Full rehabilitation with nobel clinician® and procera implant bridge®: case report

Spinelli, D. and Ottria, L. and De Vico, G. and Bollero, R. and Barlattani, A. and Bollero, P. (2013) Full rehabilitation with nobel clinician® and procera implant bridge®: case report. Oral & implantology, 6 (2). pp. 25-36. ISSN Oral & implantology

25-36.pdf - Published Version

Download (10MB) | Preview
Official URL: http://www.oimplantology.org/common/php/portiere.p...


Implant surgery has been changing in different ways following improvements of computer technologies. Since its beginning, according to the original procedures of Branemårk system implants, guide-lines in implants-supported prosthetic rehabilitation have been founding on the placement of fixtures in a fairly upright position, after maxillary sinus floor elevation; while in the case of interforaminal rehabilitation, an upright distal implant may need to be placed anterior to the mental foramina without nerve damage (although the consequence would have been bilateral cantilevers to provide good chewing capacity). Some authors have proposed engaging the molar/tuberosity area: Bahat and Venturelli demonstrated these areas reliable and predictable alternative to distal cantilever prostheses or sinus elevation procedures. In recent years, the immediate loading of tilted implants with a provisional restoration has been proposed for the treatment of the atrophic maxilla. Tilted posterior implants in either arches could avoid (cantilever length) and provide to a better load distribution. Further studies have showed excellent outcomes for both tilted and axial implants; indeed this protocol allows to use longer implants, improve bone anchorage and avoid bone grafting procedures. Malò at al., in a retrospective clinical study, showed important results using two posterior tilted implants and two anterior non-tilted ones in the so-called All-on-four technique (Nobel Biocare, Göteborg, Sweden). Instead of the great loss of bone (amount and quality) in long-term edentuly the clinically documented computer-guided implantology software is able, through posterior tilted implants, to improve load distribution. Many authors have reported reduced surgical invasion (sinus grafting surgery is needless), shorter treatment time, lower cost, natural aesthetic profiles and functional bite.

Item Type: Article
Uncontrolled Keywords: dental implants, computer guided flapless implant placement, immediate loading, prosthetic rehabilitation
Subjects: 600 Tecnologia - Scienze applicate > 610 Medicina e salute (Classificare qui la tecnologia dei servizi medici)
Depositing User: Marina Spanti
Date Deposited: 21 Jan 2016 17:14
Last Modified: 21 Jan 2016 17:14
URI: http://eprints.bice.rm.cnr.it/id/eprint/10574

Actions (login required)

View Item View Item