Dental Tribune International
Clinical
Achieving anatomical shape, support and colour with an Atlantis patient-specific abutment

August 19, 2021

The aim of this case presentation is to show a step-by-step workflow with Atlantis patient-specific abutments. The case is of a 36-year-old patient with a vertical fracture of tooth #46 who was referred to our clinic.

An in-office-fabricated implant surgical guide corrected using CBCT

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.

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Zygomatic dynamic navigation: New challenges and possibilities

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.

The use of new technologies and digital implant solutions in a one-stage surgical procedure

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.

Guided applications for partial extraction therapy

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.

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Straumann TLX: Immediate placement and loading in mandibular first molar position with follow-up

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.

Compromised maxillary dentition treated with Straumann Pro Arch and a digital workflow

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.

Overdenture solutions for today’s economy

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.

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