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Implant Tribune Middle East & Africa Edition No. 4, 2017

C3 ◊Page C2 IMPLANT TRIBUNE Dental Tribune Middle East & Africa Edition | 4/2017 Figure 17: Clinical situation after 11 years Figure 18: Baseline radiograph, right first molar area Figure 19: 11-year radiograph, right first molar area Figure 20: Baseline radiograph, left first molar area around the implant was revealed (Figure 12). The definitive prostheses were tried in (Figure 13 and 14). Articulating foil was used to avoid direct oc- clusal contacts. The screw access holes were closed after try in and delivery (Figure 15). Good contact of the screw retained implant reconstruction to the adja- cent teeth is important to avoid food impaction. The cantilever must be able to clean with super floss or at least with inter dental brushes. Long-term follow-up Figure 16 and 17 show the clinical sit- uation after 11 years. Note how stable the soft tissues have remained over time. The bone levels also remained stable over the entire 11 years. Figure 18-21 show baseline and 11 year ra- diographs of both reconstructions. Note how the bone levels are slightly higher after 11 years than at time of impression. Conclusion This case shows that long-term sta- ble bone and soft tissue levels can be achieved in a simple and predictable manner using the Neoss implant system. References Zumstein T, Billström C, Sennerby L. A 4- to 5-year retrospective clini- cal and radiographic study of Neoss implants placed with or without GBR procedures. Clin Implant Dent Relat Res 2012;14(4):480-490. Figure 21: 11-year radiograph, left first molar area Graftless treatment of severe maxillary resorption By Nobel Biocare For patients with severe maxillary resorption, extensive grafting proce- dures can mean lengthy treatment times. But there is an alternative: By anchoring in the zygomatic bone, the NobelZygoma implant system can enable an immediate loading protocol for a graftless treatment. This dramatically shortens time-to- teeth and can allow patients with se- verely resorbed maxillae to return to a normal quality of life.1 The new NobelZygoma 0° and No- belZygoma 45° implants anchor in zygomatic bone and provide an excellent option for treating severe maxillary resorption. They have an unthreaded implant body designed to interface with soft tissue, and de- pending on the anatomical situation parts of the implant body can be lo- cated outside of the maxillary sinus. For the extra-maxillary placement, the coronal part of the implant should still have bone support. This technique enables a position of the implant head close to the crest of the alveolar ridge that facilitates a pros- thetic procedure which in turn offers easier cleaning and better comfort for the patient2 while improving phonetics3 . The straight implant head and mount-free insertion of the No- belZygoma 0° implant allow for greater flexibility during implant placement. The clinician can also enjoy prosthetic versatility with the new 45° and 60° Multi-unit Abut- ments. The NobelZygoma 45° im- plant comes in an extended range of implant lengths, from 30mm to 52.5mm, all with an external hex connection. Nobel Biocare Services AG P.O. Box 8058 Zurich-Airport, Switzerland www.nobelbiocare.com International Magazines ortho international magazine of orthodontics www. dental-tribune.com issn 1868-3207 Vol. 1 • Issue 1/2016 EUR 22 per year (2 issues per year; incl. shipping and VAT for customers in Germany) and EUR 23 per year (2 issues per year; incl. shipping for customers outside Germany). ORTHO international magazine of orthodontics 12016 Your subscription will be renewed automatically every year until a written cancellation is sent to Dental Tribune International GmbH, Holbeinstr. 29, 04229 Leipzig, Germany, six weeks prior to the renewal date. Shipping Address Name Address Zip Code, City Country E-mail Date, Signature practice management Short-term gains… long-term problems? trends & applications Vibration therapy in orthodontics: Realising the benefits industry report From straightforward to complex cases PayPal Credit Card Credit Card Number Expiration Date Security Code SUBSCRIBE NOW! F +49 341 48474 173 subscriptions@dental-tribune.com

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