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ePaper created 2017-03-17, 12:34:42 | version 1.38.0
| overview The “Ts” in implantology—of triumphs and tragedies Author: Dr Georg Bach, Germany Introduction to report on the “Ts” in implantology, on triumphs and tragedies. Implantology has become a commonplace in den- tistry. Indeed, insertion techniques have progressed more and more in the past two decades, while the dental industry has provided users with improved im- plant surfaces and instruments. Hardly any other dental discipline has experienced more innovation and investments within such a short time span. These developments have been rewarded with a compre- hensive product range and highly increased numbers of inserted implants that seemed out of reach only one and a half decades ago. However—despite all of this euphoria—implantology does not exclusively en- tail positive facets. Therefore, this article is designed Data Case 1 Implant regio 11 Insertion: April 1999 Prosthetic restoration: Juli 1999 X-ray controlls: post-operatively, 2001, 2004, 2007, 2010, 2013 and 2016 Recall: bianullay Special characteristics: none Fig. 2 Fig. 1 Fig. 1: Initial situation. – Fig. 2: Impression taking. 06 implants 1 2017 Triumphs Three case examples, differing in their respective initial situation and indications, are presented: 1) Im- plant-based denture of a maxillary anterior tooth; 2) complete restoration of the edentulous maxilla and a mandibular with residual frontal dentition via im- plant-based fixed dentures; 3) complete restoration of the edentulous maxilla with removable prostheses and a partially edentulous mandibular with fixed den- tures. All three patients were loaded with tissue-level implants (Straumann) and now feature a positive long-term prognosis. Case 1 A female patient and teacher, 56 years old at the time of implant insertion, was facing a possible loss of tooth 11 due to a reduction in supporting tissue. Be- fore, a progressed periodontopathy with a reduction in supporting tissue had been restored and the pa- tient was already in the recall phase of this process. Tooth 11 thus was the last legacy of this past peri- odontal disease. After tooth extraction, an implant was inserted and loaded with a crown after three months. The dental technician was able to integrate the crown harmoni- ously in the patient’s dentition which was markedly influenced by recession and reduction in supporting tissue. The patient diligently observed recall dates ev- ery six months, which have been combined with a pro- fessional hygiene session since 2005. X-ray controls and clinical results did not indicate any pathological findings at the implant, only show-