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A new concept for implant-borne dental rehabilitation; how to overcome the biological weak-spot of conventional dental implants?

Identifieur interne : 000374 ( Main/Exploration ); précédent : 000373; suivant : 000375

A new concept for implant-borne dental rehabilitation; how to overcome the biological weak-spot of conventional dental implants?

Auteurs : Nils-Claudius Gellrich [Allemagne] ; Björn Rahlf [Allemagne] ; Rüdiger Zimmerer [Allemagne] ; Philipp-Cornelius Pott [Allemagne] ; Majeed Rana [Allemagne]

Source :

RBID : PMC:5622522

Abstract

Background

Every endosseous dental implant is dependent on an adequate amount and quality of peri-implant hard and soft tissues and their fully functional interaction. The dental implant could fail in cases of insufficient bone and soft tissues or due to a violation of the soft to hard tissues to implant shoulder interface with arising of a secondary bone loss.

Method

To overcome this biological weak-spot, we designed a new implant that allows for multi vector endosseous anchorage around the individual underlying bone, which has to be scanned by computed tomography (CT) or Cone beam CT (CBCT) technique to allow for planning the implant. We developed a workflow to digitally engineer this customized implant made up of two planning steps. First, the implant posts are designed by prosthodontic-driven backward planning, and a wireframe-style framework is designed on the individual bony surface of the recipient site. Next, the two pieces are digitally fused and manufactured as a single piece implant using the SLM technique (selective laser melting) and titanium-alloy-powder.

Results

Preoperative FEM-stress-test of the individual implant is possible before it is inserted sterile in an out-patient procedure.

Conclusion

Unlike any other historical or current dental implant protocol, our newly developed “individual patient solutions dental” follows the principle of a fully functional and rigid osteosynthesis technology and offers a quick solution for an implant-borne dental rehabilitation in difficult conditions of soft and hard tissues.


Url:
DOI: 10.1186/s13005-017-0151-3
PubMed: 28962664
PubMed Central: 5622522


Affiliations:


Links toward previous steps (curation, corpus...)


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<p id="Par2">To overcome this biological weak-spot, we designed a new implant that allows for multi vector endosseous anchorage around the individual underlying bone, which has to be scanned by computed tomography (CT) or Cone beam CT (CBCT) technique to allow for planning the implant. We developed a workflow to digitally engineer this customized implant made up of two planning steps. First, the implant posts are designed by prosthodontic-driven backward planning, and a wireframe-style framework is designed on the individual bony surface of the recipient site. Next, the two pieces are digitally fused and manufactured as a single piece implant using the SLM technique (selective laser melting) and titanium-alloy-powder.</p>
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<p id="Par3">Preoperative FEM-stress-test of the individual implant is possible before it is inserted sterile in an out-patient procedure.</p>
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<title>Conclusion</title>
<p id="Par4">Unlike any other historical or current dental implant protocol, our newly developed “individual patient solutions dental” follows the principle of a fully functional and rigid osteosynthesis technology and offers a quick solution for an implant-borne dental rehabilitation in difficult conditions of soft and hard tissues.</p>
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<name sortKey="Sahm, N" uniqKey="Sahm N">N Sahm</name>
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<author>
<name sortKey="Horstkemper, T" uniqKey="Horstkemper T">T Horstkemper</name>
</author>
<author>
<name sortKey="Rousi, K" uniqKey="Rousi K">K Rousi</name>
</author>
<author>
<name sortKey="Becker, J" uniqKey="Becker J">J Becker</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Smeets, R" uniqKey="Smeets R">R Smeets</name>
</author>
<author>
<name sortKey="Henningsen, A" uniqKey="Henningsen A">A Henningsen</name>
</author>
<author>
<name sortKey="Jung, O" uniqKey="Jung O">O Jung</name>
</author>
<author>
<name sortKey="Heiland, M" uniqKey="Heiland M">M Heiland</name>
</author>
<author>
<name sortKey="Hamm Cher, C" uniqKey="Hamm Cher C">C Hammächer</name>
</author>
<author>
<name sortKey="Stein, Jm" uniqKey="Stein J">JM Stein</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Smith Nobrega, A" uniqKey="Smith Nobrega A">A Smith Nobrega</name>
</author>
<author>
<name sortKey="Santiago, Jf" uniqKey="Santiago J">JF Santiago</name>
</author>
<author>
<name sortKey="De Faria Almeida, Da" uniqKey="De Faria Almeida D">DA de Faria Almeida</name>
</author>
<author>
<name sortKey="Dos Santos, Dm" uniqKey="Dos Santos D">DM Dos Santos</name>
</author>
<author>
<name sortKey="Pellizzer, Ep" uniqKey="Pellizzer E">EP Pellizzer</name>
</author>
<author>
<name sortKey="Goiato, Mc" uniqKey="Goiato M">MC Goiato</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Stoler, A" uniqKey="Stoler A">A Stoler</name>
</author>
</analytic>
</biblStruct>
</listBibl>
</div1>
</back>
</TEI>
<affiliations>
<list>
<country>
<li>Allemagne</li>
</country>
<region>
<li>Basse-Saxe</li>
</region>
<settlement>
<li>Hanovre</li>
</settlement>
</list>
<tree>
<country name="Allemagne">
<region name="Basse-Saxe">
<name sortKey="Gellrich, Nils Claudius" sort="Gellrich, Nils Claudius" uniqKey="Gellrich N" first="Nils-Claudius" last="Gellrich">Nils-Claudius Gellrich</name>
</region>
<name sortKey="Pott, Philipp Cornelius" sort="Pott, Philipp Cornelius" uniqKey="Pott P" first="Philipp-Cornelius" last="Pott">Philipp-Cornelius Pott</name>
<name sortKey="Rahlf, Bjorn" sort="Rahlf, Bjorn" uniqKey="Rahlf B" first="Björn" last="Rahlf">Björn Rahlf</name>
<name sortKey="Rana, Majeed" sort="Rana, Majeed" uniqKey="Rana M" first="Majeed" last="Rana">Majeed Rana</name>
<name sortKey="Zimmerer, Rudiger" sort="Zimmerer, Rudiger" uniqKey="Zimmerer R" first="Rüdiger" last="Zimmerer">Rüdiger Zimmerer</name>
</country>
</tree>
</affiliations>
</record>

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