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S&M Publications Clinical cases Implantology PRAGMATICO All on Prama with Simple Technique

All on Prama with Simple Technique

Csonka M.

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Csonka M.

Specialisation in oral implantology at New York University (USA). Specialisation in advanced surgical implant techniques at U-Conn University (USA). Active member at the North American Association of Oral and Maxillo-Facial Implants. Tutor at New York University in the International Postgraduate Program. European coordinator of the committee for clinical studies about bone growth factors in oral implantology. Inventor of the so called “SIMPLE” technique in implant-prosthodontics.

Female patient, 55 years old, no previous systemic pathological records. The patient had severe periodontal damage of the residual elements of the upper arch. It was decided for immediate post-extraction rehabilitation with immediate loading and to proceed with the Simple protocol, which includes the following steps: 

1. Pre-surgery examination (orthopantomography, photograph, models, facial arch, aesthetic and phonetic tests, gnathological evaluation);
2. Oral cavity preparation (tartar ablation, scaling, laser decontamination, preliminary extraction of teeth with purulent infections);
3. Surgical phases:
• extractions and extreme alveolar curettage;
• disinfection with Betadine;
• mucoperiosteal flap (if indicated);
• reduction osteoplasty (if indicated);
• implant insertion;
• P.A.D. mounting (straight and angulated);
• GBR if necessary;
• suture;
• temporary posts mounting;
• posts fastening with Sun resin.
“In immediate post-extraction full arch rehabilitation with immediate loading the benefits of using Prama implants are:
• in the posterior tilted implants, the intra- and post- operative preservation of the crestal bone and the prevention of bone resorption cones (unfortunately unavoidable with bone level implants);
• the possibility of reducing or eliminating regenerative procedures around post-extraction implants, since the gap between the UTM neck of Prama and the residual walls of the alveolus does not need to be filled;
• the possibility of reducing the invasive osteoplastic procedures (where not indicated for other reasons), given that the UTM neck of Prama well adapts to the ridges irregularities, offering the clinician the possibility of being inserted more or less out of the ridge.”

Dr. Marco Csonka


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Keywords
Convergence, implantology, soft tissues, immediate loading, screw retained prosthesis, aesthetics, osseointegration, UTM,  biological width, full arch, All on Prama.

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