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IMPLANT-SUPPORTED REHABILITATION OF BOTH EDENTULOUS JAWS WITH IMMEDIATE LOADING

Canullo L., Cicchese P., Marinotti F.

Canullo L.

Graduated cum laude in Dentistry and Dental Prosthesis at the University of Rome “La Sapienza” in 1994. Sposta immediatamente la sua attenzione sull’approfondimento delle tecniche chirurgiche in implantologia. Frequenta corsi postlaurea in Italia e all’estero (University of California, UCLA). PhD at the University of Bonn (Germany). National and international speaker on surgical and prosthetic aspects of implant dentistry. He is author of several articles published on national and international journals on topics related to implantology. Active member of the Italian society for Osseointegration (SIO) and European Academy of Osseointegration (EAO). Visiting Professor at the University of “Sacrado Corazon” in Bauru (Brasile), in 2008, he awarded  the price for the best clinical presentation at the European Association for Osseointegration (EAO). His professional office is in Rome, limiting his private practice at surgery and implant supported prosthetic rehabilitation.

Cicchese P.

Master Degree in denstistry at “La Sapienza”, Rome; specialized in Orthodontics and master in fixed prosthodontics. Private practice in Rome, with special dedication to Orthodontics and Prosthetics.

Marinotti F.

Dental technician in Rome since 1988, co-author of numerous publications with Dr Luigi Canullo. Founder of the Dental Excellence International Laboratory Group. Teaches implant prosthodontics at the “Accademia di Storia dell’Arte Sanitaria”

NumeriUno, 16: 14-15, 2013
In May 2011, a patient aged 69 years presented for generalized mouth pain, and to be able to assess the stability of the existing prosthetic work carried out by another dentist. The general medical anamnesis was negative. The patient declared that he had had several teeth extracted due essentially to caries, which were substituted with a number of implants some years before.
On objective examination, the situation of oral hygiene was very poor. No lesions were noted to the oral mucosae, and neither were there alterations to the main lymph node stations. In greater detail, intraorally it was possible to observe a skeletal class III malocclusion with an inward bite. The presence of periodontal disease affecting all the remaining teeth was also evident, with level 2–3 mobility on all teeth and some implants. After impressions, waxes and the facial arch were taken, the models were fitted to an articulator. The required wax-up was constructed using facial photographs.
A preliminary treatment plan was then formulated, with the aim of alleviating the pain and rehabilitating the mouth:
  • Extraction of all teeth by now impaired and removal of the implants without adequate bone support.
  • Cleaning of treatable implants (16, 17, 33)
  • Positioning of upper and lower mobile prostheses to permit healing of mucous and bone tissues in keeping with the diagnostic wax-up.

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