www.advanimplantology.com

system

Clinical competence library

ADVANced Tissue ManagementCASE REPORT OF THE GTB IMPLANT SYSTEM

The most innovative and safe implant systemavailable in the market. Entirely designed and

manufactured, with accuracy and passion, in Italy

tissues management.IN DEPTH CASE REPORTS* OF THE GTB IMPLANT SYSTEM

...ced

system

Courtesy of Dr. Albert VericatValencia (Spain)*

v

The new approach includes accurate evaluation of the coupling between implant, abutment and other prosthetic components after osseointegration. In this area new features of the implantable osteointegrated systems have been developed. The clinical follow-up of GTB implant system is characterized by commons evidences maintained over time:

marginal bone level preservation peri-implant soft tissues stability

respect of the biological width generation of a new biological seal

All those factors are strictly crucial to avoid bacterial infiltrations of the gingival channel and therefore reduce to the minimum the onset of peri-implant desease.

The first implant system with a high biological performance

easy surgical approach predictable results digital native prevention of peri-implantitis

Courtesy of Dr. Albert Vericat - Valencia (Spain)

O ver the past ten years many changes occurred in the field of dental implants and concepts that seemed to have become axioms were revised. After having focused almost exclusively on the concept of

osteointegration, recently other key factors have been studied: the maintenance of perimplant bone tissue, especially at the crestal level, the improvement of implant system functionality after loading, i.e. the biomechanics of the implant.

ADVANced Tissue Management

Clinical competence library

system

Histology of human maxilla bone and GTB fixture.

Courtesy of Dr. Peter Schüpbach

and Dr. Antonio Rocci

Healing Follow up

Advanced Tissue Management4 Advanced Tissue Management 5

T o easily obtain those clinical results the implant system should provide both surgeon and prosthodontist a perfectly tuned package of products and protocols. The protocols have to be

simple, fast and cost effective. On the other hand, the products have to be easy to use and grant to the dentist effectiveness and efficiency. For those reasons the GTB implant system has united in the same product the following critical success factors.

Abutment with a slim and concave profileTo guarantee a lot of available volume to peri-implant soft tissues so that they can create a new biological seal, generating a biological condition quite similar to a healthy natural tooth.

High precision conical connectionTo avoid dynamic micro-movements and the resulting pump-effect that allow bacteria to infiltrate into the gingival channel.

Implant bioplatformA brand new concept that uses the horizontal surface of the fixture to obtain an integration with biological tissues. A complex design of the implant platform that enhance the amount of integrable surface (30% more), lower the transfer distribution of the masticatory load and create an annular space to mechanically protect the blood clot (boosting the predictability of bone regrowth over the platform itself ).

High biological performanceThe GTB fixtures are design using the Finite Element Analysis to evaluate the behavior of both implant system and bone tissue during mastication. The masticatory load is distributed in a completely different and innovative way respect traditional implant fixtures: instead of transmitting most of the load trough the implant neck the GTB fixture use the apical portion of the implant discharge the most of the load and this load is transmitted to the bone as a compressive stress, according to bone biology and avoiding marginal bone overloading. That’s the reason why with GTB implant system it’s possible to use thinner and shorter fixtures.

Progressive blood clot dissipation channelThis feature allow the blood clot to mechanically wet the entire fixture surface without using high hydrophilic surface treatments. The blood will raise up to the implant BioPlatform avoiding blood isostatic compression: this incredibly affects the patience comfort during and, moreover, after the implant surgery.

A perfect package of product and protocols

GTB implant system critical success features

A synthesis of the main successfull aspects of GTB implant system

Double tread with modified

reverse butters profile

Implant BioPlatform

Progressive blood clot

dissipation channel

Advanced Tissue Management6 Advanced Tissue Management 7

GFA Gingival Former Abutment

T he Gingival Former Abutment allows the dentist to use a prosthodontics tissue level approach even when the implant’s platform is positioned under the marginal bone

level. This clinical protocol allow the dentist to perform a true one time abutment protocol, a condition that grant the best way to preserve the soft tissues attachment: that’s the perfect condition to maintain the biological seal created during the healing time.

Simplified proceduresMoreover, having a new platform at tissue level makes simple and fast every prosthodontics procedure. The double GTB conical connection allow to use the GFA modular implant concept for full arch rehabilitations but mostly for the single crown rehabilitations using a time&cost effective protocol. Finally, the GFA modular implant concept can be performed both with screwed and cemented retained prosthesis.

The best way to preserve the peri-implant hard & soft tissues

Case reports

A biologically integrated system

Preservation of marginal bone tissue

Mantainement and stabilization of peri-implant soft tissues

Respect for biologic width (Patented Bioplatform)

Generation and protection of the biological seal:

eliminate bacterial contamination

drastically reduce the risk of peri-implantitis

EVERYTIHNG YOU MIGHT WISH FOR YOUR IMPLANT SYSTEM

Advanced Tissues Management 9Advanced Tissue Management8

The immediate load

facilitates the stability of the

soft tissues and the quality of

the treatment perceived by

the patient

CASE REPORT GFA

#1

Radiographic control

One stage surgery using GTB TZERO implant and GFA prosthetic component

Patient comes to the clinic after an orthodontic treatment in 1.4. The implant GTB TZERO is positioned and at the same moment the GFA is placed. After three months of treatment and after checking the implant osteointegration, the final screw retained ceramic-metal crown is placed on the GFA.

Advanced Tissue Management10 Advanced Tissue Management 11

Final clinical condition of the patient

CASE REPORT GFA

The immediate load

facilitates the stability of the

soft tissues and the quality

of the treatment perceived

by the patient, even in case

of immediate post-extractive

implants.

#2#1

One time abutment prosthodontic approach and control of tissues levels

A 47-year-old patient who came to the clinic with a fracture of 2.5. The extraction was performed and an immediate post-extraction GTB TZERO implant was placed in the same surgical act. After the implant was placed the GFA was positioned on the implant, impression was taken and, a few hours after the surgery, an immediate loading provisional crown is placed on the GFA. Three months after, with the osteointegration of the implant, the screw retained ceramic-metal crown was placed onto the GFA.

Advanced Tissue Management12 Advanced Tissue Management 13

Radiographic control Final clinical condition of the patient

#2#2Root extraction and one stage surgery using GTB TZERO implant and GFA prosthetic component. Bone graft used. One time abutment prosthodontic approach and control of tissues levels

Advanced Tissue Management14 Advanced Tissue Management 15

CASES REPORTS

Healing Follow up

CASES REPORTS

#3 #4

#5 #6

#7

Healing Follow up

#9 #10

#11 #12

#13 #14#8

Advanced Tissue Management16 Advanced Tissue Management 17

CASES REPORTS

CASES REPORTS

Healing Follow up Healing Follow up

#15 #16

#17 #18

#19 #20

#21

#22

#23

Advanced Tissue Management18 Advanced Tissue Management 19

CASE REPORT MUA

Even when the immediate load is not necessary or not recommended, the one time abutment surgery is an important way to obtain predictable stability of the soft tissues and assure the best quality of the treatment for the patient

Radiographic control

One stage surgery using GTB implant and MUA prosthetic component

A 62-year-old patient came to the clinic to rehabilitate the edentulous area of the third quadrant, placing two GTB implants in 3.4 and 3.6 and the MUAs in the same surgical act. After three months, with the osteointegration of the implants, the three screw retained crowns was placed in position 3.3, 3.5 and 3.6.

#24

Advanced Tissue Management20 Advanced Tissue Management 21

Final clinical condition of the patient

One time abutment prosthodontic approach and control of tissues levels

Healing Follow up

CASES REPORTS

#25

#26

Advanced Tissue Management22 Advanced Tissue Management 23

Baggi L, Di Girolamo M, Mirisola

C, Calcaterra R: Implant Dentistry. 2013;22:1-7Microbiological Evaluation of Bacterial and Mycotic Seal in Implant System with Different Implant-Abutment Interfaces and Closing Torque Values

Baggi L, Cappelloni I, Di Girolamo

M, Maceri F, Vairo G: J Prosthet Dent. 2008;100:422431 The Influence of Implant Diameter and Length on Stress Dristribution of Osseointegrated Implants Related to Crestal Bone Geometry: A Three-Dimensional Finite Element Analysis

Rompen et al. J Prosthet Dent. 2007

Jun;97(6 Suppl):S119-25

Soft tissue stability at the facial aspect of gingivally converging abutments in the esthetic zone: a pilot clinical study

Guo X E 2001

Biomechanics and Remodeling of Trabecular Bone, in Recent Advances in Biomechanics, Edited by C. Zhu and M. Long, Chinese Higher Education Press and Springer-Verlag, pp 120-129

Biasotto M, Di Lenarda R, Cadenaro M:

Effects on titanium surface topography of different surface treatments; J Dent. Res. 2000, 79 (special issue), abstr.1757

Sandrucci M A, Basa M, Biasotto

M, Bareggi R: Fibronectin (FN) arrangement and collagen expression in human fibroblast cultured on titanium surface; Italian Journal of anatomy and embryology (Liv congress società di anatomia, Firenze 21-14 settembre 2000), 2000 vol.105, suppl.1:209

Di Lenarda R, Biasotto M, De Stefano

Dorigo E:

Il titanio e le sue leghe in odontoiatria; Odontoiatria 2001, 2:123-130

Biasotto M, Scuor N, Chiesa R,

Schimd C, Di Lenarda R, Cigada A:

Caratterizzazione di superfici di titanio per impianti; Biomateriali 2001, 15(1):5-13

Biasotto M, Cadenaro M, Scuor N, Di

Lenarda R, De Stefano Dorigo E:

Valutazione comparativa del trattamento di superficie in 5 sistemi implantari; Quintessence International 2002

Hansson S.

Implant-abutment interface: biomechanical study of flat top versus conical. Clin Impl Dent Rel Res 2000;2(1):33-41. ID No. 75159

Hansson S.

A conical implant-abutment interface at the level of the marginal bone improves the distribution of stresses in the supporting bone. An axisymmetric finite element analysis. Clin Oral Implants Res 2003;14(3):286-93. ID No. 79030

Roberta Calcaterra, Michele Di

Girolamo, Concetta Mirisola, Luigi Baggi

Effects Of Repeated Screw Tightening On Implant Abutment Interfaces In Terms Of Bacterial And Yeast Leakage In Vitro : “One Time Abutment” Versus The Multiscrewing TechniqueManuscript type: ImplantsDate accepted: 2014-03-29International Journal of Periodontics & Restorative Dentistry

Baggi L, Pastore S, Di Girolamo M,

Vairo G.

Implant-bone load transfer mechanisms in complete-arch prostheses supported by four implants: a three-dimensional finite element approach.J Prosthet Dent. 2013 Jan;109(1):9-21. doi: 10.1016/S0022-3913(13)60004-9.PMID: 23328192 [PubMed - indexed for MEDLINE]

Bibliography

CASES REPORTS

Healing Follow up

#28

#27

Advanced Tissue Management24 Advanced Tissue Management 25

Meleo D, Baggi L, Di Girolamo M, Di

Carlo F, Pecci R, Bedini R.

Fixture-abutment connection surface and micro-gap measurements by 3D micro-tomographic technique analysis.! Ann Ist Super Sanità. 2012;48(1):53-8. doi: DOI: 10.4415/ANN_12_01_09. PMID: 22456016 [PubMed - indexed for MEDLINE]

Roberta Calcaterra, Michele Di

Girolamo, Concetta Mirisola, Luigi

Baggi

Effects Of Repeated Screw Tightening On Implant Abutment Interfaces In Terms Of Bacterial And Yeast Leakage In Vitro: “One Time Abutment” Versus The Multiscrewing TechniqueManuscript type: ImplantsDate accepted: 2014-03-29International Journal of Periodontics & Restorative Dentistry

Giuseppe Vairo, Simone Pastore,

Michele Di Girolamo and Luigi Baggi

Implant Dentistry - A Rapidly Evolving PracticeStress Distribution on Edentulous Mandible and Maxilla Rehabilitated by Full-Arch Techniques: A Comparative 3D Finite-Element ApproachEdited by Ilser Turkyilmaz, ISBN 978-953-307-658-4, 544 pages,Publisher: InTech, Chapters published August 29, 2011 under CC BY-NC-SA 3.0 license DOI: 10.5772/706

Giuseppe Vairo and Gianpaolo

Sannino

Computational and Mathematical Methods in MedicineVolume 2013 (2013), Article ID 250929, 15 pages.Research ArticleComparative Evaluation of Osseointegrated Dental Implants Based on Platform-Switching Concept: Influence of Diameter, Length, Thread Shape, and In-Bone Positioning Depth on Stress-Based PerformanceReceived 31 March 2013; Accepted 19 May 2013

R Calcaterra, M Di Girolamo, C

Mirisola and L Baggi

Expression of Pattern Recognition Receptors in Epithelial Cells Around Clinically Healthy Implants and Healthy TeethImplant Dentistry. 2016;Vol 25; n 2

L Baggi, R Calcaterra, M Di Girolamo

The pontic crown in the modern implant prosthesisDM 6/2016: 72:74

Antonio Rocci MD DDS, Roberta

Calcaterra MD, Marta Rocci DDS,

Cecilia Rocci DDS, Luigi Baggi DDS.

The influence of micro and macrogeometry in term of bone-implant interface in two implant systems: an histomorphometrical study.Oral&Implantology.

Antonio Rocci MD DDS, Roberta

Calcaterra MD, Marta Rocci DDS,

Cecilia Rocci DDS, Michele Di

Girolamo DDS, Luigi Baggi DDS.

Different performance of platform switching in equicrestal position implant: an histological study.

Oral&Implantology.

Small & Tarnow. Gingival recession

around implants: a 1-year longitudinal prospective study. JOMI, 2000;15(4):527-532

M. Di Girolamo, L. Baggi, P. Pirelli, L.

Pappalardo, G. Massei, F. Iaculli, G.

Iezzi, A. Piattelli, R. Calcaterra - ORAL & Implantology - Anno X - N. 3/20173D X-ray microscopic analysys on a prosthetically loaded implant with platform-switching and conical connection: a case report.

Bibliography

Advanced Tissue Management26

www.advanimplantology.com

system

Clinical competence library

ADVANced Tissue ManagementCASE REPORT OF THE GTB IMPLANT SYSTEM

Advan s.r.l.Via Fratelli Solari, 5 33020 Amaro (UD) - Italia

Tel. +39 0433.096245Fax +39 0433.096246

info@advanimplantology.com