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implants – international magazine of oral implantology Polish edition No. 4, 2016

implants_one-piece implants Fig. 3a_II level diagnostic study and insertion of one piece titanium grade 2 implants. Tilting and parallelization. b. Tramonte type monophase implants. Ryc. 3Aa Ryc. 3Ab Ryc. 3Ac Ryc. 3Ad Ryc. 3Ba that today the emerging screws are ixed togeth- er by an electro welded bar (Fig. 4). The bar reduces the micro-movements and stabilizes the implants (Fig. 5) which in this way lose their mechanical individuality, becoming a single, more resistant structure (Fig. 6).7 With immediate loading one piece implants, known as “mono-structural and emerging” are used. These devices, thanks to their morphol- ogy, are useful when exploiting particular bone recesses such as the canine pillar, the tuber, the pterygoid process (Fig 7), the pericanalare zone (Fig. 8) all important surgical resources in pa- tients with maxillary or mandibular atrophy, for example in the elderly.8 _Deferred loading technique or two-phase The year 1997 represents a particular year for oral implantology: it is in fact the year of Branemark’s new theory, announced a long time after the appearance of self-tapping screws, blades, and other state-of-the-art implants. According to this theory, to ensure a positive outcome to the operation, the so-called “osseo- integration” is considered indispensable.9 With this term the Swedish researcher wanted to deine the close and direct contact between the surface of the implant and the vi- tal bone tissue without the interposition of any connective tissue. Such integration, according to the author, would be possible only if the im- 46 4_2016 46 implants

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