Dr. Aldo De Blasi, Italy
Conventional mini implant surgery in the edentulous mandible is in most cases, a very quick and minimal invasive procedure. The implants are usually placed trans gingivally and if initial primary stability is achieved then they can be loaded immediately following the surgery.
Dott. Alexandre Minis, France
Patient is a 56 years old male without a previous medical history. Tooth # 36 has been missing for several year.
Despite a satisfactory bone height on the panoramic, the CBCT reveals a thin bone at the level of the crest which does not allow the available height to be exploited.
In order to obtain an ideal prosthetic axis and to use the available bone to the maximum, the surgery is performed using a surgical guide, design on 3Shape Implant Studio, a classic dentition supported guide, 3D printed on a Phrozen Shuffle printer.
Dr. Luigi Ciacci, Odt. Andrea Sessa
Introduction:
Modern dentistry depends on comprehensive diagnostics and careful planning to achieve the desired result and meet the expectations of both the patient and the dentist.
Digital planning and guided surgery based on three-dimensional X-ray data and digitized intraoral recording are of great help. They provide valuable information and allow for accurate backward planning to optimize the implant-prosthetic outcome, making the restoration more predictable in terms of function, aesthetics and biology.
Dott. Alexandre Minis, France
Case description:
The 55 years old female patient has a lack of prior medical history and is a non-smoker.
There is a fracture under the crown of #12 with infection and vestibular fistula for which a temporary extraction with a valplast for 3 months is performed.
On the control CBCT, low bone volume and evidence of a radiolucent vestibular image initially suggesting fenestration linked to the fistula present before the extraction, or, of the bone being formed.
Surgical dental history:
The surgery is performed using a surgical guide, designed on 3Shape Implant Studio, dentition supported guide 3D printed on a Phrozen Shuffle printer.
Dr. Alexandre Minis, France
Case description
68-year-old man, fully edentulous, smoking patient, lack of medical history.
Surgical dental history:
– maxillary rehabilitation by full implant-supported bridge
– failure of 2 mandibular implant surgeries
In which ways has Covid-19 affected implantology?
Covid-19 has influenced and will affect both the private and working lives of many of us. From a working point of view, we have to develop new protocols for patient management, disinfection and operator protection.
For what concern implantology, it is not clear how much it will affect this type of treatment offered to our patients.
What are mini implants?
Mini implants are in all respects implants, but with a small diameter, not exceeding 3 mm.
They are produced in a titanium alloy, which is classified as grade 5, and has excellent mechanical properties. They have a sandblasted and etched surface which once inserted into the bone undergoes osseointegration such of that of implants with a larger diameter.
How dentistry and implantology has changed in your office in phase 2?
There is no phase 1 or phase 2, there is a behavior and approach which we’ll respect in the office in the couple of years coming. Let’s start with the scheduling of the appointment of the patient: the receptionist is asking the patient about sicknesses, illnesses, cough, fever, smell alterations. The same questions she will ask 24 hours before the scheduled appointment when she calls all the patient for the next day.
In which ways has Covid-19 affected implantology?
We dentists have an advantage, that is our hygiene protocols are adequate and safe; the only real news is this bad virus, Covid-19. We have thus equipped ourselves with systems for air sanitization and aerosol control.
Introduction
Nowadays modern surgical techniques are more and more moving towards simplified and minimally invasive protocols, aimed at offering patients more effective and highly predictable solutions with shorter treatment times. In addition, this approach makes treatments better tolerated, faster, with more comfortable postoperative courses and reduced costs.
Implant surgery also aligns with this general trend, and one of the brightest and most impressive examples is the Computer Assisted Surgery, more simply and perhaps improperly called Guided Surgery.
Henriette Lerner, Uli Hauschild, Robert Sader & Shahram Ghanaati
Abstract
Guided implant surgery is considered as a safe and minimally invasive flapless procedure. However, flapless guided surgery, implant placement in post-extraction sockets and immediate loading of complete-arch fixed reconstructions without artificial gum are still not throughly evaluated. The aim of the present retrospective clinical study was to document the survival and success of complete-arch fixed reconstructions without artificial gum, obtained by means of guided surgery and immediate loading of implants placed also in fresh extraction sockets.
