Please activate JavaScript!
Please install Adobe Flash Player, click here for download
ePaper created 2015-11-12, 17:51:05 | version 1.38.0
I case report _ guided implant surgery _Prosthetic procedure Immediatelyafterimplantplacement,impression copings (Megagen) for an open-tray impression were screwed on to the implants and hand torqued (Fig. 13). An impression was taken at implant level using a silicone material (Permadyne Penta H, 3M ESPE Dental) in a plastic Position Tray (3M ESPE Dental). Within 8 hours, two temporary screw- retained acrylic teeth were delivered to the patient and connected to each of the implants. The acrylic teeth were designed based on temporary tita- nium abutments. Occlusion and articulation were checked and corrected wherever necessary. All su- perstructures were hand torqued to a maximum of 15Ncm. No cantilevers were allowed on the pro- visional structures in order to avoid extensive non- axial forces. Postoperatively, the patient received aprescription for antibiotics (amoxicillin 1,000mg, b.i.d., four days), non-steroidal anti-inflammatory drugs (ibuprofen 600mg, t.i.d.) and a mouthwash (chlorhexidine 0.12%, b.i.d.). After one week, a post- operative visit was scheduled. No signs of infec- tion orinflammationwerepresentandhealingwas uneventful (Figs. 14 & 15). _Conclusion With a two-week postoperative follow-up, this was the first immediate loading procedure based on the Navident navigation surgery system. The patient reported no pain or swelling associated with the dental implant procedure. Further post- operative results are being tracked and reported as part of a pilot study being conducted at Ghent University (Figs. 16a & b)._ Editorial note: A list of references is available from the publisher. 22 I cone beam4_2015 Dr Jan D’haese Ghent University Hospital De Pintelaan 185 9000 Gent Belgium Jan.dhaese@ugent.be cone beam_contact Fig. 13_Post-op photograph of the maxillary occlusal surfaces. Fig. 14_Post-op frontal photograph. Fig. 15_Post-op photograph of the maxillary occlusal surfaces (post-loading). Figs. 16a & b_Post-op lateral photographs of the restorations in regions #15 and 25. Fig. 13 Fig. 14 Fig. 15 Fig. 16a Fig. 16b