Computer Guided Full Arch Immediately Loaded Dental Implants

56 Pages·2017·2.48 MB·English

Volume 9, No. 2 February 2017
The Journal of Implant & Advanced Clinical Dentistry
Computer Guided Full Arch
Immediately Loaded
Dental Implants
Updated Primer on
Amnion-Chorion Allografts

International Inc.
The Journal of Implant and Advanced Clinical Dentistry has been providing high
quality, peer reviewed dental journals since 2007. We take pride in
knowing that tens of thousands of readers around the world continue to read
and contribute articles to JIACD. As you can imagine, there is a lot of expense
involved in managing a top quality dental journal and we sincerely appreciate
our advertisers purchasing ad space in both the journal and on the website
which allows our monthly journals to continue to be free to all of our readers.

In an effort to streamline our business practice and continue to provide no-fee,
open access journals, JIACD is now sponsored exclusively by Osseofuse
International Inc., a cutting edge dental implant company that provides
exceptional implants and prosthetics and believes in the free distribution of
information towards clinical advancements to dentists in the U.S. and around
the world.
This generous sponsorship, which provides funding towards our operating
expenses, allows JIACD to focus on the more important aspects of our journal;
monthly publishing of relevant clinical practices.
As a reader or author of JIACD, nothing will change. In fact, readers will see less
advertisements overall and authors can continue to submit articles relating to
any clinical topic.

We here at JIACD sincerely appreciate the continued financial support by
Osseofuse International Inc., and are excited about the opportunity it affords.
Thank you once again for your generous support.
Sincerely,
Leon Chen MD, MS, Co-Editor-in-Chief | Dave Beller, Director |The JIACD Team
The Journal of Implant & Advanced Clinical Dentistry
Volume 9, No. 2 • February 2017
Table of Contents
6
Computer Guided Full Arch
Treatment Modality for the
Edentulous Patient: A Case Report
Dr. Dhaval P. Pandya, Dr. Ashwini Bhalerao,
Dr. Kanir H. Bhatia
16
An Updated Primer on the
Utilization of Amnion-Chorion
Allografts in Dental Procedures
Dan Holtzclaw, Robert Tofe
2 • Vol. 9, No. 2 • February 2017
The Journal of Implant & Advanced Clinical Dentistry
Volume 9, No. 2 • February 2017
Table of Contents
38
F ull Mouth Rehabilitation of
Completely Edentulous Patient
with Full Arch Screw-Retained
Prosthesis: A Case Report with
4 Year Follow Up
Algabri RS, Alqutaibi AY, Keshk AM,
Elkhadem AH, Fahmmy A, Aboalrejal HO
46 A Review of
Photofunctionalization
of Dental Implants
Dr. Suraj Khalap, Dr. Ajay Mootha,
Dr. Ramandeep Dugal
The Journal of Implant & Advanced Clinical Dentistry • 3
The Journal of Implant & Advanced Clinical Dentistry
Volume 9, No. 2 • February 2017
Publisher Copyright © 2017 by LC Publications. All rights
LC Publications reserved under United States and International Copyright
Conventions. No part of this journal may be reproduced
Design or transmitted in any form or by any means, electronic or
Jimmydog Design Group mechanical, including photocopying or any other information
retrieval system, without prior written permission from the
www.jimmydog.com
publisher.
Production Manager
Disclaimer: Reading an article in JIACD does not qualify
Stephanie Belcher
the reader to incorporate new techniques or procedures
336-201-7475 • [email protected]
discussed in JIACD into their scope of practice. JIACD
readers should exercise judgment according to their
Copy Editor
educational training, clinical experience, and professional
JIACD staff
expertise when attempting new procedures. JIACD, its
staff, and parent company LC Publications (hereinafter
Digital Conversion
referred to as JIACD-SOM) assume no responsibility or
JIACD staff
liability for the actions of its readers.
Internet Management
Opinions expressed in JIACD articles and communications
InfoSwell Media
are those of the authors and not necessarily those of JIACD-
SOM. JIACD-SOM disclaims any responsibility or liability
Subscription Information: Annual rates as follows: for such material and does not guarantee, warrant, nor
Non-qualified individual: $99(USD) Institutional: $99(USD). endorse any product, procedure, or technique discussed in
For more information regarding subscriptions, JIACD, its affiliated websites, or affiliated communications.
contact [email protected] or 1-888-923-0002. Additionally, JIACD-SOM does not guarantee any claims
made by manufact-urers of products advertised in JIACD, its
Advertising Policy: All advertisements appearing in the affiliated websites, or affiliated communications.
Journal of Implant and Advanced Clinical Dentistry (JIACD)
must be approved by the editorial staff which has the right Conflicts of Interest: Authors submitting articles to JIACD
to reject or request changes to submitted advertisements. must declare, in writing, any potential conflicts of interest,
The publication of an advertisement in JIACD does not monetary or otherwise, that may exist with the article.
constitute an endorsement by the publisher. Additionally, Failure to submit a conflict of interest declaration will result
the publisher does not guarantee or warrant any claims in suspension of manuscript peer review.
made by JIACD advertisers.
Erratum: Please notify JIACD of article discrepancies or
For advertising information, please contact: errors by contacting [email protected]
[email protected] or 1-888-923-0002
JIACD (ISSN 1947-5284) is published on a monthly basis
Manuscript Submission: JIACD publishing guidelines by LC Publications, Las Vegas, Nevada, USA.
can be found at http://www.jiacd.com/author-guidelines
or by calling 1-888-923-0002.
4 • Vol. 9, No. 2 • February 2017
The Journal of Implant & Advanced Clinical Dentistry
Founder, Co-Editor in Chief Co-Editor in Chief
Dan Holtzclaw, DDS, MS Leon Chen, DMD, MS, DICOI, DADIA
Tara Aghaloo, DDS, MD Michael Herndon, DDS Michele Ravenel, DMD, MS
Faizan Alawi, DDS Robert Horowitz, DDS Terry Rees, DDS
Michael Apa, DDS Michael Huber, DDS Laurence Rifkin, DDS
Alan M. Atlas, DMD Richard Hughes, DDS Georgios E. Romanos, DDS, PhD
Charles Babbush, DMD, MS Miguel Angel Iglesia, DDS Paul Rosen, DMD, MS
Thomas Balshi, DDS Mian Iqbal, DMD, MS Joel Rosenlicht, DMD
Barry Bartee, DDS, MD James Jacobs, DMD Larry Rosenthal, DDS
Lorin Berland, DDS Ziad N. Jalbout, DDS Steven Roser, DMD, MD
Peter Bertrand, DDS John Johnson, DDS, MS Salvatore Ruggiero, DMD, MD
Michael Block, DMD Sascha Jovanovic, DDS, MS Henry Salama, DMD
Chris Bonacci, DDS, MD John Kois, DMD, MSD Maurice Salama, DMD
Hugo Bonilla, DDS, MS Jack T Krauser, DMD Anthony Sclar, DMD
Gary F. Bouloux, MD, DDS Gregori Kurtzman, DDS Frank Setzer, DDS
Ronald Brown, DDS, MS Burton Langer, DMD Maurizio Silvestri, DDS, MD
Bobby Butler, DDS Aldo Leopardi, DDS, MS Dennis Smiler, DDS, MScD
Nicholas Caplanis, DMD, MS Edward Lowe, DMD Dong-Seok Sohn, DDS, PhD
Daniele Cardaropoli, DDS Miles Madison, DDS Muna Soltan, DDS
Giuseppe Cardaropoli DDS, PhD Lanka Mahesh, BDS Michael Sonick, DMD
John Cavallaro, DDS Carlo Maiorana, MD, DDS Ahmad Soolari, DMD
Jennifer Cha, DMD, MS Jay Malmquist, DMD Neil L. Starr, DDS
Leon Chen, DMD, MS Louis Mandel, DDS Eric Stoopler, DMD
Stepehn Chu, DMD, MSD Michael Martin, DDS, PhD Scott Synnott, DMD
David Clark, DDS Ziv Mazor, DMD Haim Tal, DMD, PhD
Charles Cobb, DDS, PhD Dale Miles, DDS, MS Gregory Tarantola, DDS
Spyridon Condos, DDS Robert Miller, DDS Dennis Tarnow, DDS
Sally Cram, DDS John Minichetti, DMD Geza Terezhalmy, DDS, MA
Tomell DeBose, DDS Uwe Mohr, MDT Tiziano Testori, MD, DDS
Massimo Del Fabbro, PhD Dwight Moss, DMD, MS Michael Tischler, DDS
Douglas Deporter, DDS, PhD Peter K. Moy, DMD Tolga Tozum, DDS, PhD
Alex Ehrlich, DDS, MS Mel Mupparapu, DMD Leonardo Trombelli, DDS, PhD
Nicolas Elian, DDS Ross Nash, DDS Ilser Turkyilmaz, DDS, PhD
Paul Fugazzotto, DDS Gregory Naylor, DDS Dean Vafiadis, DDS
David Garber, DMD Marcel Noujeim, DDS, MS Emil Verban, DDS
Arun K. Garg, DMD Sammy Noumbissi, DDS, MS Hom-Lay Wang, DDS, PhD
Ronald Goldstein, DDS Charles Orth, DDS Benjamin O. Watkins, III, DDS
David Guichet, DDS Adriano Piattelli, MD, DDS Alan Winter, DDS
Kenneth Hamlett, DDS Michael Pikos, DDS Glenn Wolfinger, DDS
Istvan Hargitai, DDS, MS George Priest, DMD Richard K. Yoon, DDS
Giulio Rasperini, DDS
The Journal of Implant & Advanced Clinical Dentistry • 5
Pandya et al
Computer Guided Full Arch Treatment
Modality for the Edentulous Patient:
A Case Report
Dr. Dhaval P. Pandya1 • Dr. Ashwini Bhalerao2 • Dr. Kanir H. Bhatia3
Abstract
Background: Successful outcomes in the field Methods: The case report involves the rehabili-
of implantology often involve an amalgama- tation of an edentulous mandible of a 53 year
tion of good planning, execution of surgery and old Asian woman with a combination of mini-
finally, accurate prosthetic rehabilitation. In the mally invasive flapless implant surgery and resto-
planning phase, it is possible for the surgeon to ration with a screw retained framework over the
interact dynamically with a 3D reconstruction implants and cementable segmented bridges.
of the actual case scenario. The exact angula-
tions and on the placement of implants can be Conclusions: Dental implant rehabilitation of
pre-determined virtually. The virtual plan is then a fully edentulous jaw utilizing a three step pro-
transferred to the clinical setting through the fab- tocol has a significant benefit not only to the
rication of a surgical guide. Advances in the pros- patient in terms of reduced trauma and lessened
thetic framework designs especially for a full arch chair side time, but also to the clinician in terms
implant reconstruction have led to superior final of predictability and successful outcomes.
outcomes for both the patient and the clinician.
KEY WORDS: Dental implants, guided surgery, edentulism, case report
1. Private practice limited to periodontics and implantology; Mumbai, India
2. Private practice limited to oral and maxillofacial surgery and implantology; Mumbai, India
3. Private practice limited to cosmetic dentistry and implantology; Mumbai, India
6 • Vol. 9, No. 2 • February 2017
PPaannddyyaa eett aall
Figure 1: Pre-op clinical view. Figure 2: Radiographic index with markings.
Figure 3: Panoramic virtual view with index markings. Figure 4: Virtual planning 1.
INTRODUCTION (CBCT) has gained popularity and is routinely
Advanced imaging and CAD/CAM technologies used in the planning process.10 With the intro-
and their applications in enhancing treatment duction and advances of 3-dimensional (3D)
outcomes in implant dentistry have gained wide- imaging and computer aided design and com-
spread interest. Guided implant surgery utiliz- puter aided manufacturing (CAD/CAM) technol-
ing these advanced technologies has significant ogy, implant placement can be planned virtually.
applications in implant dentistry.1-9 The plan- This planned information is then transferred
ning and execution of a treatment plan in implant via stereolithographic (STL) rapid prototyp-
dentistry typically involves a team approach, ing (RP).11 With the advent of newer retriev-
with the placement of implants determined by able metal ceramic acrylic implant- supported
a definitive restorative goal. Radiographic imag- fixed prosthesis with titanium framework and
ing plays a critical role in this process. More individual crowns and bridges, the advantages
recently, cone beam computerized tomography are both to the patient as well as the clinician.
The Journal of Implant & Advanced Clinical Dentistry • 7
Pandya et al
Figure 5: Virtual planning 2. Figure 6: Surgical guide.
Figure 8: Healing abutments on the implants clinical view. Figure 9: Post –op panoramic X-ray.
CASE REPORT Based on the above record, a complete den-
A healthy 53 year old Asian female presented ture was fabricated. Five to six gutta percha mark-
with a completely edentulous mandible with ings were done in the buccal and lingual area of
a desire to have implant supported fixed teeth the denture to make it a radiographic marker (Fig-
replacement (Figure 1). Considering her back- ure 2). This was to explore the possibility of uti-
ground from the media industry and her pro- lizing a flapless implant surgery approach which
fession involving a lot of voice make- over could be minimally invasive and may reduce the
dubbing work, she desired fixed replacement treatment and the chair side time and discomfort
option over the implants. Dental records were to the patient as well as better prosthetic out-
taken for the treatment planning which included comes compared to the conventional surgery.
pre op dental models with bite registration. Investigation involved a Computerised Tomog-
8 • Vol. 9, No. 2 • February 2017