Minimally invasive surgical procedures                                               Clinical Guidelines for a Successful ...
Gonçalo                                                Seguro Dias                                                        ...
   Less trauma for                                      the    patient than                                      an equiv...
   More or less expensive;                                         Operative time not essential;         Definition     ...
Treatment                      plan trendsquarta-feira, 26 de Janeiro de 2011
Patient’s Perspective                Less surgical steps;                Short treatment time;                Maximize ...
Patient’s Perspective         Clinician’s Perspective                Less surgical steps;            Less surgical steps...
t’s                                         ien e                                      Pat tiv                            ...
Biologic and clinical rational for a successful outcome                                      regarding minimally invasive ...
No bone/soft                 Bone/soft                     Topics               tissue                                    ...
Brodala           N. Flapless surgery and its effect on dental implant outcomes. Int J Oral           Maxillofac Implants...
Full Arch Rehabilitationquarta-feira, 26 de Janeiro de 2011
Full Arch Rehabilitationquarta-feira, 26 de Janeiro de 2011
Full Arch Rehabilitationquarta-feira, 26 de Janeiro de 2011
Full Arch Rehabilitationquarta-feira, 26 de Janeiro de 2011
Full Arch Rehabilitationquarta-feira, 26 de Janeiro de 2011
Full Arch Rehabilitationquarta-feira, 26 de Janeiro de 2011
Single Unit Rehabilitationquarta-feira, 26 de Janeiro de 2011
Single Unit Rehabilitationquarta-feira, 26 de Janeiro de 2011
Single Unit Rehabilitationquarta-feira, 26 de Janeiro de 2011
Single Unit Rehabilitationquarta-feira, 26 de Janeiro de 2011
Single Unit Rehabilitationquarta-feira, 26 de Janeiro de 2011
Single Unit Rehabilitationquarta-feira, 26 de Janeiro de 2011
Single Unit Rehabilitationquarta-feira, 26 de Janeiro de 2011
Single Unit Rehabilitationquarta-feira, 26 de Janeiro de 2011
Treatment Plan Options                 Removal             of the   Try   to remove                    implant and      ...
Considerations                 Screw                not loose;                 Only                active part of screw ...
Changes in implant primary and              secondary stability over timequarta-feira, 26 de Janeiro de 2011
Single Unit Rehabilitationquarta-feira, 26 de Janeiro de 2011
Single Unit Rehabilitationquarta-feira, 26 de Janeiro de 2011
Single Unit Rehabilitationquarta-feira, 26 de Janeiro de 2011
Single Unit Rehabilitationquarta-feira, 26 de Janeiro de 2011
Guided                   ADVANTAGES            Surgery/                  Reduced   treatment time;            Mini flaps ...
CB CT planning             Guided            Surgery/            Mini flapsquarta-feira, 26 de Janeiro de 2011
CB CT planning             Guided                                      WHEN?            Surgery/            Mini flaps    ...
No bone/soft                 Bone/soft                     Topics               tissue                                    ...
   Caneva M, Botticelli D, Salata LA, Souza SL, Bressan E, Lang NP. Flap vs. "flapless" surgical approach at immediate   ...
Implant Location (vertical dimension)              Botticelli,        2004; Covani, 2007; Buser, 2008; Caneva, 2010      ...
Upper Pre Molar Areaquarta-feira, 26 de Janeiro de 2011
Upper Pre Molar Areaquarta-feira, 26 de Janeiro de 2011
Upper Pre Molar Areaquarta-feira, 26 de Janeiro de 2011
Upper Pre Molar Areaquarta-feira, 26 de Janeiro de 2011
Upper Pre Molar Areaquarta-feira, 26 de Janeiro de 2011
Upper Pre Molar Areaquarta-feira, 26 de Janeiro de 2011
Upper Pre Molar Areaquarta-feira, 26 de Janeiro de 2011
Upper Pre Molar Areaquarta-feira, 26 de Janeiro de 2011
Upper Molar Area                                         Acocella A, Bertolai R, Sacco R. Modified insertion technique fo...
Upper Molar Area                                         Acocella A, Bertolai R, Sacco R. Modified insertion technique fo...
Upper Molar Areaquarta-feira, 26 de Janeiro de 2011
Upper Molar Areaquarta-feira, 26 de Janeiro de 2011
Lower Molar Areaquarta-feira, 26 de Janeiro de 2011
Lower Molar Areaquarta-feira, 26 de Janeiro de 2011
Lower Molar Areaquarta-feira, 26 de Janeiro de 2011
Lower Molar Areaquarta-feira, 26 de Janeiro de 2011
Patient                                                       Considerations                             Case    selectio...
Bone/soft                                      No bone/soft                     Topics               tissue               ...
No bone reconstruction required                                                   Extraction                              ...
Lateral Incisorquarta-feira, 26 de Janeiro de 2011
Lateral Incisor                                      Considerations                                      Periodontal   af...
Lateral Incisor                                      8 weeks afterquarta-feira, 26 de Janeiro de 2011
Lateral Incisor                                      8 weeks afterquarta-feira, 26 de Janeiro de 2011
Lateral Incisorquarta-feira, 26 de Janeiro de 2011
Lateral Incisor                                      Buser 2005quarta-feira, 26 de Janeiro de 2011
Lateral Incisorquarta-feira, 26 de Janeiro de 2011
Lateral Incisorquarta-feira, 26 de Janeiro de 2011
Lateral Incisor                                      8 weeks afterquarta-feira, 26 de Janeiro de 2011
Lateral Incisor                                      8 weeks afterquarta-feira, 26 de Janeiro de 2011
GBR    procedures;           Hard Tissue                                      Bone   blocks;                            ...
GBR    procedures;           Hard Tissue                                      Bone   blocks;                            ...
Partial Edentulismquarta-feira, 26 de Janeiro de 2011
Partial Edentulismquarta-feira, 26 de Janeiro de 2011
Partial Edentulismquarta-feira, 26 de Janeiro de 2011
Partial Edentulismquarta-feira, 26 de Janeiro de 2011
Partial Edentulismquarta-feira, 26 de Janeiro de 2011
Partial Edentulismquarta-feira, 26 de Janeiro de 2011
Treatment Plan Options                        Cyst removal and wait for healing                        “Cyst elevation”q...
Partial Edentulismquarta-feira, 26 de Janeiro de 2011
Partial Edentulismquarta-feira, 26 de Janeiro de 2011
Partial Edentulismquarta-feira, 26 de Janeiro de 2011
Partial Edentulismquarta-feira, 26 de Janeiro de 2011
Partial Edentulism                                      6 months afterquarta-feira, 26 de Janeiro de 2011
Partial Edentulism                                      6 months afterquarta-feira, 26 de Janeiro de 2011
Total Edentulismquarta-feira, 26 de Janeiro de 2011
Total Edentulismquarta-feira, 26 de Janeiro de 2011
Treatment Plan Options                             Bilateral sinus lift;                             Short implants;    ...
Total Edentulismquarta-feira, 26 de Janeiro de 2011
Total Edentulismquarta-feira, 26 de Janeiro de 2011
Total Edentulismquarta-feira, 26 de Janeiro de 2011
Total Edentulismquarta-feira, 26 de Janeiro de 2011
das      Neves FD, Fones D, Bernardes SR, do Prado CJ, Neto AJ. Short implants--an             analysis of longitudinal s...
Severe Atrophic Maxillaquarta-feira, 26 de Janeiro de 2011
Severe Atrophic Maxillaquarta-feira, 26 de Janeiro de 2011
Bone reconstruction with autologous and xenograft (no                                                                     ...
Treatment                                                                   Plan Options             Bilateral sinus lift ...
Treatment                                                                        Plan Options             Zigomatic implan...
Davo         R.Zygomatic implants placed with a two-stage procedure: a 5-year              Surgical            retrospect...
Take home messagesquarta-feira, 26 de Janeiro de 2011
Treatment Plan Decision Making for No Bone/ Soft Tissue Discrepancies Cases                No bone/soft          CBCT eval...
Treatment Plan Decision Making for Immediate Implants                                                                     ...
Treatment Plan Decision Making for Bone/ Soft Tissue Discrepancies Cases                                                  ...
Custom     made              treatment plans              regarding both              patient              evaluation and...
Do not start                                       your treatment                                       plan if you do   ...
NO evidence to                                      suggest that                                      simultaneous site  ...
You choose your success rate!quarta-feira, 26 de Janeiro de 2011
Thank you very much                                                             for your attention!                       ...
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10º Simpósio Ibérico Biomet3i - Jan. 2011

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"Minimally Invasive Surgical Procedures" - Gonçalo Seguro Dias, DDS

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10º Simpósio Ibérico Biomet3i - Jan. 2011

  1. 1. Minimally invasive surgical procedures Clinical Guidelines for a Successful Outcome Gonçalo Seguro Dias Oral Surgery and Oral Pathology Dept School of Dentistry, Lisbon Universityquarta-feira, 26 de Janeiro de 2011
  2. 2. Gonçalo Seguro Dias Aknowledgments: Ana Luísa Silva Teresa Casaca Vanessa Osório For a handout of this lecture please contact by email: goncalosegurodias@gsd-dentalclinics.comquarta-feira, 26 de Janeiro de 2011
  3. 3.  Less trauma for the patient than an equivalent invasive procedure. Definitionquarta-feira, 26 de Janeiro de 2011
  4. 4.  More or less expensive;  Operative time not essential; Definition  Less pain and less posoperative complications;  Faster recovery.quarta-feira, 26 de Janeiro de 2011
  5. 5. Treatment plan trendsquarta-feira, 26 de Janeiro de 2011
  6. 6. Patient’s Perspective  Less surgical steps;  Short treatment time;  Maximize comfort;  High success rate;  High esthetic and functional outcome.quarta-feira, 26 de Janeiro de 2011
  7. 7. Patient’s Perspective Clinician’s Perspective  Less surgical steps;  Less surgical steps;  Short treatment time;  Less chair time;  Maximize comfort;  High success rate.  High success rate;  High esthetic and functional outcome.quarta-feira, 26 de Janeiro de 2011
  8. 8. t’s ien e Pat tiv rspec Pe Clinici an’s Perspe ctivequarta-feira, 26 de Janeiro de 2011
  9. 9. Biologic and clinical rational for a successful outcome regarding minimally invasive surgery in treatment plan. Bone/soft No bone/soft Topics tissue Immediate implants tissue discrepancies discrepancies * * ASSUMPTION: all implants in esthetic anterior areas need bone/soft tissue graftsquarta-feira, 26 de Janeiro de 2011
  10. 10. No bone/soft Bone/soft Topics tissue Immediate implants tissue discrepancies discrepanciesquarta-feira, 26 de Janeiro de 2011
  11. 11. Brodala N. Flapless surgery and its effect on dental implant outcomes. Int J Oral Maxillofac Implants. 2009;24 Suppl:118-25. Becker W, Goldstein M, Becker BE, Sennerby L, Kois D, Hujoel P. Minimally invasive flapless implant placement: follow-up results from a multicenter study. J Periodontol. 2009 Feb;80(2):347-52. Papaspyridakos P, Lal K. Immediate loading of the maxilla with prefabricated interim prosthesis using interactive planning software, and CAD/CAM rehabilitation with definitive zirconia prosthesis: 2-year clinical follow-up. J Esthet Restor Dent. 2010 Aug;22(4):223-32. Rousseau P. Flapless and traditional dental implant surgery: an open, retrospective comparative study. Oral Maxillofac Surg. 2010 Sep;68(9):2299-306.quarta-feira, 26 de Janeiro de 2011
  12. 12. Full Arch Rehabilitationquarta-feira, 26 de Janeiro de 2011
  13. 13. Full Arch Rehabilitationquarta-feira, 26 de Janeiro de 2011
  14. 14. Full Arch Rehabilitationquarta-feira, 26 de Janeiro de 2011
  15. 15. Full Arch Rehabilitationquarta-feira, 26 de Janeiro de 2011
  16. 16. Full Arch Rehabilitationquarta-feira, 26 de Janeiro de 2011
  17. 17. Full Arch Rehabilitationquarta-feira, 26 de Janeiro de 2011
  18. 18. Single Unit Rehabilitationquarta-feira, 26 de Janeiro de 2011
  19. 19. Single Unit Rehabilitationquarta-feira, 26 de Janeiro de 2011
  20. 20. Single Unit Rehabilitationquarta-feira, 26 de Janeiro de 2011
  21. 21. Single Unit Rehabilitationquarta-feira, 26 de Janeiro de 2011
  22. 22. Single Unit Rehabilitationquarta-feira, 26 de Janeiro de 2011
  23. 23. Single Unit Rehabilitationquarta-feira, 26 de Janeiro de 2011
  24. 24. Single Unit Rehabilitationquarta-feira, 26 de Janeiro de 2011
  25. 25. Single Unit Rehabilitationquarta-feira, 26 de Janeiro de 2011
  26. 26. Treatment Plan Options Removal of the Try to remove implant and the broken screw replacement with another implantquarta-feira, 26 de Janeiro de 2011
  27. 27. Considerations Screw not loose; Only active part of screw is inside the implant; Anxious patient.quarta-feira, 26 de Janeiro de 2011
  28. 28. Changes in implant primary and secondary stability over timequarta-feira, 26 de Janeiro de 2011
  29. 29. Single Unit Rehabilitationquarta-feira, 26 de Janeiro de 2011
  30. 30. Single Unit Rehabilitationquarta-feira, 26 de Janeiro de 2011
  31. 31. Single Unit Rehabilitationquarta-feira, 26 de Janeiro de 2011
  32. 32. Single Unit Rehabilitationquarta-feira, 26 de Janeiro de 2011
  33. 33. Guided ADVANTAGES Surgery/ Reduced treatment time; Mini flaps Reduced morbility.quarta-feira, 26 de Janeiro de 2011
  34. 34. CB CT planning Guided Surgery/ Mini flapsquarta-feira, 26 de Janeiro de 2011
  35. 35. CB CT planning Guided WHEN? Surgery/ Mini flaps Nodoubts regarding the bone or soft tissue volume.quarta-feira, 26 de Janeiro de 2011
  36. 36. No bone/soft Bone/soft Topics tissue Immediate implants tissue discrepancies discrepanciesquarta-feira, 26 de Janeiro de 2011
  37. 37.  Caneva M, Botticelli D, Salata LA, Souza SL, Bressan E, Lang NP. Flap vs. "flapless" surgical approach at immediate  implants: a histomorphometric study in dogs. Clin Oral Implants Res. 2010 Dec;21(12):1314-9. Caneva M, Botticelli D, Salata LA, Scombatti Souza SL, Carvalho Cardoso L, Lang NP. Collagen membranes at Immediate immediate implants: a histomorphometric study in dogs. Clin Oral Implants Res. 2010 Sep;21(9):891-7. implants  Caneva M, Salata LA, de Souza SS, Bressan E, Botticelli D, Lang NP. Hard tissue formation adjacent to implants of various size and configuration immediately placed into extraction sockets: an experimental study in dogs. Clin Oral Implants Res. 2010 Sep;21(9):885-90.  Caneva M, Salata LA, de Souza SS, Baffone G, Lang NP, Botticelli D. Influence of implant positioning in extraction sockets on osseointegration: histomorphometric analyses in dogs. Clin Oral Implants Res. 2010 Jan;21(1): 43-9.  de Sanctis M, Vignoletti F, Discepoli N, Zucchelli G, Sanz M. Immediate implants at fresh extraction sockets: bone healing in four different implant systems. J Clin Periodontol. 2009 Aug;36(8):705-11.  Ferrus J, Cecchinato D, Pjetursson EB, Lang NP, Sanz M, Lindhe J. Factors influencing ridge alterations following immediate implant placement into extraction sockets. Clin Oral Implants Res. 2010 Jan;21(1):22-9.  Tomasi C, Sanz M, Cecchinato D, Pjetursson B, Ferrus J, Lang NP, Lindhe J. Bone dimensional variations at implants placed in fresh extraction sockets: a multilevel multivariate analysis. Clin Oral Implants Res. 2010 Jan;21 (1):30-6.  Vignoletti F, Johansson C, Albrektsson T, De Sanctis M, San Roman F, Sanz M. Early healing of implants placed into fresh extraction sockets: an experimental study in the beagle dog. De novo bone formation. J Clin Periodontol. 2009 Mar;36(3):265-77.quarta-feira, 26 de Janeiro de 2011
  38. 38. Implant Location (vertical dimension)  Botticelli, 2004; Covani, 2007; Buser, 2008; Caneva, 2010 Immediate Implants Buccal plate thickness Assessment  Araújo, 2004; Botticelli, 2004; Araújo, 2005; Botticceli, 2006; Nevins, 2006; Chen, 2007; Ferrus, 2010; Huynh-Ba, 2010; Tomasi, 2010 No flap procedures  Blanco, 2008, 2010; Sainz, 2010 Horizontal void  Araújo, 2005; Ferrus, 2009; Sanz, 2009; Huynh-Ba, 2010; Tomasi, 2010 Immediate provisionalization  Wohrle 1998; Kan 2000; Hui 2001; Saadoun 2002; Covani 2004; Cornelini 2005; Tortamano 2010; Valentini 2010quarta-feira, 26 de Janeiro de 2011
  39. 39. Upper Pre Molar Areaquarta-feira, 26 de Janeiro de 2011
  40. 40. Upper Pre Molar Areaquarta-feira, 26 de Janeiro de 2011
  41. 41. Upper Pre Molar Areaquarta-feira, 26 de Janeiro de 2011
  42. 42. Upper Pre Molar Areaquarta-feira, 26 de Janeiro de 2011
  43. 43. Upper Pre Molar Areaquarta-feira, 26 de Janeiro de 2011
  44. 44. Upper Pre Molar Areaquarta-feira, 26 de Janeiro de 2011
  45. 45. Upper Pre Molar Areaquarta-feira, 26 de Janeiro de 2011
  46. 46. Upper Pre Molar Areaquarta-feira, 26 de Janeiro de 2011
  47. 47. Upper Molar Area  Acocella A, Bertolai R, Sacco R. Modified insertion technique for immediate implant placement into fresh extraction socket in the first maxillary molar sites: a 3-year prospective study. Implant Dent. 2010 Jun;19(3):220-8.  Bersani E, Coppede AR, de Paula Pinto Prata HH. Immediate loading of implants placed in fresh extraction sockets in the molar area with flapless and graftless procedures: a case series. Int J Periodontics Restorative Dent. 2010 Jun;30(3):291-9.quarta-feira, 26 de Janeiro de 2011
  48. 48. Upper Molar Area  Acocella A, Bertolai R, Sacco R. Modified insertion technique for immediate implant placement into fresh extraction socket in the first maxillary molar sites: a 3-year prospective study. Implant Dent. 2010 Jun;19(3):220-8.  Bersani E, Coppede AR, de Paula Pinto Prata HH. Immediate loading of implants placed in fresh extraction sockets in the molar area with flapless and graftless procedures: a case series. Int J Periodontics Restorative Dent. 2010 Jun;30(3):291-9.quarta-feira, 26 de Janeiro de 2011
  49. 49. Upper Molar Areaquarta-feira, 26 de Janeiro de 2011
  50. 50. Upper Molar Areaquarta-feira, 26 de Janeiro de 2011
  51. 51. Lower Molar Areaquarta-feira, 26 de Janeiro de 2011
  52. 52. Lower Molar Areaquarta-feira, 26 de Janeiro de 2011
  53. 53. Lower Molar Areaquarta-feira, 26 de Janeiro de 2011
  54. 54. Lower Molar Areaquarta-feira, 26 de Janeiro de 2011
  55. 55. Patient Considerations  Case selection is critical for sucess: - Healing problems; thick biotypes; smokers,... Surgeon  Atraumatic extraction (root separation mandatory);  Implant placement in an ideal 3d restorative position;  Familiar with GBR procedures.  Skillfull - know what to do when things go wrong!quarta-feira, 26 de Janeiro de 2011
  56. 56. Bone/soft No bone/soft Topics tissue Immediate implants tissue discrepancies discrepancies * * ASSUMPTION: all implants in esthetic anterior areas need bone/soft tissue graftsquarta-feira, 26 de Janeiro de 2011
  57. 57. No bone reconstruction required Extraction Implant placement Timing for Abutment connection SOFT Soft TISSUES Tissues MANAGEMENT Management Bone reconstruction required Extraction Abutment connectionquarta-feira, 26 de Janeiro de 2011
  58. 58. Lateral Incisorquarta-feira, 26 de Janeiro de 2011
  59. 59. Lateral Incisor Considerations Periodontal afected tooth; Vertical bone deficiency; Soft tissue deficiency.quarta-feira, 26 de Janeiro de 2011
  60. 60. Lateral Incisor 8 weeks afterquarta-feira, 26 de Janeiro de 2011
  61. 61. Lateral Incisor 8 weeks afterquarta-feira, 26 de Janeiro de 2011
  62. 62. Lateral Incisorquarta-feira, 26 de Janeiro de 2011
  63. 63. Lateral Incisor Buser 2005quarta-feira, 26 de Janeiro de 2011
  64. 64. Lateral Incisorquarta-feira, 26 de Janeiro de 2011
  65. 65. Lateral Incisorquarta-feira, 26 de Janeiro de 2011
  66. 66. Lateral Incisor 8 weeks afterquarta-feira, 26 de Janeiro de 2011
  67. 67. Lateral Incisor 8 weeks afterquarta-feira, 26 de Janeiro de 2011
  68. 68. GBR procedures; Hard Tissue Bone blocks; Discrepancies Short/Tilted implants; Alveolar distraction; Zygomatic implants.quarta-feira, 26 de Janeiro de 2011
  69. 69. GBR procedures; Hard Tissue Bone blocks; Discrepancies Short/Tilted implants; Alveolar distraction; Zygomatic implants. How can we be minimally invasive?quarta-feira, 26 de Janeiro de 2011
  70. 70. Partial Edentulismquarta-feira, 26 de Janeiro de 2011
  71. 71. Partial Edentulismquarta-feira, 26 de Janeiro de 2011
  72. 72. Partial Edentulismquarta-feira, 26 de Janeiro de 2011
  73. 73. Partial Edentulismquarta-feira, 26 de Janeiro de 2011
  74. 74. Partial Edentulismquarta-feira, 26 de Janeiro de 2011
  75. 75. Partial Edentulismquarta-feira, 26 de Janeiro de 2011
  76. 76. Treatment Plan Options  Cyst removal and wait for healing  “Cyst elevation”quarta-feira, 26 de Janeiro de 2011
  77. 77. Partial Edentulismquarta-feira, 26 de Janeiro de 2011
  78. 78. Partial Edentulismquarta-feira, 26 de Janeiro de 2011
  79. 79. Partial Edentulismquarta-feira, 26 de Janeiro de 2011
  80. 80. Partial Edentulismquarta-feira, 26 de Janeiro de 2011
  81. 81. Partial Edentulism 6 months afterquarta-feira, 26 de Janeiro de 2011
  82. 82. Partial Edentulism 6 months afterquarta-feira, 26 de Janeiro de 2011
  83. 83. Total Edentulismquarta-feira, 26 de Janeiro de 2011
  84. 84. Total Edentulismquarta-feira, 26 de Janeiro de 2011
  85. 85. Treatment Plan Options  Bilateral sinus lift;  Short implants;  Tilted implants.quarta-feira, 26 de Janeiro de 2011
  86. 86. Total Edentulismquarta-feira, 26 de Janeiro de 2011
  87. 87. Total Edentulismquarta-feira, 26 de Janeiro de 2011
  88. 88. Total Edentulismquarta-feira, 26 de Janeiro de 2011
  89. 89. Total Edentulismquarta-feira, 26 de Janeiro de 2011
  90. 90. das Neves FD, Fones D, Bernardes SR, do Prado CJ, Neto AJ. Short implants--an analysis of longitudinal studies. Int J Oral Maxillofac Implants. 2006 Jan-Feb;21(1): 86-93. Short Grusovin MG, Coulthard P, Worthington HV, George P, Esposito M. Interventions for replacing missing teeth: maintaining and recovering soft tissue health around dental Implants implants. Cochrane Database Syst Rev. 2010 Aug 4;(8): Misch CE. Short dental implants: a literature review and rationale for use. Dent Today. 2005 Aug;24(8):64-6, 68. Morand M, Irinakis T. The challenge of implant therapy in the posterior maxilla: providing a rationale for the use of short implants. J Oral Implantol. 2007;33(5): 257-66. Raviv E, Turcotte A, Harel-Raviv M.Short dental implants in reduced alveolar bone height.Quintessence Int. 2010 Jul-Aug;41(7):575-9. Romeo E, Bivio A, Mosca D, Scanferla M, Ghisolfi M, Storelli S.The use of short dental implants in clinical practice: literature review.Minerva Stomatol. 2010 Jan-Feb;59(1-2): 23-31.quarta-feira, 26 de Janeiro de 2011
  91. 91. Severe Atrophic Maxillaquarta-feira, 26 de Janeiro de 2011
  92. 92. Severe Atrophic Maxillaquarta-feira, 26 de Janeiro de 2011
  93. 93. Bone reconstruction with autologous and xenograft (no Treatment immediate load; 8-12 months treatment lenght; no Plan Options provisional).quarta-feira, 26 de Janeiro de 2011
  94. 94. Treatment Plan Options Bilateral sinus lift (no immediate load; 6-8 months lenght).quarta-feira, 26 de Janeiro de 2011
  95. 95. Treatment Plan Options Zigomatic implants (immediate loading; shorter treatment time; less morbility).quarta-feira, 26 de Janeiro de 2011
  96. 96. Davo R.Zygomatic implants placed with a two-stage procedure: a 5-year Surgical retrospective study.Eur J Oral Implantol. 2009 Summer;2(2):115-24. Alternatives Esposito M, Worthington HV, Thomsen P, Coulthard P.Interventions for - Zygomatics replacing missing teeth: dental implants in zygomatic bone for the rehabilitation of the severely deficient edentulous maxilla.Cochrane Database Syst Rev. 2003; (3). Kuabara MR, Ferreira EJ, Gulinelli JL, Paz LG.Rehabilitation with zygomatic implants: a treatment option for the atrophic edentulous maxilla--9-year follow- up.Quintessence Int. 2010 Jan;41(1):9-12. Malevez C, Daelemans P, Adriaenssens P, Durdu F.Use of zygomatic implants to deal with resorbed posterior maxillae.Periodontol 2000. 2003;33:82-9.quarta-feira, 26 de Janeiro de 2011
  97. 97. Take home messagesquarta-feira, 26 de Janeiro de 2011
  98. 98. Treatment Plan Decision Making for No Bone/ Soft Tissue Discrepancies Cases No bone/soft CBCT evaluation Guided Surgery / Predictable tissue Outcome discrepancies Miniflapquarta-feira, 26 de Janeiro de 2011
  99. 99. Treatment Plan Decision Making for Immediate Implants 2nd No GBR surgery Predictable preservation or for Outcome* GTR implant placement Implant Placement Abort Immediate Tooth Buccal Implant Extraction Plate Primary placement Predictable Implants with/ Stability Outcome without GBR How skillful are you? Preservation 2nd No Primary GBR surgery Predictable Stability or for GTR implant Outcome placement Implant Placement Abortquarta-feira, 26 de Janeiro de 2011
  100. 100. Treatment Plan Decision Making for Bone/ Soft Tissue Discrepancies Cases Extreme bone ZYGOMATIC resorption IMPLANTS Specific Vertical Defects ALVEOLAR DISTRACTION Patient sensitive Bone/Soft Soft GBR/ Implant Predictable Bone Specific Locations Tissue Tissue Regeneration SINUS placement Outcome Discrepancies Regeneration LIFT BONE Specific Locations BLOCKS Case sensitive SHORT/ Posterior Areas TILTED Anterior bone height of IMPLANTS 10mm and width 5 mmmquarta-feira, 26 de Janeiro de 2011
  101. 101. Custom made treatment plans regarding both patient evaluation and clinician skills.quarta-feira, 26 de Janeiro de 2011
  102. 102. Do not start your treatment plan if you do not know what to do if things go wrong.quarta-feira, 26 de Janeiro de 2011
  103. 103. NO evidence to suggest that simultaneous site development and implant loading is predictable.quarta-feira, 26 de Janeiro de 2011
  104. 104. You choose your success rate!quarta-feira, 26 de Janeiro de 2011
  105. 105. Thank you very much for your attention! goncalosegurodias@gsd-dentalclinics.comquarta-feira, 26 de Janeiro de 2011

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