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International Prospective Multi-Center study for the AnyRidge System. Case report 세부내용 목록
[Implant] International Prospective Multi-Center study for the AnyRidge System. Case report
Writer Dr. Oleg Mastakov Date 2017-07-26
Hit 1388
minec  megagen  anyridge  sciedece  drolegmastakov 

MegaGen Ukraine

Clinical Case : Missing on Mandibular Right Second Premolar (#4.5) and First Molar(#4.6), Pain on the Mandibular Right Second Molar(#4.7)

A 35-year-old female patient in good general health, a non-smoker was referred for consultation and treatment of 4.7 tooth with pain (Fig.3,6) after hygiene visit. Also patient expressed the desire to restore a defect of missed right second premolar 4.5 and first molar 4.6 ( Fig.1,2).There were typical narrow ridge on the mandible in position of 4.5 and 4.6 (Fig.3,5). The strategy to overcome or avoid narrow ridge problem should be considered before surgery, the diameter and the design of an implant should be considered first, according to the alveolar bone shape. Patient was against any bone grafting and healing time before implants placement, so i prefer to use an implant with small core and platform size - AnyRidge. 


Radiographic view of tooth 4.7 (Fig.4,6) showing a large periapical pathology and widened periodontal ligament space. Based on the clinical and radiographic findings, CBCT, it was decided to remove root 4.7 with immediate implant placement.


Atraumatic root extraction technique. Before implant insertion, the dimensions of the socket were measured with a periodontal probe. As the orofacial width of the alveolus measured about 7 mm and the mesiodistal width about 7 mm, a MegaGen AnyRidge implant (diameter 4.5 mm, length 10.0 mm) was chosen.The implant was placed in an ideal three-dimensional position with high torque, the gap had to be filled with 4 APRF and wound was closed with free gingival graft and healing cap. Brain guided surgery. Placement  two AnyRidge implants in position 4.5 (diameter 4.5, length 10.0 mm) and 4.6 (diameter 5.0 mm, length 10.0 mm) with high torque 70 Ncm and ISQ value 70, healing caps. Sutures 5.0 monofilament. Radiograph after surgery done (Fig.8). Three weeks after surgery photograph (Fig.7).


Another 8 weeks later the healing cap was removed and an impression was taken for the fabrication of the screw retained PFM crowns. Open tray technique. Final PFM screw retained restorations photograph. (Fig 9,10)

The screw retained PFM crowns constructed in lab and placed on tooth 4.7, 4.6, 4.5 with 35 Ncm torque. Access channel filled with teflon and Esthet X composite resin. Postoperative clinical photograph (Fig.11).

Periapical radiograph of the implant at site 4.7, 4.6, 4.5 with crowns, one year after surgery  (Fig.12).

Periapical radiograph and CBCT scans of the implant at site 4.7, 4.6, 4.5 with crowns, one year follow-up after delivering the final prosthetics (Fig.13,14,15,16,17).



Acknowledgments


Hygiene Procedures

Dr. Dacenko Anastasia - Sciedece, Kiev, Ukraine.


Surgical Procedures

Dr. Mastakov Oleg - Sciedece, Kiev, Ukraine.


Laboratory Procedures

UA DENT lab, Kiev, Ukraine



Oleg Mastakov

imastakov@gmail.com

www.sciedece.com.ua

www.facebook.com/dr.olegmastakov

www.instagram.com/o.mastakov


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  • timdent (2017/07/27 02:34)

    Like this!

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