Serveur d'exploration sur le patient édenté (maquette)

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

Identifieur interne : 000618 ( Ncbi/Merge ); précédent : 000617; suivant : 000619

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

Auteurs : D. Spinelli [Italie] ; L. Ottria ; G. De Vico ; R. Bollero ; A. Barlattani ; P. Bollero

Source :

RBID : pubmed:24175051

Abstract

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.

PubMed: 24175051

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pubmed:24175051

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<div type="abstract" xml:lang="en">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.</div>
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<AbstractText>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.</AbstractText>
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<RefSource>J Appl Biomater Biomech. 2009 Jan-Apr;7(1):23-8</RefSource>
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</CommentsCorrections>
<CommentsCorrections RefType="Cites">
<RefSource>J Can Dent Assoc. 2004 Jan;70(1):32</RefSource>
<PMID Version="1">14709253</PMID>
</CommentsCorrections>
<CommentsCorrections RefType="Cites">
<RefSource>Compend Contin Educ Dent. 2005 Nov;26(11):802, 804-7</RefSource>
<PMID Version="1">16300235</PMID>
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<CommentsCorrections RefType="Cites">
<RefSource>Clin Implant Dent Relat Res. 2005;7 Suppl 1:S111-20</RefSource>
<PMID Version="1">16137096</PMID>
</CommentsCorrections>
<CommentsCorrections RefType="Cites">
<RefSource>Clin Implant Dent Relat Res. 2006;8(3):161-7</RefSource>
<PMID Version="1">16919024</PMID>
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<CommentsCorrections RefType="Cites">
<RefSource>Int J Oral Maxillofac Implants. 2000 May-Jun;15(3):405-14</RefSource>
<PMID Version="1">10874806</PMID>
</CommentsCorrections>
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<RefSource>Clin Implant Dent Relat Res. 2005;7 Suppl 1:S1-12</RefSource>
<PMID Version="1">16137082</PMID>
</CommentsCorrections>
<CommentsCorrections RefType="Cites">
<RefSource>Oral Implantol (Rome). 2010 Apr;3(2):10-9</RefSource>
<PMID Version="1">23285381</PMID>
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<CommentsCorrections RefType="Cites">
<RefSource>Oral Implantol (Rome). 2008 Apr;1(1):2-14</RefSource>
<PMID Version="1">23285331</PMID>
</CommentsCorrections>
<CommentsCorrections RefType="Cites">
<RefSource>Clin Oral Implants Res. 2001 Oct;12(5):495-502</RefSource>
<PMID Version="1">11564110</PMID>
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<CommentsCorrections RefType="Cites">
<RefSource>Pract Proced Aesthet Dent. 2006 Nov-Dec;18(10 ):617-23</RefSource>
<PMID Version="1">17283690</PMID>
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<RefSource>Clin Oral Implants Res. 2001 Feb;12 (1):79-84</RefSource>
<PMID Version="1">11168274</PMID>
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<RefSource>Clin Implant Dent Relat Res. 2003;5(3):154-60</RefSource>
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<CommentsCorrections RefType="Cites">
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<RefSource>Eur Radiol. 2003 Feb;13(2):366-76</RefSource>
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<PMID Version="1">9527353</PMID>
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<CommentsCorrections RefType="Cites">
<RefSource>Clin Implant Dent Relat Res. 2001;3(1):39-49</RefSource>
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<RefSource>Int J Periodontics Restorative Dent. 2006 Jun;26(3):239-47</RefSource>
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