Dental Tribune United Kingdom Edition

Fig. 15 Thirteen-month follow-up Fig. 16 Peri-apical X-ray Fig. 17 Pre-op X-ray Fig 15 Fig 17 September 12-18, 201124 United Kingdom EditionClinical modification of the abutment is possible. Without the pros- thetic freedom of the abutment choices, the initial surgical po- sitioning of one-piece implants becomes critical in obtaining an optimal result. The advantages of one- piece implants include mini- mally invasive surgery, simple restorative procedures and no screw loosening. Furthermore, the amount of crestal bone re- sorption may be minimised, since there is no micro-gap or micro-movement between the implant and its abutment. This becomes even more critical for long-term aesthetic results in the anterior region. In order to demonstrate the successful use of one-piece implants, this arti- cle describes the restoration of mandibular incisors with one- piece MDIs. Case reports Case I A 67-year-old female patient presented with occasional throbbing pain in the mandib- ular anterior region. The pa- tient’s medical history was non- contributory. Clinical and ra- diographic evaluation revealed two separate peri-apical le- sions on teeth #23, 25 and 26 (Figs 1 & 2). The patient reported that tooth #24 had been extracted 15 years ago. The incisors were deemed non-restorable and were treatment planned for ex- traction. Owing to the size and duration of the peri-apical le- sions, delayed placement of im- plants was planned. The teeth were carefully luxated with a periotome and atraumatically extracted, preserving the thin facial bone. A wire-embedded provisional restoration was fabricated and bonded to the adjacent canines with flow- able resin (Figs 3 & 4). After ten weeks of healing, the pro- visional restoration was re- moved. The distance measured between the two mandibular canines was 15mm (Fig 5). A crestal incision was made and a limited soft tissue flap was reflected to expose the alveolar crest of bone. In this fashion, the patient experiences reduced post-operative swelling and discomfort. With a 1.6mm twist drill and copious irrigation, osteotomies were performed at a speed of 1,500 rpm. The an- gulation of the twist drill was carefully monitored through- page 23DTß page 26DTà ‘Without the prosthetic freedom of the abut- ment choices, the initial surgical positioning of one-piece implants becomes critical in obtaining an optimal result’ NEW DIGIXPAD COMPACT DENTAL IMAGING AND DIAGNOSTIC SYSTEM DigixPad provides a the ideal solution for any practitioner wishing to upgrade to Digital X-ray Imaging without the need for costly and complex PC integration and networking. Providing quick and easy chairside image capture and manipulation, DigixPad from eschmannDirect will save you time and money and will easily integrate into your surgery. For details and orders call EschmannDirect on: 01903 875787 ic.sales@eschmann.co.uk | www.eschmanndirect.com from Direct *Prices excl. Carriage and VAT valid to 31st Aug 2011 LittleSisterDigixpad  High Definition, crystal clear radiographs.  Instantaneous image generation.  Rapid apex location during endo treatments  High resolution endoral sensors.  Large 4.3” integrated touch screen.  No need for specialist software.  Permanent image storage via USB flash drive or SD card.  WiFi or direct image transfer to PC.  Compact and portable for use at chairside.  DigixPad is designed to work with all digital and analogue x-ray systems.  VisualVi software upgrade provides enhanced image manipulation, ideal for implantology.  Cost effective alternative to other digital imaging systems.  Solution for practices requiring space for a dedicated decontamination room Digixpad DigixPad System £4495.00 (rrp £4995) OFFER PRICE FREE Visual Vi software included worth £750