Keeping implant dentistry alive for the future.
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Biomedical subjects
Publications and source records attributed to Edmond Bedrossian.
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The aim of this article is to describe a technique derived from the premachined cylinder luting technique with the goal to predictably fabricate a highly precise master cast. An impression can be taken directly at implant level or, with some technique modification, at the abutment level. Concurrently, multiple techniques can be employed to fabricate the final framework with the assurance that a framework that fits the cast will fit in the mouth. This predictability improves the workflow of the restoring dentist and laboratory technician since multiple framework try-ins and adjustments are eliminated.
The Brånemark Zygomaticus implant was used in conjunction with premaxillary standard implants for the reconstruction of resorbed edentulous maxillae. A total of 44 zygomatic implants and 80 premaxillary implants were placed in 22 patients. All implants were stabilized at phase II surgery using a rigid bar. After soft tissues had healed, implant-supported fixed prostheses were fabricated. This article presents a preliminary report on 22 patients followed for 34 months, with a 100% success rate for the zygomatic implants and a 91.25% success rate for the premaxillary implants.
PURPOSE: In many edentulous maxillae, posterior alveolar atrophy calls for bone grafting. Patient treatment acceptance is increased by eliminating grafting using tilted implants, especially the zygomatic implant in combination with immediate function. The purpose of this study was to evaluate a protocol for immediate function (within 2 hours) of 2 zygomatic and 4 standard implants (Nobel Biocare) supporting a fixed prosthesis in the completely edentulous maxilla. MATERIALS AND METHODS: This clinical study included 14 patients with 83 immediately loaded implants (28 bilateral zygomatic and 55 premaxillary implants) supporting a complete maxillary denture converted to a fixed provisional prosthesis immediately following the surgical procedure. After 6 months of use, a new fixed metal-supported prosthesis was fabricated. RESULTS: Fourteen patients treated with immediate loading of zygomatic implants were followed for at least 12 months. All patients reported minimization of postoperative pain and security during speech, animation, and mastication. No failures occurred during the follow-up period. DISCUSSION: The patients in the study could have been candidates for sinus grafting. With the present concept these patients benefited from a less invasive procedure (1 surgical procedure and no grafting) and immediate rehabilitation (prosthesis attached directly after surgery). CONCLUSION: The high survival rate, increase in patients' immediate functional ability, and reduction of morbidity following the surgical procedure render this procedure a viable treatment option for the completely edentulous maxilla.