Dr. Angelo C. Trödhan Center for Facial Esthetics
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Dr. Angelo C. Trödhan Center for Facial Esthetics

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Dr. Angelo C. Trödhan Center for Facial Esthetics Dr. Angelo C. Trödhan Center for Facial Esthetics Presentation Transcript

  • Center for Facial Esthetics Clinic OA D Dr. Angelo C. Trödhan Dr. Izabela Wasowicz www . kieferchirurgie .at www . parodontose .at European Congress on OMF-Surgery Austria 2005: I mmediate Loading – Results of a 2 Study with Q1-Implant - system d Dr. Angelo C. Trödhan
  • the Q1-IMPLANT
    • Single Stage I mplant - system
    • No Abuttments necessary
    • Simple Instruments
    • Preparation and Impression like on a natural tooth
    • 3,5mm and 4,5mm D iameter
  • DAS Q1-IMPLANTAT
    • Q-IMPLANT ® standard
    • Halsbereich = 4mm
    • Q-IMPLANT ® short
    • Halsbereich = 2mm
    • Beliebig tief versenkbar
    2 4
    • Längen
    • 8 mm
    • 10 mm
    • 12 mm
    • 14 mm
    • Durchmesser
    • 3.5 mm
    • 4.5 mm
    View slide
  • SurfOss II Implantatoberflaeche Nano-structured View slide
  • Single Stage Implant
    • similar to the natural anatomy of the root
  • Single Stage Implant
    • similar to the natural anatomy of the root
    • S elfcutting screw (Bone Spreading/Bone Condensing)
  • Single Stage Implant
    • Similar to the natural anatomy of the root
    • S elfcutting screw (Bone Spreading/Bone Condensing)
    • Bone-Trap as rotation-lock after healing
  • Single Stage Implant
    • Similar to the natural anatomy of the root
    • Sel fcutting screw (Bone Spreading/Bone Condensing)
    • Bone-Trap as rotation lock after healing
    • Variable insertion depth due to 4mm polished implant neck and prepable implant head for shaping like on a natural tooth
  • Implant-head prepable Q-MultiCap f or : Provi sional Crown Impression Meltable base for dental technician
  • Simple Instruments Pilot drill 1,5 mm Form drills 3,5/4,5 Insertion wheel ratchet
  • Q-Implant-Box
  • Surgical Procedure Crestal cut or punch Pilot- drill Form drill 3,5mm ev. Form drill 4,5mm Insertion Suture (not in case of punch) Provis ional
  • Single stage implantation after extraction
  • Edentolous maxilla
  • Clinical study Gesamtzahl Patienten Davon: 62 Gesamtzahl gesetzte Q1-Implantate Davon: 119 Anzahl Sofortimplantation nach Extraktion Einzelzahnversorgung Patientenzahl 32 Anzahl gesetzte Q1-Implantate 32 27 (regio 4-4 OK/UK) 4 (regio 46/36) 1 (regio 16) 15 sofort post ex 1 sofort post ex Stegprothetische Versorgung UK (immer 4 Q1-Implantate) Patientenzahl 8 Anzahl gesetzte Q1-Implantate 32 8 sofort post ex Stegprothetische Versorgung OK (immer 6 Q1-Implantate) Patientenzahl 6 Anzahl gesetzte Q1-Implantate 36 6 sofort post ex Freiend- Schaltlücken- Versorgung (gemischt getragene Prothetik) Patientenzahl 16 Anzahl gesetzte Q1-Implantate 19 4 Oberkiefer 14 Unterkiefer 1 sofort post ex Summe Sofortimplantate unmittelbar nach Extraktion 31 sofort post ex Implantatverluste Gesamtzahl Patienten 1 Insgesamt verlorene Q1-Implantate 2 Ursache: Periimplantitis 6 Wochen post Insertionem
  • Klinische Nachuntersuchung
    • Single tooth x-ray
    • Papill ae bleeding index (1-3)
    • Gingival Pocket measurement (TT)
    • Percussion - test
    • Subje ctive rating by patients (Dolor 0-5 , swelling 0-5 )
    8 Wochen post Insert. 18 Wochen post Insert. 104 Wochen post Insert. Klinik 104 Wochen post Insert
  • Results Gesamtzahl nachuntersuchte Patienten: 62 Gesamtzahl nachuntersuchte Q1-Implantate 119 Parameter: PBI (1-3), TT (mm), KB-Rö (mm), Perkussionstest, Dolor (0-5) 4 Wochen post-OP 62 119 PBI: 0, TT: 0-1mm, Knochen abbau: 0mm Perkussionstest: hell, Dolor:0 8 Wochen post-OP 61 6. Woche post-OP: Verlust von 2 Q1-Impl. wegen Periimplantitis (Ursache: Suprastruktur ?) 117 idem 12 Wochen post-OP 61 117 idem 16 Wochen post-OP 61 15. Woche: Lockerung Impl. Pos. 24 symptomlos (Ursache: Bruxismus) 117 24: 3mm Knochen abbau, PBI: 0, TT 4mm,Perc:dumpf, Dolor:0 idem 18 Wochen post-OP 61 idem 117 idem idem 22 Wochen post-OP 61 idem 117 idem idem 38 Wochen post-OP 61 idem 117 idem idem 56 Wochen post-OP 61 idem 117 idem idem 72 Wochen post-OP bis 116 Wochen post-OP 61 idem 117 idem idem
  • Conclusion
    • Success-rate over 2 years > than 2-stage implant-systems
    • H ighest primary stability
    • Applicable in almost any case
    • H igh acceptance by patients
    • affordable
  • Thank You for Your interest Dr. Angelo Trödhan troed @ aon .at www . kieferchirurgie .at