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Клинические случаи

Advantages of guided surgery, predictability in small spaces

Written by feRKzzCTo0 on . Posted in EL – Esthetic Line, GS – Guided Surgery, Henriette Lerner, Клинические случаи, Направленная Хирургия

by Doctor Henriette Lerner, HL-DENTCLINIC DR. STOM. MEDIC.

In this case, the patient has a genesis of the two upper lateral incisors.
Having created the space with the help of the orthodontic specialist, we first proceed with a Digital Smile Design and then with the digital planning of the two implants in comparison with the new aesthetics.

Guided surgery in the jaw and mandible

Written by feRKzzCTo0 on . Posted in EL – Esthetic Line, GS – Guided Surgery, Henriette Lerner, Клинические случаи, Направленная Хирургия

by Doctor Henriette Lerner, HL-DENTCLINIC DR. STOM. MEDIC.

In this case, it is necessary to use all the digital tools available – detection of joint movements, digital smile design and guided surgery, with the aim of having predictability and accuracy. For the future aesthetic part and function, the evaluation took place before the surgery.

Guided surgery with bone graft

Written by feRKzzCTo0 on . Posted in EL – Esthetic Line, GS – Guided Surgery, Henriette Lerner, Клинические случаи, Направленная Хирургия

by Doctor Henriette Lerner, HL-DENTCLINIC DR. STOM. MEDIC.

In this case it is shown how it is still possible to work in guided surgery and consequently perform bone grafts where necessary.
The advantage in a difficult case like this is to design the dental implants with a surgical guide, in order to maintain their correct positioning.
Finally, the aesthetic project was evaluated prior to surgery.

Full arch case: immediate implant placement with guided surgery and immediate loading

Written by feRKzzCTo0 on . Posted in Catarina G. Rodrigues, GS – Guided Surgery, Manuel D. Marques, MUA, Клинические случаи, Направленная Хирургия

Catarina G. Rodrigues, DDS, MSc – Manuel D. Marques, DDS

A 57-year-old woman presented to a private practice with the chief complaint being “I’m self-conscious about the appearance of my teeth. Also, I’ve lost most of my teeth and I cannot eat well because of that”. The clinical and radiographic examination revealed the absence of all teeth except the central incisors and right lateral incisor in the upper. In the lower, partial edentulism, severe bone loss, and multiple periapical infections were diagnosed. Also, the patient’s function and aesthetics were seriously compromised (Fig 1-11).

3-unit Bridge over Implants using Guided Surgery and One Time Concept

Written by feRKzzCTo0 on . Posted in Catarina G. Rodrigues, GS – Guided Surgery, Manuel D. Marques, MUA, ONE TIME Clever Concept, Клинические случаи, Направленная Хирургия, Традиционная Имплантология

Catarina G. Rodrigues, DDS, MSc – Manuel D. Marques, DDS

A 30-year-old man presented to a private practice with the chief complaint being “I want to replace the teeth that are missing on my upper jaw”. The clinical and radiographic examination revealed the absence of teeth #24, #25, and #26 (Fig. 2,3). Following a proper diagnosis, the treatment plan proposed was the placement of two implants, followed by the placement of immediate final abutments at the same time of the surgery (One Time Clever Concept, C-Tech Implant). The planned final prosthesis consisted of a 3-unit bridge over implants.

One Time Clever Concept: Non-removal of immediate abutments in a single crown and 3-unit bridge over implant

Written by feRKzzCTo0 on . Posted in Catarina G. Rodrigues, EL – Esthetic Line, Manuel D. Marques, ONE TIME Clever Concept, Клинические случаи, Традиционная Имплантология

Catarina G. Rodrigues, DDS, MSc – Manuel D. Marques, DDS

A 67-year-old female patient presented to a private dental office with pain on the first quadrant. The clinical and radiographic examination revealed extensive caries and a history of root canal therapy failure on teeth #1.3 and 1.5. Also, absence of teeth #1.4 and #1.6 (Fig. 2-4).

Bridge on upper jaw with bone graft, 5-year follow-up

Written by feRKzzCTo0 on . Posted in ND – Narrow Diameter, Peng Dong, Клинические случаи, Регенерация Кости, Традиционная Имплантология

Doctor Peng Dong, the expert of tooth implantation in Peking University International Hospital and president of Beijing Hedu Stomatological Clinic Co., Ltd

Medical Case Report

Sex / Age: Male/67  
First Visit: 16/05/2015 Implant Surgery: 03/07/2015
Others Surgery (GBR…):03/07/2015 Final Restoration: 26/12/2015
First Recall: 06/01/2016  
Chief Complaint: Loose fixed bridge on upper anterior teeth.
Consideration(s): GBR

CASE OUTLINE

Loose fixed bridge on upper anterior teeth. Carefully extract tooth 2, on the upper right side and tooth 1 on the upper left side. After the healing period, C-Tech implants will be placed in the sites of right upper tooth 2 and left upper tooth 1. After five months, an oxidized zirconia porcelain bridge will be used for the final restoration.

TREATMENT PLAN

For right upper tooth 2, the width of the alveolar bone is 7.6mm, and the height is 13.4mm. For left upper tooth 1, the width of the alveolar bone is 7.4mm, and the height is 14.5mm. C-Tech implants (Model: EL-4311) will be placed in both sites using conventional implantation with simple bone grafting. After a period of five months, the second phase of the surgery will be conducted.

TREATMENT

1. Extract venous blood for the preparation of CGF for later use.
2. Perform standard disinfection and drape the area with cloths. Administer painless local anesthesia to the upper front teeth region. Make horizontal incisions along the alveolar ridge from right upper tooth 2 to left upper tooth 1. Make incisions inside the grooves between right upper tooth 3 and left upper tooth 2. Perform a labial side vertical reduction on right upper tooth 3. Reflect the gingiva and thoroughly clean the wound, observing bone defects on the labial side of right upper tooth 2 and left upper tooth 1.
3. Precisely position the C-Tech implants (Model: EL-4311) in the locations of right upper tooth 2 and left upper tooth 1. Use tapered drills to create boreholes measuring 3.7*13mm for each implant. Implant the C-Tech implants with closure screws. Fill the bone defects and perforations on the labial side with a mixture of bone powder and CGF. Cover the gaps with membrane, and cover the alveolar ridge with another layer of membrane, followed by a layer of CGF membrane. Securely suture the area.
4. After six months, take an impression and replace the restorative abutments with Model: EL-4503F*2. Permanently fix them with adhesive fixation, and apply an oxidized zirconia porcelain bridge for long-lasting restoration.

 

2 implants restoration in the upper jaw, 8-year follow-up

Written by feRKzzCTo0 on . Posted in EL – Esthetic Line, Peng Dong, Клинические случаи, Традиционная Имплантология

Doctor Peng Dong, the expert of tooth implantation in Peking University International Hospital and president of Beijing Hedu Stomatological Clinic Co., Ltd

Medical Case Report

Sex / Age: Male/55  
First Visit: 07/12/2013 Implant Surgery: 07/12/2013
Others Surgery (GBR…): Final Restoration: 23/04/2014
First Recall: 30/04/2014  
Chief Complaint: Missing an anterior tooth in the upper left region, the patient seeks fixed restoration.
Consideration(s):

CASE OUTLINE

The upper left tooth 2 is missing. It will undergo restoration using a C-Tech implant (Model: EL-3511). A subsequent application of an oxidized zirconia porcelain crown is planned for the final restoration.

TREATMENT PLAN

The width of the alveolar bone in the region of the upper left tooth 2 measures 5.7mm, and the height is 14.02mm, which is deemed to be ideal. The proposed approach is to implant a C-Tech implant (Model: EL-3511) in this area. The second stage of the surgery is scheduled for three months later.

TREATMENT

1、Perform standard disinfection and drape the area with cloths.
2、Administer local anesthesia to the upper left tooth 2, ensuring minimal discomfort. Create a horizontal incision along the crest of the alveolar ridge, extending from the near to far and central aspects. Carefully reflect the gingiva to expose the underlying bone surface.
3、Precisely position the C-Tech implant (Model: EL-3511) in the location of the upper left tooth 2. Gradually prepare a tapered borehole measuring 3.0x13mm to accommodate the implant, ensuring a precise fit. The implant is integrated with the healing abutment (Model: EL-5506HT) and anchored with a torque of 10N, achieving a marginal bone height of M3D4 B1.5L2. Securely suture the area.
4、After 4 months, take an impression and replace the restorative abutment with Model: EL-4504F. Permanently fix it with adhesive fixation, and apply an oxidized zirconia porcelain crown for long-lasting restoration.

 

Effect tracking of bone stability: Anterior area

Written by feRKzzCTo0 on . Posted in Клинические случаи, Традиционная Имплантология

Doctor Peng Dong, the expert of tooth implantation in Peking University International Hospital and president of Beijing Hedu Stomatological Clinic Co., Ltd

Conclusion: 2-3 years of tracking clinical cases showed that the effect of bone wrapping surrounding the C-tech implant was significant, with increased bone density, which presented its advantage in the esthetic of anterior teeth.

Effect tracking of bone stability: Maxillary posterior area

Written by feRKzzCTo0 on . Posted in Клинические случаи, Традиционная Имплантология

Doctor Peng Dong, the expert of tooth implantation in Peking University International Hospital and president of Beijing Hedu Stomatological Clinic Co., Ltd

Conclusion: 2-year clinical tracking of the cases of implantation in the maxillary posterior area showed that the effect of bone wrapping surrounding the C-tech implant was significant, with good root osteogenesis, which presented its advantage in the cases of maxillary sinus elevation.

Effect tracking of bone stability: Mandibular posterior area

Written by feRKzzCTo0 on . Posted in Клинические случаи, Традиционная Имплантология

by Doctor Peng Dong, the expert of tooth implantation in Peking University International Hospital and president of Beijing Hedu Stomatological Clinic Co., Ltd

Conclusion: 3-5 years of clinical tracking showed that in the cases of implantation in the mandibular posterior area, the bone height and bone density surrounding the C-tech implant were increased significantly, with a significant effect of bone wrapping, which fully presented the advanced design and precise processing of the implant.

Immediate implant placement & immediate aesthetics on a upper lateral incisor

Written by feRKzzCTo0 on . Posted in Catarina G. Rodrigues, Manuel D. Marques, Клинические случаи, Традиционная Имплантология

Catarina G. Rodrigues, DDS, MSc – Manuel D. Marques, DDS

In the present clinical case, the upper left lateral incisor presented with a vertical fracture. Following a proper clinical and radiographic analysis, the tooth was considered hopeless. The treatment plan consisted of the extraction of the lateral incisor and immediate implant placement. It is well described in the literature that delayed loading, in contrast with immediate or immediate- delayed loading, can lead to predictable results in all clinical situations.

Full arch rehabilitation: Digital guided surgery for upper loading and analogic in lower

Written by feRKzzCTo0 on . Posted in Catarina G. Rodrigues, GS – Guided Surgery, Manuel D. Marques, MUA, Клинические случаи, Направленная Хирургия

Catarina G. Rodrigues, DDS, MSc  – Manuel D. Marques, DDS

A 74-year-old woman presented to a private practice with the chief complaint being that she did not want to use dentures anymore and have more comfort and better appearance. The clinical and radiographic examination revealed the absence of all teeth except the two upper canines (Fig 1-4).

Rééducation du Maxillaire. Gestion des tissus mous

Written by feRKzzCTo0 on . Posted in MUA, Клинические случаи, Традиционная Имплантология

Dr. Gabriele Matera, Dr. Antonio Matera, Dr. Serena Matera, prothésiste dentaire Luca Palermo

Patiente de 64 ans venue avec une ancienne prothèse mixte fixe-mobile. La patiente est en bonne santé et non fumeuse. La patiente a exprimé le désir d’avoir ses dents fixées. Nous décidons d’extraire tous les éléments dentaires, de placer 6 implants pour ensuite réaliser une prothèse vissée.

Insertion of six EL implants in guided surgery

Written by feRKzzCTo0 on . Posted in Alexandre Minis, EL – Esthetic Line, GS – Guided Surgery, Клинические случаи, Направленная Хирургия

Dr. Alexandre Minis, France

The patient is a 52-year-old male with no medical history.
Chronic periodontitis is stabilized.
Former smoker who quit following periodontal treatment.
Teeth 26, 16 and 17 were extracted. Considering that the available bone height was low, a bilateral sinus lift was performed by lateral approach.

Prefooter RU