Conical retention with antirotational features (Acuris abutment) has been recently proposed for restorations of healed single implants. The conometric abutments use the retentive force of the coping-abutment system to retain the prosthetic crown without the use of cement or screws. This retentive force must be overcome to obtain detachment of the relined provisional crown in immediate restorations.
View Article and Find Full Text PDFAim: The goal of this case series was to evaluate the clinical outcome at the 2-year follow-up of immediately loaded combined screw- and conometric-retained implant-supported full-arch restorations virtually planned using digital scanning technology.
Materials And Methods: This series included 12 patients presenting hopeless teeth in the maxilla treated with computer-guided flapless implant placement. A total of 72 implants were inserted.
Purpose: The aim of this study was to evaluate the accuracy of computer-guided flapless implant (CGFI) surgery in edentulous jaws with fresh extraction sockets and compare it to CGFI in fully edentulous jaws.
Materials And Methods: Ten patients with a completely edentulous arch (group A) and ten patients presenting natural teeth with a hopeless prognosis in the upper or lower jaw (group B) were consecutively treated with CGFI. A multipiece radiographic guide was fabricated for group B patients.
In guided surgery, implants can be planned from radiographic guide information according to a restoratively driven treatment plan. Unfortunately, the palatal or lingual surface of teeth cannot be easily identified. The present article describes the use of a digitally designed prosthetic shell to improve the accuracy of guided-welded approach planning for immediate restorations supported by conometric abutments.
View Article and Find Full Text PDFConometric retention has recently been proposed as an alternative to cement- or screw-retention for fixed restorations. Conometric copings can only compensate for slightly nonparallel placement without interfering with retention. This article describes a method of using digital scanning technology to facilitate computer-guided implant planning when an immediate restoration supported by conical abutments is planned with a guided-welded approach.
View Article and Find Full Text PDFInt J Periodontics Restorative Dent
May 2018
Inaccuracy of computer-guided implant placement may lead to complications when combined with an immediately loaded prefabricated prosthesis. The aim of this case series was to describe the use of an intraoral welding technique to increase the predictability of immediately loaded implants supporting a fixed full-arch prosthesis after computer-guided flapless implant placement. A total of 60 Ankylos plus implants (Dentsply) with a width of 3.
View Article and Find Full Text PDFBackground: Complications are frequently reported when combining computer assisted flapless surgery with an immediate loaded prefabricated prosthesis. The authors have combined computer-assisted surgery with the intraoral welding technique to obtain a precise passive fit of the immediate loading prosthesis.
Methods: An edentulous maxilla was rehabilitated with four computer assisted implants welded together intraorally and immediately loaded with a provisional restoration.
Int J Periodontics Restorative Dent
April 2017
Guided implant surgery is not completely accurate when using computer-designed stereolithographic surgical guides. Complications are frequently reported when combining computer-guided flapless surgery with an immediately loaded prefabricated prosthesis. Achieving passive fit of a prefabricated prosthesis on the inserted implants the same day of the surgery can be difficult.
View Article and Find Full Text PDFInt J Periodontics Restorative Dent
July 2016
The loss of the buccal alveolar plate following tooth extraction in the maxillary anterior region is an especially challenging condition for the clinician. Immediate implant placement with a flapless approach has been suggested in order to reduce postextraction bone loss. In the presence of a significant vertical gap in the buccal plate after tooth extraction, most authors still recommend a bone augmentation procedure before implant placement.
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