Immediately loaded bicortical implants inserted in fresh extraction and healed sites in patients with and without a history of periodontal disease

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Introduction: Rehabilitation with dental implants of total or partial edentulousness in the maxilla encounters a number of difficulties due to the anatomical distinctions and the topography of this region. The maxilla is rigidly attached to the other skull bones, and therefore, its structure is functionally adapted to transmit loads through three main buttresses. Outside these supporting zones, the bone structure is poorly mineralized, or its volume is limited to the thin bone layer. In strategic implantology, a number of defined clinically-proven surgical methods have been proposed to utilize these maxillary load transmitting buttresses. This study was aimed to evaluate its safety with respect to maxillary sinus complications as a result of anchoring Strategic Implants ® in the cortical boundaries of the sinus and/or passing through it, to reach the pterygoid plate of the sphenoidal bone. Materials and Methods: This prospective cohort study was carried on 217 cortico-basal implants penetrating through the cortical walls of the maxillary sinus (Simpladent GmbH, Gommiswald, Switzerland), placed between September 2013 and December 2014 in a total of 70 patients (131 maxillary sinuses). Two hundred and four implants were anchored in the cortical bone of the sinus protruding into the sinus up to 3 mm, and 13 were placed trans-sinuously. Results: None of the implants failed during the observation period, with only one instance of adverse reaction in the maxillary sinus to the polished corticobasal implants. Discussion: Anchoring polished corticobasal implants in the wall of the maxillary sinus as well as in the pterygoid plate of the sphenoid bone is a safe and effective procedure that per se (if executed properly) does not cause any adverse reaction of the maxillary sinus.

Section: Discussionmentioning

confidence: 99%

A prospective cohort study of maxillary sinus complications in relation to treatments with strategic implants® penetrating into the sinus

Lazarov¹

2020

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“…Hence, peri-implantitis never occurs as was reported by Lazarov and Palka and Lazarov. [ 20 21 ] For this reason alone, we consider the Strategic Implant ® system superior to all traditional (two-stage) implant systems with rough surfaces, which frequently develop peri-implantits and demand meticulous cleaning by the patient and in addition, frequent professional cleaning by the hygienist.…”

Section: Discussionmentioning

confidence: 99%

A Single-Step implant treatment of a patient presenting with a high smile line (Gummy Smile) – Surgical, prosthetic, and financial considerations of full-mouth rehabilitation with one-piece implants anchored in cortical bone - A case report

Ihde

Sipic

Pałka³

2020

Dental implant treatment and immediate loading protocol in the front maxillae provides severe esthetical difficulties, for example in cases where the transition zone of the patients' teeth and the gums is visible during habitual movements of the upper lip or when the patient presents excessive gingival display. In this case report, it is shown in detail how to overcome the esthetic problems in a straightforward manner in such clinical situations. The article also discusses in which financial environments treatments on teeth are endlessly continued and under which conditions patients manage to get (and prefer) an early switch to implant borne teeth.

“…Corticobasal ® implants are placed instantly, and they are then splinted by a rigid construction. [ 4 ]…”

Section: G Eneral M Ethodsmentioning

confidence: 99%

Consensus regarding 16 recognized and clinically proven methods and sub-methods for placing corticobasal^® oral implants

Ihde

Alexander

Gaur

et al. 2020

This Consensus-Document is issued by the International Implant Foundation (Munich/Germany). It describes distinct methods of placement of cortico-basal oral implants in different areas of the jaw bone and the maxillo-facial skeleton. The implants utilize the method of “osseofixation” instead of “osseointegration” for achieving primary, functional stability, hence they work according to the (AO-) principles of fracture treatment. The concept of the technology allows for immediate functional loading, just as it allows for various types of loading following orthopaedic surgery. The 16 methods and sub-methods as described and displayed here have been undergoing extensive observation and testing and they have been approved by the Board of the International Implant Foundation. All Consensus Documents of the International Implant Foundation are revised every three years. This is the 3rd version of the Consensus Document on placement of corticobasal oral implants Level of Evidence: S3 (evidence based, systematically developed consensus guideline).