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Single rehabilitation in posterior area with Prama

Nardinocchi P., Zarroli V.

Nardinocchi P.

Zarroli V.

The patient came to our attention with an abscess to the element 3.6, with a severe periodontal damage of the fork and a fracture of the mesial root. Following antibiotic therapy, the element was extracted; after about three months the area was characterized by a strong vertical reabsorption and it was therefore decided place a Prama implant. In the present case the Prama implant was inserted leaving the hyperbolic neck out of the bone, thus moving away from it the implant-abutment interface and favoring the thickening of the connective tissue, for an excellent and stable aesthetic outcome over time.
“The choice of Prama in this situation was essential. Using a bone level implant with a traditional prosthetic protocol, in the same situation, I would probably have had further bone loss due to the formation of a sub-crestal biological space. The convergent intramucosal Prama implant in combination with the Prama IN healing abutment, characterized by a very wide profile and by a profile which embraces the implant neck by 0.5 mm, allowed me to avoid the use of GBR techniques, thus reducing the healing time and obtaining good clinical and prosthetic results.”

Dr. Paolo Nardinocchi and d.t. Valerio Zarroli
Keywords
Convergence, implantology, soft tissues, guided surgery, cemented prosthesis, aesthetics, osseointegration, CAD-CAM, UTM,  biological width.

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