Successfully reported this slideshow.
We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. You can change your ad preferences anytime.
SwissPlant	
  
&	
  the	
  advantages	
  of	
  1-­‐stage	
  implants	
  

Barcelona,	
  October	
  24th	
  2009
Jan	
  Wil...
Many factors have an influence on bone loss




                                      Ketabi et al, 2009
Advantages	
  of	
  1-­‐stage	
  implants	
  for	
  den8sts


• No	
  micro-­‐gap	
  near	
  the	
  bone
• No	
  bone	
  l...
Advantages	
  of	
  1-­‐stage	
  implants	
  for	
  pa8ents

• No second stage surgery, less pain
• Reduced amount of appo...
Go	
  for	
  8ssue	
  level	
  in	
  the	
  (pre)molar	
  area!




           1.	
  Minimal	
  bone	
  loss             2...
1.	
  Minimal	
  bone	
  loss	
  
1.	
  Minimal	
  bone	
  loss
1.	
  Minimal	
  bone	
  loss
2.	
  Strong	
  prosthe8c	
  connec8on

• prosthetic connection is wider than the ridge
2.	
  Strong	
  prosthe8c	
  connec8on
2.	
  Strong	
  prosthe8c	
  connec8on
              It’s not just fiction, but reality!
3.Easy	
  prosthe8cs




      • Straight forward and easy prosthetics
3.Easy	
  prosthe8cs




      • Straight forward and easy prosthetics
3.Easy	
  prosthe8cs




      • Straight forward and easy prosthetics
4.	
  Tissue	
  health
4.	
  Tissue	
  health
Subcrestal	
  Placement	
  in	
  molar	
  region?

• Are you or your patient looking forward to find this
 implant during ...
Subcrestal	
  Placement	
  in	
  molar	
  region?
Subcrestal	
  Placement	
  in	
  molar	
  region?
Subcrestal	
  Placement	
  in	
  molar	
  region?
PlaSormshiTing	
  in	
  the	
  anterior	
  region,	
  yes!


                              Grey	
  shimmering	
  of	
  the...
There	
  are	
  many	
  factors	
  influencing	
  the	
  aesthe8c	
  
outcome
There	
  are	
  many	
  factors	
  influencing	
  the	
  aesthe8c	
  
outcome
The	
  Swissplant	
  implant	
  system
The	
  Swissplant	
  implant	
  system
The	
  Swissplant	
  implant	
  system
The	
  Swissplant	
  implant	
  system
Cost	
  efficiency	
  analysis

  SwissPlant Implant 4.1mmD X 10mmL, 145 EUR           Ø 4.1 mm RN Ø 4.8 mm, L 10 mm  Ti, SL...
The	
  Effect	
  of	
  a	
  Machined	
  Collar	
  on	
  Coronal
                             Hard	
  Tissue	
  Around	
  Ti...
The	
  Effect	
  of	
  a	
  Machined	
  Collar	
  on	
  Coronal
       Hard	
  Tissue	
  Around	
  Titanium	
  Implants
• A...
The	
  Effect	
  of	
  a	
  Machined	
  Collar	
  on	
  Coronal
Hard	
  Tissue	
  Around	
  Titanium	
  Implants
          ...
The	
  Effect	
  of	
  a	
  Machined	
  Collar	
  on	
  Coronal
Hard	
  Tissue	
  Around	
  Titanium	
  Implants
          ...
The	
  Effect	
  of	
  a	
  Machined	
  Collar	
  on	
  Coronal
Hard	
  Tissue	
  Around	
  Titanium	
  Implants
          ...
The	
  Effect	
  of	
  a	
  Machined	
  Collar	
  on	
  Coronal
Hard	
  Tissue	
  Around	
  Titanium	
  Implants mm
       ...
The	
  Effect	
  of	
  a	
  Machined	
  Collar	
  on	
  Coronal
Hard	
  Tissue	
  Around	
  Titanium	
  Implants
          ...
SwissPlant	
  Case




Par8ally	
  horizontally	
  resorbed	
  ridge,	
  site	
  46   45:	
  Straumann	
  Standard	
  Plus...
SwissPlant	
  Case




 2.2mm	
  Pilot	
  Drill,	
  12mm   2.8mm	
  Drill	
  (narrow	
  neck	
  implant)
SwissPlant	
  Case




3.5mm	
  Drill,	
  Standard	
  4.1	
  implant	
     SwissPlant	
  Countersink	
  Drill
SwissPlant	
  Case




    Osteotomy	
      SwissPlant	
  4.1x12mm	
  Dual	
  Blast
SwissPlant	
  Case




                     32	
  Ncm	
  with	
  hand	
  piece
SwissPlant	
  Case




  Manual	
  final	
  torque	
  	
     Coverscew	
  with	
  Extender	
  &	
  Fixturemount
SwissPlant	
  Case




Extender	
  and	
  cover	
  screw	
  in	
  situ	
     Sutures,	
  Vicryl	
  5:0
SwissPlant	
  Case




ATer	
  2	
  months	
  osseointegra8on	
  period   Excellent	
  8ssue	
  health
SwissPlant	
  case




Straumann	
  closed	
  tray	
  impression	
  post	
     Implant	
  Direct	
  Analog	
  used	
  
SwissPlant	
  case




    Master	
  cast	
     Fixture	
  Mount	
  	
  
SwissPlant	
  case




Fixture	
  Mount	
  transformed	
  to	
  Abutment   Further	
  prepara8on	
  of	
  the	
  Abutment
SwissPlant	
  case




    Castable	
  wax   Porcelain	
  fused	
  to	
  gold	
  crown
SwissPlant	
  case




    Abutment	
  in	
  situ   Pocket	
  depth	
  2mm
SwissPlant	
  case




     Crown	
  in	
  situ   Stable	
  Crestal	
  Bone	
  Levels
Thank	
  you	
  

                   Jan	
  Willem	
  Vaartjes,	
  ITI	
  Member
Vaartjes Swissplant
Upcoming SlideShare
Loading in …5
×

Vaartjes Swissplant

1,505 views

Published on

Presentation about the Swissplant implant by JW Vaartjes at the ImplantDirect congress in Barcelona October 2009

Published in: Health & Medicine, Business
  • Be the first to comment

  • Be the first to like this

Vaartjes Swissplant

  1. 1. SwissPlant   &  the  advantages  of  1-­‐stage  implants   Barcelona,  October  24th  2009 Jan  Willem  Vaartjes,  ITI  Member
  2. 2. Many factors have an influence on bone loss Ketabi et al, 2009
  3. 3. Advantages  of  1-­‐stage  implants  for  den8sts • No  micro-­‐gap  near  the  bone • No  bone  loss  following  abutment  dis/reconnec8on   • No  need  for  second  stage  surgery • Reduced  material  cost  and  chair  8me   • Strong  prosthe8c  connec8on • Excellent  emergence  profile  for  (pre)molars • Simple  prosthe8cs  and  cement  removal • Predictable  and  evidence  based  solu8on  for  decades • Can  be  used  in  the  majority  of  my  implant  cases
  4. 4. Advantages  of  1-­‐stage  implants  for  pa8ents • No second stage surgery, less pain • Reduced amount of appointments • Cost effective What a patient wants... • A quick reliable, predictable, fast and as painless as possible treatment for a reasonable price What treatment would be ideal?
  5. 5. Go  for  8ssue  level  in  the  (pre)molar  area! 1.  Minimal  bone  loss 2.  Strong  prosthe8c  connec8on 3.  Easy  prosthe8cs 4.  Tissue  health
  6. 6. 1.  Minimal  bone  loss  
  7. 7. 1.  Minimal  bone  loss
  8. 8. 1.  Minimal  bone  loss
  9. 9. 2.  Strong  prosthe8c  connec8on • prosthetic connection is wider than the ridge
  10. 10. 2.  Strong  prosthe8c  connec8on
  11. 11. 2.  Strong  prosthe8c  connec8on It’s not just fiction, but reality!
  12. 12. 3.Easy  prosthe8cs • Straight forward and easy prosthetics
  13. 13. 3.Easy  prosthe8cs • Straight forward and easy prosthetics
  14. 14. 3.Easy  prosthe8cs • Straight forward and easy prosthetics
  15. 15. 4.  Tissue  health
  16. 16. 4.  Tissue  health
  17. 17. Subcrestal  Placement  in  molar  region? • Are you or your patient looking forward to find this implant during the second stage surgery? *photos  from  Bicon.com
  18. 18. Subcrestal  Placement  in  molar  region?
  19. 19. Subcrestal  Placement  in  molar  region?
  20. 20. Subcrestal  Placement  in  molar  region?
  21. 21. PlaSormshiTing  in  the  anterior  region,  yes! Grey  shimmering  of  the  implant  through  the   mucosa  should  be  avoided Subcrestal  placement  can  be  advantageous Tarnow’s  research  showed  that  1mm  of  bone   can  be  the  difference  between  a  papilla  or  a   black  triangle PlaSormshiTing  can  decrease  the  amount  of   crestal  bone  loss  and  is  an  interes8ng   treatment  concept  in  the  aesthe8c  areas
  22. 22. There  are  many  factors  influencing  the  aesthe8c   outcome
  23. 23. There  are  many  factors  influencing  the  aesthe8c   outcome
  24. 24. The  Swissplant  implant  system
  25. 25. The  Swissplant  implant  system
  26. 26. The  Swissplant  implant  system
  27. 27. The  Swissplant  implant  system
  28. 28. Cost  efficiency  analysis SwissPlant Implant 4.1mmD X 10mmL, 145 EUR Ø 4.1 mm RN Ø 4.8 mm, L 10 mm  Ti, SLA, 215,00 EUR RN Healing cap   H 3.0 mm  Ti, 33,00 EUR Healing cap included, 0 EUR RN snap-on impression cap  H 8.0 mm  plastic, 9,00 EUR SwissPlant Implant Transfer, 25 EUR RN Positioning cylinder, H 12.0mm, 19 EUR SwissPlant Implant Analog, 15 EUR   RN synOcta® analog,  30,00 EUR Straight abutment included as fixture mount, 0 EUR RN synOcta® cementable abutment  H 5.5 mm  Ti , 99,00 EUR Plastic Castable Coping, 12,5 EUR RN synOcta® plastic coping, crown, H 7.0 mm  burn-out plastic 23,00 EUR • Total of 197,50 EUR • Total of 428 EUR
  29. 29. The  Effect  of  a  Machined  Collar  on  Coronal Hard  Tissue  Around  Titanium  Implants RESULTS:  FiTy-­‐eight  of  the  implants  integrated  and  were  analyzed  on  each  proximal  surface.  Bone  loss  occurred  around   all  implants  over  the  6  months  of  the  study.  In  general,  implants  placed  with  the  top  of  the  SLA  surface  above  the  bone   crest  had  significantly  less  bone  loss  than  implants  with  the  top  of  the  SLA  surface  placed  flush  with  the  bone  level.   Apically  placed  implants  had  greater  bone  loss  than  coronally  placed  implants.  The  magnitude  of  bone  loss  around  paired   control  and  test  implants  was  approximately  the  same.   DISCUSSION  AND  CONCLUSION:  The  least  bone  loss  with  each  implant  type  was  observed  when  the  top  of  the  implant   was  placed  above  the  alveolar  crest.  When  there  was  no  machined  collar,  the  least  distance  from  the  implant  top  to  the   bone  crest  (not,  however,  the  least  bone  loss)  was  observed  when  the  top  of  the  implant  was  level  with  the  bone  crest.
  30. 30. The  Effect  of  a  Machined  Collar  on  Coronal Hard  Tissue  Around  Titanium  Implants • A.N. Alomrani, J.S.Hermann, A.A. Jones, D. Buser Int J Oral Maxillofacial Implants 2005;20:677-686
  31. 31. The  Effect  of  a  Machined  Collar  on  Coronal Hard  Tissue  Around  Titanium  Implants 0.63mm 0.37mm 0.69mm 0.63mm 0.37mm 0.69mm 0.43mm 0.40mm 0.74mm
  32. 32. The  Effect  of  a  Machined  Collar  on  Coronal Hard  Tissue  Around  Titanium  Implants 0.63mm 0.37mm 0.69mm 0.63mm 0.37mm 0.69mm 0.43mm 0.40mm 0.74mm
  33. 33. The  Effect  of  a  Machined  Collar  on  Coronal Hard  Tissue  Around  Titanium  Implants 0.63mm 0.37mm 0.69mm 0.63mm 0.37mm 0.69mm 0.43mm 0.40mm 0.74mm
  34. 34. The  Effect  of  a  Machined  Collar  on  Coronal Hard  Tissue  Around  Titanium  Implants mm 0.63mm 0.37 0.69mm 0.63mm 0.37mm 0.69mm 0.43mm 0.40mm 0.74mm
  35. 35. The  Effect  of  a  Machined  Collar  on  Coronal Hard  Tissue  Around  Titanium  Implants 0.63mm 0.37mm 0.69mm 0.43mm 0.63mm 0.40mm 0.37mm 0.69mm 0.74mm
  36. 36. SwissPlant  Case Par8ally  horizontally  resorbed  ridge,  site  46 45:  Straumann  Standard  Plus  4.1x14mm,  Regular  Neck
  37. 37. SwissPlant  Case 2.2mm  Pilot  Drill,  12mm 2.8mm  Drill  (narrow  neck  implant)
  38. 38. SwissPlant  Case 3.5mm  Drill,  Standard  4.1  implant   SwissPlant  Countersink  Drill
  39. 39. SwissPlant  Case Osteotomy   SwissPlant  4.1x12mm  Dual  Blast
  40. 40. SwissPlant  Case 32  Ncm  with  hand  piece
  41. 41. SwissPlant  Case Manual  final  torque     Coverscew  with  Extender  &  Fixturemount
  42. 42. SwissPlant  Case Extender  and  cover  screw  in  situ   Sutures,  Vicryl  5:0
  43. 43. SwissPlant  Case ATer  2  months  osseointegra8on  period Excellent  8ssue  health
  44. 44. SwissPlant  case Straumann  closed  tray  impression  post   Implant  Direct  Analog  used  
  45. 45. SwissPlant  case Master  cast   Fixture  Mount    
  46. 46. SwissPlant  case Fixture  Mount  transformed  to  Abutment Further  prepara8on  of  the  Abutment
  47. 47. SwissPlant  case Castable  wax Porcelain  fused  to  gold  crown
  48. 48. SwissPlant  case Abutment  in  situ Pocket  depth  2mm
  49. 49. SwissPlant  case Crown  in  situ Stable  Crestal  Bone  Levels
  50. 50. Thank  you   Jan  Willem  Vaartjes,  ITI  Member

×