scholarly journals Telescopic Overdenture and Implant Supported Fixed Partial Denture: A Pragmatic Treatment Approach

2015 ◽  
Vol 2015 ◽  
pp. 1-7
Author(s):  
Doğu Ömür Dede ◽  
M. Cenk Durmuşlar ◽  
Onur Şahın ◽  
Ayşegül Köroğlu ◽  
Özer İşısağ

This case report presents a patient who had been rehabilitated with a telescopic overdenture and implant supported fixed partial denture (ISFPD). The treatment process was as follows: (1) fabricating telescopic crowns and overdenture prosthesis for the lower jaw and a temporary complete denture for the upper jaw, (2) using the temporary denture as diagnostic and surgical guide to optimize dental implant placement, and (3) fabricating ISFPD for the upper jaw. Using the patient’s existing or temporary denture not only serves as an alternative surgical guide to calibrate the dental implant locations but also helps to finish the restoration at desired dimension, size, and anatomic form.

Author(s):  
Vasilios Alevizakos ◽  
Gergo Mitov ◽  
Constantin von See

The aim of this case report is to describe the combining of a surgical guide with a temporary restoration to streamline the implant process. A 54-year-old male patient presenting partial edentulism underwent computer-aided template-guided implant placement for the replacement of the missing upper second right incisor. The presented technique was used during the surgical procedures; it introduced the integration of a surgical guide into the temporary fixed partial denture. Using computer-aided design, computer-aided manufacturing technology and virtual implant planning, a temporary-implantation fixed partial denture was constructed, and a guidance sleeve was implemented into it. The implant bed preparation was then performed using the bridge as a surgical guide. After osteotomy, the guidance sleeve within the bridge was sealed, and the bridge was temporarily incorporated for submerged healing of the implant. The usage of a temporary restoration as a surgical guide seems to make the digital workflow of guided implant placement more efficient, by achieving a representative clinical outcome.


2012 ◽  
Vol 59 (1) ◽  
pp. 51-56
Author(s):  
Aleksandar Medojevic ◽  
Milica Jovanovic-Medojevic ◽  
Djordje Nejkovic

Implantology has become an important therapeutic procedure that allows complete aesthetic and functional rehabilitation of the oro-facial system in edentulous patients. Implant supported prosthetic restorations can be fixed in two ways, by cement or screws. Both techniques have advantages and disadvantages and their selection depend on situation in patient?s mouth. The aim of this study was to describe complete process of prosthetic rehabilitation in an edentulous patient, from pre-implant preparation, through implant placement and fixation of final restoration on implants. In this case report, one ceramo-metal bridge was fixed by screws in the lower jaw while the other one was fixed using glass-ionomer cement in the upper jaw. After bone augmentation and time necessary for its osseointegration (6 to 8 months), 16 implants were placed in both jaws. Eight weeks after the implant placement, final prosthetic rehabilitation was achieved by cementation of one ceramo-metal bridge in the upper jaw using glass ionomer cement and fixation of the second bridge with screws in the lower jaw. To achieve successful implant supported prosthetic rehabilitation, the treatment protocol must be followed from the beginning to the end of the therapy.


2012 ◽  
Vol 38 (5) ◽  
pp. 639-641 ◽  
Author(s):  
Aditi Nanda ◽  
Veen Jain

The accurate positioning of implant in bone is important in order to meet the biological, esthetic, and biomechanical requirements of the prosthesis. This becomes crucial in flapless implant placement. The combination of bone sounding and use of a surgical guide will allow precise placement of a dental implant, abutment, and provisional restoration in a minimally invasive manner. A technique to transfer the diagnostic information to the surgical guide is described in this report. The chief advantage of the procedure is the ability to apply flapless implant placement surgery and immediate loading.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Jie Lin ◽  
Zhenxiang Lin ◽  
Zhiqiang Zheng

Abstract Background Conventional static computer-assisted implant surgery (s-CAIS) requires special equipment, such as 3D printers or computer numerical control (CNC) lathes. We present a low-cost workflow for manufacturing dental implant guides based on tetrahedron positioning technology (TPT). The aim of this case report was to use a surgical guide technique for dental implant placement using tetrahedron positioning technology. Case presentation A 28-year-old man consulted for the treatment of a missing right first mandibular molar by implant placement. The cone-beam computed tomography (CBCT) data were imported into medical image processing software for analysis, and the implant design was simulated. The implant design on CBCT was transferred to the mandibular model using TPT, and the implant surgical guide was made to guide the dental implant operation. CBCT was performed postoperatively and compared with the preoperative design to check the accuracy. The central deviation of the implant head was 0.31 mm, the central deviation of the implant apex was 0.93 mm, and the implant angular deviation was 2.45°. Conclusion The use of tetrahedral positioning technology based on CBCT data is a new method for making implant guides. It is a promising technique offering a highly predictable outcome and lower risk of iatrogenic damage. However, these results should be interpreted with care since they are based on limited evidence from a case report. Larger population studies with longer follow-up periods and standardized experimental studies are required.


Author(s):  
Giovanni de Almeida Prado Di Giacomo ◽  
Patrícia Cury ◽  
Airton Moreira da Silva ◽  
Jorge Vicente Lopes da Silva ◽  
Carlos Eduardo Pompeo Souto ◽  
...  

This study was designed to evaluate the accuracy of a novel computer-designed and selectively laser sintered surgical guide for flapless dental implant placement in the edentulous jaw. Fifty dental implants were placed in 11 patients with at least one totally edentulous jaw. Initially, cone-beam computed tomography (CBCT) was performed in each patient to define the virtual position of the dental implants based on the assessment of bone availability and the proposed dental prosthesis. After virtual planning, 3D surgical guides were printed using selective laser sintering. CBCT was repeated after the surgery, and the pre-and postoperative images were overlapped in the CAD software to compare the planned and actual positions of the dental implants using a one-sample t-test. The mean ± angular standard deviation between the long axes of the planned and final dental implant positions was 4.58 ±2.85 degrees; The linear deviation in the coronal position was  0.87 ± 0.49 mm and  in the apical region of the dental implants was 1.37 ± 0.69 mm. These differences were statistically significant (p <0.001). The proposed modifications reduced the deviations, resulting in an improvement in the technique. We were able to place implants and temporary prostheses using the present protocol, taking into account the differences between the planned and final positions of the dental implants.


2019 ◽  
Vol 5 (3) ◽  
Author(s):  
Arthi Ambayiram ◽  
Ahila Singaravel Chidembaranathan ◽  
Muthukumar Balasubramanium

2021 ◽  
pp. 29-30
Author(s):  
Deepika Sharma ◽  
Tarun Gaur ◽  
Karunakaran Keshav

With the advancement in the dental implant treatment, many new innovative improvements have been developed in the designs and components of implants. These improvements helps to handle the compromising situations where sometimes the good treatment option can become more challenging. One of the such grueling condition is implant placement in the anterior maxilla where dentist has to fulll both aesthetic and functional demand. Many aesthetic failures of implant have been reported in the literature in the anterior maxilla. One of them is placing implant in sites with deciency of facial bone thickness which sometimes resulted in malposition of implant. This case report discusses about the prosthodontic correction of malpositioned implant in the anterior maxilla by using castable abutment. The use of castable abutment is concluded as successful treatment option for complex misaligned and malposed single dental implant.


2020 ◽  
Vol 2020 ◽  
pp. 1-8
Author(s):  
Bruno Freitas Mello ◽  
Márcio de Carvalho Formiga ◽  
Luiz Fernando de Souza da Silva ◽  
Gustavo dos Santos Coura ◽  
Jamil Awad Shibli

The guided bone regeneration (GBR) technique has been used to achieve optimal bone volume augmentation and allow dental implant placement in atrophic maxilla and mandible, with predictable results and high survival rates. The use of bone substitutes has reduced the necessity of autogenous bone grafts, reducing the morbidity at the donor areas and thus improving the patients’ satisfaction and comfort. This clinical case report shows a clinical and histological evaluation of the bone tissue behavior, in a case that required the horizontal augmentation of the alveolar ridge, with the use of xenograft biomaterial and further dental implant placement. After six months of healing time, six implants were placed, and a bone biopsy was done. The histological analysis depicted some fragments of the xenograft bone graft, integrated with the new-formed bone tissue.


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