Cic edizioni internazionali
Oral Implantology

Full rehabilitation with nobel clinician® and procera implant bridge®: case report

Case report, 25 - 36
doi: 10.11138/orl/2013.6.2.025
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Abstract
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Implant surgery has been changing in different ways following improvements of computer technologies. Since its beginning, according to the original procedures of Branemårk system implants, guide-lines in implants-supported prosthetic rehabilitation have been founding on the placement of fixtures in a fairly upright position, after maxillary sinus floor elevation; while in the case of interforaminal rehabilitation, an upright distal implant may need to be placed anterior to the mental foramina without nerve damage (although the consequence would have been bilateral cantilevers to provide good chewing capacity). Some authors have proposed engaging the molar/tuberosity area: Bahat and Venturelli demonstrated these areas reliable and predictable alternative to distal cantilever prostheses or sinus elevation procedures. In recent years, the immediate loading of tilted implants with a provisional restoration has been proposed for the treatment of the atrophic maxilla. Tilted posterior implants in either arches could avoid (cantilever length) and provide to a better load distribution.
Further studies have showed excellent outcomes for both tilted and axial implants; indeed this protocol allows to use longer implants, improve bone anchorage and avoid bone grafting procedures. Malò at al., in a retrospective clinical study, showed important results using two posterior tilted implants and two anterior non-tilted ones in the so-called All-on-four technique (Nobel Biocare, Göteborg, Sweden). Instead of the great loss of bone (amount and quality) in long-term edentuly the clinically documented computer-guided implantology software is able, through posterior tilted implants, to improve load distribution. Many authors have reported reduced surgical invasion (sinus grafting surgery is needless), shorter treatment time, lower cost, natural aesthetic profiles and functional bite.

Vol. XI (No. 1) 2018 January-March

  1. INFRAOCCLUSION OF DECIDUOUS MOLARS: A RETROSPECTIVE ANALYSIS OF PREVALENCE, CHARACTERISTICS AND ASSOCIATION WITH OTHER DENTAL ANOMALIES
    Venza N., Danesi C., Cretella Lombardo E., Gazzani F., Laganà G.
    doi: 10.11138/orl/2018.11.1.001
  2. ACROMEGALY AND MODIFICATIONS OF THE CRANIOFACIAL COMPLEX: ORAL IMPLICATIONS
    Luzzi V., Guarnieri R., Ierardo G., Bossù M., Barbato E., Polimeni A.
    doi: 10.11138/orl/2018.11.1.010
  3. PERI-IMPLANT DISEASES AND CARDIOVASCULAR DISEASE: A SYSTEMATIC REVIEWS
    Papi P., Letizia C., Pompa G.
    doi: 10.11138/orl/2018.11.1.016
  4. COMBINING ORTHODONTIC EXTRUSION AND GUIDED BONE REGENERATION (GBR) FOR BONE AUGMENTATION AND IMPLANT PLACEMENT IN THE AESTHETIC ZONE: TECHNICAL ISSUES AND CASE REPORT
    Caberlotto M., Gobbo M., Bettio E., Soldini C., Ghensi P.
    doi: 10.11138/orl/2018.11.1.024
  5. IMMEDIATE IMPLANT PLACEMENT BY USING BONE-ALBUMIN ALLOGRAFT AND CONCENTRATED GROWTH FACTORS (CGFS): PRELIMINARY RESULTS OF A PILOT STUDY
    Inchingolo F., Ballini A., Georgakopoulos P.G., Inchingolo A.D., Tsantis S., De Vito D., Cantore S., Georgakopoulos I.P., Dipalma G.
    doi: 10.11138/orl/2018.11.1.031
  6. SOFT TISSUE TUNNEL ACCESS INTO THE MANDIBULAR MUCOSA TO OPTIMIZE THE RESULT OF LATERAL MANDIBULAR BONE GRAFTS
    Grecchi F., Gargari M., Grecchi E., Bianco R., Candotto V., Lauritano D.
    doi: 10.11138/orl/2018.11.1.041
  7. HEMIFACIAL MICROSOMIA: CASE REPORT AND LITERATURE REVIEW
    Grecchi F., Candotto V., Mancini G.E., Grecchi E., Gargari M., Lauritano D.
    doi: 10.11138/orl/2018.11.1.052
  8. MULTIDISCIPLINARY ENT-ORTHODONTIC TREATMENT IN A HYPERTENSIVE PATIENT AFFECTED BY SEVERE OSAS
    De Stefani A., Bruno G., Mezzofranco L., Perri A., Marchese Ragona R., Gracco A.
    doi: 10.11138/orl/2018.11.1.059
  9. EXTERNAL ROOT RESORPTION DUE TO IMPACTED THIRD MOLARS
    Kondylidou-Sidira A., Koliniotou-koumpia E., Kaklamanos E.G., Kavadia-Tsatala S., Antoniades K.
    doi: 10.11138/orl/2018.11.1.064
  10. HPV RELATED HEAD AND NECK CARCINOMA: A SHORT LITERATURE REVIEW ON TREATMENTS
    Candotto V., Gargari M., Gaudio R.M., Cura F., Baggi L., Arcuri C., Gatto R., Nardone M., Spadari F., Carinci F.
    doi: 10.11138/orl/2018.11.1.072
  11. MULTIPARAMETRIC EVALUATION OF FITTING ACCURACY FOR DIFFERENT COMBINATIONS OF IMPLANT-ABUTMENT COUPLING AT MARGINAL INTERFACE
    Marrelli M., Vertucci V., Amantea M., Maletta C., Codispoti B., Gargari M., Tatullo M.
    doi: 10.11138/orl/2018.11.1.077
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