Immediate Dental Implants After Extraction - Video

Cesar Luchetti

Department of Implant Dentistry. National University of La Plata. Argentina

This case is from a middle age woman with periodontal compromise in the anterior teeth. The video shows the immediate implant placement for the upper anterior area. The lower anteriors, two implants at laterals, were done in the same surgery but are not presented here.

Please, click on SEE ON HD (High Definition) option to see the video better. Or HQ button from the menu on the lower right.

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Dental Implants. Flapless Surgery and Immediate Loading

Cesar Luchetti

Department of Implant Dentistry. National University of La Plata. Argentina

Implant dentistry is pushing their limits towards less invasive procedures and with results in a day.

Although this is a valid approach, an adequate diagnosis is necessary to perform these cases in a secure way.

Flapless surgery is usually faster and gives more postoperative comfort to the patient. However, the adequate tridimensional position of the implants must not be sacrificed just to avoid a flap, especially in cases when bone reconstruction is needed.

Long term prognosis is influenced by a good tridimensional positioning of the implants which is determined by the biomechanical requirements of the teeth being replaced.

Immediate loading is useful because the patient retrieves the function instantaneously, but it must be done just in cases with a good initial fixation.

The following video shows a case with a flapless approach.

Implant site development was made with threaded expander in order to increase bone density allowing a better initial fixation.

The implant used, B&W CIH (Argentina), has an implant carrier who can be adapted as an abutment. A provisory crown was made over it a few moments after surgery.

To see the video in full screen, please click in the link below (opens in a new window). Then, click in the lower right square of the screen.

Dental Implants. Flapless Surgery and Immediate Loading

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Zirconia Dental Implant Video

Although this blog was made to post our cases and also contributions from our visitors, I thought to post this video about zirconia dental implant that I found searching over the internet. The reason which I decided to do this is because we have been discussing a lot in our implant list about the subject in the past months.

I hope you enjoy it.

Zirconium is a grayish-white metal, lustrous and exceptionally corrosion resistant (1). However, as Dr. Gary Henkel has pointed out in our list, “in the form we utilize it; its properties are those of a ceramic. But most ceramics are non metallic so it is somewhat unusual in that regard”.

Some studies are showing similar osseointegration levels with respect to titanium. (2).

The proposed benefits are esthetics, non allergy problems and less corrosion. Regard the last issue, in the last Argentinian Society for Dental Research (IADR division) it was presented a paper who showed less corrosion and mobilization into target organs of zirconium compared to titanium (3)

Today, long term studies seem to be lacking. But we think that in the short time we will have more answers regarding zirconia.

References

1. http://en.wikipedia.org/wiki/Zirconium

2. J Periodontol. 2004 Sep;75(9):1262-8.

3. Olmedo, DG. et al. SAIO, 2006

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