Osseodensification

ABSTRACT

A 61 year old healthy female patient came with complain of decayed teeth since many years. Patient has no relevant past medical history. On oral examination, she had failing dentition with root stumps and decayed teeth. Patient was advised for OPG.
After discussing the treatment plan, with the patient, extraction and implants were done. Following 4 months of healing period fixed prosthesis were delivered.
MODE Implants from Istanbul, Turkey were used; for better results and wide prosthetic solution

INTRODUCTION

Bone loss over a period of time due to edentulous conditions and resorption leads to unfavourable condition for implant placement.

Keeping in mind the financial and economic condition of the patient, also unavailability of insured dental procedures in India, treatment of lower income group is a challenge.
Several modifications and alternatives to ideal treatment procedures are followed to give the best possible results. Hence, selection of implants does matter for successful results in such compromised cases.
Underneath is a case, where MODE Implants were used because of its wide prosthetic application.

CASE REPORT

On clinical examination patient had;

1. Collapsed Deep Bite
2. Challenged Centric Occlusion
3. Edentulous space with each arch
4. Attrited upper centrals
5. Patient desired FPD wrt 1st and 3rd Quadrant
6. Patient agreed for implants wrt 2nd and 4th quadrant

A two stage surgery was decided. 4 MODE level Implants were selected and 8 unit fixed prosthesis on a narrow ridge was planned.
This case ideally is a recipient for ridge expansion and grafting ; but keeping in consideration the economic condition of the patient, routine surgical protocols were modified and so as to get the best results and hence utilization of MODE implants and MODE osteotomy kit to combat such conditions.

Manual Socket Densification done using Bone level taps from MODE Implants Osteotomy Kit.
Autogenous Bone Grafts harvested from the MODE Osteotomy drills were utilized to fill the immediate implant sockets and bony defects.
Following 4 months of eventful healing 8 unit fixed PFM prosthesis were delivered for implants; 2.3 - 2.6 and 4.4 - 4.7 each.
Root canal Treatment performed wrt 1.1, 2.1, 2.2; followed by rehabilitation with fixed PFM prosthesis.
Rehabilitation by fixed PFM of 1.5, 1.6, 1.7 and also 3.6, 3.7, 3.8 were done.
Deep bite was successfully treated and a full rehabilitation performed
One Year Post-Op ; Showed GOOD Results.

CONCLUSION

Perfect Treatment Plan and Approach with Precision in work along with utilization of available resources; on basis of correct Scientific studies and selection of good Implant System or instruments; with blend of modifications can give better and impressive results in an economic way.

POSITIVE PERCEPTION

Studies are closed group; they merely guide you.
If you are technically precised and have a perfect treatment plan; Failure is no more than a Myth.