July 15, 2021
Geometry of the bone present can make implant placement challenging. This can be especially true in the anterior, where the angle of the ridge requires a different trajectory than that of the prosthetic axis that will be used during restoration.1 Both the maxillary and mandibular ridge tip to the facial aspect, requiring implant placement that is not vertical in position. This can become more complicated in a site that is either edentulous or undergoing significant periodontal changes to the bone present, as the facial aspect is lost first, shifting the trajectory of the available bone present.
June 21, 2021
The presence of sufficient bone volume is one of the most important criteria for successful osseointegration of implants,1 wherefore restoration of atrophied edentulous maxillae poses a great dilemma for the surgeon and restorative dentist. Sinus bone grafting to build new bone for implant anchorage in atrophied jaws entails multiple surgical interventions and has varying implant success rates, high potential for donor site morbidity and increased surgical costs.2, 3 A major breakthrough came when Brånemark first used custom-designed, longer implants inserted into the zygomatic bone in support of a craniofacial prosthesis in the 1980s.4 When used in the treatment of maxillary atrophy,5, 6 zygomatic implants present a graftless alternative.
April 6, 2021
The aim of this article is to present a case of single-tooth prosthetic restoration in the aesthetic zone step by step. The patient was referred to our clinic with a fractured root of tooth #11 (Fig. 1). The cone beam computed tomography (CBCT) analysis confirmed the fracture and revealed external resorption of the root from the vestibular side (Fig. 2). The tooth had to be extracted, and it was decided to follow immediate implant placement with a temporary aesthetic implant restoration. The immediate implant placement was planned with short-term non-occlusal loading.
February 10, 2021
Dental implants to replace missing teeth have become an integral part of current conventional dentistry. Accepted protocols now include two-stage delayed loading, one-stage delayed loading, immediate loading in a healed receptor site, tilted implant placement, immediate loading in fresh extraction sites, partial extraction therapy (PET), socket shield technique and root membrane concept.
February 2, 2021
The following case report describes a successful immediate implant placement in a mandibular first molar position with Straumann TLX and an immediately functional restoration followed up for one year.
December 28, 2020
Successful immediate implant placement associated with immediate loading remains one of the greatest clinical challenges. In addition to the placement of an implant immediately into the socket, the creation of an immediate screw-retained CAD/CAM temporary restoration is critical for an optimal aesthetic outcome. When using a conventional approach, the procedures require an extensive number of patient appointments and chair time for the dentist and the patient. Fortunately, nowadays digital workflows can be implemented, allowing treatments to be considerably shortened.
November 27, 2020
In today’s economy, we have seen dramatic changes in lifestyle, health and income. Because of this, we have seen patients delay dental treatment until their condition finally becomes very painful. Although patients may want full-mouth dental implant treatment with fixed restorations, this may not always be something that fits into their budget. As dental providers, we need to offer our patients a variety of different treatment options in order to restore their dentition to proper form and function. This article focuses on the steps involved in providing denture and overdenture treatment in addition to extractions, grafting and dental implant placement.
November 12, 2020
The latest generation of two-piece ceramic implants (zirconia) is considered an alternative treatment option to titanium implants owing to their excellent biological and material properties. Their handling and workflow now meet the requirements of modern implantology. In the following, a clinical case is described to demonstrate the use of a two-piece ceramic implant.