole 20mg and Simvastatin 40mg.
A.S. was referred by her general dental practitioner for assessment for possible implant placement to restore the space where her bridge replacing her maxillary central incisors had recently failed. Fig
More informationThree-Dimensional Evaluation of Implant Positioning in the Maxillary Sinus Septum: A Retrospective Study
CLINICAL RESEARCH e-issn 1643-3750 DOI: 10.12659/MSM.894403 Received: 2015.04.18 Accepted: 2015.05.25 Published: 2015.09.08 Three-Dimensional Evaluation of Implant Positioning in the Maxillary Sinus Septum:
More informationDevoted to the Advancement of Implant Dentistry
Devoted to the Advancement of Implant Dentistry Devoted to the Advancement of Implant Dentistry Our ultimate goal is to provide you and your patients with the highest standards in implant case planning
More informationCASE REPORT. CBCT-Assisted Treatment of the Failing Long Span Bridge with Staged and Immediate Load Implant Restoration
Computer Aided Implantology Academy Newsletter - Newsletter 20 - July 2009 CASE REPORT CBCT-Assisted Treatment of the Failing Long Span Bridge with Staged and Immediate Load Implant Restoration Case Report
More informationAustralian Dental Journal
Australian Dental Journal The official journal of the Australian Dental Association SCIENTIFIC ARTICLE Australian Dental Journal 2012; 57: 440 445 doi: 10.1111/adj.12002 Load transfer in tilted implants
More informationINTRODUCTION. General Information. Important Warning
S u r g i c a l M a n u a l F o r M a g i x D e n t a l I m p l a n t INTRODUCTION General Information Read this manual carefully before starting treatment. This manual should be used as a reference guide
More informationRetreatment: Fractured Implants Due To Biomechanical Overload
Glenn J. Wolfinger, DMD, FACP Retreatment: Fractured Implants Due To Biomechanical Overload Thomas J. Balshi, DDS, FACP he strength of osseointegration, T the biologic and biomechanical union of bone to
More informationSolid Zirconia Full-Arch Implant Prosthesis (Protocol C All-CAD with Multi-Unit Abutments) BruxZir. FIRST Appointment. The BruxZir
(Protocol C All-CAD with Multi-Unit Abutments) Step-by-Step Restorative Protocol C The BruxZir Full-Arch Implant Prosthesis offers a fixed, all-zirconia implant solution for edentulous patients desiring
More informationIMMEDIATE LOADED IMPLANTS IN EDENTULOUS PATIENTS: CLINICAL AND TECHNICAL ASPECTS USING BIOTEC TRE AND KORUM SP IMPLANTS
ARTICLES MB IMMEDIATE LOADED IMPLANTS IN EDENTULOUS PATIENTS: CLINICAL AND TECHNICAL ASPECTS USING BIOTEC TRE AND KORUM SP IMPLANTS F. Vedove, F. Soda Smile Service, Bassano del Grappa, Vicenza, Italy
More informationAdvanced restorative techniques and the full mouth reconstruction: the use of gold copings in bridgework
Clinical Advanced restorative techniques and the full mouth reconstruction: the use of gold copings in bridgework Paul Tipton 1 Introduction From the studies produced by Lindhe and Nyman, described earlier
More informationBenefits of CBCT in Implant Planning
10.5005/jp-journals-10012-1032 CLINICAL SCIENCE 1 Gregori M Kurtzman, 2 Douglas F Dompkowski 1 Private General Practice in Silver Spring, Maryland, USA 2 Private Periodontal Practice in Bethesda, Maryland,
More informationJohn P. Zarb, BA, DDS George A. Zarb, BChD, DDS, MS, MS, FRCD(C)
C L I N I C A L P R A C T I C E Implant Prosthodontic Management of Anterior Partial Edentulism: Long-Term Follow-Up of a Prospective Study John P. Zarb, BA, DDS George A. Zarb, BChD, DDS, MS, MS, FRCD(C)
More informationIntraoperative Computerized Navigation for Flapless Implant Surgery and Immediate Loading in the Edentulous Mandible
Intraoperative Computerized Navigation for Flapless Implant Surgery and Immediate Loading in the Edentulous Mandible Nardy Casap, DMD, MD 1 /Eyal Tarazi, DMD 2 /Alon Wexler, DMD 2 /Uri Sonnenfeld, DMD
More informationImplant treatment in patients with severely
Rehabilitation of Patients with Severely Resorbed Maxillae by Means of Implants With or Without Bone Grafts: A 3- to 5-Year Follow-up Clinical Report Göran Widmark, LDS, Odont Dr 1 /Bernt Andersson, LDS,
More informationConsensus Report Tissue augmentation and esthetics (Working Group 3)
B. Klinge Thomas F. Flemmig Consensus Report Tissue augmentation and esthetics (Working Group 3) Members of working group: Matteo Chiapasco Jan-Eirik Ellingsen Ronald Jung Friedrich Neukam Isabella Rocchietta
More informationCHAPTER 1. General Introduction
CHAPTER 1 General Introduction Chapter 1 The loss of remaining natural teeth and provision of artificial removable dentition is a major and irreversible procedure for the patient. The main limitations
More informationImmediate Loading of the Edentulous Mandible: Delivery of the Final Restoration or a Provisional Restoration Which Method to Use?
J Oral Maxillofac Surg 62:30-40, 2004, Suppl 2 Immediate Loading of the Edentulous : Delivery of the Final Restoration or a Provisional Restoration Which Method to Use? Paulino Castellon, DDS,* Michael
More informationThe International Journal of Periodontics & Restorative Dentistry
The International Journal of Periodontics & Restorative Dentistry 49 A Protocol for Immediate Placement of a Prefabricated Screw-Retained Provisional Prosthesis Using Computed Tomography and Guided Surgery
More informationThe surgical placement of dental implants has
Flapless Implant Surgery: A 10-year Clinical Retrospective Analysis Luis Dominguez Campelo, DDS 1 /Jose R. Dominguez Camara, MD, DDS 2 Purpose: This article is a retrospective clinical analysis of implants
More informationA new approach with an in-situ self-hardening grafting material
74 Bone grafting with simultaneous early implant placement A new approach with an in-situ self-hardening grafting material MINAS LEVENTIS 1,2, PHD; PETER FAIRBAIRN 1,3, BDS; ORESTIS VASILIADIS 2,4, DDS
More informationNobelActive Inventor s perspective on this new direction for implants
NobelActive Inventor s perspective on this new direction for implants Nobel Biocare launches a unique new implant with revolutionary features due to the advanced design of its implant body NobelActive.
More informationOsseointegrated implant-supported
CLINICAL SCREWLESS FIXED DETACHABLE PARTIAL OVERDENTURE TREATMENT FOR ATROPHIC PARTIAL EDENTULISM OF THE ANTERIOR MAXILLA Dennis Flanagan, DDS This is a case report of the restoration of a partially edentulous
More informationCase study 2. A Retrospective Multi-Center Study on the Spiral Implant
Case study 2 A Retrospective Multi-Center Study on the Spiral Implant Benny Karmon DMD, Jerry Kohen DMD, Ariel Lor DMD, Yiftach Gratciany DMD, Zvi Laster DMD, Gideon Hallel DMD MPA, Tsvia Karmon A Retrospective
More informationم.م. طارق جاسم حممد REMOVABLE PARTIAL DENTURE INTRODUCTION
Lec.1 م.م. طارق جاسم حممد REMOVABLE PARTIAL DENTURE INTRODUCTION االسنان طب Prosthodontics is the branch of dentistry pertaining to the restoration and maintenance of oral function, comfort, appearance,
More information