Grenzen von Korrekturmöglichkeiten in der Implantatprothetik - 3 klinische Falldemonstrationen

Trotz dezidierter präimplantologischer Diagnostik bedeutet eine vom Therapieplan abweichende intraoperative Entscheidung auch für den erfahrenen Operateur eine kritische Phase in der Implantatchirurgie, weil ihm die Folgen für die prothetische Versorgung geläufig sein müssen. Durch verschiedene prothetische Optionen könnte der Behandler dem Patienten komplizierte chirurgische Maßnahmen ersparen. Anhand von 3 Patientenfällen werden prothetische Optionen zur Kompensation chirugischer Defizite dargestellt.

Despite firm pre-implantologic diagnosis an intra-operative change in therapy is a critical phase in implant surgery even for well-trained surgeon (therapist) as he has to be aware of the consequences for the prosthetic treatment. However, different prosthetic options can avoid or minimize difficult surgical procedures. On the basis of 3 case reports different prosthetic options for the compensation of complications will be shown.

Schlüsselwörter

Implantat - Suprakonstruktion - Kompensation - Falldemonstration

Keywords

Dental Implant - Suprastructur - Adjustment - Case Report

Literatur

• 1 Abrahamsson I, Berglundh T, Glantz PO, Lindhe J. The mucosal attachment at different abutments: An experimental study in dogs.  J Clin Periodontol. 1998;  25 721-727
• 2 Agar JR, Cameron SM, Hughbanks JC, Parker MH. Cement removal from restorations luted to titanium abutments with simulated subgingival margins.  J Prosthet Dent. 1997;  78 43-47
• 3 Alberktsson T, Jansson J, Lekholm U. Osseointegrated dental implants.  Dental Clinics of North America. 1986;  30 151-174
• 4 Barclay CW, Last KS, Williams R. The clinical assessment of a ceramic-coated transmucosal dental implant collar.  Int J Prosthodont. 1996;  9 466-472
• 5 Belser UC, Bernard JP, Buser D. Implant placement in the esthetic zone. In: Lindhe J, Karring T, Lang NP (eds). Clinical Periodontology and Implant Dentistry, ed 4. London: Blackwell Munkdgaard 2003: 915-944
• 6 Belser UC, Bernard JP, Buser D. Implant-supported restorations in the anterior region: Prosthetic considerations.  Pract Periodontics Aesthet Dent. 1996;  8 875-883
• 7 Belser UC, Buser D, Hess D, Schmid B, Bernard JP, Lang NP. Aesthetic implant restorations in partially edentulos patients - A critical appraisal.  Periodontol 2000. 1998;  17 132-150
• 8 Belser UC, Mericske-Stern R, Bernard JP, Taylor TD. Prosthetic management of the partially dentate patient with fixed implant restorations.  Clin Oral Implan Res. 2000;  11 126-145
• 9 Besimo CE, Guindy JS, Lewetag D, Meyer J. Prevention of Bacterial Leakage into and from Prefabricated Screw-Retained Crowns on Implants in Vitro.  Int J Oral Maxillofac Implants. 1999;  14 654-660
• 10 Bollen CM, Papaioanno W, Eldere J Van, Schepers E, Quirynen M, Steenberghe D van. The influence of abutment surface roughness on plaque accumulation and peri-implant mucositis.  Clin Oral Implants Res. 1996;  7 201-211
• 11 Burawi G, Houston F, Byrne D, Claffey N. A comparison of the dimensional accuracy of the splinted and unsplinted impression techniques for the Bone-Lock implant system.  J Prosthet Dent. 1997;  77 68-75
• 12 Buser D, Martin W, Belser UC. Optimizing Esthetics for Implant Restorations in the Anterior Maxilla: Anatomic and Surgical Considerations.  Int J Oral Maxillofacial Implants. 2004;  19 43-61
• 13 Buser D, Weber HP, Lang NP. Tissue integration of non-submerged implants. One-year results of a prospective study with 100 ITI hollow-screw and hollow-cylinder implants.  Clin Oral Implants Res. 1990;  1 33-40
• 14 Buser D, Arx T von. Surgical procedures in partially edentulous patients with ITI implants.  Clin Oral Implants Res. 2000;  11 83-100
• 15 Chee W, Felton DA, Jonhson PF, Sullivan DV. Cemented versus screw-retained implant prostheses: Which is better?.  Int J Oral Maxillofacial Implants. 1999;  14 137-141
• 16 Chen ST, Wilson TG, Hämmerle CH. Einzeitige oder verzögerte Sofortimplantationen nach Zahnextraktion.  Implantologie. 2005;  13 15-25
• 17 Choquet V, Hermans M, Adriaenssens P, Daelemans P, Tarnow DP, Malevez C. Clinical and radiographic evaluation of the papilla level adjacent to single-tooth dental implants. A retrospective study in the maxillary anterior region.  J Periodontol. 2001;  72 1364-1371
• 18 Cordaro L, Amade DS, Cordaro M. Clinical results of alveolar ridge augmentation with mandibular block bone grafts in partially edentulous patients prior to implant placement.  Clin Oral Implants Res. 2002;  13 103-111
• 19 Degidi M, Piattelli A. Immediate functional and non-functional loading of dental implants: a 2- to 60-month follow-up study of 646 titanium implants.  J Periodontol. 2003;  74 225-241
• 20 Denissen HW, Kalk W, Veldhuis HA, Waas MA van. Anatomic consideration for preventive implantation.  Int J Oral Maxillofac Implants. 1993;  8 191-196
• 21 Edel A. The use of a connective tissue graft for closure over an immediate implant covered with occlusive membrane.  Clin Oral Implants Res. 1995;  6 60-65
• 22 Ericsson I, Persson LG, Berglundh T, Marinello P C, Lindhe J, Klinge B. Different types of inflammatory reactions in peri-implant soft tissues.  J Clin Periodontol. 1995;  22 255-261
• 23 Esposito M, Ekestubbe A, Grondahl K. Radiological evaluation of marginal bone loss at tooth surfaces facing single Branemark implants.  Clin Oral Implants Res. 1993;  4 151-157
• 24 Friedman LA. Oral hygiene for dental implant patients.  Tex Dent J. 1991;  108 21-23
• 25 Gross M, Abramovich I, Weiss EI. Microleakage at the abutment-implant interface of osseointegrated implants: a comparative study.  Int J Oral Maxillofac Implants. 1999;  14 94-100
• 26 Heydecke G, Boudrias P, Awad MA, Albuquerque RF De, Lund JP, Feine JS. Within-subject comparisons of maxillary fixed and removable implant prostheses: Patient satisfaction and choice of prosthesis.  Clin Oral Implants Res. 2003;  14 125-130
• 27 Higginbottom F, Belser UC, Jones SE JD Keith. Prosthetic Management of Implants in the Esthetic Zone.  Int J Oral Maxillofacial Implants. 2004;  19 62-72
• 28 Ibrahim Z, Strempel J, Zöllner A, Tschernitschek H. Einfluss von implantatgetragenen prothetischen Versorgungen auf die bakterielle Besiedelung.  ZWR. 2005;  114 259-267
• 29 Ibrahim Z, Strempel J, Zöllner A, Tschernitschek H. Bakterielle Besiedelung bei mehrteiligen Implantaten - eine In-vivo-Studie.  Dtsch Zahnarztl Z. 2006;  61 358-363
• 30 Ibrahim ZG, Tschernitschek H, Rossbach A. Versiegelung der Implantatkomponenten des Brånemark(r)-Systems.  Implantologie. 2003;  11 161-167
• 31 Ibrahim Z, Tschernitschek H, Roßbach A. Therapie und Rezidivprophylaxe einer Periimplantitis.  Z Zahnarztl Implantol. 2005;  21 174-179
• 32 Jahnke PV, Sandifer JB, Gher ME, Gray JL, Richardson AC. Thick free gingival and connective tissue autografts for root coverage.  J Periodontol. 1993;  64 315-322
• 33 Jansen VK, Conrads G, Richter EJ. Microbial leakage and marginal fit of the implant-abutment interface.  Int J Oral Maxillofac Implants. 1997;  12 709
• 34 Jemt T, Carlsson L, Boss A, Jorneus L. In vivo load measurements on osseointegreted implants supporting fixed or removable prostheses: a comparative study.  Int J Oral Maxillofac Implants. 1991;  6 413-417
• 35 Johnson K. A study of the dimensional changes occurring in the maxilla following tooth extraction.  Aust Dent J. 1969;  14 241-144
• 36 Kan JY, Rungcharassaeng K, Umezu K, Kois JC. Dimensions of peri-implant mucosa: an evaluation of maxillary anterior single implants in humans.  J Periodontol. 2003;  74 557-562
• 37 Karl M, Winter W, Taylor TD, Heckmann SM. In vitro study on passive fit in implant-supported 5-unit fixed partial dentures.  Int J Oral Maxillofac Implants. 2004;  19 30-37
• 38 Kleisner J, Marinello CP, Kundert E, Lüthy H. Prevention of bacterial colonization on implant components in vivo by a topical metronidazole gel.  Acta Med Dent Helv. 1996;  1 250-257
• 39 Kois JC. Predictable single tooth peri-implant esthetics: five diagnostic keys.  Compend Contin Educ Dent. 2001;  22 199-206
• 40 Lam RV. Contour changes of the alveolar processes following extraction.  J Prosthet Dent. 1960;  10 25-32
• 41 Lekovic V, Kenney EB, Weinlaender M, Han T, Klokkevold P, Nedic M, Orsini M. A bone regenerative approach to alveolar ridge maintenance following tooth extraction.  Report of 10 cases. J Periodontol. 1997;  68 563-570
• 42 Lindquist LW, Rockler B, Carlsson GE. Bone resorption around fixtures in edentulous patients treated with mandibular fixed tissue-integrated prostheses.  J Prosthet Dent. 1988;  59 59-63
• 43 Ma T, Nicholls JI, Rubenstein JE. Tolerance measurements of various implant components.  Int J Oral Maxillofac Implants. 1997;  12 371-375
• 44 Parel SM, Triplett RG. Immediate fixture placement: a treatment planning alternative.  Int J Oral Maxillofac Implants. 1990;  5 337-345
• 45 Pjetursson BE, Tan K, Lang NP, Bragger U, Egger M, Zwahlen M. A systematic review of the survival and complication rates of fixed partial dentures (FPDs) after an observation period of at least 5 years.  Evid Based Dent. 2005;  6 96-97
• 46 Polizzi G, Grunder U, Goene R, Hatano N, Henry P, Jackson WJ, Kawamura K, Renouard F, Rosenberg R, Triplett G, Werbitt M, Lithner B. Immediate and delayed implant placement into extraction sockets: a 5-year report.  Clin Implant Dent Relat Res. 2000;  2 93-99
• 47 Prestipino V, Ingber A. All-ceramic implant abutments: esthetic indications.  J Esthet Dent. 1996;  8 255-262
• 48 Quirynen M, Soete M De, Steenberghe D Van. Infectious risks for oral implants: a review of the literature.  Clin Oral Implants Res. 2002;  13 1-19
• 49 Quirynen M, Mei HC Van der, Bollen CM, Bossche LH Van den, Doornbusch GI, Steenberghe D van, Busscher HJ. The influence of surface-free energy on supra- and subgingival plaque microbiology. An in vivo study on implants.  J Periodontol. 1994;  65 162-167
• 50 Quirynen M, Steenberghe D van. Bacterial colonisation of the internal part of two-stage implants. An in vivo study.  Clin Oral Impl Res. 1993;  4 158-161
• 51 Rachmiel A, Srouji S, Peled M. Alveolar ridge augmentation by distraction osteogenesis.  Int J Oral Maxillofac Surg. 2001;  30 510-317
• 52 Scheller H., Wichmann M., Tschernitschek H. Untersuchungen zur Bedeutung der Pfeilergeometrie für die Prognose enossaler Implantate.  Dtsch Zahnarztl Z. 1991;  46 675-677
• 53 Smedberg JI, Nilner K, Rangert B, Svensson SA, Glantz SA. On the influence of superstructure connection on implant preload: a methodological and clinical study.  Clin Oral Implants Res. 1996;  7 55-63
• 54 Tarnow DP, Magner AW, Fletcher P. The effect of the distance from the contact point to the crest of bone on the presence or absence of the interproximal dental papilla.  J Periodontol. 1992;  63 995-996
• 55 Taylor TD. Prosthodontic problems and limitations associated with osseointegration.  J Prosthet Dent. 1998;  79 74-78
• 56 Werbitt MJ, Goldberg PV. The immediate implant: bone preservation and bone regeneration.  Int J Periodontics Restorative Dent. 1992;  12 206-217
• 57 Wilson Jr TG. Guided tissue regeneration around dental implants in immediate and recent extraction sites: initial observations.  Int J Periodontics Restorative Dent. 1992;  12 18-193

Korrespondenzadresse