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Casos Clinicos

24

Replacement of missing premolar with 3,9x13mm JDIcon implant with flapless technique

A 52 year old female patient came to our dental office asking for the premolar replacement in upper right mandibular area. After the CT and clinical examination, it was decided to proceed with the insertion of a JDIcon dental implant 3,9x13mm with flapless technique. JDIcon Implant is especially suitable for flapless insertion: the conical connection with hexagonal interlocking offers high stability of the abutment on the implant ensuring big mechanical strength and biological tight sealing even in case of the implant neck is inserted under the bone level. After about three months, a cemented monolithic zirconia crown manufactured by JDLab was delivered to the patient. To notice the excellent health condition of periimplant soft tissues and the beautiful aesthetic.

23

Immediate implantation of 8 JDEvolution® implants immediately loaded in upper jaw - JdLab

A 65 year-old female healthy presented in the office with a partial edentulous maxilla, including two impacted canines. She asked for a fixed implant rehabilitation. After the CT examination, it was decided to proceed with the extraction of the residual teeth including the two impacted canines, and eight JDEvolution® implants were immediately inserted. 48 hours after the surgery a screw-retained temporary restoration was delivered. After six month the screw-retained final prosthesis in chromium-cobalt alloy manufactured by JdLab was delivered to the patient.

22

Immediate insertion of a 2,75x15mm JDIcon Ultra-S implant

A 47 year old Caucasian female patient came to our dental office complaining pain and swelling on upper right lateral incisor and mobility of the prosthetic crown on it. Inspection showed the presence of vestibular sinus tract with about 9 mm periodontal probing. A deep vestibular root fracture was then diagnosed. Decision was taken to extract the tooth and immediately replace it with a 2,75x15mm JDIcon Ultra-S implant and a not functionally loaded screw-retained temporary crown.

21

Immediate implantation with immediate loading of a full upper jaw in a patient with a high lip line: from surgery to final prosthesis.

This patient is a 56y old healthy female with a severe generalized chronic periodontitis. Her major complaints are the long teeth caused by gingival recessions, the gummy smile, the unaesthetic black holes and the teeth mobility. Since this patient has a gummy smile, it is very important to locate the lip line smile before placing the implants. By doing so, we will be able to evaluate the amount of bone to reduce, so the joint between the gingiva and the pink ceramic of the final prosthesis doesn’t appear while smiling. The treatment plan performed was an immediate implantation of six JDEvolution® implants with an immediate loading combined with a precise osteotomy of the alveolar process. By Jeff Khoury, DDS, Beirut (Lebanon)

20

Placement of short implants in limited bone height avoiding bone graft.

A 50 year-old male, healthy and non smoker presented with a complain of: ‘I want to replace my teeth on upper right quadrant’. Following CT examination, it was realized a very limited residual bone height of 6mm. Two treatment options were considered: bone graft and subsequent placement of long implants versus placement of short implants and tilted implants to avoid the maxillary sinus. Supported by the recent literature, it was decided to use JDEvolution® 6mm short implants.

19

Horizontal guided bone regeneration with simultaneous JDEvolution® implants placement in the posterior mandible.

A 62 year-old female with a noncontributory medical history presented with a complain of: “Lower left bridge debonding frequently”. Proposed treatment: 3 unit bridge supported by 2 implants to fill her edentulous space. Various treatment options were discussed with the patient and she elected to have an implant rehabilitation with a horizontal bone augmentation. After mucoperiosteal flap reflection and identification of the mental foramina, two JDEvolution® implants were placed in positions 3.5 and 3.7. Horizontal ridge augmentation was simultaneously performed utilizing a combination of allograft and heterologous bone.

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