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Published on: May 23, 2020
Tilted placement of tapered implants using a modified surgical template
Tateharu Kawasaki1, Kiyomi Komatsu, Reo Tsuchiya
1Department of Dentistry and Oral Surgery, Fukushima Medical University, Fukushima, Japan. kenkoshi@peach.plala.or.jp
Summary
Tilted placement of tapered implants offers a viable alternative to bone grafting in atrophied jaw sites. This modified technique achieved a 100% prosthesis success rate with minimal implant failure.
Area of Science:
- Dental Implantology
- Oral Surgery
- Prosthodontics
Background:
- Atrophied edentulous sites present challenges for dental implant placement.
- Traditional methods may require complex bone grafting procedures.
Purpose of the Study:
- To evaluate the efficacy of tilted placement of tapered implants using a modified surgical template.
- To avoid complex bone grafting in atrophied jaw sites.
Main Methods:
- Tapered implants were placed using a modified surgical template in 15 patients.
- 3D computed tomographic data guided implant site, length, and angulation.
- A total of 65 implants were placed, with 73.8% tilted.
Main Results:
- A 100% success rate was observed for the 24 fixed implant-supported prostheses.
- Only 3.1% of implants failed due to non-osseointegration, with one successfully reinserted.
- The tilted implant technique proved effective in sites with insufficient bone for axial placement.
Conclusions:
- Tilted placement of tapered implants is a valuable procedure for atrophied edentulous sites, avoiding bone grafts.
- The prosthetic phase may involve some complexity.
- This method offers a less invasive alternative for dental rehabilitation.
