Angled Abutment - Angled Abutment demanded for the case of bad insertion path to reward the angle, and Dentis provides, inclined Angled Abutment.
Part
9. Combining Abutment on the working model.
10. Equipping Abutment on the working model.
13. Combining the Crown (or Bridge) for the complete implant system. 1. Removing cover screw from the fixture. 11. Wax-up.
12. Final process for the Crown (or Bridge).
Pick up (Open Tray)
2. Equipping Pick-up type Impression coping.
3. Capping the open tray for making a pattern.
4. Removing the guide pin.
5. Removing the tray (pattern).
6. Equipping the Guide pin on the same position of tray (pattern).
7. Equipping Lab analog and then building a soft gingiva.
8. Pouring stone in the pattern.
Transfer (Close Tray)
2. Equipping Transfer type Impression coping.
3. Capping the tray for making a pattern.
4. Removing the tray (pattern).
5. Combining 6. Equipping Lab Lab analog analog and then with Transfer. building a soft gingiva.
7. Pouring 8. Removing the stone in the pattern from the pattern. stone, and then removing Transfer.
â…Ś. Abutment Prosthetic Protocol ď˝œ 115
1
Octa Abutment - It's demanded to be used in Multi case of screw type with bad implant path.
1. Removing Healing Abutment.
10. Removing the pattern from the stone, and then making the complete working model.
11. Equipping Gold ucla.
14. Combining the Crown (or Bridge) for the complete implant system. 2. Equipping Octa Abutment.
12. Wax-up.
13. Final process for the Crown (or Bridge).
Pick up (Open Tray)
3. Equipping 4. Capping the 5. Removing the Pick-up type tray for making guide pin. Impression a pattern. coping.
6. Removing the tray (pattern).
7. Equipping the Guide pin on the same position of tray (pattern).
8. Equipping Lab analog and then building a soft gingiva.
9. Pouring stone in the pattern.
Transfer (Close Tray)
3. Equipping Transfer type Impression coping.
116
4. Capping the tray for making a pattern.
5. Removing the tray (pattern).
6. Combining 7. Equipping Lab Lab analog analog and then with Transfer. building a soft gingiva.
8. Pouring stone in the pattern.
9. Removing the pattern from the stone, and then removing Transfer.
O-Ring Abutment - O-ring Abutment is attachment-retained type prosthesis for the full denture case; the O-ring connected with prosthesis as the connector.
Part
6. Pouring stone in the pattern.
1. Removing Healing Abutment.
7. Removing the pattern from the stone, and then making the complete working model.
2. Equipping Ball Abutment.
8. Equipping retainer on the balls.
3. Capping the tray for making a pattern.
9. Denture work.
4. Removing the tray (pattern).
5. Equipping Lab Analog in the position. 10. Combining the Denture for the complete implant system.
â…Ś. Abutment Prosthetic Protocol ď˝œ 117
1
4. Impression Taking : External Type
O-Ring Abutment - O-ring Abutment is attachment-retained type prosthesis for the full denture case; the O-ring connected with prosthesis as the connector.
6. Pouring stone in the pattern.
1. Removing Healing Abutment.
7. Removing the pattern from the stone, and then making the complete working model. 2. Equipping Ball Abutment.
8. Equipping retainer on the balls.
3. Capping the tray for making a pattern.
9. Denture work. 4. Removing the tray (pattern).
5. Equipping Lab Analog in the position.
118
10. Combining the Denture for the complete implant system.
Mount Abutment - Mount Abutment is used as a mount during External fixture placement, and also it’ s possible to be used as standard abutment and Angled abutment due to capability of customized milling work and adjustment for height of the cuff.
Part
9. Removing the pattern from the stone, and then making the complete working model.
10. Milling.
13. Combining the Crown (or Bridge) for the complete implant system. 1. Removing Healing Abutment.
11. Wax-up.
12. Final process for the Crown (or Bridge).
Pick up (Open Tray)
2. Equipping guide pin on the mount.
3. Capping the tray for making a pattern.
4. Removing the guide pin.
5. Removing the tray (pattern).
6. Equipping the Guide pin on the same position of tray (pattern).
7. Equipping Lab analog and then building a soft gingiva.
8. Pouring stone in the pattern.
Transfer (Close Tray)
2. Equipping the mount.
3. Capping the tray for making a pattern.
4. Removing the tray (pattern).
5. Combining Lab 6. Equipping the analog with the mount mount in the after the combining of pattern. mount and coping screw.
7. Building a soft gingiva.
8. Pouring stone in the pattern.
Ⅶ. Abutment Prosthetic Protocol ｜ 119
1
Cemented Abutment - Cemented Abutment is applicable for Cemented type prosthesis among case of External type as usual.
9. Removing the pattern from the stone, and then making the complete working model.
10. Equipping Abutment on the working model.
13. Combining the Crown (or Bridge) for the complete implant system. 1. Removing Healing Abutment.
11. Wax-up.
12. Final process for the Crown (or Bridge).
Pick up (Open Tray)
2. Equipping Pick-up type Impression coping.
3. Capping the open tray for making a pattern.
4. Removing the guide pin.
5. Removing the tray (pattern).
4. Removing the tray (pattern).
5. Combining Lab analog with Transfer.
6. Equipping the Guide pin on the same position of tray (pattern).
7. Equipping Lab analog and then building a soft gingiva.
8. Pouring stone in the pattern.
Transfer (Close Tray)
2. Equipping Transfer type Impression coping.
120
3. Capping the tray for making a pattern.
6. Equipping Lab analog and then building a soft gingiva.
7. Pouring 8. Removing the stone in the pattern from the pattern. stone, and then removing Transfer.
Gold UCLA Abutment - Gold UCLA Abutment is applicable for a very low occlusion case which requires esthetics and for a screw type prosthetics.
Part
9. Removing the pattern from the stone, and then making the complete working model.
10. Equipping Gold UCLA on the working model.
13. Combining the Crown (or Bridge) for the complete implant system. 1. Removing Healing Abutment.
11. Wax-up.
12. Final process for the Crown (or Bridge).
Pick up (Open Tray)
2. Equipping Pick-up type Impression coping.
3. Capping the open tray for making a pattern.
4. Removing the guide pin.
5. Removing the tray (pattern).
6. Equipping the Guide pin on the same position of tray (pattern).
7. Equipping Lab analog and then building a soft gingiva.
8. Pouring stone in the pattern.
Transfer (Close Tray)
2. Equipping Transfer type Impression coping.
3. Capping the tray for making a pattern.
4. Removing the tray (pattern).
5. Combining Lab analog with Transfer.
6. Equipping Lab analog in the pattern and then building a soft gingiva.
7. Pouring stone in the pattern.
8. Removing the pattern from the stone, and then removing Transfer.
â…Ś. Abutment Prosthetic Protocol ď˝œ 121
1
Angled Abutment - Angled Abutment demanded for the case of bad insertion path to reward the angle, and Dentis provides, inclined Angled Abutment.
9. Removing the pattern from 10. Equipping the stone, and then making Abutment on the the complete working model. working model.
13. Combining the Crown (or Bridge) for the complete implant system. 1. Removing Healing Abutment.
11. Wax-up.
12. Final process for the Crown (or Bridge).
Pick up (Open Tray)
2. Equipping Pick-up type Impression coping.
3. Capping the open tray for making a pattern.
4. Removing the guide pin.
5. Removing the tray (pattern).
6. Equipping the Guide pin on the same position of tray (pattern).
7. Equipping Lab analog in the pattern and then building a soft gingiva.
8. Pouring stone in the pattern.
Transfer (Close Tray)
2. Equipping Transfer type Impression coping.
122
3. Capping the tray for making a pattern.
4. Removing the tray (pattern).
5. Combining Lab analog with Transfer.
6. Equipping Lab analog in the pattern and then building a soft gingiva.
7. Pouring stone in the pattern.
8. Removing the pattern from the stone, and then removing Transfer.
Estheticone Abutment - It's demanded to be used in Multi case of screw type with bad implant path.
Part
10. Removing the pattern from the stone, 11. Equipping and then making the complete working Gold model. (In the open tray method, when Cylinder. removing the pattern, the guide pin would be removed.)
1. Removing Healing Abutment.
14. Combining the Crown (or Bridge) for the complete implant system. 2. Equipping Estheticone Abutment.
12. Wax-up.
13. Final process for the Crown (or Bridge).
Pick up (Open Tray)
3. Equipping Pick-up type Impression coping.
4. Capping the tray for making a pattern.
5. Removing the guide pin.
6. Removing the tray (pattern).
7. Equipping the Guide pin on the same position of tray (pattern).
8. Equipping Lab analog in the pattern and then building a soft gingiva.
9. Pouring stone in the pattern.
Transfer (Close Tray)
3. Equipping Transfer type Impression coping.
4. Capping the tray for making a pattern.
5. Removing the tray (pattern).
6. Combining Lab analog with Transfer.
7. Equipping Lab analog in the pattern and then building a soft gingiva.
8. Pouring 9. Removing the stone in the pattern from the pattern. stone, and then removing Transfer.
â…Ś. Abutment Prosthetic Protocol ď˝œ 123
1
Part.
2
Clinical Cases
1. Maxillary anterior teeth Age / gender ▶ 27 years / female
Diagnosis and treatment plan ▶ Diagnosis : poor prosthesis on #13-#21 ▶ Treatment Plan Extraction of #12 and fabrication of flipper on #13-#21, Implant placement with Dentis implant and Horizontal bone augmentation on #13, #11, #21.
Fig. 1. X-ray taken before implant surgery.
Fig. 3. Photograph showing the occlusal relationship with the corresponding tooth before placing the Dentis implant.
126
Fig. 2. Pre-surgical photograph of the intraoral view 1.
Fig. 4. Intraoral view after incision and subsequent reflection of the flap.
Part
Fig. 5. Dentis implant.
Fig. 7. Bone augmentation with Bio-oss.
Fig. 9. Intraoral view 1 month after implant placement.
Fig. 6. Intraoral view after placement of the Dentis implant.
Fig. 8. Intraoral view after suturing.
Fig. 10. Radiograph 1 month after implant placement.
127
2
Fig. 11. Radiograph before second surgery.
Fig. 13. Intraoral view after incision and connection of healing abutment with CO2 laser irradiation.
Fig. 15. Radiograph after second surgery.
128
Fig. 12. Intraoral view before second surgery.
Fig. 14. Intraoral view after suturing
Fig. 16. Intra-oral view after removal of healing abutment for taking impression.
Part
Fig. 17. Connection of Impression coping for taking pick up impression.
Fig. 18. Connection of lab analogue.
Fig. 19. Replica model.
Fig. 20. Intra-oral view after abutment try-in.
Fig. 21. Intra-oral view after delivery of the final prosthesis.
Fig. 22. Intraoral view at 1 year after installation of the final prosthesis (clsoing state).
Fig. 23. Panoramic view at 1 year after installation of the final prosthesis.
129
2
2. Sinus lift (1) Age / gender ▶ 52 years / male
Diagnosis and treatment plan ▶ Right sinus grafting using DBX allogenic bone (0.5cc x 2) was done. The implant placement (#14-17) was performed 10 months after the first surgery. #14-17 missing areas were restored by prosthesis with Dentis implant (type Ⅳ).
Fig. 1. X-ray taken before implant surgery.
Fig. 3. Placing a round bar parallel to the lateral side of the maxillary bone.
130
Fig. 2. Pre-surgical photograph of the intraoral view.
Fig. 4. Inferior horizontal bone cut was done.
Part
Fig. 5. After formation of the bony window, it was pressed lightly, to separate the bony window from the adjacent bones.
Fig. 7. The lateral wall of maxilla was replaced.
Fig. 8b. X-ray taken after sinus grafting.
Fig. 6. Transplanting particulated bone to the right maxillary sinus.
Fig. 8a. X-ray taken after sinus grafting.
Fig. 8c. X-ray taken after sinus grafting.
131
2
Fig. 9. X-ray taken after 10 months.
Fig. 10. Intraoral view after 10 months, before the implant placement.
Fig. 12. Intraoral view after incision and subsequent reflection of the flap.
132
Fig. 11. Photograph showing the occlusal relationship with the corresponding tooth before placing the Dentis implant.
Fig. 13a. Dentis implant.
Part
Fig. 13b. Dentis implant.
Fig. 14. Intraoral view after placement of the Dentis implant on #13 - #17 (#13, #14 : 3.7mm in diameter and 12mm long, #15, #16, #17 : 4.3mm in diameter and 10mm long, #46 : 4.3mm in diameter and 12mm long).
Fig. 15. Post-surgical radiograph after placement of the Dentis implant.
Fig. 16. Radiograph before second surgery.
Fig. 17. Radiograph after second surgery.
Fig. 18. Intraoral view at 1 year after installation of the final prosthesis. Fig. 19. Panoramic view at 1 year after installation of the final prosthesis.
133
2
Sinus lift (2) Age / gender ▶ 52 years / male
Diagnosis and treatment plan ▶ Left sinus grafting using DBX allogenic bone (0.5cc x 2) was done. The implant placement (#25-#27) was performed 9 months after the first surgery. #25-#27 missing areas were restored by prosthesis with Dentis implant (type Ⅳ).
Fig. 1. X-ray taken before implant surgery.
Fig. 2. Pre-surgical photograph of the intraoral view.
134
Fig. 3. Intraoral view after incision and subsequent reflection of the flap.
Part
Fig. 4. Intraoral view after bony window formation.
Fig. 5. The maxillary mucosa was reflected from the inferior margin of the bony window, using a sinus curet.
Fig. 6. Transplanting particulated bone to the right maxillary sinus.
Fig. 7. Intraoral view after suturing. In most cases, the primary suture was possible by stretching soft tissues in the vicinity.
Fig. 8. X-ray taken after sinus grafting.
135
2
Fig. 9. X-ray taken after 9 months.
Fig. 10. Intraoral view after 9 months, before the implant placement.
Fig. 11. Intraoral view after incision and subsequent reflection of the flap.
Fig. 12. Photograph showing the occlusal relationship with the corresponding tooth before placing the Dentis implant on #25 - #27 (#25 : 3.7mm in diameter and 12mm long, #26, #27 : 4.3mm in diameter and 12mm long).
136
Part
Fig. 13. Post-surgical radiograph after placement of the Dentis implant.
Fig. 14. Radiograph before second surgery.
137
2
Sinus lift (3) Age / gender ▶ 61 years / female
Diagnosis and treatment plan ▶ Left sinus augmentation was done using Bio-Oss. The implants (#25-#27) were placed after 7 months after left sinus augmentation. Second surgery was performed 7 months after the first surgery. #25-#27 missing areas were restored by prosthesis with Dentis implant (type Ⅳ).
138
Fig. 1. X-ray taken before implant surgery.
Fig. 2. X-ray taken after sinus grafting.
Fig. 3. X-ray taken 2 months after sinus grafting.
Fig. 4. X-ray taken 5 months after sinus grafting.
Part
Fig. 5. Pre-operative CT before implant surgery.
Fig. 6. Pre-surgical photograph of the intraoral view 7 months after sinus grafting, before the implant placement.
Fig. 7. Photograph showing the occlusal relationship with the corresponding tooth before placing the Dentis implant.
Fig. 8. Intraoral view after the implant placement (#25 : 4.8mm in diameter and 12mm long, #26, #27 : 4.3mm in diameter and 12mm long).
Fig. 9. Clinical imaging after suturing.
139
2
Fig. 10. Post-surgical radiograph after placement of the Dentis implant.
Fig. 12. Intraoral view before second surgery; occlusal relationship.
Fig. 14. Photograph showing the occlusal relationship after second surgery.
140
Fig. 11. Intraoral view before second surgery.
Fig. 13. Intraoral view after second surgery.
Sinus lift (4) Age / gender â–ś 54 years / female
Part
Diagnosis and treatment plan â–ś Left sinus grafting using Tutoplast and lateral wall repositioning were done. Dentis implants were inserted at #26 and #27 area.
Fig. 1. X-ray taken before implant surgery.
Fig. 2. Preoperative intraoral view.
Fig. 3. Photograph showing the occlusal relationship before incision and subsequent reflection of the flap.
141
2
142
Fig. 4. Intraoral view after incision and subsequent reflection of the flap.
Fig. 5. Intraoral view after bony window formation.
Fig. 6. The maxillary mucosa was reflected from the inferior margin of the bony window, using a sinus curet.
Fig. 7. Intraoral view after the implant placement on #26, #27 (4.8mm in diameter and 12mm long).
Fig. 8. Transplanting Puros particulated allograft to the right maxillary sinus.
Fig. 9. The lateral wall of the maxillary sinus was replaced.
Part
Fig. 10. X-ray taken after simultaneous implant placement and sinus grafting.
Fig. 11. Radiograph before second surgery.
Fig. 12. Radiograph after second surgery.
Fig. 13. Intraoral view at 1 year after installation of the final prosthesis.
143
2
Sinus lift (5) Age / gender ▶ 44 years / female
Diagnosis and treatment plan ▶ Right sinus grafting using DBX allogenic bone and Dentis implant placement (#16) was done.
Specific characteristics ▶ Fixture was removed because of mobility and Dentis implant was re-inserted on this area.
Fig. 1. X-ray taken before implant surgery.
Fig. 2. Pre-surgical photograph of the intraoral view.
144
Fig. 3. Photograph showing the occlusal relationship before incision and subsequent reflection of the flap.
Part
Fig. 4. Intraoral view after bony window formation.
Fig. 5. After formation of the bony window, it was pressed lightly, to separate the bony window from the adjacent bones.
Fig. 6. Complete osteotomy.
Fig. 7. Osteotome technique. The concave straight osteotome with the smallest diameter was tapped lightly with a mallet and inserted to the desired depth. The osteotomes are concave at the tip in order to transfer particles of bone from the implant bed to below the membrane of the maxillary sinus. The next size osteotome was soaked with saline, and the hole was widened by the same method.
Fig. 8. Transplanting allogenic bone (DBX) to the right maxillary sinus.
Fig. 9. Intraoral view after placement of the Dentis implant on #16 (4.8mm in diameter and 12mm long).
145
2
Fig. 10. X-ray taken after simultaneous implant placement and sinus grafting.
Fig. 11. Radiograph after second surgery.
Fig. 12a. Intraoral view at 1 year after installation of the final prosthesis.
Fig. 12b. Intraoral view at 1 year after installation of the final prosthesis.
Fig. 13. Radiograph at 1 year after installation of the final prosthesis.
146
Sinus lift (6) Age / gender ▶ 55 years/ male
Part
Diagnosis and treatment plan ▶ Left sinus grafting (Piezosurgery) using autogenous lateral wall bone and tutoplast (1cc) was done. #24-27 missing area was restored by prosthesis using Dentis implant.
Specific characteristics ▶ Cyst was found at left maxillary sinus area. Before sinus grafting, cyst was aspirated and collatape was used for coverage of sinus membrane. Pericardium membrane and 2 tacks were applied.
Fig. 1. X-ray taken before implant surgery.
Fig. 2. Pre-surgical photograph of the intraoral view.
Fig. 3. Photograph showing the occlusal relationship before incision and subsequent reflection of the flap.
147
2
148
Fig. 4. Intraoral view after bony window formation.
Fig. 5. Complete osteotomy.
Fig. 6. Application of collatape.
Fig 7. Autogeneous bone was mixed with tutoplast.
Fig 8. PRP.
Fig. 9. Transplanting bone material with PRP to the maxillary sinus. Dentis implant was placed on #24 ~ #27 (4.3mm in diameter and 12mm long).
Part
Fig. 10. Placement of pericardium membrane and fixation of membrane using 2 tacks.
Fig. 11. Intraoral view after suture.
Fig. 12. X-ray taken after simultaneous implant placement and sinus grafting.
Fig. 13. Radiograph before second surgery.
Fig. 14. Radiograph after second surgery.
Fig. 15. Radiograph at 1 year after installation of the final prosthesis.
149
2
Sinus lift (7) Age / gender â–ś 49 years / male
Diagnosis and treatment plan â–ś Rigft sinus grafting using autogenous lateral wall bone and Puros particulated allograft was done. #15-17 missing area was restored by prosthesis using Dentis implant..
Fig. 1. X-ray taken before implant surgery.
Fig. 3. Photograph showing the occlusal relationship before incision and subsequent reflection of the flap.
150
Fig. 2. Pre-surgical photograph of the intraoral view.
Fig. 4. Intraoral view after bony window formation.
Fig. 5. Intraoral view after simultaneous implant placement on #15~#17 (4.3mm in diameter and 12mm long) and sinus grafting using Puros particulated allograft.
Part
Fig. 6. X-ray taken after simultaneous implant placement and sinus grafting.
Fig. 7. Radiograph before second surgery.
Fig. 8. Radiograph after second surgery.
151
2
3. Maxillary posterior teeth (1) Age / gender ▶ 48 years / Female
Diagnosis and treatment plan ▶ Diagnosis : root rest of #14 ▶ Treatment Plan The implant placement was performed 8 weeks after extraction. #14 missing areas were restored by prosthesis with Dentis implant.
Fig. 1. X-ray was taken at first visit.
Fig. 3. Intraoral view after incision and subsequent reflection of the flap.
152
Fig. 2. Pre-surgical photograph of the intraoral view.
Fig. 4. Bone defect around #14 implant.
Part
Fig. 5. Bone augmentation with Bio-oss.
Fig. 7. Radiograph before second surgery.
Fig. 9. Intraoral view after removal of healing abutment for taking impression.
Fig. 6. Post-surgical radiograph after placement of the Dentis implant.
Fig. 8. Radiograph after second surgery.
Fig. 10. Pick-up impression taking by impression coping and connection of lab analogue.
153
2
Fig. 11. Intra-oral view after abutment try-in.
Fig. 12. Intra-oral view after temporary setting.
Fig. 13. Intra-oral view after permanent setting.
Fig. 14. Intraoral view at biting.
Fig. 15. Intraoral view after delivery of the final prosthesis.
154
Maxillary posterior teeth (2) Age / gender ▶ 48 years / Female
Part
Diagnosis and treatment plan ▶ Diagnosis : missing state of #24, #25, #26 ▶ Treatment Plan The implant placement #24-#26 was performed. #24-#26 missing areas were restored by prosthesis with Dentis implant.
Fig. 1. X-ray was taken at first visit.
Fig. 3. Intraoral view after incision and subsequent reflection of the flap.
Fig. 2. Intraoral view before surgery.
Fig. 4. Intraoral view after implant surgery.
155
2
Fig. 5. Post-surgical radiograph after placement of the Dentis implant.
Fig. 7. Radiograph after second surgery.
Fig. 9. Pick-up impression taking by impression coping and connection of lab analogue.
156
Fig. 6. Radiograph before second surgery.
Fig. 8. Intra-oral view after removal of healing abutment for taking impression.
Fig. 10. Intra-oral view after abutment try-in.
Part
Fig. 11. Intra-oral view after temporary setting.
Fig. 13. Intra-oral view at occlusion.
Fig. 12. Intra-oral view after permanent setting.
Fig. 14. Intra-oral view after delivery of the final prosthesis.
157
2
4. Mandibular anterior teeth Age / gender â–ś 79 years / male
Diagnosis and treatment plan â–ś #31, #33, #41, #43, #46, #47 missing area were restored by prosthesis with Dentis implant. On #44 area, GBR only using Tutoplast and Tutoplast membrane was done. Autogenous bone was applied around the fixture on #31, #33, #41, #43.
Fig. 1. X-ray taken before implant surgery.
Fig. 3. Photograph showing the occlusal relationship before incision and subsequent reflection of the flap.
158
Fig. 2. Pre-surgical photograph of the intraoral view.
Fig. 4. Intraoral view after incision and sebsequent reflection of the flap.
Part
Fig. 5. Drilling of #31, #33, #41, #43, #46.
Fig. 6. Placement of Dentis implant (#31, #33 : 3.7mm in diameter and 10mm long, #41, 43 : 3.7mm in diameter and 12mm long, #46 : 4.3mm in diameter and 10mm long, #47 : 4.3mm in diameter and 8mm long).
Fig. 7. Perforation of buccal cortical bone in the recipient site (#44 area).
Fig. 8. Transplanting bone material (tutoplast allograft) at #44 area.
Fig. 9. Placement of pericardium membrane at #44 area.
159
2
Fig. 10. Intraoral view after suture.
Fig. 11. X-ray taken after placement of the Dentis implant.
Fig. 12. Two weeks after implant placement.
Fig. 13. Radiograph before second surgery (4.5 months after implant placement).
Fig. 14. Intraoral view before second surgery.
160
Fig. 15. Intraoral view after incision and sebsequent reflection of the flap.
Part
Fig. 16. Intraoral view after second surgery.
Fig. 17. Radiograph after second surgery.
Fig. 18. Radiograph at 1 year after installation of the final prosthesis.
161
2
5. Mandibular posterior teeth (1) Age / gender â–ś 47 years / male
Diagnosis and treatment plan â–ś #45, #46, #47 missing area was prosthetically restored using Dentis implant.
Fig. 1. X-ray taken before implant surgery.
Fig. 3. Photograph showing the occlusal relationship before incision and subsequent reflection of the flap.
162
Fig. 2. Pre-surgical photograph of the intraoral view.
Fig. 4. Dentis implant.
Part Fig. 5. Intraoral view after implant placement on #45 - #47 (#45 : 3.7mm in diameter and 8mm long, #46, #47 : 4.3mm in diameter and 10mm long).
Fig. 6. Intraoral view after suture.
Fig. 8. Radiograph before second surgery (4 months after implant placement).
Fig. 7. X-ray taken after placement of the Dentis implant.
Fig. 9. Intraoral view before second surgery.
163
2
Fig. 10. Photograph showing the occlusal relationship before incision and subsequent reflection of the flap.
Fig. 12. Intraoral view after second surgery.
164
Fig. 11. Intraoral view after incision and sebsequent reflection of the flap.
Fig. 13. Radiograph after second surgery.
Mandibular posterior teeth (2) Age / gender â–ś 47 years / male
Part
Diagnosis and treatment plan â–ś #36, #37 missing area was prosthetically restored using Dentis implant.
Fig. 2. Pre-surgical photograph of the intraoral view. Fig. 1. X-ray taken before implant surgery.
Fig. 4. Intraoral view after implant placement on #36, #37 (4.3mm in diameter and 8mm long). Fig. 3. Photograph showing the occlusal relationship before incision and subsequent reflection of the flap.
Fig. 5. Intraoral view after suture.
Fig. 6. X-ray taken after placement of the Dentis implant.
165
2
Fig. 7. Radiograph before second surgery (4 months after implant placement).
Fig. 8. Intraoral view before second surgery.
Fig. 9. Photograph showing the occlusal relationship before incision and subsequent reflection of the flap.
Fig. 10. Intraoral view after incision and sebsequent reflection of the flap.
Fig. 11. Intraoral view after second surgery.
166
Fig. 12. Radiograph after second surgery.
Mandibular posterior teeth (3) Age / gender â–ś 62 years / female
Part
Diagnosis and treatment plan â–ś The defect in the right molar tooth and teeth #34 - #36 were restored by prosthesis with the placement of Dentis implants using Tutoplast.
Fig. 1. X-ray taken before implant surgery.
Fig. 3. Intraoral view after incision and subsequent reflection of the flap.
Fig. 2. Pre-surgical photograph of the intraoral view.
Fig. 4. Intraoral view after implant placement on #34- #36 (3.7mm in diameter and 8mm long).
167
2
Fig. 5. Perforation of buccal cortical bone in the recipient site.
168
Fig. 6. Transplanting Puros particulated allograft (tutoplast).
Fig. 7. Intraoral view after suture.
Fig. 8. X-ray taken after placement of the Dentis implant.
Fig. 9. Intraoral view of 10 days after implant placement.
Fig. 10. Radiograph before second surgery (4 months after implant placement).
Part
Fig. 11. Intraoral view before second surgery.
Fig. 12. Intraoral view after incision and sebsequent reflection of the flap.
Fig. 14. Photograph showing the occlusal relationship after second surgery.
Fig. 16. Radiograph after second surgery.
Fig. 13. Intraoral view after second surgery.
Fig. 15. Intraoral view of 2 weeks after second surgery.
Fig. 17. Radiograph at 6 months after installation of the final prosthesis.
169
2
Mandibular posterior teeth (4) Age / gender ▶ 48 years / Female
Diagnosis and treatment plan ▶ Diagnosis : missing state of #44, #45, #46 ▶ The implant placement #44 - #46 was performed. #44 - #46 missing areas were restored by prosthesis with Dentis implant.
Fig. 1. X-ray was taken at first visit.
Fig. 3. Photograph showing the occlusal relationship before incision and subsequent reflection of the flap.
170
Fig. 2. Pre-surgical photograph of the intraoral view.
Fig. 4. Intraoral view after incision and subsequent reflection of the flap.