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What problems can tooth implantation solve?

• Single tooth missing. In this case there is no need to remove the neighbor teeth nerves and turn-process these neighbor teeth for tooth crown attachment
• A few teeth missing in a row. Tooth implantation provides a possibility to place a stationary dental prosthesis instead of a removable dental prosthesis.
• All teeth missing

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Tooth Implantation History

In 1965 professor Ingvar Branemark was a head of research group at the University of Goteborg (Sweden) and his studies finally resulted in osteo-integration discovery (titanium prosthesis integration into tissue). Branemark’s researches were aimed at jaw bone healing and regeneration after injury. The most remarkable thing about this is that osteo-integration phenomenon was discovered accidentally.

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Clinical Case 4

Patient of dental clinic "" Full restoration of the dentition of the upper jaw with permanent restorations based on 10 Implantium / SuperLine implants.

1. The patient consulted another clinic and was told that in her case it was impossible to install implants due to the lack of bone. Crowns and bridges were installed about 10 years ago.

2. After an OPG x-ray and intraoral examination it was decided against the struggle for the preservation of the teeth under the bridge. It was proposed to remove the remaining teeth, install an implant in place of each missing tooth and make metal-ceramic crowns. The request of the patient to save a little money didn't remain unaddressed.

3. View of the second and third segments after removal of old metal-ceramic bridge structures.

4. View of the first and fourth segments after removal of old metal-ceramic bridge structures above.

5. Anterior area in the center position. According to the amount of hard and soft dental deposit it is easy for the dentist to understand how the patient takes care of his teeth.

6. Occlusal surface of the teeth of the upper jaw that used to be under "bridges".

7. The incision in the area of missing teeth is made 2-4 mm higher of the palatal alveolar ridge (futher bordering the cervical margin of remaining roots and teeth).

8. Only after detachment of the periosteum from the vestibular surface we can see the following picture: through the lysed vestibular cortical plate a non-biological blue substance is visible (similar to the corrective layer of SPEEDEX S-silicone).

9. After removal of the root with the remnants of the substance we were able to confirm our speculation. While clearing the root canal of the 23rd tooth the previous doctor perforated the wall of the tooth. The trouble is not that there was a perforation (errors do not happen to those who do not work), but that treatment was continued and the patient was not warned. The doctor made a cast model (first with S-silicone, and secondly with Lentulus (root canal filling material) without the use of ashless pins).

10. The tool moves along the perforations in the canal of the tooth, goes into a formed fistula and perforates the vestibular cortical bone.

11. After removal of 23rd, 24th, 26th and 27th teeth we see a vestibular hollow of the alveolar ridge, i.e. deficiency in bone volume in the 25th tooth.

12. Creating access to and visualization of the site on the vestibular surface of the alveolar ridge at the point where we are going to create a lateral window for an open sinus lift. In this case it is the area of 26th and 27th teeth.

13. View of the formed lateral window.

14. A resorbable collagen membrane is folded in the form of tubes and put in the lateral window between the detached Schneider membrane and bottom sinus. In the future it will be the roof of the created cavity which we will fill with bone and install an implant into.

15. In the area of the 25th tooth the bed for implant installation is created.

16. After the above manipulation bone sabstitute is introduced through the lateral window. In this case it is synthetic material Osteon2 and allomaterial Alloplant.

17. And here we can see the implants installed according to the plan in the areas of 25th, 26th, 27th teeth (with caps).

18. In view of the fact that our implants are installed with excellent primary stability, abutments for a temporary not removable structure are installed in implants in the area of 23rd, 24th and 25th teeth. In the area of the 26th tooth a healing abutment of 6.5 mm in diameter is installed; 27th tooth – with a cap.

19. The hollow of the ridge in the area of the 25th tooth is laid with synthetic material Osteon 2 and overlapped with a not resorbable membrane.

20. 11th, 12th and 13th teeth were removed. Note that there is no vestibular wall of the ridge in the area of the 13th tooth.

21. Implants are installed in the socket of the 11th tooth and in the area of the 12th tooth. We also see the sockets of already removed 16th and 17th teeth with carefully performed curettage.

22. The lateral window in the area of 16th and 17th teeth is formed, and the mucous membrane is elevated from the lateral wall, the bottom of the maxillary sinus and the medial wall of the sinus. A nasal-oral test allows the doctor to see the mobility of Schneider membrane through the lateral window.

23. By the technique described above a resorbable membrane is introduced into the cavity and is straightened inside.

24. The cavity is filled with graft, and implants are installed. Parallel pins were installed in the implants is the area of 12th and 16 teeth before.

25. Abutments are installed in the implants in the area of 11th, 12th and 14th teeth, and cover screws are installed in the implants in the area of 16th and 17th teeth. All vestibular surface in the area of 11th, 13th and 14th teeth is covered with a mix of synthetic material and alloplant.

26. View of the vestibular surface of the area surrounded with a mixture of bone material.

27. View of the sutured wounds with protruding abutments on the upper jaw. The wound was satured with Prolen 5,0.

28. View of the sutured surgical field from the vestibular surface.

29. View of the sutured surgical field in the second quadrant.

30. View of the sutured surgical field in the first quadrant.

31. A temporary plastic already corrected bridge is prepared to be fixed in the mouth.

32. The temporary plastic bridge is fixed with temporary cement TempBond.

33. At the end of surgical procedures an OPG x-ray is made that displays areas with sinus lift (the amount of added bone material is determined). Adaptation of superstructures with implants is clearly visible.

34. In two weeks mucosa in the field of intervention settles down to a pale pink color, and swelling decreases. Edges of abutments become bare, and a gap appears between the structure and the temporary crown. We need to fix the design either by direct or indirect method.