Computed tomography-based, template-guided implant placement and immediate loading: An 8-year clinical report

2014 ◽  
Vol 112 (6) ◽  
pp. 1319-1323 ◽  
Author(s):  
Christopher B. Marchack ◽  
Peter K. Moy
Keyword(s):  
Computed Tomography ◽  
Immediate Loading ◽  
Clinical Report ◽  
Implant Placement

Immediate Loading of Dental Implant After Sinus Floor Elevation With Osteotome Technique: A Clinical Report and Preliminary Radiographic Results

2010 ◽  
Vol 36 (6) ◽  
pp. 485-489 ◽  
Author(s):  
Mario Santagata ◽  
Luigi Guariniello ◽  
Raffaele Rauso ◽  
Gianpaolo Tartaro
Keyword(s):  
Bone Density ◽  
Dental Implant ◽  
Relevant Literature ◽  
Immediate Loading ◽  
Clinical Report ◽  
Sinus Augmentation ◽  
Implant Placement ◽  
Posterior Maxilla ◽  
Sinus Floor ◽  
Twist Drills

Abstract Edentulous ridges in the posterior maxilla are often compromised by reduced bone volume. This anatomic condition often limits dental implant placement of 10 mm in length without prior or simultaneous sinus augmentation. The osteotome technique is an alternative and conservative technique for sinus floor augmentation and immediate implant placement in the posterior region of the maxillary jaw. According to the relevant literature, the osteotome technique appears to be a predictable and safe method for augmenting bone at the sinus floor and to improve bone density and quality of the implant site sufficiently so that immediate loading is possible. A 46-year-old male patient was referred to the authors to replace the single upper premolar with an implant-supported crown restoration without interfering with the integrity and topography of the adjacent gingival tissues. Only one clinical study analyzed minimally invasive implant and sinus lift surgery with immediate loading. In that case report, the osteotomy was widened to its final diameter using a series of incrementally larger twist drills. In our clinical case, a series of incrementally larger diameter osteotomes improved bone density. This simplified treatment modality can make single tooth implant rehabilitation of the atrophic premolar maxilla region more accessible, and immediate loading is facilitated by improved bone density.

scholarly journals The DSD clicGuide system: a new concept for full-arch implant placement and immediate loading rehabilitation using the digital workflow: a clinical report of three cases

2021 ◽  
Vol 30 (89) ◽  
pp. 20-32
Author(s):  
Francis Coachman ◽  
Gustavo Petrili ◽  
Guilherme José Pimentel Lopes de Oliveira ◽  
Bruna Ghiraldini ◽  
Fábio José Barbosa Bezerra
Keyword(s):  
Treatment Plan ◽  
Three Dimensional ◽  
Case Series ◽  
Planning System ◽  
Immediate Loading ◽  
Clinical Report ◽  
Oral Rehabilitation ◽  
Implant Placement ◽  
Surgical Guides ◽  
High Level

One of the limitations of using guided surgery for full arch rehabilitation is related to the cases where it is necessary to perform osteotomy prior to the placement of the implant. The Digital Smile Design ClicGuide (DSD ClicGuide) is a digital rehabilitation planning system recommended in the rehabilitation of fully edentulous jaws, which orients implant placement procedures and immediate provisional loading based on an ideal three-dimensional design. This system consists of a sequence of surgical guides used during the clinical procedures that may include teeth extractions, osteotomies, implant placements, and immediate prothesis installation, increasing the level of predictability of rehabilitation procedures in these complex clinical cases. The aim of this case series report is to describe the oral rehabilitation of three patients treated according to the DSD ClicGuide technique, who received a total of twenty dental implants. All the patients treated required total oral rehabilitation in at least one of the arches and required osteotomies in order to regularize the alveolar ridge before the placement of the implant. Once the rehabilitation parameters were defined and the treatment plan was approved, the following guides were printed and used in sequence: a base guide that was used as a reference for the osteotomy procedure; a guide for installing the implants; and a guide with the printed temporary prosthesis for immediate loading. It can be conclude that the DSD ClicGuide system enabled the osteotomy, implants placement, and installation of an immediate loading prosthesis in totally edentulous patients, with a high level of predictability.

scholarly journals Basal Implant: A Remedy to Restore Resorbed Alveolar Ridges

2021 ◽  
Author(s):  
Prakhar Thakur ◽  
Tarun Kalra ◽  
Manjit Kumar ◽  
Ajay Bansal ◽  
Shefali Malik
Keyword(s):  
Cortical Bone ◽  
Immediate Loading ◽  
Osseous Tissue ◽  
Alveolar Process ◽  
Implant Stability ◽  
Implant Placement ◽  
Cortical Screw ◽  
Functional Differences ◽  
Basal Bone ◽  
Cortical Implants

AbstractThe conventional crestal implants are used only when there is adequate jawbone height and width. Results of conventional implants are good in patients with healthy bone at the time of treatment, but prognosis gets deteriorated when surgical augmentation of bone is included with implant placement. These augmentation procedures have surgical risks and are costlier to the patients. Patients with atrophied jawbones are given no treatment, until crestal implants are seen as the last option. In this article, the indications for basal implants and functional differences between basal implants and crestal implants have been discussed.Patients with extreme jawbone atrophy do not benefit from crestal implants. The basal bone is the (cortical) osseous tissue of the mandible and maxilla, and lies below the alveolar process, which has a relatively strong and no resorbing framework.Basal osseointegrated and basal cortical screw (BCS) are two types of implants designed to take anchorage from the cortical bone of the jaw. BCS implants have long shafts and can be placed immediately in the socket after extraction and provided with immediate loading within 72 hours of implant placement. Basal implants are also called bicortical or cortical implants as they utilize the cortical portion of the jawbones for anchorage and implant stability. The basal bone has better quality and quantity of cortical bone for retention of these unique and highly advanced implants. The other names for these implants are lateral implants or disk implants.

scholarly journals Immediate Loading of Single Post-Extractive Implants in the Anterior Maxilla: 12-Month Results From a Multicenter Clinical Study

2012 ◽  
Vol 38 (S1) ◽  
pp. 477-484 ◽  
Author(s):  
Tommaso Grandi ◽  
Giovanna Garuti ◽  
Rawad Samarani ◽  
Paolo Guazzi ◽  
Andrea Forabosco
Keyword(s):  
Clinical Study ◽  
Soft Tissue ◽  
Bone Resorption ◽  
Tooth Extraction ◽  
Immediate Loading ◽  
Insertion Torque ◽  
Anterior Maxilla ◽  
Implant Placement ◽  
Implant Size ◽  
Multicenter Clinical Study

The purpose of the study was to evaluate survival and peri-implant bone levels of single, immediately loaded post-extractive implants in the anterior maxilla 12 months after implant placement. Thirty-six consecutive patients from 3 study centers were included in the study. The concerned sites were upper premolars, canines, and incisors. For each patient the following data were recorded: reason for tooth extraction, bone quality, implant size, and final insertion torque. Implants were placed using a flapless technique and immediately loaded with a nonoccluding temporary restoration. Final restorations were provided 4 months later. Peri-implant bone resorption was evaluated radiographically after 6 and 12 months. The average final insertion torque was 70.55 Ncm. One implant inserted in D3 quality bone with a 35-Ncm seating torque was lost. All other implants had a final insertion torque ranging between 50 and 80 Ncm. The average peri-implant bone loss was 0.437 and 0.507 mm at 6 and 12 months, respectively. All the sites maintained excellent papillae and peri-implant soft-tissue conditions. The resulting 1-year success rate was 97.2%. Immediate nonfunctional loading of single post-extractive implants in the anterior maxilla is a predictable treatment. And it seems that achieving high insertion torques by placing self-tapping/self-condensing implants in an underprepared osteotomy is favorable.

Use of computed tomography for the fabrication of a custom brachytherapy carrier: A clinical report

2003 ◽  
Vol 89 (1) ◽  
pp. 15-18 ◽  
Author(s):  
Patrick M. Van Derhei ◽  
Walter C. Lim ◽  
Robert D. Timmerman ◽  
Carl J. Andres
Keyword(s):  
Computed Tomography ◽  
Clinical Report

Digital Impression taking for Maxillary Full-Arch Restoration with Immediate Loading. A Case Report.

2021 ◽  
Author(s):  
Jesús Peláez Rico ◽  
Jorge Cortés-Bretón Brinkmann ◽  
María Carrión Martín ◽  
Mabel Albanchez González ◽  
Celia Tobar Arribas ◽  
...  
Keyword(s):  
Acrylic Resin ◽  
Digital Impression ◽  
Immediate Loading ◽  
Clinical Report ◽  
Intraoral Scanner ◽  
Intraoral Scanning ◽  
Digital Impressions ◽  
Removable Prosthesis ◽  
And Function

The aim of this clinical report is to describe a maxillary full-arch implant supported restoration with immediate loading performed by means of an entirely digital workflow with photogrammetric system and intraoral scanning. A female patient with an edentulous maxillary arch attended the dental clinic seeking a maxillary fixed restoration. After treatment planning, six implants were placed using a surgical splint fabricated digitally by intraoral scanning of her previous removable prosthesis. Multi-unit abutments were fitted and two digital impressions were taken, one with a photogrammetric system for determining implant positions, and the other with an intraoral scanner for soft tissue registration. The acrylic resin structure of the immediate prosthesis was milled and placed within 8 hours of implant surgery. This provisional structure fitted correctly and provided adequate esthetics and function. Radiographic and clinical follow-up after 24 months observed adequate implant evolution.

scholarly journals Classification of Sagittal Root Position and Angulation of Premolars for Immediate Implant Placement: A Cone Beam Computed Tomography Study

2020 ◽  
Author(s):  
Yalin Zhan ◽  
Miaozhen Wang ◽  
Xueyuan Cheng ◽  
Feng Liu
Keyword(s):  
Computed Tomography ◽  
Treatment Planning ◽  
Frequency Distribution ◽  
Cone Beam Computed Tomography ◽  
Cone Beam ◽  
Implant Placement ◽  
Root Position ◽  
Immediate Implant ◽  
Maxillary Premolars

Abstract Background: Sagittal root position (SRP) and thickness of buccal plate were of clinical guiding significance in implant treatment planning. The study was to classify the SRP and angulations of the maxillary and mandibular premolar to each osseous housing, and to measure the thickness of buccal plate by cone beam computed tomography (CBCT) in order to estimate the distributions and provide clinical decision support. Methods: CBCT images was reviewed on 150 patients who fulfilled the inclusion criteria. The sagittal root position and angulations of the maxillary and mandibular premolars to their respective osseous housing were evaluated and classified using CBCT images. The thickness of buccal plate at 1 mm, 3 mm, 5 mm apical to the alveolar crest was also measured. Results: The frequency distribution of SRP types indicated that, 41.67%, 51.83%, 3.67%, and 2.83% of maxillary premolars; 84.33%, 15%, 0%, and 0.67% of mandibular premolars were classified as type B, M, L, and N. The frequency distribution of angulation classifications indicated that, 20.83%, 46%, 32.17%, and 1% of maxillary premolars; 2%, 5.33%, 36.67%, and 56% of mandibular premolars were classified as class 1, 2, 3, and 4. The buccal bone thickness in most locations of premolar sites was less than 1 mm. Conclusions: The classification of clinical relevance of SRP and angulation of the premolar root to osseous housing would help for treatment planning and improving interdisciplinary communication of immediate implant placement (IIP) in the premolar region.

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