Tuesday, January 22, 2013

Microcracks can strengthen mandibles for implants

Fixed Rehabilitation of Severely Atrophic Jaws Using Immediately Loaded Basal Disk Implants After In Situ Bone Activation

Guillaume Odin, MD, PhD1, Carl E Misch, DDS, MDS2, Itzak Binderman, DDS, MDS3, and Gerard Scortecci, DDS, PhD4*
 
1 Institut Universitaire de la Face et du Cou, Département de Chirurgie maxillo-faciale, Nice, France.
2 Misch Implant Institute, Birmingham, Mich.
3 School of Dental Medicine, Department of Bio-Engineering, Tel Aviv University, Tel Aviv, Israel.
4 Private practice, Nice, France.

Rehabilitation of severely atrophic jaws is facilitated when basal disk implants are used after activation of the future bony implant bed with a purpose-designed instrument (Osteotensor) 45 to 90 days before implant surgery. Fabrication of a highly rigid, screw-secured fixed prosthesis that acts as an external orthopedic fixator permits immediate functional loading. This protocol also represents a second chance for patients who have experienced complete implant loss and/or bone graft failure.


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