Abstract
Implantation Process:
Implants loaded immediately after extraction.
In the lower left sector it is complemented with a Bicon implant from years ago in order to form a bridge with two different fixation systems. Vulkan implant with interface and Bicon implant with carvable abutment.
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Vulkan® Conical Connection
Hybrid titanium-zirconium maxillary prosthesis and loading of 9 implants
Dr. Froilà Gisbert
Abstract
55 year old patient, ex-smoker for 3 months, hypertension controlled with Emconcor 2.5 mgrs. 1.0.0.
Presents: absences in 17, 16, 26, 27, 38, 37, 36, 46 and 47.
Root remnants at 25 and 28
The rest of the teeth present different degrees of Chronic Periodontal Disease: advanced with impossible prognosis in 18, 32,31,41,42 and 48 and advanced and moderate with doubtful prognosis in the rest of the teeth.
After periodontal study, assembly of models in articulator and maxillary and mandibular scanner, we decided to extract all the remaining pieces and place four maxillary implants (15, 11, 21 and 25) according to the All-on-four technique and four mandibular implants (35, 32, 42 and 45).
Guided tissue regeneration was carried out by means of biotrimming of the patient's own teeth and platelet-rich plasma from aspirated cancellous bone.
The lack of cortex in the coronal area of pieces 35 and 45 made it advisable to use a full veneer pendant and not to perform immediate loading.
We loaded provisional hybrid prosthesis to the maxilla and removable prosthesis to the mandible with Vulkan Locators in pieces 32 and 42.
At 5 weeks we observed failure of the implant in position 32, we performed exodontia plus curettage and placed another implant of superior diameter, we placed another one in zone 33 in anticipation of possible bad evolution of the one in zone 32 that presented a notable inflammatory aspect.
At two months, all the implants showed d'Ostell values from 71 to 76.
We performed a keratinized gingival augmentation pendant at 32 and 33 because the bone disposition had forced us to a lower placement. We obtained a keratinized gingival band of 3 to 5 mm.
We placed hybrid prosthesis of maxillary titanium-zirconium on 4 implants and in the mandibular area on 5 implants Vulkan Conical Connection.
Abstract
Se presenta el caso clínico de un varón de 46 años de edad, sin patología sistémica de interés, no fumador, que manifiesta dolor intenso en el incisivo central superior izquierdo (21#) después de haber sufrido un fuerte traumatismo. A la exploración radiográfica y clínica, se diagnóstica fractura oblicua corono-radicular del diente 21# y se consensua con el paciente la extracción de dicho diente y la colocación de un implante y restauración inmediatos. Antes de realizar la extracción del diente, tomamos un registro con silicona de la morfología coronal para posteriormente realizar la corona provisional. La extracción se realiza del modo más atraumático posible, preservando con especial interés la cortical vestibular del proceso alveolar residual. Una vez el lecho alveolar se legra e irriga profusamente, procedemos según secuencia de fresado a trabajar el lecho implantario procurando definir un óptimo eje de inserción, pensando en términos de función y estética de la futura restauración protésica.
El óptimo ajuste pasivo del pilar recto de teflón con la conexión hexagonal del Internal Hex de Vulkan®, permite fácilmente fabricar de un modo predecible una corona inmediata provisional de resina acrílica con la que garantizar la preservación del revestimiento mucogingival y del proceso alveolar subyacente.
Abstract
Paciente mujer de 48 años que presenta edentulismo en 13, 36,45 y 46. En 46 se puede ver un hueso en proceso de regeneración un mes postexodoncia de 46. Se colocaron 4 implantes Vulkan Internal Hex que se cargan protésicamente 6 meses post IQ.
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Vulkan® Internal Hex
Extraction and placement of immediate implants with transepithelials and placement of immediate provisional prosthesis.
Dr. Samir Aboul-Hosn
Abstract
63-year-old patient presented with failure of the prosthesis on teeth in the upper arch. The extraction placement of the first and second quadrant teeth and the placement of immediate implants with transepithelials and the placement of an immediate provisional prosthesis are planned. At 6 months we placed a final screwed prosthesis.
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Vulkan® Conical Connection
Extracción y Carga inmediata con regeneración ósea guiada
Dr. Samir Aboul-Hosn
Abstract
Mujer de 30 años que acude por movilidad y extrusión de pieza 21. Proponemos extracción de la pieza 21 y colocación de un implante inmediato de 3.75 por 13 Vulkan Conical Connection, junto con regeneración ósea guiada (ROG) con biomaterial (Apatos) y membrana reabsorbible de colágeno fijada con chinchetas.
Se realiza la IQ utilizando guía quirúrgica. La paciente utiliza una férula tipo Essex hasta la carga del implante. Tras 4 meses se realiza 2ª fase y se rehabilita con una corona sobre el implante en 21 y una carilla de composite en 11.
Abstract
60-year-old patient with edentulism at 45-46-47 with tooth 48 mesialized.
An orthopantomography was performed showing the absence of the pieces described, as well as 36 with a prosthetic space closed by mesioversion of 37.
Surgery was performed, practicing the extraction of the mesialized tooth 48 and the placement of the three implants in 45-46-47, as well as extraction of the tooth in 35 for evident mobility and fracture with self-limited episodes of pain, and implant placement in 35.
35: 4.2 by 13 and Resonance Frequency (ISQ) of 69
45: 3.75 by 11.5 and ISQ of 75
46: 4.2 by 11.5 and ISQ of 80
47: 4.2 by 11.5 and ISQ of 76
Implant loading 3 months after surgery and we performed a discharge splint.
Control periapicals at 6 months show absence of peri-implant bone resorption.
Abstract
38-year-old male patient with no relevant medical history, with edentulism in 24 and 26. Sinus elevation with osteotomy and implantation was decided in 24 (SSI stability: 67) and 26 (SSI stability: 65).
Postoperative control at 3 months with good radiographic control. Implant loading is decided at 4 months.
Abstract
A 52-year-old male patient with advanced periodontal disease came to the consultation with extensive bridges in the upper jaw, with a poor prognosis since two of the five abutments were fairing and presented fractures.
As a treatment plan, all the pieces of the upper jaw were removed and eight implants were placed to support a metal-ceramic prosthesis on implants, the placement of an immediate provisional prosthesis was also planned so that the patient could lead a normal life until they could place the definitive prosthesis.
