Dental Tribune United Kingdom Edition

February 25- March 3, 201324 Clinical United Kingdom Edition W ith well over a thou- sand implant systems currently on the mar- ket there is a lot of choice when it comes to picking the right one to put in your practice. After ex- tensive experience with a variety of systems dating back to the mid 1990’s, I recently began placing Camlog implants, developed by Dr. Axel Kirsch. The design of this system eliminates the risk of abutment rotation and screw loosening, while at the same time offering extraordinary ease of use. One of the things that is attrac- tive about the Camlog system is that their surgical kits are organ- ised with a number of failsafe ap- plications,suchasdepthguidesfor all of their drills for osteotomies. This is particularly useful for those clinicians at an early stage in their implant careers as it as- sures safety and precision for its users, and is something I find builds a great deal of confidence when I am mentoring. Another interesting feature is that the implant profiling drills are not end-cutting, so they will only go where you drill the ini- tial osteotomy site and only to the depth of the osteotomy. Surgery - Benefits at a glance • One surgical set for both im- plant systems • Colour-coded instruments ar- ranged in the surgery set in logi- cal order of use • Depth stops and laser markings for safe and individual implant bed preparation • Special design of multiple-use drills for atraumatic, efficient and accurate preparation • Implant packaging includes cover screw for submerged healing The prosthetic system is com- prehensiveanduserfriendly.They have a trilobe platform, which is beneficial because it keeps the prosthetic phase simple. Additionally, the abutments engage the implant internal con- nection for longer length than most systems, which I feel gives a better connection in the long term and leads to less of a chance of screw loosening. CAMLOG® Implants The heart of the CAMLOG® Im- plant Systems is the innovative implant-to-abutment connection, known as the Tube-in-Tube™. The positive press fit of the high- est precision and anti-rotation stability allows the simple and durable prosthetic rehabilitation of single crowns and bridges as well as a secure and lasting screw connection. As a result of the positive press fit and the specially designed cams of the Tube-in-Tube™ con- nection, all forces acting on the connection are distributed in an ideal manner. The abutment screws are minimally loaded and only have a holding func- tion. Therefore, screw loosening or screw fractures are practically eliminated. Clinical results con- firm these outstanding properties. Tube-in-Tube™ connection – Benefits at a glance • Precise, anti-rotational positive locking allows simple and dura- ble prosthetic connections • 3 grooves (implant) and 3 cams (abutment) enable clear, secure and fast positioning of abutments • Comparative studies with oth- er well-known implant systems have demonstrated that the CAM- LOG® connection yields excel- lent results for fit and accuracy CONELOG® Implants The new CONELOG® implants are equipped with a cone (7.5°) and three grooves in the inner configuration for positioning CONELOG® abutments. The CONELOG® abutments are apical with a cone and three cams, and lock into the conical connection and the three grooves of the implant. The CONELOG® abutment does not cover the im- plant shoulder, thereby, offering integrated platform switching. A CONELOG® abutment screw is used to fix CONELOG® abut- ments in the CONELOG® im- plant with a defined torque. Conical Connection - Benefits at a glance • Precise, self-locking anti-rota- tional conical implant/abutment connection • Integrated platform switching • Proven CAMLOG indexing makes abutment positioning sim- ple, fast and accurate Implant Surface - Benefits at a glance • Sand-blasted, acid etched Pro- mote® surface for fast osseointe- gration • Six weeks healing time in good bone quality • Scientifically documented, clini- cally proven I am now almost exclusively using Camlog implants in my practice and to date have not en- countered a clinical situation in which the implant was unable to fulfil the role necessary. The following case studies demonstrate the surgical and prosthetic flexibility of the Cam- log system, from clinicians who understand the need for a reliable and user friendly system, and who have adopted the system into their practices. Case Study 1 This 67-year old lady was referred to me with a view to replacing her failing upper incisors with dental implants. This was to include re- placement of her upper right ca- nine that was lost some time ago and being replaced with a badly designed cantilever bridge. Her medical history was clear and she had a heavily restored dentition that was otherwise well maintained. Her oral hygiene was excellent Following a full clinical and radiographic examination I opted to extract all four incisors with immediate implant placement. In this case, I chose to replace each tooth with a dental implant. Not something I would routinely do, however, I was concerned about the long-term prognosis of some of her upper posterior teeth and this would give me the option of creating a reduced dental arch, with minimal future intervention should the need arise. The sockets were thoroughly debrided and implant osteotomies were prepared to engage the pal- atal shelf and ensure good prima- ry stability. All four sites were pre- pared to receive 3.8mm x 11mm Conelog® Implants. The implants were placed and covered with the closure screw provided. Any lo- cal defects were augmented with Bio-Oss particles and a Bio-Guide membrane was used to stabilise the graft material. The healing was uneventful and the implants were uncovered after approximately 12 weeks. Large wide body healing caps were inserted to commense site Implantology - The Camlog Way Author: Sunny Kaushal BDS (U. Birm) Dip Imp Dent RCS (Eng) MSc (U. Lond)