Exceptional Cases Demand Exceptional Personalized Solutions: The Next Level in Dental Rehabilitation
Defects and bone loss in the maxilla and mandible pose significant challenges for dental rehabilitation. This paper focuses on complex cases of bimaxillary dental rehabilitation, where traditional dental implant protocols were not feasible in at least one jaw. Four patients were examined conceptuall...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2024-03-01
|
| Series: | Journal of Personalized Medicine |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2075-4426/14/3/294 |
| _version_ | 1797240318525964288 |
|---|---|
| author | Nils-Claudius Gellrich Philippe Korn Philipp Jehn Michael Neuhaus Fritjof Lentge Björn Rahlf |
| author_facet | Nils-Claudius Gellrich Philippe Korn Philipp Jehn Michael Neuhaus Fritjof Lentge Björn Rahlf |
| author_sort | Nils-Claudius Gellrich |
| collection | DOAJ |
| description | Defects and bone loss in the maxilla and mandible pose significant challenges for dental rehabilitation. This paper focuses on complex cases of bimaxillary dental rehabilitation, where traditional dental implant protocols were not feasible in at least one jaw. Four patients were examined conceptually, where conventional dental implant placement (n = 20) was combined in either the same or opposite jaw with a patient-specific subperiosteal implant (n = 5). This study evaluates aspects such as primary stability, prosthodontic restoration, complications, and soft tissue management over the observation period. None of the five patient-specific subperiosteal implants (IPS Implants<sup>®</sup> Preprosthetic; KLS-Martin Group, Tuttlingen, Germany) experienced failure or showed any loosening of screws, with the longest observation period extending to 68 months. These implants were securely fixated away from the posts, without any biomechanical restrictions on loading from the time of insertion. Planning and manufacturing, including the initial suprastructure, followed a fully digital workflow. The number of screws required for multivector fixation ranged from 13 to 22. All dental implants placed remain functional, definitive prosthodontic restoration has been performed, and no stability loss or peri-implantitis has been observed. The IPS Implants<sup>®</sup> Preprosthetic emerges as a valuable consideration when conventional implant dentistry protocols encounter limitations. |
| first_indexed | 2024-04-24T18:05:32Z |
| format | Article |
| id | doaj.art-0bbde6ebdca842aa933748e0a68c2df3 |
| institution | Directory Open Access Journal |
| issn | 2075-4426 |
| language | English |
| last_indexed | 2024-04-24T18:05:32Z |
| publishDate | 2024-03-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Personalized Medicine |
| spelling | doaj.art-0bbde6ebdca842aa933748e0a68c2df32024-03-27T13:50:11ZengMDPI AGJournal of Personalized Medicine2075-44262024-03-0114329410.3390/jpm14030294Exceptional Cases Demand Exceptional Personalized Solutions: The Next Level in Dental RehabilitationNils-Claudius Gellrich0Philippe Korn1Philipp Jehn2Michael Neuhaus3Fritjof Lentge4Björn Rahlf5Department of Oral & Maxillofacial Surgery, Hannover Medical School, Carl-Neuberg-Str. 1, D-30625 Hannover, GermanyDepartment of Oral & Maxillofacial Surgery, Hannover Medical School, Carl-Neuberg-Str. 1, D-30625 Hannover, GermanyDepartment of Oral & Maxillofacial Surgery, Hannover Medical School, Carl-Neuberg-Str. 1, D-30625 Hannover, GermanyDepartment of Oral & Maxillofacial Surgery, Hannover Medical School, Carl-Neuberg-Str. 1, D-30625 Hannover, GermanyDepartment of Oral & Maxillofacial Surgery, Hannover Medical School, Carl-Neuberg-Str. 1, D-30625 Hannover, GermanyDepartment of Oral & Maxillofacial Surgery, Hannover Medical School, Carl-Neuberg-Str. 1, D-30625 Hannover, GermanyDefects and bone loss in the maxilla and mandible pose significant challenges for dental rehabilitation. This paper focuses on complex cases of bimaxillary dental rehabilitation, where traditional dental implant protocols were not feasible in at least one jaw. Four patients were examined conceptually, where conventional dental implant placement (n = 20) was combined in either the same or opposite jaw with a patient-specific subperiosteal implant (n = 5). This study evaluates aspects such as primary stability, prosthodontic restoration, complications, and soft tissue management over the observation period. None of the five patient-specific subperiosteal implants (IPS Implants<sup>®</sup> Preprosthetic; KLS-Martin Group, Tuttlingen, Germany) experienced failure or showed any loosening of screws, with the longest observation period extending to 68 months. These implants were securely fixated away from the posts, without any biomechanical restrictions on loading from the time of insertion. Planning and manufacturing, including the initial suprastructure, followed a fully digital workflow. The number of screws required for multivector fixation ranged from 13 to 22. All dental implants placed remain functional, definitive prosthodontic restoration has been performed, and no stability loss or peri-implantitis has been observed. The IPS Implants<sup>®</sup> Preprosthetic emerges as a valuable consideration when conventional implant dentistry protocols encounter limitations.https://www.mdpi.com/2075-4426/14/3/294patient-specific subperiosteal implantIPS implants<sup>®</sup> preprostheticcomputer-assisted planningCAD/CAMselective laser meltingcomplex dental rehabilitation |
| spellingShingle | Nils-Claudius Gellrich Philippe Korn Philipp Jehn Michael Neuhaus Fritjof Lentge Björn Rahlf Exceptional Cases Demand Exceptional Personalized Solutions: The Next Level in Dental Rehabilitation Journal of Personalized Medicine patient-specific subperiosteal implant IPS implants<sup>®</sup> preprosthetic computer-assisted planning CAD/CAM selective laser melting complex dental rehabilitation |
| title | Exceptional Cases Demand Exceptional Personalized Solutions: The Next Level in Dental Rehabilitation |
| title_full | Exceptional Cases Demand Exceptional Personalized Solutions: The Next Level in Dental Rehabilitation |
| title_fullStr | Exceptional Cases Demand Exceptional Personalized Solutions: The Next Level in Dental Rehabilitation |
| title_full_unstemmed | Exceptional Cases Demand Exceptional Personalized Solutions: The Next Level in Dental Rehabilitation |
| title_short | Exceptional Cases Demand Exceptional Personalized Solutions: The Next Level in Dental Rehabilitation |
| title_sort | exceptional cases demand exceptional personalized solutions the next level in dental rehabilitation |
| topic | patient-specific subperiosteal implant IPS implants<sup>®</sup> preprosthetic computer-assisted planning CAD/CAM selective laser melting complex dental rehabilitation |
| url | https://www.mdpi.com/2075-4426/14/3/294 |
| work_keys_str_mv | AT nilsclaudiusgellrich exceptionalcasesdemandexceptionalpersonalizedsolutionsthenextlevelindentalrehabilitation AT philippekorn exceptionalcasesdemandexceptionalpersonalizedsolutionsthenextlevelindentalrehabilitation AT philippjehn exceptionalcasesdemandexceptionalpersonalizedsolutionsthenextlevelindentalrehabilitation AT michaelneuhaus exceptionalcasesdemandexceptionalpersonalizedsolutionsthenextlevelindentalrehabilitation AT fritjoflentge exceptionalcasesdemandexceptionalpersonalizedsolutionsthenextlevelindentalrehabilitation AT bjornrahlf exceptionalcasesdemandexceptionalpersonalizedsolutionsthenextlevelindentalrehabilitation |