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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 6

Implantation of teeth # 24, 25,26. Porcelain fused to metal crowns.

1. The patient who contacted the clinic was diagnosed with “edentulism of the lower jaw”. In the previous clinic teeth # 36, 37, 38, 46, 47 were extracted. It’s hard to find out what caused bone resorption. Maybe there was a traumatic extraction that resulted in broken walls of the tooth socket, and maybe resorption was provoked by a chronic source of infection.

2. Implantation with subsequent prosthetics on the lower jaw was suggested to the patient at the consultation. Replacement of the old metal-ceramic structure in the upper jaw and simultaneous revision of the abutment teeth were also suggested to the patient.

3. During the first operation implants were installed in the third quadrant.

4. During the second operation we installed implants and performed grafting in the area of teeth # 36 and 37. Healing abutments were installed in the fourth quadrant.

5. Porcelain-fused-to-metal crowns on the lower jaw. Abutments are fixed in the mouth with the torque 30 N / cm.

6. View of the installed abutments in the lateral projection.

7. Crowns are fixed with CROWN SET cement.

8. View of the fixed crowns in the lateral projection.

9. In the lateral departments of the lower jaw it is not necessary to drive the transition zone between the crown and the abutment deep under the gingiva. In some parts this transitional zone is a bit higher than the marginal gingiva. Of course, you have to understand in advance whether the patient shares your point of view.

10. Control x-rays after the orthopedic protocol on the lower jaw. Periapical x-rays were taken during the stage of fitting, after which the implant crown in the area of tooth # 47 was separated from teeth # 46 and 45.

11. After a while the patient came to us to solve a problem at the upper left (when biting teeth # 24 and 26 disturbed him). The patient might have simply hoped for replacement of "the bridge" (24 - 26) and revision, but presence of chronic infection sources and offering of a 10 year warranty period inclined the patient towards implantation.

12. Teeth # 24, 26, 27 and 28 were extracted. Two lateral windows were formed for access to the maxillary sinus.

13. Through the created lateral window and through the socket of the extracted tooth Schneider's membrane is visible.

14. A resorbable collagen membrane folded into a tube is introduced into the cavity which was formed as the result of peeling out Schneider’s membrane from the walls of the sinus. After that the membrane straightens creating a dome under the maxillary sinus mucosa. View of the membrane through the created beds.

15. Beds for the implants. After installation of the implants all the hollows were covered with the same mixture of bone as the sinus cavity, i.e. alloplant mixture, synthetic bone (OSTEON II) and autologous bone obtained in the area of the extracted 28th tooth.

16. The wound is sutured with Prolene 4.0. After these manipulations we can not count on the zone of keratinized attached gingiva, so it is advisable to discuss with the pattient all future manipulations including soft tissue grafting in advance.

17. After the operation we must make a control x-ray shot.