Scientifica implantology

Numeri Uno, 2013;16:12-13

ECHOPLAN: ACCURACY OF GUIDED IMPLANTOLOGY

Guided implantology offers a new method of performing surgical operations based on planning.
Software applications process DICOM images from the cone beam, giving a 3D rendering in which the implant can be inserted virtually. The production of a surgical guide makes it possible to transfer project information for the operation, which thanks to the engineering of the Sweden & Martina EchoPlan kit becomes easier to perform for the implantologist, with greater comfort for the patient and greater insertion precision. Guided implantology is the door that gives access to new methods for planning implantology and prostheses. Digital techniques reduce time and costs, and increases predictability and the coherence between theory and practice.
Case discussion: the operation was carried out by cutting a small flap, requiring only a single application of anaesthetic, and was completed very quickly thanks to the use of a Safe surgical guide (Materialise) and EchoPlan surgical kit (Sweden & Martina). A downsizing technique was used for the implant site, due to poor bone density (3/4 ratio). An assessment analysis between the virtual project and actual execution showed a substantial superimposition and level of precision of the guided implantology system used.

Numeri Uno, 2013; 16:16-18

BILATERAL REHABILITATION WITH GUIDED SURGERY

Patient: C.D.
Age: 31 years
Sex: female
Smoker: < 10

Negative anamnesis for pathologies or situations with contraindications for implant insertion. Complex dental anamnesis.
Amongst other procedures, it was necessary to extract element 36 located post-distally from the 34–36 bridge.
To resolve the bilateral lower rear edentulism, 4 Premium implants (Sweden & Martina) were planned with immediate loading, with 36 being inserted immediately post-extraction.
For details on the dimensions of the implants and their positions, see chart 1.
Flapless surgery was performed with a Surgiguide guide (Materialise) with dental and gingival support, and Echo Plan (Sweden & Martina) surgical kit, following the sequence indicated by the surgical manual.
The temporary crowns for immediate loading were made pre-operatively on an Immediate Smile model and passivated with intraoral gluing.

Il dentista moderno, 2012; Marzo: 86-102

ASSESSMENT OF A CLINICAL AND TECHNICAL PROCEDURE FOR THE REHABILITATION OF EDENTULOUS JAWS

This series of clinical cases with Premium implants, inserted with a protocol of guided surgery (ECHOPLAN) and rehabilitated with temporary immediate loading using the SIMPLE technique, and subsequently definitively with Toronto Echo made using CAD/CAM methods, validated the quality and replicability of the entire clinical procedure based on a digital approach.

Il dentista moderno, 2012; Marzo: 86-102

ASSESSMENT OF A CLINICAL AND TECHNICAL PROCEDURE FOR THE REHABILITATION OF EDENTULOUS JAWS

This series of clinical cases with Premium implants, inserted with a protocol of guided surgery (ECHOPLAN) and rehabilitated with temporary immediate loading using the SIMPLE technique, and subsequently definitively with Toronto Echo made using CAD/CAM methods, validated the quality and replicability of the entire clinical procedure based on a digital approach.

Numeri Uno, 2013, 17:14-17

IMPLANT POSITIONING AND RECONSTRUCTION OF HARD AND SOFT TISSUES: A SIMPLIFIED PROTOCOL

Infective endodontic or periodontal pathologies and root fractures can often cause serious bone defects, involving in particular the buccal wall.
Residual post-extraction bone volumes are therefore often affected, in both their apicocoronal and their vestibulopalatal dimensions, with evident deficits and asymmetries also involving the mucogingival tissues. The aim of this case report is to present a simplified protocol for the morphological restoration of hard and soft tissues simultaneously with the insertion of an implant in the aesthetic area.

IADR General Session, Boston March 11-14th 2015, Poster

41 patients received 70 Premium implants inserted with a flapless procedure versus opening of total-thickness flaps. Cumulative survival at 24 months was 98.57%, and with an average resorption of 1.19±0.9 mm.
Bone loss at 24 months was significantly higher in the group with total-thickness flaps. The preservation of marginal bone level with Premium implants was excellent.

Numeri Uno, 2013; 16, 14-15

IMPLANT-SUPPORTED REHABILITATION OF BOTH EDENTULOUS JAWS WITH IMMEDIATE LOADING

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.

Il Dentista Moderno, 4:115-122, 2003.

Journal of Osseointegration, 2(1): 1-10, 2009

Numeri Uno, 4: 6-8, 2009

EARLY LOADING OF DENTAL IMPLANTS SUPPORTING A FIXED PROSTHESIS IN THE POSTERIOR EDENTULOUS MANDIBLE

The case report aims at presenting the clinical results relating to early loading after six weeks of the implant intended to support implant prosthetic rehabilitation in the posterior edentulous mandible. The implants were placed in sites 45-46 and loaded early with signifi cant psychological and functional benefi ts for the patient. This method undoubtedly offers advantages to the doctor by reducing treatment times and discomfort to the patients, thanks to the help of laser therapy, and also advantages to the same patient by reducing psychological and functional discomfort related to being partially edentulous.
The smaller number of failures and stability of the hard and soft tissues around the implant lead to the assumption that this new concept is successful for treatments on the lower jaw.