Use of Patient's Own Natural Teeth as Part of the Interim Prosthesis on Immediately Placed Single Implants in a Staged Surgical Approach: A Clinical Report

2018 ◽  
Vol 44 (5) ◽  
pp. 351-357
Author(s):  
Sarah A. Bukhari ◽  
Abdulaziz AlHelal ◽  
Periklis Proussaefs ◽  
Antoanela Garbacea ◽  
Mathew T. Kattadiyil
Keyword(s):  
Surgical Approach ◽  
Poor Prognosis ◽  
Tooth Extraction ◽  
Treatment Plan ◽  
Acrylic Resin ◽  
Clinical Report ◽  
Implant Placement ◽  
Natural Teeth ◽  
Natural Tooth

A technique is described where the tooth's natural crown is used as part of the interim implant supported prosthesis in clinical situations where a tooth with poor prognosis is extracted and an implant is placed immediately after tooth extraction. A preliminary impression is made before tooth extraction, and the exact tooth positioning is assessed in the laboratory as part of the treatment plan. An acrylic resin repositioning jig is fabricated that will guide the clinician in seating and orienting the crown intraorally after implant placement is completed. After the natural tooth is extracted and an implant is immediately placed via guided approach, the extracted natural crown is hollowed and placed on top of an interim abutment. The natural crown is positioned intraorally by using the acrylic resin repositioning jig. The crown is then internally relined and placed as part of the interim implant supported prosthesis. After osseointegration has been confirmed, a definitive prosthesis is placed.

Rehabilitation of a maxillary partial edentulous patient using an implant-supported overdenture retained with two bilateral milled bars

2020 ◽  
Vol 13 (8) ◽  
pp. e235530
Author(s):  
Atif Mohammed Almadani ◽  
Fabian Huettig
Keyword(s):  
Alveolar Bone ◽  
Treatment Plan ◽  
Treatment Options ◽  
Clinical Report ◽  
Prosthetic Rehabilitation ◽  
Masticatory Efficiency ◽  
Final Treatment ◽  
Natural Teeth ◽  
Edentulous Patients ◽  
Natural Tooth

The use of implants has enabled more treatment options for prosthetic rehabilitation of partially and completely edentulous patients. This clinical report describes a treatment approach for an 80-year-old patient taking advantage of the remaining natural teeth for prosthetic rehabilitation. The final treatment plan included natural tooth-supported and implant-supported crowns combined with a milled bar partial overdenture retained by tilted dental implants. The overdentures supported by the milled bar implants provide the advantages of both fixed and removable restorations. In addition to patient satisfaction, the overdentures also minimise alveolar bone resorption, increase longevity and stability and improve masticatory efficiency.

scholarly journals A Simple Surgical Approach for Correction of Deficient Alveolar Ridge for Prospective Fixed Partial Denture Patients: A Clinical Report

2014 ◽  
Vol 02 (01) ◽  
pp. 030-035
Author(s):  
Ambika Shrivastav ◽  
Siddarth Gupta
Keyword(s):  
Surgical Approach ◽  
Clinical Report ◽  
Alveolar Ridge ◽  
Class Iii ◽  
Partial Denture ◽  
Ridge Augmentation ◽  
Framework Design ◽  
Fixed Partial Denture ◽  
Natural Teeth ◽  
Augmentation Procedure

AbstractRehabilitation of patients with deficient Seibert's Class-III ridge mandibular ridge is always a challenge for a dentist. This article discusses the problems faced while rehabilitating such cases and also discusses the surgical and prosthetic management of one such case. A ridge augmentation procedure called as “Roll on Technique” was used to correct the contour of the ride. Fixed partial denture with altered framework design and tissue colored porcelain was used to complete the case. These simple but effective changes helped to give predictable esthetics with illusion of natural teeth.

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 Periodontics, Implantology, and Prosthodontics Integrated: The Zenith-Driven Rehabilitation

2017 ◽  
Vol 2017 ◽  
pp. 1-8 ◽  
Author(s):  
Fausto Frizzera ◽  
Mateus Tonetto ◽  
Guilherme Cabral ◽  
Jamil Awad Shibli ◽  
Elcio Marcantonio
Keyword(s):  
Tooth Extraction ◽  
Treatment Plan ◽  
Oral Rehabilitation ◽  
Long Term Stability ◽  
Connective Tissue Graft ◽  
Implant Placement ◽  
Immediate Implant ◽  
The Ideal

A customized treatment plan is important to reach results that will satisfy the patient providing esthetics, function, and long-term stability. This type of oral rehabilitation requires professionals from different dental specialties where communication is a major key point. Digital Smile Design allows the practitioners to plan and discuss the patient’s condition to establish the proper treatment plan, which must be driven by the desired zenith position. The ideal gingival position will guide the professionals and determine the need to perform surgical procedures or orthodontic movement before placing the final restorations. In this article, the zenith-driven concept is discussed and a challenging case is presented with 4-year follow-up where tooth extraction, immediate implant placement, bone regeneration, and a connective tissue graft were performed.

scholarly journals Oral Rehabilitation in Irradiated Patients: Implant- or Tooth-Supported Fixed Prosthesis? A Clinical Report

2019 ◽  
Author(s):  
Somayeh Allahyari
Keyword(s):  
Side Effects ◽  
Tooth Extraction ◽  
Clinical Report ◽  
Treatment Sequence ◽  
Cranial Radiotherapy ◽  
Oral Rehabilitation ◽  
Radiation Caries ◽  
Implant Placement ◽  
Fixed Prosthesis ◽  
Treatment Prognosis

Cranial radiotherapy has several side effects. One of the most important complications is radiation caries that endangers the treatment prognosis. In the literature, the use of crowns and bridges for irradiated patients has been suggested as a contraindication. In addition, due to the risk of osteoradionecrosis (ORN), there are doubts about tooth extraction and implant placement. Here, we present a treatment sequence and recalls for an irradiated young patient. For irradiated patients, it is recommended to replace teeth with implants when there is no possibility for supragingival prosthetic margin.

scholarly journals Oral Rehabilitation in Irradiated Patients: Implant- or Tooth-Supported Fixed Prosthesis? A Clinical Report

2019 ◽  
Author(s):  
Somayeh Allahyari
Keyword(s):  
Side Effects ◽  
Tooth Extraction ◽  
Clinical Report ◽  
Treatment Sequence ◽  
Cranial Radiotherapy ◽  
Oral Rehabilitation ◽  
Radiation Caries ◽  
Implant Placement ◽  
Fixed Prosthesis ◽  
Treatment Prognosis

Cranial radiotherapy has several side effects. One of the most important complications is radiation caries that endangers the treatment prognosis. In the literature, the use of crowns and bridges for irradiated patients has been suggested as a contraindication. In addition, due to the risk of osteoradionecrosis (ORN), there are doubts about tooth extraction and implant placement. Here, we present a treatment sequence and recalls for an irradiated young patient. For irradiated patients, it is recommended to replace teeth with implants when there is no possibility for supragingival prosthetic margin.

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.

Sonosurgery for atraumatic tooth extraction: A clinical report

2012 ◽  
Vol 108 (6) ◽  
pp. 339-343 ◽  
Author(s):  
Dimitrios E.V. Papadimitriou ◽  
Alessandro Geminiani ◽  
Thomas Zahavi ◽  
Carlo Ercoli
Keyword(s):  
Tooth Extraction ◽  
Clinical Report

scholarly journals A case series of profilometric changes in two implant placement protocols at periodontally compromised non-molar sites

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Kwantae Noh ◽  
Daniel S. Thoma ◽  
Jung-Chul Park ◽  
Dong-Woon Lee ◽  
Seung-Yun Shin ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Tooth Extraction ◽  
Case Series ◽  
Tissue Level ◽  
Ridge Preservation ◽  
Bone Augmentation ◽  
Implant Placement ◽  
Alveolar Ridge Preservation ◽  
Tissue Changes ◽  
Facial Area

AbstractInformation regarding profilometric changes at a soft tissue level following implant placement with different protocols is insufficient. Therefore, this study aimed to comparatively investigate the profilometric tissue changes with respect to late implant placement following alveolar ridge preservation (LP/ARP) and early implantation (EP) in periodontally compromised non-molar extraction sites. Sixteen patients were randomly assigned to the following groups: implant placement 4 months post-ARP (group LP/ARP) and tooth extraction and implant placement 4–8 weeks post-extraction (group EP). Dental impressions were obtained immediately after final prosthesis insertion and at 3, 6, and 12 months. At the time of implant placement, bone augmentation was performed in the majority of the patients. Profilometric changes of the tissue contour were minimal between the final prosthesis insertion and 12 months in the mid-facial area (0.04–0.35 mm in group LP/ARP, 0.04–0.19 mm in group EP). The overall tissue volume increased in both groups (1.70 mm3 in group LP/ARP, 0.96 mm3 in group EP). In conclusion, LP/ARP and EP led to similar stability of the peri-implant tissue contour between the final prosthesis insertion and at 12 months. Moreover, the change of peri-implant tissue on the soft tissue level was minimal in both modalities.

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.

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