Fast implant placement into two molar sockets

A 57-year-old male affected person offered via referral with two failing molars, enamel #46 and 47. The affected person had a transparent clinical historical past, and each molars exhibited in depth caries and recovery (Figs. 1–6).

Remedy making plans

After thorough dialogue, the affected person was once offered with two choices: deep marginal elevation blended with root canal remedy or implant placement. The affected person opted for implants, expressing a choice for a long-term fastened resolution.

Given the absence of acute an infection and the provision of ok bone, we determined on speedy implant placement with not on time loading for each websites. Fast placement is most popular, as a result of keeping up the present hard- and soft-tissue structure is way more predictable than making an attempt to rebuild it later.

A guided surgical method was once decided on, particularly a sleeveless information, to use the precision that it offers in such circumstances. The DentiqGuide instrument (3DII) was once used to devise remedy in an effort to identify actual implant positioning. The surgical information was once then revealed on a Sonic Mini 8K S (Phrozen), making sure prime accuracy in execution.

The failing enamel have been sectioned and extracted atraumatically to maintain the encircling bone (Fig. 7). The sockets have been totally debrided the usage of Lucas curettes to take away any residual an infection or granulation tissue (Fig. 8).

The implants (5 × 9 mm CONELOG PROGRESSIVE-LINE, BioHorizons Camlog) have been then positioned the usage of the sleeveless surgical information and the CONELOG guided equipment (Figs. 9 & 10).

After verification of the implant placement, the grafting subject material (MinerOss Putty allograft, BioHorizons Camlog) was once packed into the web site to the bone stage to scale back the build-up of grafting subject material within the delicate tissue.

Customized therapeutic abutments have been built the usage of a short lived abutment and composite, and polished to a prime lustre the usage of silicone wheels after which seated (Fig. 11). The affected person was once given usual postoperative directions to toughen therapeutic of the surgical web site within the months to come back.

After a therapeutic length of 3 months, the Medit i700 intra-oral scanner was once used to report the implant place and soft-tissue profile, making sure optimum prosthetic making plans and actual recovery (Fig. 12). The implant crowns have been built the usage of customized milled titanium abutments with a zirconia crown. Care was once taken to make sure that any zirconia in touch with the tissue was once polished moderately than glazed to advertise optimum soft-tissue well being.

Consequence and dialogue

The speedy placement of the CONELOG PROGRESSIVE-LINE implants in each molar sockets proceeded easily, attaining very good number one steadiness. The demanding and delicate tissue was once smartly maintained, and very good soft-tissue thickness and a solid band of keratinised tissue have been completed (Figs. 13–16). This method no longer simplest preserved the present bone and delicate tissue but in addition supplied a forged basis for long run prosthetic recovery. This example highlights the significance of case variety and collection of implant and grafting subject material in optimising long-term results in implant dentistry.

The usage of MinerOss Putty performed a the most important function in keeping up bone quantity and soft-tissue integrity, additional contributing to the long-term good fortune of the implants. This allograft is mechanically decided on for those circumstances. Its dealing with houses are outstanding, making placement simple. Moreover, owing to its 10% collagen composition, its integration is awesome, decreasing the chance of particle migration or deficient brotherly love right through placement noticed with different grafting fabrics.

Fast placement, when possible, gives important benefits in simplifying long-term repairs when put next with in depth hard- and soft-tissue reconstruction. The CONELOG PROGRESSIVE-LINE implant device remains to be a competent selection for instant placement, in particular in molar websites, owing to its very good design and flexibility, and the CONELOG guided equipment’s screw-in carriers permit for terribly correct positioning.

The design options of CONELOG PROGRESSIVE-LINE that make it in particular efficient come with an competitive thread design for top number one steadiness; the Advertise (sand-blasted, acid-etched) floor remedy, selling fast osseointegration; and Grade IV titanium, commercially natural titanium providing predictable osseointegration. CONELOG PROGRESSIVE-LINE implants are particularly smartly suited to molar websites owing to the conical reference to platform switching.

When blended with the right kind intensity of placement, this guarantees solid crestal bone ranges through the years. One of the crucial standout options is the provision of more than a few sizes, together with a 5 mm implant that permits for a conical connection whilst keeping up a much less competitive emergence profile when put next with different methods.