The anatomic limitations of the. Implant Installation With Simultaneous Ridge Augmentation. Report of Three Cases Jun-Beom Park, DDS, MSD, PhD*
|
|
- Raymond Morrison
- 5 years ago
- Views:
Transcription
1 CASE REPORT Implant Installation With Simultaneous Ridge Augmentation. Report of Three Cases Jun-Beom Park, DDS, MSD, PhD* The anatomic limitations of the residual alveolar bone may cause problems for the insertion of dental implants because implant placement requires an adequate quantity and quality of bone. Ridge augmentation has been performed to reconstruct alveolar ridges as support for the placement of dental implants with a high success rate. However, a staged approach requires multiple surgeries and more treatment time. In this report, the patients were treated with dental implantation with simultaneous ridge augmentation in both submerged and nonsubmerged cases. The prostheses were well in function without any probing depth or gingival inflammation up to final evaluation. It may be suggested that dental implantation with simultaneous bone grafting may be an option when the graft material can be well stabilized around the implants. Further evaluations over long periods of time are needed to monitor the clinical results. Key Words: ridge augmentation, dental implant, simultaneous approach INTRODUCTION The anatomic limitations of the residual alveolar bone may cause problems for the insertion of dental implants because implant placement requires an adequate quantity and quality of bone. 1 Ridge augmentation has been performed to reconstruct alveolar ridges to support for the placement of dental implants with a high success rate. 1 3 Many clinical studies have been performed with bone graft plus membrane or graft material alone. 4,5 However, a staged approach requires multiple surgeries and more treatment time. Department of Pharmaceutical Sciences, College of Pharmacy, University of Michigan, Ann Arbor, Mich. *Corresponding author, jbassoonis@yahoo.co.kr DOI: /AAID-JOI-D There are limited studies showing the predictable treatment outcomes for dental implantation with simultaneous bone grafting. 6 In this report, the patients were treated with dental implantation with simultaneous bone augmentation in both submerged and nonsubmerged cases. CASE REPORT Case 1 A 51-year-old male patient presented for evaluation of the lower left molar area. The patient had a noncontributory medical history. Clinical and radiographic examination indicated that the mandibular second premolar and the first and second molars were missing. Insufficient healing around the extraction socket was noticed (Figure 1). Referral was made to the Department of Journal of Oral Implantology 595
2 Ridge Augmentation and Implant Installation FIGURES 1 4. FIGURE 1. Preoperative panoramic view of the computerized tomography scan. FIGURE 2. The occlusal view after installation of 3 implants. FIGURE 3. The defect was restored with deproteinized bovine bone. FIGURE 4. The postoperative periapical radiograph taken 9 days after the surgery. Prosthetics for further evaluation and establishment of a treatment plan. A detailed explanation concerning the present state, alternative treatment plans, and the procedure was given to the patient, and informed consent was obtained from the patient. Dental implantation with simultaneous bone graft was planned after consultation. The patient rinsed for 2 minutes with a 0.12% chlorhexidine digluconate solution (Hexamedine, Bukwang, Seoul, Korea) immediately before the operation. Following an injection of 2% lidocaine with 1: epinephrine local anesthetic, a crestal incision with mesial and vertical releasing incisions was made. Three implants ( mm, mm, and mm; Implantium, Dentium, Seoul, Korea) were placed (Figure 2). There was a 5.5 mm (buccolingual) mm (apicocoronal) defect between the mesial 2 implants. The defect area was packed with deproteinized bovine bone ( mm cancellous particle, Bio-Oss, Geistlich Pharm AG, Wolhusen, Switzerland) (Figure 3). The wound was closed, and the patient was placed on amoxicillin, 500 mg, 3 times a day for 5 days; mefenamic acid, 500 mg initially, and then 596 Vol. XXXVII/No. Five/2011
3 Park FIGURES 5 8. FIGURE 5. The occlusal view showing the exposure of the cover screw. FIGURE 6. Clinical view after connection of the healing abutments. FIGURE 7. The radiograph taken 6 weeks after the surgery showed that the graft material was well stabilized around the defect area. FIGURE 8. Maturation of soft tissue was achieved. mefenamic acid 250 mg, 4 times a day for 5 days; and chlorhexidine digluconate, 0.12%, 2 times a day for 4 weeks. Postoperative instructions were given to the patient. The patient reported no specific symptoms, and he did not show any adverse clinical signs (Figure 4). A 6-week postoperative photograph showed exposure of the cover screw (Figure 5). The cover screws were removed, and healing abutments were placed (Figure 6). The radiograph taken 6 weeks postoperatively showed that the Journal of Oral Implantology 597
4 Ridge Augmentation and Implant Installation FIGURES FIGURE 9. The prosthesis was delivered. FIGURE 10. No resorption around the implants was seen. FIGURE 11. The buccal view showing the prosthesis well in function. FIGURE 12. The panoramic radiograph taken at the final examination. graft material was well stabilized around the defect area (Figure 7). Maturation of the soft tissue was achieved afterwards (Figure 8). The prosthesis was delivered 6 months after surgery (Figure 9), and no resorption around the implants was noticed radiographically (Figure 10). The prosthesis was functioning well without any probing depth or gingival inflammation up to final evaluation 3 months after surgery (Figures 11 and 12). Case 2 A 49-year-old male patient came to the dental clinic seeking periodontal evaluation and treatment. The patient did not have any contributory medical history. The clinical and radiographic examination revealed that the lower first and second molars were missing (Figures 13 and 14). The patient was referred to the Department of Prosthetics for further evaluation. Dental implantation with simultaneous bone grafting was planned after completion of periodontal treatment. Prior to surgery, the patient rinsed with 0.12% chlorhexidine mouth rinse (Hexamedine). Following a 2% lidocaine with 1: epinephrine local anesthetic injection, a crestal incision was made and mesiobuccal and distobuccal vertical releasing incisions were made, extending beyond the mucogingival junction. The mm and mm implants (Neoplant, Neobiotech, Seoul, Korea) were placed with the insertion torque of 40 Ncm (Figure 15). A graft of bovine hydroxyapatite (Bio-Oss) was introduced and carefully packed without excessive pressure into the remaining defect around the most distal implant. The wound was closed with sutures, and the patient was placed on the same medication as the patient in Case 1. The soft tissue healing was uneventful (Figure 16), and the periapical radiograph taken 3 months after surgery shows that the graft material was stable in place (Figure 17). The clinical photograph at 3 months reveals good healing with the maturation of 598 Vol. XXXVII/No. Five/2011
5 Park FIGURES FIGURE 13. Clinical photograph at the initial visit showing an insufficient healing around the extraction socket. FIGURE 14. Preoperative panoramic view of the computerized tomography scan. FIGURE 15. Two implants were placed in the lower left sextant. FIGURE 16. Occlusal view revealing uneventful soft tissue healing. the soft tissue (Figure 18), and no resorption of the graft material is noticed radiographically (Figure 19). The prosthesis was delivered 4 months after surgery (Figure 20). The prosthesis was well in function up to the final follow-up evaluation (Figure 21). Case 3 A 49-year-old male patient visited the dental clinic. The patient did not have any medical conditions and was not taking any medications associated with a compromised soft healing response. The examination revealed Journal of Oral Implantology 599
6 Ridge Augmentation and Implant Installation FIGURES FIGURE 17. The periapical radiograph taken 3 months after surgery showed that the graft material was stabilized in the defect area. FIGURE 18. The clinical photograph at 3 months revealed good healing with the maturation of the soft tissue. FIGURE 19. No resorption of the graft material was seen radiographically. FIGURE 20. The buccal view after the delivery of the prosthesis. FIGURE 21. The buccal view of the prosthesis at the final follow-up evaluation. that the upper right premolars and molars were missing (Figures 22 and 23). Treatment with implant installation and simultaneous bone augmentation was planned. Following local anesthetic injection, fullthickness flap was elevated. There was a bony defect of mm in the canine area (Figure 24). Three implants ( Vol. XXXVII/No. Five/2011
7 Park FIGURES FIGURE 22. Initial clinical view. FIGURE 23. Preoperative panoramic view of the computerized tomography scan. FIGURE 24. Occlusal view after the reflection of the full-thickness flap. FIGURE 25. The remaining defect after implant installation was grafted with deproteinized bovine bone. 15 mm, mm, and mm; Implantium) were placed. The remaining defect was grafted with deproteinized bovine bone (Bio-Oss) (Figure 25). The dimension of the ridge was well maintained with the maturation of the soft tissue (Figure 26). The final implant-supported crowns for upper-right area were inserted 7 months after implant installation (Figure 27), and the prosthesis was well in function up to the final follow-up evaluation (Figure 28). DISCUSSION In this report, the patients were treated with dental implantation with simultaneous bone Journal of Oral Implantology 601
8 Ridge Augmentation and Implant Installation FIGURES FIGURE 26. The buccal view showing well-maintained ridge with the maturation of the soft tissue. FIGURE 27. The final implant-supported crowns for the upper right area were inserted 7 months after implant installation. FIGURE 28. The final radiograph showing the prosthesis in function. grafting both in submerged and nonsubmerged cases. The defects were located either around the implants or between the implants. Implants installed into alveolar bone sites previously augmented with graft material have been associated with a high success rate. 1,7 However, multiple surgeries with more time is needed for the staged approach. Limited studies show that predictable treatment outcomes were achieved for dental implant installation with simultaneous bone augmentation. 6 Nonbioresorbable expanded polytetrafluoroethylene membrane (eptfe) has been used in bone augmentation procedures to provide space and prevent the penetration of soft tissue. 8,9 eptfe membrane may give higher yield of lamellated bone, 10 but there is a risk of membrane exposure resulting in compromised bone regeneration. 11 A second surgery is needed to remove the membrane, and this may lead to additional bone resorption around the implants. 12 Thus, bone graft material was used alone, without a membrane in this case, to avoid a second surgical intervention and to lessen the treatment period. The cover screws were replaced with the healing abutments when the exposure was 602 Vol. XXXVII/No. Five/2011
9 Park noticed. The authors suggest that the placement of healing abutments and meticulous plaque control may limit bone loss around submerged implants when implants are partially exposed. 13 Meticulous oral hygiene for each patient was reinforced at every visit. All the prostheses treated in this report were well in function without any probing depth or gingival inflammation up to final evaluation. It may be suggested that dental implantation with simultaneous bone grafting may be an option in both submerged and nonsubmerged cases when the graft material can be well stabilized around the implants. Further evaluations over longer periods of time are needed to monitor the clinical results. ABBREVIATIONS eptfe: expanded polytetrafluoroethylene membrane REFERENCES 1. Carinci F, Brunelli G, Zollino I, et al. Mandibles grafted with fresh-frozen bone: an evaluation of implant outcome. Implant Dent. 2009;18: Sbordone L, Toti P, Menchini-Fabris G, Sbordone C, Piombino P, Guidetti F. Volume changes of autogenous bone grafts after alveolar ridge augmentation of atrophic maxillae and mandibles. Int J Oral Maxillofac Surg. 2009;38: Urban IA, Jovanovic SA, Lozada JL. Vertical ridge augmentation using guided bone regeneration (GBR) in three clinical scenarios prior to implant placement: a retrospective study of 35 patients 12 to 72 months after loading. Int J Oral Maxillofac Implants. 2009;24: Iasella JM, Greenwell H, Miller RL, et al. Ridge preservation with freeze-dried bone allograft and a collagen membrane compared to extraction alone for implant site development: a clinical and histologic study in humans. J Periodontol. 2003;74: De Boever AL, De Boever JA. A one-stage approach for nonsubmerged implants using a xenograft in narrow ridges: report on seven cases. Int J Periodontics Restorative Dent. 2003;23: Christensen DK, Karoussis IK, Joss A, Hammerle CH, Lang NP. Simultaneous or staged installation with guided bone augmentation of transmucosal titanium implants. A 3-year prospective cohort study. Clin Oral Implants Res. 2003;14: Franco M, Tropina E, De Santis B, et al. A 2-year follow-up study on standard length implants inserted into alveolar bone sites augmented with homografts. Stomatologija. 2008;10: Chen FM, Shelton RM, Jin Y, Chapple IL. Localized delivery of growth factors for periodontal tissue regeneration: role, strategies, and perspectives. Med Res Rev. 2009;29: Dori F, Huszar T, Nikolidakis D, et al. Effect of platelet-rich plasma on the healing of intrabony defects treated with Beta tricalcium phosphate and expanded polytetrafluoroethylene membranes. J Periodontol. 2008;79: Tehemar S, Hanes P, Sharawy M. Enhancement of osseointegration of implants placed into extraction sockets of healthy and periodontally diseased teeth by using graft material, an eptfe membrane, or a combination. Clin Implant Dent Relat Res. 2003;5: Verardi S, Simion M. Management of the exposure of e-ptfe membranes in guided bone regeneration. Pract Proced Aesthet Dent. 2007;19: You TM, Choi BH, Li J, Xuan F, Jeong SM, Jang SO. Morphogenesis of the peri-implant mucosa: a comparison between flap and flapless procedures in the canine mandible. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2009;107: Jeong SM, Choi BH, Li J, Kim HS, Ko CY, Lee SH. Influence of abutment connections and plaque control on the initial healing of prematurely exposed implants: an experimental study in dogs. J Periodontol. 2008;79: Journal of Oral Implantology 603
Flapless, Immediate Implantation & Immediate Loading with Socket Preservation in the Esthetic Area Using the Alpha-Bio Tec's NeO Implants
Flapless Surgery Case Study 48 Flapless, Immediate Implantation & Immediate Loading with Socket Preservation in the Esthetic Area Using the Alpha-Bio Tec's NeO Implants Dr. Gadi Schneider DMD, Specialist
More informationBONE AUGMENTATION AND GRAFTING
1 A Computer-Guided Bone Block Harvesting Procedure: A Proof-of-Principle Case Report and Technical Notes Effectiveness of Lateral Bone Augmentation on the Alveolar Crest Dimension: A Systematic Review
More informationVertical and horizontal alveolar ridge augmentation
CLINICAL SIMULTANEOUS VERTICAL GUIDED BONE REGENERATION AND GUIDED TISSUE REGENERATION IN THE POSTERIOR MAXILLA USING RECOMBINANT HUMAN PLATELET-DERIVED GROWTH FACTOR: A CASE REPORT Istvan Urban, DMD,
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 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 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 informationVertical and Horizontal Augmentation Using Guided Bone Regeneration. Ph.D. Thesis. Dr. med. dent. et univ. Istvan Urban
Vertical and Horizontal Augmentation Using Guided Bone Regeneration Ph.D. Thesis Dr. med. dent. et univ. Istvan Urban Supervisor: Prof. Dr. Katalin Nagy, DDS, PhD Faculty of Dentistry, University of Szeged
More informationPosterior mandible and vertical augmentation
CASE REPORT Bilateral Vertical Ridge Augmentation With Block Grafts and Guided Bone Regeneration in the Posterior Mandible: A Case Report Maria A. Peñarrocha* Jose A. Vina Laura Maestre David Peñarrocha-Oltra
More informationCASE REPORT MEGAGEN IMPLANT. AnyRidge. CLINICAL CASE REPORT Davide Farronato, DDs, PhD, PD, AP
AnyRidge CLINICAL CASE REPORT Davide Farronato, DDs, PhD, PD, AP AnyRidge Clinical Case Ⅰ. Dr. Davide Farronato Baseline - fractured tooth Baseline - fractured tooth #25 Rx view Atraumatic avulsion technique
More informationManagement of peri-implant recession associated with bone fenestration and dehiscence in the anterior region
CLINICAL REPORT 269 George Nikou, Dimitris Nikolidakis, Peter Thoolen, Anton Sculean Management of peri-implant recession associated with bone fenestration and dehiscence in the anterior region KEY WORDS
More informationTHE PERIODONTAL ASPECT OF IMPLANT THERAPY Prof. Dr. Windisch Péter
THE PERIODONTAL ASPECT OF IMPLANT THERAPY Prof. Dr. Windisch Péter Periodontal aspects of implant therapy 1) Comprehensive perioprosthodontic treatment by utilizing implants on perio-patients. 2) Anatomical
More informationMinimal invasive horizontal ridge augmentation using subperiosteal tunneling technique
Kim et al. Maxillofacial Plastic and Reconstructive Surgery (2016) 38:41 DOI 10.1186/s40902-016-0087-8 Maxillofacial Plastic and Reconstructive Surgery RESEARCH Open Access Minimal invasive horizontal
More informationBONE HEALING AT A FAILED IMPLANT SITE. HISTOLOGIC EVALUATIONS: ACASE REPORT Jun-Beom Park, DDS, MSD IN A TYPE II DIABETIC PATIENT: CLINICAL AND
CLINICAL BONE HEALING AT A FAILED IMPLANT SITE IN A TYPE II DIABETIC PATIENT: CLINICAL AND HISTOLOGIC EVALUATIONS: ACASE REPORT Jun-Beom Park, DDS, MSD Placement of endosseous dental implants in diabetic
More informationRehabilitating a Compromised Site for Restoring Form, Function and Esthetics- A Case Report
Research & Reviews: Journal of Dental Sciences Rehabilitating a Compromised Site for Restoring Form, Function and Esthetics- A Case Report Priyanka Prakash* Division of Periodontology, Department of Dental
More informationSocket preservation in the daily practice: A clinical case report
Clinical Socket preservation in the daily practice: A clinical case report Rabih Abi Nader 1 and Carine Tabarani 2 Abstract Soft tissue contour depends on the underlying bone anatomy. Following tooth extraction,
More informationVertical Augmentation
Indication Sheet V Dr. Mauro Merli Vertical Augmentation Vertical alveolar ridge augmentation by means of the fence technique with Geistlich biomaterials > Original publication of the technique on PubMed;
More informationEvaluation of peri-implant tissue response according to the presence of keratinized mucosa Abstract Purpose: Materials and methods Results:
Evaluation of peri-implant tissue response according to the presence of keratinized mucosa Bum-Soo Kim 1, Young-Kyun Kim 1, Pil-Young Yun 1, Yang-Jin Lee 2, Hyo-Jeong Lee 3, Su-Gwan Kim 4 1Department of
More information( ) 2009;28(2):89-94
( ) 2009;28(2):89-94 Osseointegration is important in the functional aspect, however, esthetics is also important, especially in the maxillary anterior region. An adequate surgical technique is necessary
More informationRidge Augmentation. Selection of Applicable Abstracts and Posters. Using Titanium-Reinforced PTFE Membranes
Ridge Augmentation Selection of Applicable Abstracts and Posters Using Titanium-Reinforced PTFE Membranes Gultekin BA, Cansiz E, Borahan MO. Clinical and 3-Dimensional Radiographic Evaluation of Autogenous
More informationManagement of a complex case
2 Soft- and hard-tissue reconstruction of a severely deficient site prior to implant placement: a case report Management of a complex case Younes Khosroshahy, DDS, MFDS RCS (Eng), Dip Imp Dent RCSEd, Blue
More informationPeriimplant Regeneration Fenestration
Indication Sheet PIR Periimplant Regeneration Fenestration Treatment concept of Dr. Jean-Pierre Gardella (surgeon) and Dr. Christian Richelme (prosthodontist), Marseille, France > Filling of a peri-implant
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 informationBringing you Geistlich biocompatibility with improved application and handling benefits. Your combination for success
Bringing you Geistlich biocompatibility with improved application and handling benefits Your combination for success Geistlich Combi-Kit Collagen: Combining ease and predictablility Geistlich Combi-Kit
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 informationPeriimplant Regeneration Fenestration
Indication Sheet PIR-1 Periimplant Regeneration Fenestration Treatment concept of Dr. Jean-Pierre Gardella (surgeon) and Dr. Christian Richelme (prosthodontist), Marseille, France > Filling of a peri-implant
More informationGBR membrane for ideal regeneration
GBR membrane for ideal regeneration 1) i-gen Lingual Extension should be considered for a large defect. Need to have at least 1mm of space above the platform of a fixture: Make this space with a pre-existing
More informationGBR membrane for ideal regeneration. i-gen TM. 2mm. >2.5mm. Lingual Extension. >100 blunt angle
REGENERATION 02/03 Design Concept GBR membrane for ideal regeneration i-gen TM Description Single A type Small IG1W4509 Single A type Regular IG1W5510 Single A type Wide IG1W6511 Single B type Small IG2W0918
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 informationEvaluation of different grafting materials in three-wall intra-bony defects around dental implants in beagle dogs
Current Applied Physics 5 (2005) 507 511 www.elsevier.com/locate/cap Evaluation of different grafting materials in three-wall intra-bony defects around dental implants in beagle dogs Ui-Won Jung a, Hee-Il
More informationPurpose: To assess the long term survival of sites treated by GTR.
Cortellini P, Tonetti M. Long-term tooth survival following regenerative treatment of intrabony defects. J Periodontol 2004; 75:672-8. (28 Refs) Purpose: To assess the long term survival of sites treated
More informationYears of research and advancement in
Immediate Implants with Guided Bone Regeneration Using Titanium Mesh and Alloplast in an Infected Site: A Case Report Mahesh et al Dr. Lanka Mahesh 1 Dr. Ajay Bibra 2 Dr. Vishal Gupta 3 Abstract Years
More informationRole of flap tension in primary wound closure of mucoperiosteal flaps: a prospective cohort study
R. Burkhardt N. P. Lang Role of flap tension in primary wound closure of mucoperiosteal flaps: a prospective cohort study Authors affiliation: R. Burkhardt, N. P. Lang, The University of Hong Kong, Hong
More informationThe Use of Freeze-Dried Bone Allograft as an Alternative to Autogenous Bone Graft in the Atrophic Maxilla: A 3-Year Clinical Follow-up
643 The Use of Freeze-Dried Bone Allograft as an Alternative to Autogenous Bone Graft in the Atrophic Maxilla: A 3-Year Clinical Follow-up Marco Aurélio Bianchini, DDS, MSc, PhD 1 André R. Buttendorf,
More informationPeri-implant Augmentation
Indication Sheet PIR3 Peri-implant Augmentation Early implantation with simultaneous GBR for contour augmentation using the technique by Prof. Daniel Buser and Prof. Urs Belser, University of Berne, Switzerland
More informationHyun-Jae Cho, Kun-Soo Jang, Ki-Hyun Jeong, Jae-Yun Jeon, Kyung-Gyun Hwang, Chang-Joo Park
Vol. 33 No. 1, March 2014 Peri-implant gingival tissue changes following immediate placement of maxillary anterior single implant with a collagen-coated xenograft: A 1-year follow-up result Hyun-Jae Cho,
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 informationDeploying Alpha-Bio Tec s NeO Selftapping Implant in an Atrophic Crest: Vestibular-Cortical Stabilization with Bone Graft
The Atrophic crest Deploying Alpha-Bio Tec s NeO Selftapping Implant in an Atrophic Crest: Vestibular-Cortical Stabilization with Bone Graft Dr. Paolo Borelli DDS, Italy Dr. Massimiliano Favetti DDS, Italy
More informationRELIABLE WHEN IT COUNTS. The unique collagenase-resistant membrane protects bone graft and supports treatment success even when exposed 4
RELIABLE WHEN IT COUNTS 1 RELIABLE WHEN IT COUNTS RESISTANT TO EXPOSURE The unique collagenase-resistant membrane protects bone graft and supports treatment success even when exposed 4 RELIABLE BARRIER
More informationImmediate post-extraction BIOMIMETIC CORAL IC implant placement in the anterior esthetic zone
Immediate post-extraction BIOMIMETIC CORAL IC implant placement in the anterior esthetic zone AUTHORS Dr. Antonio Mallebrera Clinica Mallebrera Centro Dental (Petrer, Alicante) Sr. Juan José Sempere Matarredona
More informationMasking Buccal Plate Remodeling in the Esthetic Zone with Connective Tissue Grafts: Concepts and Techniques with Immediate Implants
Peer-Reviewed and Indexed Annual Implant Issue Masking Buccal Plate Remodeling in the Esthetic Zone with Connective Tissue Grafts: Concepts and Techniques with Immediate Implants of Continuing Education
More informationSocket preservation using deproteinized horsederived
Research Article J Periodontal Implant Sci 2010;40:227-231 doi: 10.5051/jpis.2010.40.5.227 Socket preservation using deproteinized horsederived bone mineral Jang-Yeol Park, Ki-Tae Koo, Tae-Il Kim, Yang-Jo
More informationLimited bone availability makes implant placement challenging
Bone Grafting: Essential Indications and Techniques in Implant Dentistry Limited bone availability makes implant placement challenging and sometimes unpredictable. Candidates for implant therapy must have
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 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 informationIt is now well-known that tooth loss results in a loss of
CASE LETTER Sliding Full-Thickness Pedicle Flap for Primary Wound Closure of the Socket Preservation Site Shane J. J. McCrea, MMedSci, MSc, BDS INTRODUCTION It is now well-known that tooth loss results
More informationCase Report Treatment of an Erratic Extraction Socket for Implant Therapy in a Patient with Chronic Periodontitis
Case Reports in Dentistry Volume 2016, Article ID 1746961, 6 pages http://dx.doi.org/10.1155/2016/1746961 Case Report Treatment of an Erratic Extraction Socket for Implant Therapy in a Patient with Chronic
More informationAlveolar Ridge Augmentation with Titanium Mesh and Particulate Allograft A Case Report
Alveolar Ridge Augmentation with Titanium Mesh and Particulate Allograft A Case Report Dr. Pratibha Borasi, Dr. Praneeta Kamble Department of Periodontics, Nair Hospital Dental College, Mumbai, Maharashtra,
More informationAlveolar Ridge Preservation:
Alveolar Ridge Preservation: Preserving and Building up the Bony Structures after Extraction» By: Prof. Roland Hille Konigsallee 49c, 41747 Viersen, Germany E-mail: dr-hille@t-online.de» Prof. Rolf Vollmer
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 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 informationOne-year Re-entry Results of Guided Bone Regeneration around Immediately Placed Implants with Immediate or Conventional Loading: A Case Series
Journal of the International Academy of Periodontology 2012 14/3:62-68 One-year Re-entry Results of Guided Bone Regeneration around Immediately Placed Implants with Immediate or Conventional Loading: A
More informationREASONS TO USE R.T.R.
3 REASONS TO USE R.T.R. AFTER EACH EXTRACTION Fully resorbable ß-TCP material RTR 3raisons 120x280.indd 1 16/06/15 10:52 1AVOID SPONTANEOUS RIDGE RESORPTION After tooth extraction, spontaneous healing
More informationRehabilitation of atrophic partially edentulous mandible using ridge split technique and implant supported removable prosthesis
CASE REPORT Rehabilitation of atrophic partially edentulous mandible using ridge split technique and implant supported removable prosthesis Dr Ashish Yadav 1, Dr Aratee Gupta 2, Dr Archana Singh 3, 1,3-
More informationMulti-Modality Anterior Extraction Site Grafting Increased Predictability for Aesthetics Michael Tischler, DDS
Page 1 of 5 Issue Date: March 2003, Posted On: 8/1/2005 Multi-Modality Anterior Extraction Site Grafting Increased Predictability for Aesthetics Michael Tischler, DDS The extraction of teeth creates a
More informationREGENERATIONTIME. A Case Report by. Ridge Augmentation and Delayed Implant Placement on an Upper Lateral Incisor
A Case Report by Dr. Daniele Cardaropoli Ridge Augmentation and Delayed Implant Placement on an Upper Lateral Incisor The Situation An adult female patient presented with an endodontic/prosthetic failure
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 informationCase Report Alveolar Ridge Augmentation using Subepithelial Connective Tissue Grafts: A Case report
Alveolar Ridge Augmentation using Subepithelial Connective Tissue Grafts: A Case report Po-Yu Lai, DDS, MS School of Dentistry, National Yang-Ming University Shing-Wai Yip, DDS, MS, DScD Prosthodontics
More informationRidge Split Procedure
Ridge Split Procedure in the Atrophic Maxilla Udatta Kher B.D.S., M.D.S. Loss of teeth causes extensive resorption of the alveolar ridge. In the maxilla the resorption pattern occurs towards the midline,
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 informationMore than bone regeneration. A total solution.
More than bone regeneration. A total solution. More than a dental implant company. A total solution. When it comes to treatment options, your patients want positive results both functionally and esthetically.
More informationAlveolar ridge preservation techniques
Alveolar ridge preservation techniques Semmelweis University, Department of Periodontology, Budapest Dr. Windisch Péter Head of Department of Periodontology Changes of the alveolar ridge dimensions after
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 informationImmediate implant placement in the Title central incisor region: a case repo. Journal Journal of prosthodontic research,
Immediate implant placement in the Title central incisor region: a case repo Author(s) Sekine, H; Taguchi, T; Yamagami, M; Alternative Takanashi, T; Furuya, K Journal Journal of prosthodontic research,
More informationOral Rehabilitation with CAMLOG implants after loss of dentition due to an accident
Case Report 13 2011 Oral Rehabilitation with CAMLOG implants after loss of dentition due to an accident Dr Hitoshi Minagawa Tokyo, Japan Prosthetics Dr Hitoshi Minagawa successfully completed his studies
More informationGUIDED BONE & TISSUE REGENERATION 2-DAY MASTERCLASS (CHOOSE LONDON OR PARIS) DR. ISABELLA ROCCHIETTA & DR. DAVID NISAND
GUIDED BONE & TISSUE REGENERATION DR. ISABELLA ROCCHIETTA & DR. DAVID NISAND 2-DAY MASTERCLASS (CHOOSE LONDON OR PARIS) This hands-on course will be delivered in small group workshops and will equip the
More informationThe International Journal of Periodontics & Restorative Dentistry
The International Journal of Periodontics & Restorative Dentistry 89 Pre-extractive Interradicular Implant Bed Preparation: Case Presentations of a Novel Approach to Immediate Implant Placement at Multirooted
More informationCase Report. Immediate Placement of a two-piece zirconia implant I M P L A N T P R O C E D U R E. Z-Systems Z5c Tissue Level Implant
Case Report I M P L A N T P R O C E D U R E Immediate Placement of a two-piece zirconia implant A 63 1 years old male suffering from allergies showed up in my practice in January 2013. The initial diagnosis
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 informationPractical Advanced Periodontal Surgery
Practical Advanced Periodontal Surgery Serge Dibart Blackwell Munksgaard Chapter 8 Papillary Construction After Dental Implant Therapy Peyman Shahidi, DOS, MScD, Serge Dibart, DMD, and Yun Po Zhang, PhD,
More informationEnhancing implant stability with osseodensification a case report with 2-year follow-up
Enhancing implant stability with osseodensification a case report with 2-year follow-up Dr. Salah Huwais discusses how osseodensification facilitates ridge expansion with enhanced implant stability Introduction
More informationMany techniques have been proposed for root coverage:
Case Series Localized Gingival Recessions Treated With the Original Envelope Technique: A Report of 50 Consecutive Patients Jaime A. Vergara* and Raul G. Caffesse Background: The surgical techniques used
More informationOSSTEM Clinical Cases
OSSTEM Clinical Cases Contents Smart Membrane (TSIII SA) Nonsubmerged GBR Using Customized 3D Titanium Membrane (SMARTmembrane) GBR on Premolar Defect Using the SMARTmembrane TSIII SA System Immediate
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 informationMODIFIED SINGLE ROLL FLAP APPROACH FOR SIMULTANEOUS IMPLANT PLACEMENT AND GINGIVAL AUGMENTATION
Journal of IMAB ISSN: 1312-773X https://www.journal-imab-bg.org https://doi.org/10.5272/jimab.2017233.1667 Journal of IMAB - Annual Proceeding (Scientific Papers). 2017 Jul-Sep;23(3): Case report MODIFIED
More informationMany factors are known to influence the success of
CLINICAL The Role of Two Different Collagen Membranes for Dehiscence Defect Around Implants in Humans Dong-Woon Lee, DDS, MSD 1,2 Kyeong-Taek Kim, DDS, MSD 1 Yon-Soo Joo, DDS 1 Mi-Kyung Yoo, DDS, MSD 1
More informationWorking together as a team, the periodontist
The Team Approach to Esthetic Immediate Implant Placement Bobby L. Butler, DDS; and Greggory Kinzer, DDS Working together as a team, the periodontist and restorative dentist can provide an increased level
More informationDr. Jyoti Bansal, Dr. Abhishek Bansal, Dr. Suresh D.K., Dr. Anish Manocha
Case Report 1 2 3 4 Dr. Jyoti Bansal, Dr. Abhishek Bansal, Dr. Suresh D.K., Dr. Anish Manocha Bansal J, Bansal A, DK Suresh, Manocha A. Immediate loading of single stage implants with minimally invasive
More informationThe severe loss of alveolar bone associated with longterm
CLINICAL One-Year Prospective Study of 7-mm-Long Implants in the Mandible: Installation Technique and Crown/Implant Ratio of 1.5 or Less Young-Kyun Kim, DDS, PhD 1,2 * Pil-Young Yun, DDS, PhD 1 Yang-Jin
More informationThe Original remains unique.
The Original remains unique. Geistlich leading regeneration 2A, 2B Geistlich is the world leader in regenerative dentistry. We transform natural biomaterials into safe and reliable treatment methods that
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 informationSurgery All at Once : Socket preservation and immediate placement of an implant in an infected site in the anterior region a Case Report
Surgery All at Once : Socket preservation and immediate placement of an implant in an infected site in the anterior region a Case Report W.P. van der Schoor*, A.R.M. van der Schoor Tooth extraction followed
More informationExtraction with Immediate Implant Placement and Ridge Preservation in the Posterior
Extraction with Immediate Implant Placement and Ridge Preservation in the Posterior by Timothy F. Kosinski, DDS, MAGD The following case presentation illustrates the diagnosis, planning and treatment for
More informationTreatment of multiple gingival recessions using subepithelial connective tissue grafting with a single-incision technique
317 Journal of Oral Science, Vol. 51, No. 2, 317-321, 2009 Case Report Treatment of multiple gingival recessions using subepithelial connective tissue grafting with a single-incision technique Jun-Beom
More informationThe International Journal of Periodontics & Restorative Dentistry
The International Journal of Periodontics & Restorative Dentistry 3 Periosteal Pocket Flap for Horizontal Bone Regeneration: A Case Series Marius Steigmann, DDS*/Maurice Salama, DDS, MS**/ Hom-Lay Wang,
More informationThe success of implant-supported dental prostheses is
CASE LETTER Pouch Roll Technique for Implant Soft-Tissue Augmentation of Small Defects: Two Case Reports With 5-Year Follow-Up Jorge Saade, DDS, MD 1, PhD 1 Bruno Salles Sotto-Maior, DDS, MD, PhD 2 * Carlos
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 informationPlatform switching for marginal bone preservation around dental implants: a systematic review and meta-analysis.
Platform switching for marginal bone preservation around dental implants: a systematic review and meta-analysis. Atieh MA, Ibrahim HM, Atieh AH. J Periodontol. 2010 Oct;81(10):1350-66. BACKGROUND: Platform
More informationSOCKET WHETHER TO PRESERVE IT NOW OR TO CREATE LATER? - A CASE REPORT
MAVEN CASE REPORT SOCKET WHETHER TO PRESERVE IT NOW OR TO CREATE LATER? - A CASE REPORT Dr. Parthasarathi Biswas 1, Dr. Debajyoti Mondal 1, Dr. B Praveena Devi 1, Dr. Indrasri Das 2, Dr. Somen Bagchi 3,
More informationRedefining Regeneration
Redefining Regeneration Taking Volume to the MAX One Product, One Treatment, Real VOLUME Buccal Bone Loss Socket Preservation Lateral / Vertical Augmentation Grafting Material Scaffold Barrier (4-6 months)
More informationClinical Case Reports using Cytoplast GTR Barrier Membranes
Clinical Case Reports using Cytoplast GTR Barrier Membranes Barry K. Bartee, DDS, MD The Cytoplast Technique: Extraction Site Grafting Without Primary Closure 1. 1. Preoperative view. To maximize the result
More informationEvaluation of a Combination Allograft Material Compared to DFDBA in Alveolar Ridge Preservation. Sanju P. Jose
Evaluation of a Combination Allograft Material Compared to DFDBA in Alveolar Ridge Preservation by Sanju P. Jose B.S., University of Maryland Baltimore County, 2008 D.D.S., University of Maryland School
More informationInternational Journal of Applied Dental Sciences 2018; 4(1): Dr. Renu gupta, Dr. RP Luthra, Suhani Kukreja
2018; 4(1): 213-218 ISSN Print: 2394-7489 ISSN Online: 2394-7497 IJADS 2018; 4(1): 213-218 2018 IJADS www.oraljournal.com Received: 06-11-2017 Accepted: 07-12-2017 Dr. Renu gupta Professor and head, Department
More informationPouch Roll Technique for Implant Soft Tissue Augmentation: A Variation of the Modified Roll Technique
e116 Pouch Roll Technique for Implant Soft Tissue Augmentation: A Variation of the Modified Roll Technique Sang-Hoon Park, DDS, MS* Hom-Lay Wang, DDS, MSD, PhD** This paper presents three cases of peri-implant
More informationThe Sandwich Bone Augmentation Technique. Jia-Hui Fu* and Hom-Lay Wang*
CASE REPORT The Sandwich Bone Augmentation Technique Jia-Hui Fu* and Hom-Lay Wang* Introduction: Horizontal ridge width reduction after tooth extraction is a common clinical scenario. As such, when implant-supported
More informationGUIDED BONE & TISSUE REGENERATION 2-DAY LIVE COURSE DR. ISABELLA ROCCHIETTA & DR. DAVID NISAND
GUIDED BONE & TISSUE REGENERATION DR. ISABELLA ROCCHIETTA & DR. DAVID NISAND 2-DAY LIVE COURSE Soft tissue management is the key to achieve aesthetic success. Periodontal and peri-implant soft tissue management
More informationSocket grafting and ridge preservation using Bond Apatite. Cases 1. Surgery Dr. David Baranes D.M.D
Socket grafting and ridge preservation using Bond Apatite Cases 1 Case 1 description In this case the two inferiors hopeless molars 37 38 was removed.the socket and the ridge was preserve by augmenting
More informationImmediate Restorations on Implants in the Esthetic Area
CLINICAL SCIENCE IJOICR Immediate Restorations on Implants in the Esthetic Area Immediate Restorations on Implants in the Esthetic Area 1 Pedro Peña Martinez, 2 Ramón Palomero Langner, 3 Ramón Palomero
More informationSurgical Therapy. Tuesday, April 2, 13. Alessan"o Geminiani, DDS, MS
Surgical Therapy Alessan"o Geminiani, DDS, MS Periodontal Flap: a surgical procedure in which incisions are made in the gingiva or mucosa to allow for separation of the epithelium and connective tissues
More informationVertical and Horizontal Ridge Augmentation of a Severely Resorbed Ridge in the Anterior Maxilla
CASE REPORT Vertical and Horizontal Ridge Augmentation of a Severely Resorbed Ridge in the Anterior Maxilla Alberto Monje,* Florencio Monje, Fernando Suarez,* Raúl González-García, Laura Villanueva-Alcojol,
More informationMaryland AGD AE and Socket Grafting 2015
The Goodacre Study 5 year retrospective study looked at Crown & Bridge Caries Single crowns 1% FPD abutments 17% Periodontal Involvement Single crowns
More information