The recreation of nature using titanium supports as roots and a blend of metal and porcelain for function and esthetics is demanding.
This case illustrates that if we follow basic surgical principals and allow adequate healing time the outcome is dramatic. Total treatment time on this case was ten months. No immediate loading, no all on 4, just basic Carl Misch protocol.
Burband Dental Laboratory (thanks to Vincent) is responsible for the prosthetics.
General dentist with proper education, mentoring and hands-on training can successfully place and restore implants. 80% to 90% of all implant related cases fall into the simple category (single implants with sufficient bone width and height, 10mm above the IAC and 10mm of bone below the floor of the maxillary sinus). My involvement in implant education has allowed me to teach several hundred general dentist on this concept. Read Dr. Gordon Christensen’s article; Observations on Current Controversies in Dentistry (Dentistry Today, November 2015).
Implant Dentistry Volume 24, Number 3, 2015
PubMed electronic search from January 1990 to March 2014 were included in this paper.
Total of seventeen studies with a total of 1644 implants met the inclusion criteria. The mean survival rate of 98.6% was reported. The inclusion criteria:
- Implant diameter between 2.9 and 3.5 mm
- Restoration is fixed
- Narrow implants in bounded saddles
- Narrow implants in premolar – molar sites
- Upper or lower jaw
- Review articles with follow-up duration of at least 12 months after loading
- Studies dealing with simultaneous bone augmentation
Conclusion: Short-term clinical data suggests that NDIs may serve in the posterior jaw as an alternative to standard diameter implants.
Must evaluate the patient for risk factors such as:
- Occlusion and parafunction
- Bone quality
- Vertical bone height
- Restoration emergence profile
- Medical history and smoking
The clinical application of dental implants is one of the most significant advances in dentistry.However the decision to replace a tooth with an implant should not be made hastily. As seen in clinical practice, biologic complications around dental implants do occur and treatment of peri-implantitis is not as predictable as treating complications associated with teeth.
The question remains on the true long-term longevity of dental implants. Patients need to be informed and consented on the risk/benefit and cost/benefit factors associated with their treatment plans.
New challenges arise with new procedures, overcoming challenges with new surgical and prosthetic protocols and new implant designs may prevent challenges from becoming complications.