To receive treatment with a fast & fixed system, a patient will ideally have a completely toothless jaw, an oral cavity free of inflammation and an adequate amount of available bone. However, a patient can qualify for an immediate implant without fulfilling all of these requirements. If only a very little bone material remains, digital volume tomography can be used to ascertain whether oblique placement of the implants would still be possible.
This approach was used in the case study below, which was prepared by Dr. Regina Schindjalova for the implantology journal of the German Association of Dental Implantology.
A 44-year-old female patient with severe periodontal disease came to the clinic requesting fixed dentures. After all risk factors had been excluded with the help of an in-depth investigation and digital tomography, the patient underwent a 3D implant planning session. The patient’s dental situation qualified them for immediate implants in the upper and lower jaw, with their last remaining teeth being removed as part of the process. These teeth exhibited high degrees of loosening and movement and were not worth preserving.
Despite the bone resorption that had already taken place, Dr. Schindjalova was able to carry out the implantation procedure safely by performing a unilateral sinus lift and inserting the obliques obliquely. This enabled her to achieve a high degree of primary stability. After the implants were inserted, the clinic’s own dental laboratory created a long-term temporary denture that was fitted by Dr. Schindjalova shortly afterwards. This meant that the patient was able to leave the clinic with a full set of fixed teeth just a short time after the initial consultation.
Dr. Regina Schindjalova is a worldwide leading implantology expert who specialises in the fast & fixed process. She speaks on the subject regularly at congresses and conferences. Thanks to her long-standing experience in the area, she is skilled in carrying out difficult immediate implanat procedures without any risk to her patients. Thorough investigations and planning help her to do so.
Read an in-depth description of the case here (English version): Implantologie-Journal der Deutschen Gesellschaft für Zahnärztliche Implantologie e.V.
