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IMPLANT-PROSTHETIC REHABILITATION OF THE TWO ARCHES WITH IMMEDIATE LOADING: WORK PROTOCOL WITH THE USE OF THE SINGLE-MODEL AND P.A.D. SYSTEMATICS

Biscaro L., Becatelli A., Soattin M.

Biscaro L.

DDS in Bologna University, active member of AIOP and SIO. Past-President of AIOP. Private practice in Adria (RO), with special dedication to complex rehabilitations

Becatelli A.

Graduated in Medicine and surgery. In the two-year period 1985-86, he attended courses in the treatment of total edentulism with osseointegration taught by Professor I. Branemark and courses with the same implant systematics taught by Professor Van. Steemberghe.
In 1997, he attended the course in implant surgery with osteotomy techniques taught by Professor Summers.
In 1998, he attended the implant surgery course taught by Doctors G. Bruschi and Scipioni
In 2000, he attended the surgical anatomy course taught by Professor G. Godlewski at the University of Montpellier
In 2007, he completed a “clinical residency” at the clinic of Doctor Malò.
Co-author with Dr L. Biscaro and Dr P. Poggio of the chapter on “La Riabilitazione Complessa del Paziente Totalmente Edentulo” in the “Il Carico Immediato” book by T. Testori, F. Galli, and M. Del Fabbro. Author of various publications in international journals and speaker at national congresses.
He specialises exclusively in implant surgery at his clinic of Villa Bartolomea (VR) and for many years has been collaborating with Dr L. Biscaro in the management of complex rehabilitation surgeries.

Soattin M.

Dental technician since 1986, owner of the “4M di Soattin Massimo” laboratory which is specialized in fixed prostheses on teeth and both metal-ceramic and zirconia-ceramic implants. Active Member of ANTLO and AIOP. Winner of the 2000 “ROBERTO POLCAN” AIOP-A.N.T.L.O. award.

NumeriUno, 8: 4-7, 2009
The aim of this case report is to illustrate the application of the single-model technique with the use of the PAD system resorting to individual screwed prosthesis produced with the CAD-CAM Echo system for simultaneously rehabilitating two potentially edentulous arches. In complete edentulism, the immediate loading procedure must not be considered a separate phase of the treatment, but must be part of a global operating philosophy aimed at optimally managing the case in terms of ergonomics and patient. 
This case was managed in six months with a single surgical operation and a limited number of sessions: this is only possible if the immediate loading is considered not only a surgical procedure, but above all a prosthetic procedure: in this perspective, the single-model technique also allows effectively managing the most complex cases. 
Fig. 1-2 Initial clinical and radiographic view of the case 
Fig. 3 Model taken from an imprint in alginate 
Fig. 4 Screwing of the analogs to the transfers 
Fig. 5 Repositioning of the plaque on the chalk model 
Fig. 6 Virtual model with transfer created with Sweden & Martina CAD Echo software 
Fig. 7 Virtual modelling of the final structure 
Fig. 8 Coating in resin of the structure 
Fig. 9 Delivery of the final manufactured product after 6 months 

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