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Direct bimaxillary rehabilitation on Prama implant

Vignato G., Vignato C., Finotello R.

Vignato G.

Dr Giuseppe Vignato graduated in Dentistry and Prosthodontics at the University of Padua in 1986. has attended various masters in Oral surgery and Implantology in top US univeristies. Specialized in Implantology and Biomaterials at the University G. D’Annunzio of Chieti in 1993. He has published several scientific articles and is Active member of SICOI (Italian Society of Oral Surgery and Implantology). Specialized in Sedation in Dentistry, he is President of the AISOD (Italian Association of Dental Sedationists). 

Vignato C.

Dr. Costantino Vignato Graduated in Medicine and Surgery in 1990 by the University of Padua and Specialized in General Dentistry in 2001. Master in Implantology at the University of Genova in 1998, he focuses on the prosthetic side of implant dentistry. He took a master in Gnathology and Occlusion disorder, interested on digital workflow, is developing technique for Full Mouth Rehabilitation by using digital support. He cooperated in research project on the use of laser in dentistry at the Laserendotechnic with Prof. Levy, San Clemente, Ca. He is fellow of Dr Ignazio Loi and International lecturer. 

Finotello R.

Dental technician since 1982, Riccardo Finotello is the owner of the Dental Laboratory Dentalfin since 1995. He attended several completion courses on implant prosthesis. Specialized in rehabilitations with zirconia and CAD CAM materials and machines.

Male patient with severe bone resorption in both arches. Complete rehabilitation of both arches with a composite Toronto prosthesis directly screw retained on Prama implants. Following the extraction of the damaged teeth, five Prama RF implants are inserted in the upper arch while five Prama and Prama RF implants are inserted in the lower arch.
“There are at least three reasons to consider Prama a more effective implant for complex rehabilitations of a dental arch:

1. The respect of crestal bone anatomy
2. The conical emergence adaptation to bone irregularities
3. No need to use intermediate angled abutments

This means a minimally invasive surgery, faster healing and still there is the possibility to insert the implants in an angled position.

The rehabilitation of a dental arch on Prama implants allows the clinician to set the prosthetic structure at a distance of at least 2.8 mm from the osseointegration area, thereby forming a gingival protection area and a soft tissue support capable of guaranteeing easy cleaning and aesthetic stability over time.

Moreover, combining the gingival healing potential on the convergent neck with the use of modern connective membranes, now it is possible to obtaine prostheses which are ‘ALL WHITE’ or with a minimal portion of pink, with a minimally invasive approach.”

Dr. Costantino and Dr. Giuseppe Vignato
Keywords
Convergence, implantology, soft tissues, immediate loading, cemented prosthesis, aesthetics,  osseointegration, full arch, UTM,  biological width.

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