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Stomatologija 2021; 23 (3): 71-74 492 KB

Immediate implant supported prosthodontic treatment of the edentulous jaw with additional implant stabilization

Roman А. Rozov^{1, 2}

Summary

Aim. To increase the reliability, quality, and incidence of favorable outcomes during mandibular direct implant prosthetic treatment using the Trefoil system.

Materials and methods. This study included 48 patients (age: 63–85 years). Visualization assessment (CBCT) was performed using Planmeca Promax 3D Mid, and bone density was examined using dual energy X-ray absorptiometry (densitometry, DXA). The final sample consisted of 16 patients deemed suitable for immediate implant placement and loading of permanent prosthesis on the mandible. The distal implants were stabilized using a customized structure made of Titanium Ti6-Al4-V using DMLM 3D printing technology with Concept Laser machines. Modeling of the contours of the jawbone at the planned surgical site was carried out using cone-beam computed tomography and the Mimics Medical 21 software (Materialize, Germany) for each patient. A total of 32 such devices were created.

Results. Of these, 18 were used as the initial implant stability was less than 35 N/cm of torque in a few cases only. The implant survival rate was 100% after 18 months. This method of mandibular implant prosthetic treatment using a customized device for implant stabilization has been patented.

Conclusion. Splinting of the compact walls of the mandible using a customized structure optimized stabilization of the Trefoil prosthetic construction on porous bone (type IV) following extraction of teeth and placement of implants. Clinical testing of the reported method confirmed its viability for dental rehabilitation of elderly patients and proved its ability to provide a good quality of life by creating stable implant prostheses with high functionality.

Key words: Trefoil, individualized titanium mesh, implant supported prosthetics, geriatric dentistry, stabilization of dental implant.

Received: 11 04 2021

Accepted for publishing: 24 09 2021

¹City Dental Clinic No. 33, Saint-Petersburg, Russian Federation

²Pavlov First Saint Petersburg State Medical University, Saint-Petersburg, Russian Federation

Address correspondence to Roman А. Rozov, Pavlov First Saint Petersburg State Medical University, 86 Leni Golikova st., Saint-Petersburg 198255, Russian Federation.

E-mail address: dds.rozov@mail.ru



	Baltic Dental and Maxillofacial Journal

September, 2021, Vol. 23, No. 3 CONTENTS REVIEW The effect of botox for the correction of the gummy smile: A systematic review Augustė Razmaitė, Giedrė Trakinienė 63-68 SCIENTIFIC ARTICLES Immediate implant supported prosthodontic treatment of the edentulous jaw with additional implant stabilization Roman А. Rozov 69-74 REVIEW Could saliva play a role in controlling the Covid-19 pandemic? Anna Papadopoulou, Despina Tounta, Christina Tesseromatis 75-79 SCIENTIFIC ARTICLES Knowledge, attitude and practice of dental house surgeons and undergraduate students towards radiation safety and protection: A questionnaire based survey Kirthana Muthu A/P Shanmugam, Ananya Madival, Supriya Bhat, Siti Dzulaikha Amalina Binti Jelani 80-85 CASE REPORTS Is there an association with Wilson’s disease and multiple tongue dysplasia lesions and in situ carcinoma? A case-report based literature review Dimitris Tatsis, Aggeliki Baliaka, Konstantinos Antoniades 86-89 Canalicular adenoma of minor salivary gland. Report of a case and a brief review of the literature Karakostas Panagiotis, Matiakis Apostolos, Anagnostou Eleftherios, Poulopoulos Athanasios 90-92 © 2021 Stomatologija		Stomatologija 2021; 23 (3): 71-74 492 KB Immediate implant supported prosthodontic treatment of the edentulous jaw with additional implant stabilization Roman А. Rozov^{1, 2} Summary Aim. To increase the reliability, quality, and incidence of favorable outcomes during mandibular direct implant prosthetic treatment using the Trefoil system. Materials and methods. This study included 48 patients (age: 63–85 years). Visualization assessment (CBCT) was performed using Planmeca Promax 3D Mid, and bone density was examined using dual energy X-ray absorptiometry (densitometry, DXA). The final sample consisted of 16 patients deemed suitable for immediate implant placement and loading of permanent prosthesis on the mandible. The distal implants were stabilized using a customized structure made of Titanium Ti6-Al4-V using DMLM 3D printing technology with Concept Laser machines. Modeling of the contours of the jawbone at the planned surgical site was carried out using cone-beam computed tomography and the Mimics Medical 21 software (Materialize, Germany) for each patient. A total of 32 such devices were created. Results. Of these, 18 were used as the initial implant stability was less than 35 N/cm of torque in a few cases only. The implant survival rate was 100% after 18 months. This method of mandibular implant prosthetic treatment using a customized device for implant stabilization has been patented. Conclusion. Splinting of the compact walls of the mandible using a customized structure optimized stabilization of the Trefoil prosthetic construction on porous bone (type IV) following extraction of teeth and placement of implants. Clinical testing of the reported method confirmed its viability for dental rehabilitation of elderly patients and proved its ability to provide a good quality of life by creating stable implant prostheses with high functionality. Key words: Trefoil, individualized titanium mesh, implant supported prosthetics, geriatric dentistry, stabilization of dental implant. Received: 11 04 2021 Accepted for publishing: 24 09 2021 ¹City Dental Clinic No. 33, Saint-Petersburg, Russian Federation ²Pavlov First Saint Petersburg State Medical University, Saint-Petersburg, Russian Federation Address correspondence to Roman А. Rozov, Pavlov First Saint Petersburg State Medical University, 86 Leni Golikova st., Saint-Petersburg 198255, Russian Federation. E-mail address: dds.rozov@mail.ru