One Piece Implant in the Implant Rehabilitation of Patient

Dr.Jordi Artigas Beltrán¹  Dr. Jimoh Olubanwo Agbaje  ²,  Dr. Henri Diederich ³*

1. Faculty od Odontology (UB), Barcelona, Spain. Private Practice Vilasec/Tarragona (Spain).

2. OMFS-IMPATH Research Group, Department of Imaging and Pathology, Faculty of Medicine, Catholic University Leuven, Belgium.

3. 114 av de la Faiencerie, L- 1511 Luxembourg.

Corresponding Author: Dr. Henri Diederich, Doctor in Dental Medecine, 114 av de la Faiencerie, L- 1511 Luxembourg.

Copy Right: © 2023 Dr. Henri Diederich, This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Received Date: February 16, 2023

Published Date: March 01, 2023

Introduction

One-Piece implant offers a unique Monoblock design that integrates both implant and superstructure, for a quick, simple one-stage procedure. These implants (Figure 1) are machined in grade 5 titanium with a hydroxyapatite/beta tricalcium phosphate surface (HA/BTCP).  One-Piece implant can be used for single restorations in situations where high primary stability is achieved on placement and can be immediately loaded in case of good bone quality, or progressively loaded in cases of less-than-ideal bone quality.

The implants are specifically engineered for use in narrow ridges and tight spaces1.  They are intended for the anterior part of the mandible or the maxilla where there is sufficient bone height. One-Piece implants allow bicortical anchorage and provide good stability, even in medium-dense bone. Patients benefit from having implants placed flapless and loaded immediately [2-4]

One-piece implants use minimally invasive surgical techniques to retore edentulous spaces. The implant can be placed flapless thereby reducing postoperative discomfort. They are time effective, eliminating the need for second stage surgery, mucosal healing period, and decrease patient exposure to additional pain and discomfort.  The innovative geometries and advanced surface morphology of the implant offer high initial stability and makes it less invasive [5, 6].

The following case reports describe procedures where One-piece implants were used to rehabilitate jaws.

Case 1

A 64 year old patient had mobile teeth in the lower jaw due to advanced chronic periodontitis which bring her discomfort. Patient attended the clinic requesting a prosthetic solution. The agreed treatment plan was: Extraction of the mobile teeth in the lower jaw and placement of one piece tissue level implants.

Teeth extraction and implant placement was done under local anesthesia. For rehabilitation, Compressive One Piece implants (ROOTT). C3018 was placed in position 31 and B3520SS in position 42.  After surgery an impression was taken.

On the second appointment, try in of the key was done to check the correctness of impression taken. On the 3rd appointment, aesthetics was checked and the metal frame was placed for try-in.  The resin bridge was placed on the 4th appointment - 3 weeks after the first consultation.

Case 2
The following case report is that of a 75-year-old patient who broke his teeth and wanted fixed teeth as soon as possible.

On first appointment, extraction of broken teeth and implant placement was done.

For rehabilitation Compressive One Piece  implants (ROOTT) . C4014 were placed in position 32, and 42 respectively

After surgery impression was made, a temporary bridge was fabricated and installed. The try in of the key was done on the second appointment as done in the first case. The metal frame was tried in on the 3rd appointment. The metal resin bridge was cemented at the fourth appointment.

Case 3

Patient is a young lady of 32-year-old. She has a partial prosthesis of upper front teeth and requested fixed teeth in the front to replace the partial prosthesis. She wanted a minimal invasive treatment option.

In position 12 a One piece Compressive Implant C 3012 was placed flapless while a C 3012 implant was placed in position 22. The implant placement was bone driven, which means that the implants are inserted in the direction of the bone contour. After insertion the implant neck is bent so that the abutment is on the bone crest.

After surgery, an impression was taken and chairside temporary crown was put in place, tooth colour was also chosen. Two weeks later 2 zirconia crowns were cemented on both implants.

Discussion

One Piece- Implants provide simple treatment workflow at a lower cost and it offers the possibility to treat the elderly and young patients with minimal invasive implant placement (Flapless implant surgery) technique with the option of delivering immediately a pre-fabricated temporary prosthesis [4, 7]

They are time effective, eliminating the need of second stage surgery, mucosal healing period, and decrease patient exposure to additional pain and discomfort.

One-Piece Implants can be used for single and multiple unit restorations with immediate loading in the upper and lower jaws, the implants can also be used in combination with a conventional implant with excellent implant survival rate [8, 9]. These case reports show cases where minimal invasive treatment option with on piece Compressive Implants were used for quick rehabilitation.

References

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