Dental Tribune United Kingdom

August 1-7, 2011United Kingdom Edition22Implant Tribune page 21DTß © MIS Corporation. All Rights Reserved. The MIS SEVEN implant has a highly advanced surface with a high rate of successful osseointegration (98%), which was validated by extensiveworldwideresearchandclinicalstudies in cooperation with world-class universities and scientificresearchinstitutes.Itsuniquegeometrical design gives the SEVEN implant the important features of simple, quick and safe insertion, high primary stability, and compatibility in the most complex cases in every area of the jaw. Simplicity is The Key to Success Innovation Movement by MIS... INNOVATION The MIS SEVEN implant is the only implant system in the world that comes with a specially designed and sterilized final drill, allowing a short and safe drilling procedure. MIS makes it simple with SEVEN implant. The only implant in the world that comes with a specially designed and sterilized, single use, final drill, allowing a short and safe drilling procedure. To learn more about MIS visit our website: www.mis-implants.com or call us: 01255 424624 M a k e i t S i m p l e UK ® ® Postoperative the patient contin- ued with 1,800 mg Clindamycin, Ibuprofen 600 mg and a decon- gestant enzyme based medicine (Bromelain-Pos®, Ursapharm, Germany). The next day the patient had an expected cheek swelling but was not suffering from pain, af- ter 10 days the sutures were re- moved. However, six weeks later a membrane exposure of the non resorbable membrane was evident, but due to the fact that this is tolerable when the patient is instructed to maintain oral hy- giene and re-called once a week, the success of the outcome was not threatened (Fig 11a). The titanium pins and the titanium reinforced membranes were re- moved after four months. Eight months after augmen- tation the 2-D aspect of the CBVT showed clear evidence for entire ridge reconstruction of the de- ficient sites (Fig 11b) with os- teosynthesis screws in position. To emphasize the efficiency and predictability of this technique the pre-op scan of region 28 (Fig 12a) and the reconstructed bone eight months later (Fig 12b) show clear an increasement of bone height and width. The well vascularized bone was used to insert four dental implants (4 x 3.75 x 13 BEGO Semados®, BEGO, Germany) for a later bar-retained denture, the heal- ing time is estimated with eight weeks (Fig 13) and was not com- pleted before publication, here my apologies to that. Discussion 3-D bone augmentation in cases with severe bone loss can be accomplished also with a less invasive surgical protocol than the iliac hip graft. The morbid- ity can be dramatically reduced with the use of ultrasonic de- vices. Regarding the donor site, which may be favoured with the retromolar region, patients have close to zero complains if a single incision procedure is performed. Allograft materi- als may enlarge the volume of the augmentation material and in addition to that the success of beta-TCP is not to be questioned. Regarding the long term sta- bility the regenerated bone is superior to pure autologous bone from the iliac crest, which resorption rate is much higher compared to intraoral bone or beta-TCP. Reduced pain and postoperative complains should be reduced and enlarges the number of patients willing to undergo oral augmentative pro- cedures. DT Fig. 11b Six months post-surgical the fully reconstructed bone situation is obvious Fig. 12a CBS of the pre-op region 44 with entire loss of the buccal plate in region tooth 44 Fig. 12b Region tooth 44 after six months of heal- ing with fully reconstruct- ed bone prior to implant surgery Fig. 13 Inserted implants in the fully reconstructed bone About the author Prof Dr Marcel A. Wainwright, DDS, PhD Dental- specialists Kaiser- swerther Markt 25–27 40474 Duesseldorf, Germany E-mail: Wein- r e c h t @ a o l . c o m www.dentalspe- cialists.de Univer- sidad de Sevilla Facultád de Odon- tologia Calle Avice- na s/n 41009 Sevilla