Int Poster J Dent Oral Med 19 (2017), OMD/PDA 15. Jan. 2018
Objectives: The aim of this clinical case was to show a new type of DENTSPLY (Mannheim, Germany) tilted abutment and to test its use in an immediate full mouth rehabilitation.
Methods: A 45 years old male patient presented to observation with pain and instability of many teeth. After clinical and radiographical exams, the extraction of all of the teeth was decided. On the upper jaw, the insertion of 6 dental implants, 4 of which with an external connection (Xive TG®, DENTSPLY implants) and 2 with an internal connection (Xive S®, DENTSPLY implants) was planned; then 2 tilted abutments were screwed into the implants inserted with an inclination of 30° (SmartFix™, DENTSPLY implants). All the implants had an immediate-loading screwed restoration. In the lower jaw 6 dental implants (Xive TG®, DENTSPLY implants) with an immediate-loading bridge restoration were placed. Radiographs were taken after surgery and 12 months later.
Results: At 1-year follow-up no radiographical or clinical difference between the implants positioned in a standard way and the tilted ones was found. The masticatory function was restored with a good aesthetic outcome. The patient was satisfied with the final result.
Conclusions: The use of 30° tilted implants and Smartfix™ abutments (DENTSPLY implants) allowed to obtain an immediate screwed restoration avoiding sinus lift surgery, and facilitates taking impressions and the prosthetical procedures. Further clinical cases and a longer follow-up are necessary to validate our results.
Keywords: tilted abutment, immediate loading, screwed restoration
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