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S&M Publications Clinical cases Implantology PRAGMATICO One day: flapless surgery and immediate loading

One day: flapless surgery and immediate loading

Viola P., Cannizzaro G.

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Viola P.

Dental technician, runs his private “Officina Odontotecnica Viola” since 1988 in Pavia. Attended the MAP Implant Institute in Florida, USA and courses at the Univeristy of Zurich. Teacher at the University of Modena in a course on implant prosthodontics – advanced level. Lecturer and co-author of articles on immediate loading.

Cannizzaro G.

Master Degree in Medicine, with specialization in ophthalmology and in dentistry. Degree at the International Congress of Oral Implantology (ICOI, USA). Post-graduate in oral implantology New York University (USA). Adjunct professor in Implantology at the University of Bologna, Modena, Reggio Emilina and Manchester. Private practice in Pavia limited to implantology and implant prosthodontics.

The 38-year-old patient came to our observation with the request to rehabilitate the element 3.6, missing for a long time. The patient’s need was to receive the surgery in less time and with an immediate loading prosthesis. As this type of rehabilitation is often approached, we chose to insert two implants to support the prosthetic crown thus minimizing the risk of rotation of the prosthesis: one of the advantages of using Prama is that it makes this type of prosthetic approach much more aesthetic, since the coronal convergence of the implant leaves much more room available for soft tissues, in favour of the peri-implant gingival volumes and the good outcome of the entire rehabilitation.
“The use of Prama immediately loaded associated with flapless technique represents both the most modern and conservative approach in the panorama of implant rehabilitation therapies. The 2.80 mm high convergent neck allows visual control during insertion since in most cases the connection emerges juxta-gingival, not into the socket, and soft tissues firmly surround the platform. The association of Prama implant with the flapless technique has given really relevant results from every point of view: surgical, biological and prosthetic but above all it has fed the passionate side of this work eliminating some constraints and giving us the possibility of a subjective interpretation that we were missing a little.”

Dr. Gioacchino Cannizzaro and D.T. Paolo Viola


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Keywords
Convergence, implantology, soft tissues, immediate loading,  flapless, cemented prosthesis, aesthetics, one-day, osseointegration, UTM, biological width, neo-vascularization.

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