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ePaper created 2018-04-10, 12:30:21 | version 1.38.0
| case report Immediate loading in heavy smokers Dr Dr Branislav Fatori & Dr Inge Schmitz, Germany Today, numerous implant systems and many modifica- tions thereof are available on the market, and it may be difficult to choose the optimal implant system for each patient. Immediate loading of dental implants is indicated when there is good primary stability and an appropriate occlusal load. To achieve a satisfactory result concerning implant survival, a number of factors have to be taken into consideration, such as the type and quality of the bone, bone density, placement and location of implants, the patient’s motivation and, of course, financial constraints. In this report of two cases of heavy smokers, we in- vestigate from clinical, morphological, biomechanical and electron microscopy aspects the suitability of a new implant system (T.A.G. Dental), using a Toronto bridge construction. The term “Toronto prosthesis” or “Toronto bridge” originates from an extrapolation of the clinical and laboratory procedures introduced by Zarb in Toronto in Canada in the 1980s. The main advantage of the Toronto bridge is that it allows the correction of implant emer- gence profile and that the milled abutment is sufficiently Fig. 1 Fig. 2 Fig. 3 Fig. 1: SEM image, overview. Fig. 2: Detailed SEM image showing accurate design of the implant. Fig. 3: EDS of the implant surface (Case 1). Titanium ( implant) and small amounts of aluminium (contaminations resulting from manufacturing processes) were detected. 10 1 2018