Due to the development of a malignant melanoma
in the area of the anterior dentition of the
upper jaw, the saw segment including the teeth
15 - 22 had to be resected. In this article the
surgical and prosthetic rehabilitation of the defect
using the Strategic Implant® is described.
Replacement of an anterior and lateral tooth segment after resection in
the upper jaw.
Immediate or early loading of dental implants
has been a hot topic in implantology. It shortens
the treatment time and makes it possible to
provide the patient with a functional and aesthetic
reconstruction during the entire treatment
period. In patients with low amount of bone,
placement of basal implants and their cortical
anchorage allows single step procedure of immediate
loading a successful method. Patients
suffering from congenital hypodontia have thin
bony ridges due to absence of adequate growth
stimuli are ideal for basal implantology.
Replacing congenital missing incisor tooth in an hour.
Vertical bone apposition along the polished
implant shafts of lateral basal implants have
been observed and proven by scientific investigations.
So far no reports of this kind have been
published for screwable basal implants.
In this case report we report on a case where
vertical bone growth along a screwable basal
implant (BCS brand) reached an extent where
(self-)cleaning of the implant site failed and a
chronic infection developed. The implant had to
Morphological changes in the distal mandible influence basal implant survival.
Especially when retentived and impacted teeth
have to be removed before providing dental
implant therapy, long healing times have to be
taken into account if conventional 2-stage implants
are used. A fast and effective treatment
is possible however with the Strategic Implant®.
These implants require only cortical anchorage
in the 2nd cortical and they require immediate
splinting (with each other or in rare cases to
teeth). The initial bone height (i.e. the distance
between the 1st and 2nd corticals) is of no importance
for the success of the Strategic Implant®, as long as a resorption stable 2nd or 3rd
cortical can be reached and engaged.
Immediate Strategic Implant® restoration of the maxilla after removal of a
fully impacted, horizontally retentived canine
This case report shows how this principle is applied in a case with a horizontally impacted canine in the upper jaw.