Genesis Implant All on 5 with Immediate Loading
D Y Patil Dental College and Hospital, Mumbai
Patient came to the Implant centre at D Y Patil Dental College and Hospital with the chief complaint of missing teeth and difficulty in mastication. On examination the patient presented with maxillary and mandibular full arch edentulism. Patient gives a dental history of mobile and grossly carious teeth which were extracted 4-6 months back because of hopeless prognosis. Patient did not present any relevant medical history or history of deleterious habits, allergies, medications etc.
A treatment including a complete denture for the maxillary arch and 5 implants in the interforaminal region of the mandibular arch followed by an immediate load was planned and executed as follows.
Pre Operative Intra oral pictures
PRE OPERATIVE INTRA ORAL PICTURES
Maxillary arch – Occlusal View
Mandibular arch- Occlusal View
Facial View of Maxillary and Mandibular Archs
DETAILED PLANNING FOR IMPLANT SURGICAL GUIDE
A detailed treatment plan using a 3 Shape Implant and Surgical guide planning Software was done to determine the positions as well as the sizes of the dental implants and a pilot drill surgical guide was designed.
SURGICAL GUIDE WAS PRINTED
A Pilot Drill surgical guide was designed and printed using a 3D Printer
POINTS MARKED BY STABILISING THE GUIDE INTRAORALLY
Location of the implants were marked using a Williams Probe to create bleeding Points
Positions of implants marked
A pilot Drill was used to confirm the positions of implants, the surgical guide was stabilized intraorally with the help of finger pressure.
Paralleling pins were placed to confirm the positions of the implants
MID CRESTAL AND A RELEASING VERTICAL INCISIONS MADE AND REFLECTION OF FLAP
Midcrestal incisions were made at the center of the ridge extending 1 cm distal to the mental foramen on either side. A vertical releasing incision was made at the centre
A Full thickness mucoperiosteal flap was raised in order to view the ridge clearly
SEQUENTIAL OSTEOTOMY DRILLING
A round bur was used to flatten the ridge by about 3-4mm across the arch in order to get an equal plane. Sequential osteotomies were then done using the pilot drill osteotomy as a guide to finish the osteoto my sites.
Genesis Implant insertion of diameter 3.75*13mm in the anterior region and 4.2*13mm in the posterior most region on both sides of the arch
5 Long implants of 13mm length were utilised. Genesis Implants diameter of 3.75mm were placed parallel to each other in the center and 4.2mm implants were placed at a 30 degree angle in the posterior region on either side of the mandibular arch
MEASURING ISQ
Implant Stability Quotient of each implant was measured on the buccal, lingual, mesial and distal aspects to confirm the primary stability for immediate loading
AN IMPLANT STABILITY QUOTIENT OF 80 WAS MEASURED
An ISQ exceeding 70 confirms that immediate loading can be done.
ATTACHING MULTIUNIT ABUTMENTS
5 implants were placed and multiunit abutments were attached and the angle of each is adjusted so that they are parallel to eachother
Recording Positions of Abutments using Bite registration Paste
IMPRESSION USING A BITE REGISTRATION MATERIAL COMPOSED OF POLY VINYL SILOXANE WAS MADE TO RECORD THE POSITIONS OF THE ABUTMENTS
Preparing for intra oral pick up
Prosthethic cylinders attached to multi-unit abutments
Denture prepared for intraoral pick up
Latex sheet used to prevent overflow of pick up material into tissues
Denture trial to ensure passivity of seating
Intra- Oral pick up of Prosthetic cylinders done
TISSUE SURFACE CONTOURING TO FACILITATE ORAL HYGIENE MAINTENANCE DONE
Mandibular Complete denture was converted into a screw retained fixed hybrid prosthesis which was kept 2-3mm above the mandibular arch inorder to aid oral hygiene maintenance
IMMEDIATE LOADING OF PROSTHESIS
Maxillary complete denture was placed along with mandibular fixed screw retained hybrid prosthesis which was loaded on to the implants in the patient
Genesis Implant
Genesis Implant Kit
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How to cite this article
Dr. Paresh Kale, Dr. Spandana Sripada. Genesis Implant All on 5 with Immediate Loading. Guident. 2019 Mar;12(4). Available from: https://guident.in/articles/implantology/genesis-implant-all-on-5-with-immediate-loading.html
