Advanced Techniques for Bone Restoration and Immediate Loading after Implant Failure: A Case Report
The objective of this study was to report a clinical case of dental implant failure with significant bone loss that was treated using reconstructive surgical techniques. We present a 58-year-old man with a history of implant surgery and implant failure on the mandible. Data collected using cone beam...
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-05-01
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| Series: | Healthcare |
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| Online Access: | https://www.mdpi.com/2227-9032/11/11/1608 |
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| author | Neculai Onică Cezara Andreea Onică Elena-Raluca Baciu Roxana-Ionela Vasluianu Mihai Ciofu Mihail Balan Gabriela Luminița Gelețu |
| author_facet | Neculai Onică Cezara Andreea Onică Elena-Raluca Baciu Roxana-Ionela Vasluianu Mihai Ciofu Mihail Balan Gabriela Luminița Gelețu |
| author_sort | Neculai Onică |
| collection | DOAJ |
| description | The objective of this study was to report a clinical case of dental implant failure with significant bone loss that was treated using reconstructive surgical techniques. We present a 58-year-old man with a history of implant surgery and implant failure on the mandible. Data collected using cone beam computed tomography (CBCT) and intraoral scans were exported into Exoplan (exocad GmbH, Darmstadt, Germany), from which a standard tessellation file was obtained. To create a customized mandible mesh design, DentalCAD 3.0 Galway software (exocad GmbH, Darmstadt, Germany) was used. Based on guided bone regeneration, the method involved bone reconstruction and the application of a custom titanium mesh. The bone mix was obtained by combining a xenograft (Cerabone, Bottis biomaterials Gmbh, Zossen, Germany), an allograft (Max Graft, granules Bottis biomaterials Gmbh, Zossen, Germany), and an autograft. The titanium meshes were fixed to the bone using self-drilling screws and covered with a resorbable membrane. Immediately after surgery, an impression was recorded, and the next day, the patient received a milled polymethyl methacrylate interim denture. Based on our case study, the presented custom-made implant can be considered a temporary solution, during which guided bone regeneration is expected to take place. |
| first_indexed | 2024-03-11T03:06:42Z |
| format | Article |
| id | doaj.art-80278e9416a545ec86cafb5a082c7106 |
| institution | Directory Open Access Journal |
| issn | 2227-9032 |
| language | English |
| last_indexed | 2024-03-11T03:06:42Z |
| publishDate | 2023-05-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Healthcare |
| spelling | doaj.art-80278e9416a545ec86cafb5a082c71062023-11-18T07:53:48ZengMDPI AGHealthcare2227-90322023-05-011111160810.3390/healthcare11111608Advanced Techniques for Bone Restoration and Immediate Loading after Implant Failure: A Case ReportNeculai Onică0Cezara Andreea Onică1Elena-Raluca Baciu2Roxana-Ionela Vasluianu3Mihai Ciofu4Mihail Balan5Gabriela Luminița Gelețu6Specialist Oral and Maxillofacial Surgery, Private Practice, 700612 Iasi, RomaniaSpecialist Oral Surgery, Private Practice, 700612 Iasi, RomaniaDepartment of Implantology, Removable Dentures, Dental Technology, Faculty of Dental Medicine, University of Medicine and Pharmacy, “Grigore T. Popa”, 700115 Iasi, RomaniaDepartment of Implantology, Removable Dentures, Dental Technology, Faculty of Dental Medicine, University of Medicine and Pharmacy, “Grigore T. Popa”, 700115 Iasi, RomaniaDepartment of Surgery, Faculty of Dental Medicine, University of Medicine and Pharmacy “Grigore T. Popa”, 700115 Iasi, RomaniaDepartment of Surgery, Faculty of Dental Medicine, University of Medicine and Pharmacy “Grigore T. Popa”, 700115 Iasi, RomaniaDepartment of Surgery, Faculty of Dental Medicine, University of Medicine and Pharmacy “Grigore T. Popa”, 700115 Iasi, RomaniaThe objective of this study was to report a clinical case of dental implant failure with significant bone loss that was treated using reconstructive surgical techniques. We present a 58-year-old man with a history of implant surgery and implant failure on the mandible. Data collected using cone beam computed tomography (CBCT) and intraoral scans were exported into Exoplan (exocad GmbH, Darmstadt, Germany), from which a standard tessellation file was obtained. To create a customized mandible mesh design, DentalCAD 3.0 Galway software (exocad GmbH, Darmstadt, Germany) was used. Based on guided bone regeneration, the method involved bone reconstruction and the application of a custom titanium mesh. The bone mix was obtained by combining a xenograft (Cerabone, Bottis biomaterials Gmbh, Zossen, Germany), an allograft (Max Graft, granules Bottis biomaterials Gmbh, Zossen, Germany), and an autograft. The titanium meshes were fixed to the bone using self-drilling screws and covered with a resorbable membrane. Immediately after surgery, an impression was recorded, and the next day, the patient received a milled polymethyl methacrylate interim denture. Based on our case study, the presented custom-made implant can be considered a temporary solution, during which guided bone regeneration is expected to take place.https://www.mdpi.com/2227-9032/11/11/1608dental implantsbone graftimmediate dental implant loadinginterim dental prosthesis |
| spellingShingle | Neculai Onică Cezara Andreea Onică Elena-Raluca Baciu Roxana-Ionela Vasluianu Mihai Ciofu Mihail Balan Gabriela Luminița Gelețu Advanced Techniques for Bone Restoration and Immediate Loading after Implant Failure: A Case Report Healthcare dental implants bone graft immediate dental implant loading interim dental prosthesis |
| title | Advanced Techniques for Bone Restoration and Immediate Loading after Implant Failure: A Case Report |
| title_full | Advanced Techniques for Bone Restoration and Immediate Loading after Implant Failure: A Case Report |
| title_fullStr | Advanced Techniques for Bone Restoration and Immediate Loading after Implant Failure: A Case Report |
| title_full_unstemmed | Advanced Techniques for Bone Restoration and Immediate Loading after Implant Failure: A Case Report |
| title_short | Advanced Techniques for Bone Restoration and Immediate Loading after Implant Failure: A Case Report |
| title_sort | advanced techniques for bone restoration and immediate loading after implant failure a case report |
| topic | dental implants bone graft immediate dental implant loading interim dental prosthesis |
| url | https://www.mdpi.com/2227-9032/11/11/1608 |
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