Possibilities of dental implants installation "bypassing" inferior alveolar nerve: results of CBCT analysis and own experience
The problem of installation of dental implants in atrophied distal mandibular aspects is extremely relevant. From the point of view of classical twostage implantation, the height deficiency of the alveolar process, due to the topographic proximity of the inferior alveolar nerve, requires the use of so called short or ultra-short implants or vertical augmentation of bone tissue using autologous, allogeneic, xenogeneic materials. Moreover, the installation of classical cylindrical or bullet-shaped implants is possible only in the presence of sufficient width of the alveolar process laterally or medially to the mandibular canal. The invention of single-piece cone-shaped implants of different lengths and diameters has allowed to realize the idea of their installation “bypassing” the inferior alveolar nerve, minimizing or avoiding the need for additional surgery to increase bone volume. This work demonstrates our own approach to the rehabilitation of patients with dentition defects in the distal mandible by precise analysis of computed tomography scans of patients and the installation of implants “bypassing” the inferior alveolar nerve.
Orthodontic bracket arch bar as means of treatment of traumatic bilateral triple mandibular fracture combined with teeth dislocation in children
Consensus regarding 16 recognized and clinically proven methods and sub-methods for placing corticobasal® oral implants
Multi-Unit connection for the Strategic Implant®: An innovative way for achieving retrievability of prosthetics on fully polished single piece implants used in an immediate loading protocol
The concept of Strategic Implant® is well proven by long-term results that were acquired with scientific methods. The concept allows treatment of cases with mild to severe atrophy, as well as all other standard cases. From the field of 2-stage-implants we know, that some practitioners tend to use screw connection between the implants and the prosthetic restoration. Since rough conventional dental implants show a high complication rate and frequently peri-implantitis makes it necessary to remove prosthetics and single affected implants, the treatment providers hope that if the prosthetic restoration can be removed, it can be adjusted in the dental laboratory and prolong its potential period of usage. BECES® MU gives this additional feature of retrievability. The aim of this paper was to pinpoint clinical steps for delivering a screw-retained restoration on Strategic Implant®: the impression-taking procedure using open-tray technique and final delivery of the prosthesis, has been presented in a step-by-step manner illustrated by detailed photographs. Furthermore, advantages and disadvantages of screw-retained restorations have been discussed and compared to treatments with cemented restorations.