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Related Experiment Videos

Definitive CAD/CAM-guided prosthesis for immediate loading of bone-grafted maxilla: a case report.

Herman K Kupeyan1, Matt Shaffner, Joseph Armstrong

  • 1University of Michigan, Ann Arbor, USA. dr.k@smileandbody.com

Clinical Implant Dentistry and Related Research
|August 22, 2006
PubMed
Summary

Bone grafting and immediate implant placement restored function in severely resorbed jaws. The Teeth-in-an-Hour concept enabled rapid prosthetic rehabilitation, offering a solution for complex cases.

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The Journal of prosthetic dentistry·2004

Area of Science:

  • Oral and Maxillofacial Surgery
  • Dental Implantology
  • Bone Grafting Techniques

Background:

  • Severe residual ridge resorption presents challenges for conventional implant-retained prostheses.
  • Bone graft reconstruction is a viable option to reverse alveolar ridge resorption.
  • Functional occlusion reconstruction is crucial for patient quality of life.

Observation:

  • A completely edentulous patient underwent posterior iliac crest bone grafting for maxillary and mandibular augmentation.
  • The mandible utilized Marx's "soft tissue matrix expansion procedure," while the maxilla received "inlay/onlay" grafts.
  • Implant placement occurred 4 months post-grafting, followed by immediate loading.

Findings:

  • The Teeth-in-an-Hour concept facilitated immediate loading of implants into grafted bone.

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  • CT-based planning, CAD/CAM technology, and flapless surgery ensured accurate implant placement.
  • This approach significantly reduced treatment time for prosthetic rehabilitation.

    • Implications:

    • Bone grafting combined with immediate loading offers a predictable solution for severely atrophic jaws.
    • The Teeth-in-an-Hour protocol streamlines the process, benefiting both patients and surgical teams.
    • This technique allows for definitive implant-retained restorations in a shortened timeframe.