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ePaper created 2017-11-09, 09:28:26 | version 1.38.0
| overview Fig. 7 Fig. 8 Fig. 9 Fig. 10 Fig. 11 Fig. 12 Fig. 13 Fig. 7: Lateral situs, pre-operatively. Fig. 8: Occlusal situs, pre-operatively. Fig. 9: OPG before surgery. Fig. 10: Radicular cysts 35 and 37. Fig. 11: Lateral situs, postoperatively. Fig. 12: Occlusal situs, postoperatively. Fig. 13: One day after surgery. thermore, additional medication can be used: Notakehl (homeopathic antibiotic), Selenium (orthomolecular anti- biotic) and Arthrokehlan “A” (“antitoxin”).During larger op- erations, such as a sinus lift, infusions are used on a rou- tine basis: The combination of “single shot” antibiotics and cortisone (dexamethasone) has proven effective even at the operation day. The positive properties of an- tibiotics are used—which are basically prevention of in- fection—without the side effects caused by the oral in- take (e.g. increased stress on liver and intestine). Furthermore, the immune system is supported by a high dose of vitamin infusions administered intravenously as part of the surgical and ozone treatments. Properties of ceramic implants In addition to the numerous benefits of ceramic im- plants compared to titanium implants, there are also certain special features and even disadvantages. For ex- ample, ceramic implants do not dissipate heat. During the operation, it is thus extremely important for the sur- geon to use the bone properties at the site for orientation. Unlike titanium implants, ceramic implants should be in- serted with regard to the bone categories. Ceramic im- plant surgery therefore requires good intuitions. While category 1 bone (extremly hard with little blood circula- tion) must be prepared oversized in order to create cavi- ties for subsequent callus formation, soft bone can be prepared undersized. Once ceramic implants are osseo- integrated, the rules for the prosthetic build-up are more sensitive than those for titanium implants. Due to material properties, titan implants show a lower ductility and can therefore better compensate occlusion and articulation particularly in case of slight deflections. In contrast, ce- ramic implants are securely fixed in the bone and cannot be moved. Solitary ceramic implants should therefore be milled in minimal infraocclusion and without any articula- tory contacts.However, this lack of mobility is also a ma- jor advantage of ceramic implants. Against university 20 implants 1 2017