Implant dentistry is primarily practiced using. Why Guided When Freehand Is Easier, Quicker, and Less Costly? CLINICAL
|
|
- Doreen Robinson
- 5 years ago
- Views:
Transcription
1 CLINICAL Why Guided When Freehand Is Easier, Quicker, and Less Costly? Paul A. Schnitman, DDS, MSD 1 * Chie Hayashi, DDS, PhD 2 Rita K. Han, DDS, MMSc 2 Computer-assisted implant planning and subsequent production of a surgical template based on this plan has gained attention because it provides restoratively driven esthetics, patient comfort, satisfaction, and the option of flapless surgery and immediate restoration. However, it adds expense and requires more time. Another significant but not so apparent advantage may be improved survival and success over freehand techniques in types III and IV bone. This retrospective analysis was undertaken to examine that possibility. It reports 1-year outcome for 80 implants in 27 consecutively presenting patients treated over a 7-year period using computerassisted techniques across all bone qualities in commonly encountered treatment indications in private practice. Implants were placed to support single teeth, small bridges, and complete arch restorations in exposed or immediately restored applications, based on primary stability as determined by insertion torque, resonance frequency analysis, and Periotest. For the 80 implants supporting 35 restorations, the median observation period is 2.66 years; 73 implants supporting prostheses in 22 patients had readable radiographs at 1 year. There was a 1-year overall implant survival and a success rate of 100%. Radiographic analysis demonstrated the change in bone level from the platform at 1-year is less than 2 mm. Intra-operative median measurements of primary stability were insertion torque, 40 Ncm; resonance frequency, 76 ISQ; and Periotest, 3. All intra-operative measurements were consistent for acceptable primary stability regardless of bone density. Restoratively driven diagnosis and precision planning and initial fit were possible with computer-assisted techniques resulting in the achievement of high primary stability, even in areas of less dense bone. The ability to plan implant position, drill sequence, and implant design on the basis of predetermined bone density gives the practitioner enhanced pretreatment information which can lead to improved outcome. Key Words: clinical research, guided, implant surgery, bone density, immediate load, osseointegration, success INTRODUCTION Implant dentistry is primarily practiced using freehand techniques with survival rates commonly higher than 90%. However, the freehand technique lacks the sophistication of restoratively driven concepts and management in types III and IV bone. Although the 1 Dental Implants of Boston, Wellesley Hills, Mass. 2 Department of Oral Medicine, Infection, and Immunity Periodontology, Harvard School of Dental Medicine, Boston, Mass. * Corresponding author, pschnitman@aol.com DOI: /aaid-joi-D diagnostic computerized tomography (CT) scan has been utilized for many years, its use has been primarily for volume determination and approximation of tooth and critical anatomy relative to the potential implant site. However, this planning information is not precisely transferred to the patient for implant placement unless computerassisted surgery (CAS) is utilized. Guided implant dentistry was first introduced for fully edentulous patients, allowing flapless implant and restoration placement in the same visit. 1 The concept is based on the transformation of a radiographic guide, which allows information on Journal of Oral Implantology 671
2 Why Guided? FIGURES 1 3. FIGURE 1. Radiographic template incorporating teeth to be replaced placed intra-orally for the CT scan. FIGURE 2. Virtual tooth relative to the implant supporting bone ready for implant planning. FIGURE 3. Radiographic guide incorporating teeth to be replaced with their cervical contours (left) and resulting surgical template with guiding sleeves (right). preplanned tooth position in relation to the patient s anatomy to be captured on the CT scan. When digitized, the information is transformed into a stereolithographic surgical template. This template incorporates sleeves that precisely guide drills and implant placement using information from the digital planning process and fabrication of preimplant models for immediate restoration fabrication. More recently, this technique has been utilized for the replacement of single teeth and multiple teeth with much success. 2 4 Computer-guided or computer-assisted surgery (CAS) provides multiple advantages, as it allows biologically and restoratively driven planning plus the precision of implant position leading to improved esthetics, increased patient comfort and satisfaction, and potential for immediate restoration. However, it adds expense and requires more time. In our experience over the past 7 years using CAS, we have observed that there may be another significant benefit: improved survival and success over freehand techniques, especially in types III and IV bone. Therefore, this retrospective analysis was undertaken to examine that possibility. MATERIALS AND METHODS Twenty-seven consecutively presenting patients requesting immediate loading between 2006 and 2012 were treated with 80 implants using CAS and analyzed retrospectively. Prior to implant placement, each patient had a CT scan (GE LightSpeed or GE HiSpeed, or Discovery CT750 HD, GE Medical Systems, Waukesha, Wis) with an intra-oral radiographic guide in place, incorporating the teeth to be replaced (Figure 1). The radiographic guide itself was separately scanned. The digital files (DICOM format) of both scans were converted in the planning software (NobelGuide, NobelBiocare, Yorba Linda, Calif) and implants were planned relative to the bone and teeth they would support (Figure 2). Following the planning, a surgical template was produced (Figure 3). Those implants not immediately loaded were either exposed with healing abutments or submerged. All implants were followed up within at least 1 year with radiographic and clinical examination. The implant designs and sizes (NobelBiocare) were selected on the basis of the bone quality determined in the planning program according to the following criteria: the straight-walled MK III 3.75 mm in type I bone and MK III 4 mm for types II and III bone. In types III and IV bone, the tapered MK IV or Speedy 4 mm were selected for multiple implant restorations and posterior single teeth. For implants in the anterior regions, 3.5 mm internal connection straight in bone types I and II and tapered in types III and IV were selected. Placement All recipient sites were prepared and generally followed the manufacturers guidelines, but a few modifications were applied. The planning bone density was confirmed with the tactile sense of bone density using the 2 mm diameter drill. In type I bone, the final twist drill of 3.0 mm (0.75 mm less than the implant diameter) and tapping 3.0 mm short of full depth were used. In type II bone, the preparation was slightly undersized by 1 mm less than the implant diameter. In type III bone, the preparation was undersized by 1.2 mm and the depth preparation was to full depth with straight implants or 3.0 mm short of the apex of the tapered implants. In type IV bone, the preparations were undersized through the use of a final twist drill that 672 Vol. XL/No. Six/2014
3 Schnitman et al TABLE 1 Implant diameter, shape, and drilling sequence based on bone type Shape Implant Diameter Bone Type Drill Sequence (Diameter) Drill Sequence (Depth) Self-tapping parallel wall 3.75 mm Type I Up to 3 mm Tap 3 mm short of apex Type II Up to 2.8 mm 4.0 mm Type II Up to 3 mm Tap sometimes Type III Up to 2.8 mm Taper wall 4.0 mm Type III Up to 2.8 or 3.0 mm half the length Type IV Up to 2.8 mm was mm narrower than the diameter of the planned implant for width preparation. For all implants, the implant platform was planned to be 0.7 mm below the crest of bone (Table 1). Primary stability of implants was measured intraoperatively by three methods: Insertion torque value was obtained the hand torque wrench (NobelBiocare). Resonance frequency analysis was performed using a Resonance Frequency Analyzer (Model 6, Osstell AB, Gothenberg, Sweden). Periotest Value was measured at 4 mm above the implant platform on the implant mount. (Periotest, Medizintechnik Gulden, Modautal, Germany). Loading & follow-up The implants were loaded immediately based on clinical requirements of the patients and intraoperative primary stability measures. 5 Criteria for immediate loading were: insertion torque (IT).35 Ncm, instability quotient (ISQ).65, or periotest value (PTV), 2. Implants that did not require immediate loading were either submerged or left exposed with healing abutments 0 2 mm coronal to the soft tissue. The decision to expose or submerge was based on the following criteria: submerge: IT,20 Ncm, ISQ 58, or PTV 0; and expose: IT.30 Ncm, ISQ.58, or PTV,0. When implant placement through soft tissue would eliminate attached tissue, a mini-flap was made. Sutures were removed 8 14 days postoperatively. The immediately loaded screw-retained provisional prostheses were not removed for at least 3 months postoperatively in the mandible and 4 months in the maxilla. At the end of this osseointegration period, the immediately loaded restorations and the exposed healing abutments were removed, and the submerged implants were exposed. Implants were definitively restored with splinted fixed screw-retained resin or ceramic prostheses or, for single teeth, cement or screwretained porcelain fused to high noble metal crowns. In 3 cases, the provisional prosthesis was not removed and functioned as the definitive prosthesis. After insertion of the final prostheses, the patients were asked to return every 3 months for maintenance. Radiographic measurements were made from the implant platform to the most apical extent of bone adaptation on the mesial and distal sides of the implant. To measure bone height, radiographs were magnified and then calibrated using the actual platform diameter as compared to the diameter on the magnified radiograph. Plaque Index 6 and modified Gingival Index 7 were graded on the buccal surface of the restoration at the mesial, midbuccal, and distal positions at least 1-year follow-up. Scores were averaged per implant. Implants were considered successful when there was absence of pain, mobility, suppuration, and marginal soft tissue recession with the bone level relative to the implant platform being less than 2 mm at a minimum of 1-year follow-up. Statistical analysis Retrospective data were analyzed using the Wilcoxon signed-rank test, the Kruskal-Wallace test, and Spearman s rank correlation. RESULTS Eighty implants in 27 consecutively treated patients were followed from 56 to 382 weeks. Mandibular implants were osseointegrated by 12 weeks and maxillary implants by 16 weeks. Both survival and success rate is 100% with a medial survival period of 139 weeks (interquartile range: weeks). Among the 80 implants, 48 (60.0%) were immediate loaded, 30 (37.5%) were exposed, and 2 (2.5%) were Journal of Oral Implantology 673
4 Why Guided? TABLE 2 Implants by treatment and location Immediate Loaded Exposed Submerged Anterior maxilla 7 (8.8%) 6 (7.5%) 0 (0.0%) 13 (15.8%) Posterior maxilla 21 (26.3%) 6 (7.5%) 0 (0.0%) 27 (33.8%) Anterior mandible 5 (6.3%) 6 (7.5%) 2 (2.5%) 13 (16.3%) Posterior mandible 15 (18.8%) 12 (15%) 0 (0.0%) 27 (33.8%) 48 (60%) 30 (37.5%) 2 (2.5%) submerged. Twenty-seven (33.8%) were placed in the posterior mandible, 27 (33.8%) in the posterior maxilla, 13 (16.3%) in the anterior mandible, and 13 (16.3%) in the anterior maxilla (Table 2). The distribution of the restorations for these implants consisted of 33 (41.3%) supported complete arch fixed prostheses, 2 (2.5%) complete arch overdenture, 30 (37.5%) partial arches fixed prostheses, and 15 implants (18.8%) supported single restorations. Representative examples of clinical results are shown in Figure 4a, b, and c. Intra-operative primary stability measurements are shown in Table 3. The median insertion torque value was 40 Ncm with interquartile ranges of 35 and 45. The median ISQ value was 76 with interquartile ranges of 60.7 and The median PTV value was 0 with the interquartile ranges of 5 and 1. There is no FIGURE 4. (a) Immediately loaded maxillary complete arch. (b) Maxillary partial arch. (c) Immediately loaded mandibular single tooth. 674 Vol. XL/No. Six/2014
5 Schnitman et al Characteristic Location Anterior Maxilla (N ¼ 13) TABLE 3 Intraoperative measurements by location* Posterior Maxilla (N ¼ 27) Location Anterior Mandible (N ¼ 13) Posterior Mandible (N ¼ 27) Total (N ¼ 80) P-ValueÀ IT (Ncm) # missing Mean (SD) 37.5 (8.0) 38.1 (7.7) 38 (4.5) 40.7(7.7) 39.2 (8.0) Min, Max 25.0, 45 30, 50 20, 50 20, 50 20, 50 Median (Q1, Q3) 40.0 (30, 45) 40.0 (30.0, 45) 35 (35.0, 37.5) 45 (35, 45) 40.0 (35, 45) RFA (ISQ) # missing Mean (SD) 75 (2.9) 73 (7.4) 73.6 (15) 76 (4.6) 74.4 (7.5) Min, Max 71, 81 61, 85 34, 85 66, 83 34, 85 Median (Q1, Q3) 74 (73, 76) 73 (67, 78) 77 (74, 82.5) 77 (73, 79) 76 (60.7, 71.5) PTV # missing Mean (SD) 2.8 (2.2) 1.8 (2.6) 2.9 (3.8) 3 (2.7) 2.4 (2.8) Min, Max 6, 2 5, 4 7, 4 7, 6 7, 6 Median (Q1, Q3) 3 ( 4.5, 2) 2 ( 4, 0.25) 4 ( 6, 0.75) 4 ( 5, 1.5) 3 ( 5, 1) *IT indicates insertion torque; RFA, resonance frequency analysis; ISQ, instability quotient; PTV, Periotest value. ÀKruskal-Wallis test. significant difference in the intra-operative measurements by location (P ¼ 0.31, Kruskal-Wallis test). Correlation among the three intra-operative measures for the 80 implants were estimated using the Spearman rank-based correlation, shown in Table 4. There was no significant correlation between ISQ and IT, and between PTV and IT. However, PTV and ISQ were significantly correlated with the coefficient r ¼ 0.33 (P,0.0001). Therefore, there is a trend that these measures relate to one another. Radiographic results are shown in Table 5. Seventy-three (91.3%) of 80 implants had readable radiographs and available clinical measurements. The radiographic analysis demonstrated the median change in bone level from the platform at 1 year is 1.46 mm. Soft tissue results are summarized in Table 6. The plaque and gingival index score were 0 for 66 (90.4%) and 59 (80.8%) implants, respectively; 1 for 5 (6.8%) and 14 (19.2%) respectively; 2 (2.7%) had a plaque index score of 3. These two implants with a plaque index score of 3 were in an overdenture restoration, and the plaque was seen on the prosthesis, so it scored as 3 (Table 6). The amount of plaque was not extensive on these implants; therefore, the gingival index score was 0. Overall, soft tissue did not present with any significant inflammation, bleeding, suppuration, or recession. TABLE 5 TABLE 4 Correlation of intraoperative primary stability measures of insertion torque, resonance frequency analysis and Periotest* Measure N Correlation Coefficient P-Value ITV and ISQ ITV and PTV ISQ and PTV ,0.01* *ITV indicates insertion torque value; ISQ, instability quotient; PTV, Periotest value. ÀSignificant correlation between ISQ and PTV. Distance between implant platform to the most apical extent of radiolucency for the 73 implants with readable radiographs Implant Design N Radiolucency From Platform (mm) Median Mk III Speedy Groovy Mk IV Active Replace Select Straight Replace Select Taper Total Journal of Oral Implantology 675
6 Why Guided? TABLE 6 Soft tissue examination at least 1-year follow-up Plaque Index (N ¼ 73) Gingival Index (N ¼ 73) 0 66 (90.4%) 59 (80.8%) 1 5 (6.8%) 14 (19.2%) 2 0 (0%) 0 (0%) 3 2 (2.7%) 0 (0%) DISCUSSION Bone quality is considered to be a very important factor for implant success. Surprisingly, it did not appear to influence outcomes in this cohort of patients, regardless of the type of bone into which the implants were placed. Most likely this is related to several additional factors; among these are: understanding how to optimize bone quality, precise placement, preplanned matching of implant design and drill sequence with bone quality, and enhanced primary stability. In 1985, Lekholm et al 8 classified bone quality into types I through IV. In 1988, Schnitman et al, 9 using the freehand insertion technique, found that the success of osseointegration varied in four different regions of the jaws on the basis of bone type: The survival rate for implants placed in the anterior mandible was highest (100%), followed by the anterior maxilla (94%), posterior mandible (92%), and posterior maxilla (78%) (Figure 5). In 1990, Misch 10 proposed a bone classification based on density, which he felt would help in guiding practitioners to understand the importance of bone density as it relates to improved implant survival. Later, others began to report results by jaw region. In 2001, Norton and Gambel 13 observed CT bone density in Hounsfield (HU) numbers relate to the 4 regions of the jaw. Subsequently, others reported quantitative bone density and regional differences on the basis of CT scans. It can be seen from these studies that there is general agreement that bone density varies by the location within the jaw region the anterior mandible being the densest, followed by anterior maxilla, posterior mandible, and posterior maxilla. It is noteworthy that in this study, 34% of the implants were placed in the least dense region of the jaws (posterior maxilla), and two-thirds of these were immediately loaded and all were successful. FIGURE 5. Influence of implantation site on implant survival. Implant survival is highest in the anterior mandible (100%), followed by the anterior maxilla (94%), posterior mandible (92%), and posterior maxilla (78%). (Modified from Schnitman et al. 9 ) While CT scans are useful for viewing available bone and bone density, it is difficult to take full advantage of this information using freehand placement. However, the CAS technique goes a step further: It actually makes possible a digitally produced surgical template, which transfers all aspects of the digital planning to the patient. As a result, the clinician can take full advantage of planning software, as the implant can be placed relative to the planned restoration with maximum engagement of cortical and the densest medullary bone. Furthermore, implant macro design and drilling sequence can be preoperatively matched to bone density at the planned site. For example, Figures 6 and 7 show the implants in the maxillary posterior region, and these demonstrate how the planning can position the implant with maximal bone engagement and still deliver the optimal position for restoration. This would have been difficult or impossible using freehand placement. For this reason, we believe CAS may be the explanation for the complete lack of failure seen in this patient population. Primary stability is another crucial factor in achieving implant success, and many studies support that a lower initial stability relates to a higher failure rate of dental implant therapy Freehand placement, regardless of how precisely one tries to drill, still produces an elliptical rather than perfectly round site. In this analysis, the high primary stability achieved especially in types III 676 Vol. XL/No. Six/2014
7 Schnitman et al FIGURES 6 AND 7. FIGURE 6. Single tooth implant in maxillary 2nd premolar area. (a) The radiograph at 1-year follow-up showing excellent bone maintenance with the implant apex appearing to be in sinus. (b) Screen shot from the computer planning software showing ability to position implant to maximize bone support with apex engaging cortex between sinus and buccal plate while maintaining the relationship to prosthetically driven position. FIGURE 7. Maxillary three-tooth restoration supported by implants in the 1st bicuspid and 1st molar region. (a) Screen shot from the computer planning software showing the 1st premolar implant placement to maximize bone density while maintaining the prosthetically driven implant position. (b) Radiograph at 1-year follow-up of 1st bicuspid implant showing excellent bone maintenance. (c) Screen shot from the computer planning software showing tilted implant to exit in 1st molar position, paralleling the anterior wall of the sinus with 13 mm implant entirely within host bone avoiding the need for a sinus graft. and IV bone is based on the ability to preplan implant design (tapered or straight) and drilling sequence, and to use the digitally produced surgical template to precisely guide drills and the implant to final position. In this cohort of patients, the CAS technique delivered a truly biologically planned implant position combined with a precise placement technique through the use of the guided stereolithic template, resulting in uncommonly high implant success. CONCLUSIONS Restoratively driven diagnosis, as well as the precise planning and placement possible with computerassisted techniques result in high primary stability, even in areas of less dense bone. The ability to match and implant design and drill sequence with predetermined bone density gives the practitioner enhanced pretreatment information, which can lead to improved outcomes, justifying the added time and expense of the CAS technique. Journal of Oral Implantology 677
8 Why Guided? ABBREVIATIONS CAS: computer-assisted surgery CT: computerized tomography ISQ: instability quotient IT: insertion torque ITV: insertion torque value PTV: Periotest value RFA: resonance frequency analysis REFERENCES 1. van Steenberghe D, Glauser R, Blomback U, et al. A computed tomographic scan-derived customized surgical template and fixed prosthesis for flapless surgery and immediate loading of implants in fully edentulous maxillae: a prospective multicenter study. Clin Implant Dent Relat Res. 2005;7(suppl 1):S111 S D Haese J, Vervaeke S, Verbanck N, De Bruyn H. Clinical and radiographic outcome of implants placed using stereolithographic guided surgery: a prospective monocenter study. Int J Oral Maxillofac Surg. 2013;28: Pozzi A, Sannino G, Barlattani A. Minimally invasive treatment of the atrophic posterior maxilla: a proof-of-concept prospective study with a follow-up of between 36 and 54 months. J Prosthet Dent. 2012;108: Vasak C, Kohal RJ, Lettner S, Rohner D, Zechner W. Clinical and radiological evaluation of a template-guided (NobelGuide) treatment concept. Clin Oral Implants Res. 2014;25: Schnitman PA, Hwang JW. To immediately load, expose, or submerge in partial edentulism: a study of primary stability and treatment outcome. Int J Oral Maxillofac. Implants. 2011;26: Silness J, Loe H. Periodontal disease in pregnancy. II. Correlation between oral hygiene and periodontal condition. Acta Odontol Scand. 22;121: Loe H. The gingival index, the plaque index and the retention index systems. J Periodontol. 1967;38(suppl): Lekholm UaZ, G.A. Patient selection and preparation. In: Branemark PI, Garb GA, Alberktsson T, eds. Tissue Integrated Prostheses: Osseointegration in Clinical Dentistry, Chicago, Ill, Quintessence; 1985: Schnitman PA, Rubenstein JE, Whorle PS, DaSilva JD, Koch GG. Implants for partial edentulism. J Dent Educ. 1988;52: Misch CE. Density of bone: effect on treatment plans, surgical approach, healing, and progressive bone loading. Int J Oral Implantol. 1990;6: Drago CJ. Rates of osseointegration of dental implants with regard to anatomical location. J Prosthodont. 1992;1: Glauser R, Ree A, Lundgren A, Gottlow J, Hammerle CH, Scharer P. Immediate occlusal loading of Branemark implants applied in various jawbone regions: a prospective, 1-year clinical study. Clin Implant Dent Relat Res. 2001;3: Norton MR, Gamble C. Bone classification: an objective scale of bone density using the computerized tomography scan. Clin Oral Implants Res. 2001;12: Shapurian T, Damoulis PD, Reiser GM, Griffin TJ, Rand WM. Quantitative evaluation of bone density using the Hounsfield index. Int J Oral Maxillofac Implants. 2006;21: Turkyilmaz I, Tozum TF, Tumer C, Ozbek EN. Assessment of correlation between computerized tomography values of the bone, and maximum torque and resonance frequency values at dental implant placement. J Oral Rehabil. 2006;33: Turkyilmaz I, Tozum TF, Tumer C. Bone density assessments of oral implant sites using computerized tomography. J Oral Rehabil. 2007;34: de Oliveira RC, Leles CR, Normanha LM, Lindh C, Ribeiro- Rotta RF. Assessments of trabecular bone density at implant sites on CT images. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2008;105: Fuh LJ, Huang HL, Chen CS, et al. Variations in bone density at dental implant sites in different regions of the jawbone. J Oral Rehabil. 2010;37: Hiasa K, Abe Y, Okazaki Y, Nogami K, Mizumachi W, Akagawa Y. Preoperative computed tomography-derived bone densities in Hounsfield units at implant sites acquired primary stability. ISRN Dentistry. 2011;2011: Sogo M, Ikebe K, Yang TC, Wada M, Maeda Y. Assessment of bone density in the posterior maxilla based on Hounsfield units to enhance the initial stability of implants. Clin Implant Dent Relat Res. 2012;14(suppl 1):e183 e Becker W, Becker BE, Alsuwyed A, Al-Mubarak S. Long-term evaluation of 282 implants in maxillary and mandibular molar positions: a prospective study. J Periodontol. 1999;70: Balshe AA, Eckert SE, Koka S, Assad DA, Weaver AL. The effects of smoking on the survival of smooth- and rough-surface dental implants. Int J Oral Maxillofac Implants. 2008;23: Noguerol B, Munoz R, Mesa F, de Dios Luna J, O Valle F. Early implant failure. Prognostic capacity of Periotest: retrospective study of a large sample. Clin Oral Implants Res. 2006;17: Tozum TF, Turkyilmaz I, Bal BT. Initial stability of two dental implant systems: influence of buccolingual width and probe orientation on resonance frequency measurements. Clin Implant Dent Relat Res. 2010;12: Bogaerde LV, Pedretti G, Sennerby L, Meredith N. Immediate/early function of Neoss implants placed in maxillas and posterior mandibles: an 18-month prospective case series study. Clin Implant Dent Relat Res. 2010;12(suppl 1):e83 e Hug S, Mantokoudis D, Mericske-Stern R. Clinical evaluation of 3 overdenture concepts with tooth roots and implants: 2- year results. Int J Prosthodont. 2006;19: Nedir R, Bischof M, Szmukler-Moncler S, Bernard JP, Samson J. Predicting osseointegration by means of implant primary stability. Clin Oral Implants Res. 2004;15: Vol. XL/No. Six/2014
Since the introduction of osseointegrated dental implants
CLINICAL Papilla Formation in Response to Computer-Assisted Implant Surgery and Immediate Restoration Paul A. Schnitman, DDS, MSD 1 * Chie Hayashi, DDS, PhD, MMSc 2 This retrospective analysis was undertaken
More informationRestorative Driven Implant Solutions Utilizing the Latest Technology
Restorative Driven Implant Solutions Utilizing the Latest Technology Go online for in-depth content by Timothy F. Kosinski, DDS, MAGD As a general dentist who has placed nearly 7,000 dental implants, I
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 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 informationComputer-guided minimally invasive
CASE REPORT Guided Flapless Surgery With Immediate Loading for the High Narrow Ridge Without Grafting Paul A. Schnitman, DDS, MSD 1,2 Sang J. Lee, DMD, MMSc 2 * Guillaume J. Campard, DMD, MMSc 3 Maria
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 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 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 informationMechanical and technical risks in implant therapy.
Mechanical and technical risks in implant therapy. Salvi GE, Brägger U. Int J Oral Maxillofac Implants. 2009;24 Suppl:69-85. Department of Periodontology, School of Dental Medicine, University of Bern,
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 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 informationDIGITAL DIAGNOSIS AND TREATMENT PLANNING FOR PLACEMENT AND RESTORATION OF SINGLE IMPLANTS IN THE POSTERIOR MAXILLA By Timothy Kosinski, DDS
DIGITAL DIAGNOSIS AND TREATMENT PLANNING FOR PLACEMENT AND RESTORATION OF SINGLE IMPLANTS IN THE POSTERIOR MAXILLA By Timothy Kosinski, DDS Dental implants have undergone many positive advances in recent
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 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 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 informationUtilizing Digital Treatment Planning and Guided Surgery in Conjunction with Narrow Body Implants. by Timothy F. Kosinski, DDS, MAGD
Utilizing Digital Treatment Planning and Guided Surgery in Conjunction with Narrow Body Implants by Timothy F. Kosinski, DDS, MAGD Implant dentistry is undergoing some amazing transformations. With the
More informationGuidedService. The ultimate guide for precise implantations
GuidedService The ultimate guide for precise implantations ABGuidedService The ultimate guide for precise implantations At A.B. Dental we've brought implantology into the future with a 3D digitally planned
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 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 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 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 informationControlling Tissue Contours with a Prosthetically Driven Approach to Implant Dentistry
Controlling Tissue Contours with a Prosthetically Driven Approach to Implant Dentistry Go online for in-depth content by Timothy F. Kosinski, DDS, MAGD With continual improvements in the design and production
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 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 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 information10 Years of XiVE Implantology Unlimited
10 Years of XiVE Implantology Unlimited Implantology Unlimited is obligate for XiVE and every limit gives always a push to surrender new challenges: Primary stability in low bone quality? No problem with
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 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 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 informationImplant Restorations: A Step-By-Step Guide
Implant Restorations: A Step-By-Step Guide Drago, Carl DDS, MS ISBN-13: 9780813828831 Table of Contents Contributors. Foreword. Acknowledgments. Chapter 1. Introduction To Implant Dentistry. 1. Introduction.
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 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 informationNobelActive Product overview
NobelActive Product overview High primary stability even in demanding situations NobelActive s expanding tapered implant body condenses bone gradually while the apex with drilling blades enables a smaller
More informationAnkylos. Scientific Summary
Ankylos Scientific Summary Implanting TissueCare For over 25 years, the Ankylos implant system stands for stable, long-term esthetics. The results from numerous publications and long-term clinical experience
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 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 informationImplant osseointegration and successful restoration
Prosthodontic Complications in a Prospective Clinical Trial of Single-stage Implants at 36 Months Jacqueline P. Duncan, DMD, MDSc 1 /Elena Nazarova, DMD, PhD 2 /Theodora Vogiatzi, DDS 1 / Thomas D. Taylor,
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 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 informationAreview of recent studies concerning molar. Single Molar Replacement with a Progressive Thread Design Implant System: A Retrospective Clinical Report
Single Molar Replacement with a Progressive Thread Design Implant System: A Retrospective Clinical Report George E. Romanos, Dr med dent 1 /Georg H. Nentwig, Prof Dr med dent 2 Many clinical studies have
More informationHiron Andreaza da Cunha, MS 1 /Carlos Eduardo Francischone, DMD 2 /Hugo Nary Filho, DDS 3 / Rubelisa Cândido Gomes de Oliveira, BDS 4
A Comparison Between Cutting Torque and Resonance Frequency in the Assessment of Primary Stability and Final Torque Capacity of and TiUnite Single-Tooth Implants Under Immediate Loading Hiron Andreaza
More informationInclusive Tooth Replacement System
Optimizing Anterior Esthetics with the Inclusive Tooth Replacement System by Timothy F. Kosinski, DDS, MAGD Implant treatment has changed so much over the years. In the past it was acceptable to place
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 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 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 informationIn 1977, Lew1 developed a passive
CLINICAL AN OVERVIEW OF THE LEW ATTACHMENT: CLINICAL REPORTS Jack Piermatti, DMD Sheldon Winkler, DDS KEY WORDS Lew attachment Atrophic mandible Subperiosteal implant Root form implant Although the Lew
More informationImplant restoration in the aesthetic zone using guided surgery and immediate functional loading
Prachatipat Hospital Prathumtani Province Dr. Nawakamon Suriyan Implant restoration in the aesthetic zone using guided surgery and immediate functional loading Digital Workflow: clinical patient information
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 informationFrom planning to surgery: a totally digital working flow for Leone implants placement
Dr. Giancarlo Romagnuolo Roma, Italy From planning to surgery: a totally digital working flow for Leone implants placement Keywords guided surgery, 3D implant planning, single missing tooth, delayed immediate
More informationThen and Now. Implant Therapy:
Implant Therapy: Then and Now by Timothy F. Kosinski, DDS, MAGD Implant dentistry has come a long way since blade and subperiostal implants were widely used. Improvements in implant design and site preparation
More informationThe anatomic limitations of the. Implant Installation With Simultaneous Ridge Augmentation. Report of Three Cases Jun-Beom Park, DDS, MSD, PhD*
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
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 informationCase study 25. Implantology Solutions for Atrophic Maxilla Using Short Implants. Dr. Ariel Labanca Mitre
Case study 25 Implantology Solutions for Atrophic Maxilla Using Short Implants Dr. Ariel Labanca Mitre Oral Implantology Specialist Prosthodontics Specialist Implantology Solutions for Atrophic Maxilla
More informationUse of Technology for Improved Implant Use in The OMS Practice AAOMS 93rd Annual Meeting, Philadelphia, PA
Use of Technology for Improved Implant Use in The OMS Practice AAOMS 93rd Annual Meeting, Philadelphia, PA Image Navigation Surgery For Implant Placement - A Comparison To Guided Stent Use Robert W. Emery
More informationSimply straightforward NobelParallel Conical Connection
Simply straightforward NobelParallel Conical Connection Stability and fl exibility in parallel The NobelParallel Conical Connection is straightforward in design and application. It offers extraordinary
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 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 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 informationComputer-aided design/computer-assisted manufacturing
Use of a Digitally Planned and Fabricated Mandibular Complete Denture for Easy Conversion to an Immediately Loaded Provisional Fixed Complete Denture. Part 1. Planning and Surgical Phase Jaime L. Lozada,
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 informationDiagnostics and treatment planning. Dr. Attila Szűcs DDS
Diagnostics and treatment planning. Dr. Attila Szűcs DDS Considering both surgical Aim and prosthetic aspects in the planning of implant prosthetics Arrangements for implant therapy Preliminary examinations
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 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 informationAO Certificate in Implant Dentistry Certificate
AO Certificate in Implant Dentistry Certificate The AO Certificate in Implant Dentistry provides an opportunity for AO members to demonstrate that they have attained a level of education and experience
More informationAssessment of Implant Stability of Two-piece Zirconium Dioxide Implants using the Resonance Frequency Analysis: A Pilot Study
IJEDS Assessment of Implant Stability of Two-piece Zirconium Dioxide Implants using 10.5005/jp-journals-10029-1103 the Resonance Frequency Analysis RESEARCH ARTICLE Assessment of Implant Stability of Two-piece
More informationUsing immediate implant placement to address aesthetic and biomechanical challenges: A clinical presentation
Clinical Using immediate implant placement to address aesthetic and biomechanical challenges: A clinical presentation Pär-Olov Östman 1 Immediate implant loading has become an attractive option for meeting
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 informationA Long-term Retrospective Analysis of Survival Rates of Implants in the Mandible
A Long-term Retrospective Analysis of Survival Rates of Implants in the Mandible Thomas J. Balshi, DDS, PhD, FACP 1 /Glenn J. Wolfinger, DMD, FACP 2 / Brett E. Stein 3 /Stephen F. Balshi, MBE 4 Purpose:
More informationOrthodontic-prosthetic implant anchorage in a partially edentulous patient
Journal of Dental Sciences (2011) 6, 176e180 available at www.sciencedirect.com journal homepage: www.e-jds.com Clinical Report Orthodontic-prosthetic implant anchorage in a partially edentulous patient
More informationRestoration of Congenitally Missing Lateral Incisors with Single Stage Implants: An Interdisciplinary Approach
10.5005/jp-journals-10012-1045 CASE REPORT Restoration of Congenitally Missing Lateral Incisors with Single Stage Implants: An Interdisciplinary Approach 1 Mitha M Shetty, 2 Akshai KR Shetty, 3 N Kalavathy,
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 informationFixed Partial Dentures /FPDs/, Implant Supported. in implant prosthodontics
Fixed Partial Dentures /FPDs/, Implant Supported Prosthesis/ISP/ in implant prosthodontics Prof.dr.Tamas Divinyi Semmelweis University, Faculty of Dentistry Department of Oral and Maxillofacial Surgery
More informationResonance Frequency Analysis Measurements of Implants at Placement Surgery
Resonance Frequency Analysis Measurements of Implants at Placement Surgery Pär-Olov Östman, DDS a /Mats Hellman, DDS a /Inger Wendelhag, PhD b /Lars Sennerby, DDS, PhD c Purpose: The knowledge of what
More informationAstra Tech Implant System. Scientific Summary
Astra Tech Implant System Scientific Summary Why we do what we do? Our vision of a world where everyone eats, speaks and smiles with confidence permeates and inspires everything we do. We believe in an
More informationOptimizing Lateral Incisor Function and Esthetics with the Hahn Tapered Implant System
Optimizing Lateral Incisor Function and Esthetics with the Hahn Tapered Implant System by Timothy Kosinski, DDS, MAGD Maxillary lateral incisor agenesis (MLIA) is a condition in which at least one of the
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 informationBone Density Assessments of Dental Implant Sites: 3. Bone Quality Evaluation During Osteotomy and Implant Placement
Bone Density Assessments of Dental Implant Sites: 3. Bone Quality Evaluation During Osteotomy and Implant Placement Scott Lee, DDS, MS 1 /Bernard Gantes, DDS, MS 2 /Matt Riggs, PhD 3 /Max Crigger, DDS,
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 informationDIAGNOSTIC/PREVENTIVE SERVICES
DIAGNOSTIC/PREVENTIVE SERVICES Diagnostic Services D0120 Periodic oral evaluation 100% 100% D0140 Limited oral evaluation problem focused 100% 100% D0150 Comprehensive oral evaluation 100% 100% D0160 Detailed
More informationPressure Necrosis And Osseointegration: An Editorial White Paper*
Pressure Necrosis And Osseointegration: An Editorial White Paper* Alan Meltzer, DMD, MScD; Harold Baumgarten, DMD; Tiziano Testori, MD, DDS; Paolo Trisi, DDS, PhD Published by Pressure Necrosis And Osseointegration:
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 informationDigital Implant Dentistry Workflow
Digital Implant Dentistry Workflow Ahmad Kutkut, DDS, MS, FICOI, DICOI Director of Predoctoral Implant Program Chair UKCD Implant Board ahmad.kutkut@uky.edu Disclaimer Neither I or any of my immediate
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 informationNARROW DIAMETER implant
ND NARROW DIAMETER implant TABLE OF CONTENTS ND - NARROW DIAMETER implant Implant characteristics page 04 Dental implant page 05 Open Tray Impression Transfer page 06 Titanium Abutments page 07 O-Ball
More informationThe Uniti implant system is designed to be simple to learn and use. A seamless surgical protocol renders the system user friendly.
Surgical Manual The Uniti implant system is designed to be simple to learn and use. A seamless surgical protocol renders the system user friendly. For the experienced practitioner it will take no more
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 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 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 informationSaudi Journal of Oral and Dental Research. DOI: /sjodr. ISSN (Print) Dubai, United Arab Emirates Website:
DOI:10.21276/sjodr Saudi Journal of Oral and Dental Research Scholars Middle East Publishers Dubai, United Arab Emirates Website: http://scholarsmepub.com/ ISSN 2518-1300 (Print) ISSN 2518-1297 (Online)
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 informationLocator retained mandibular complete prosthesis (isy Implant System)
Locator retained mandibular complete prosthesis (isy Implant System) Mucosa-supported complete prostheses with poor fit greatly reduce people's quality of life. This is why the importance of implant-supported
More informationDental Implant Treatment Planning and Restorative Considerations
Dental Implant Treatment Planning and Restorative Considerations Aldo Leopardi, BDS, DDS, MS Practice Limited to Implant, Fixed and Removable Prosthodontics Greenwood Village, Colorado www.knowledgefactoryco.com
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 informationImplant-based fixed rehabilitation of
CLINICAL Treatment of a Maxillary Dento-Alveolar Defect Using an Immediately Loaded Definitive Zygoma Implant-Retained Prosthesis With 11-Month Follow-Up: A Clinical Report Mirza Rustum Baig, MDS, MRD
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 informationSpecialty Dentistry. Dentistry has nine specialty fields recognized by the American Dental Association
Specialty Dentistry Dentistry has nine specialty fields recognized by the American Dental Association Dental Public Health Endodontics Oral and Maxillofacial Pathology Oral and Maxillofacial Radiology
More informationPrimary implant stability has been identified as a major
CLINICAL Osstell Resonance Frequency Measurement Values as a Prognostic Factor in Implant Dentistry Tim Krafft, PD, Dr. med. DMD 1 Friedrich Graef, Dr. rer. nat. 2 Matthias Karl, PD, DMD 3 * Resonance
More informationA Novel Technique for the Management of a Maxillary Anterior Alveolar Defect with an Implant-retained Fixed Prosthesis: A Clinical Report
Neenu M Varghese et al Case Report 10.5005/jp-journals-10012-1148 A Novel Technique for the Management of a Maxillary Anterior Alveolar Defect with an Implant-retained Fixed Prosthesis: A Clinical Report
More informationScrew retained implant crown restoration with digital workflow using scan body and surgical guide
Dr. Anthony Mak W Dental Screw retained implant crown restoration with digital workflow using scan body and surgical guide Solutions featured: 3Shape TRIOS 3Shape Implant Studio 3Shape scan bodies 3Shape
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 information