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