Dr. Angelo C. Trödhan Center for Facial Esthetics Clinic OA DDr. Angelo C. Trödhan Dr. Izabela...
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Dr. Angelo C. Trödhan Center for Facial Esthetics Center for Facial Esthetics Clinic Clinic OA OA D Dr. Angelo C. Trödhan Dr. Angelo C. Trödhan Dr. Izabela Wasowicz Dr. Izabela Wasowicz www . kieferchirurgie .at www . parodontose European Congress on OMF-Surgery European Congress on OMF-Surgery Austria 2005: Austria 2005: I I mmediate Loading mmediate Loading – – Results of a Results of a 2 2 Study with Study with Q1-Implant Q1-Implant - - system system d d Dr. Angelo C. Trödhan Dr. Angelo C. Trödhan
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Transcript of Dr. Angelo C. Trödhan Center for Facial Esthetics Clinic OA DDr. Angelo C. Trödhan Dr. Izabela...
Dr. Angelo C. Trödhan
Center for Facial EstheticsCenter for Facial EstheticsClinicClinic OA OA DDDr. Angelo C. TrödhanDr. Angelo C. Trödhan
Dr. Izabela WasowiczDr. Izabela Wasowicz
www.kieferchirurgie.at www.parodontose.at
European Congress on OMF-SurgeryEuropean Congress on OMF-SurgeryAustria 2005:Austria 2005:
IImmediate Loadingmmediate Loading – – Results of aResults of a 2 2 Study Study withwith Q1-Implant Q1-Implant--systemsystem
ddDr. Angelo C. TrödhanDr. Angelo C. Trödhan
Dr. Angelo C. Trödhan
thethe Q1-IMPLANT Q1-IMPLANT
Single Stage Implant-system
No Abuttments necessary
Simple Instruments Preparation and
Impression like on a natural tooth
3,5mm and 4,5mm Diameter
Dr. Angelo C. Trödhan
DAS Q1-IMPLANTATDAS Q1-IMPLANTAT
2 4
Q-IMPLANT ® standard
Halsbereich = 4mm
Q-IMPLANT ® short
Halsbereich = 2mm
Beliebig tief versenkbar
Längen 8 mm 10 mm 12 mm 14 mm
Durchmesser 3.5 mm 4.5 mm
Dr. Angelo C. Trödhan
SurfOss IISurfOss IIImplantatoberflaecheImplantatoberflaeche
Nano-structuredNano-structured
Dr. Angelo C. Trödhan
Single Stage ImplantSingle Stage Implant
similar to the natural anatomy of the root
Dr. Angelo C. Trödhan
Single Stage ImplantSingle Stage Implant
similar to the natural anatomy of the root
Selfcutting screw (Bone Spreading/Bone Condensing)
Dr. Angelo C. Trödhan
Single Stage ImplantSingle Stage Implant
Similar to the natural anatomy of the root
Selfcutting screw (Bone Spreading/Bone Condensing)
Bone-Trap as rotation-lock after healing
Dr. Angelo C. Trödhan
Single Stage ImplantSingle Stage Implant
Similar to the natural anatomy of the root
Selfcutting screw (Bone Spreading/Bone Condensing)
Bone-Trap as rotation lock after healing
Variable insertion depth due to 4mm polished implant neck and prepable implant head for shaping like on a natural tooth
Dr. Angelo C. Trödhan
Implant-head prepableImplant-head prepable
Q-MultiCap for:Provisional CrownImpressionMeltable base for dental technician
Dr. Angelo C. Trödhan
Simple InstrumentsSimple Instruments
Pilot drill 1,5mm Form drills 3,5/4,5 Insertion wheel
ratchet
Dr. Angelo C. Trödhan
Q-Implant-BoxQ-Implant-Box
Dr. Angelo C. Trödhan
Surgical ProcedureSurgical Procedure
Crestal cut or punch
Pilot-drill
Formdrill3,5mm
ev. Formdrill4,5mm
Insertion Suture (not in case of punch) Provisional
Dr. Angelo C. Trödhan
Single stage implantation after Single stage implantation after extractionextraction
Dr. Angelo C. Trödhan
Edentolous maxillaEdentolous maxilla
Dr. Angelo C. Trödhan
Clinical studyClinical studyGesamtzahl PatientenDavon:
62 Gesamtzahl gesetzte Q1-ImplantateDavon:
119 Anzahl Sofortimplantation nach Extraktion
EinzelzahnversorgungPatientenzahl
32 Anzahl gesetzte Q1-Implantate
32 27 (regio 4-4 OK/UK) 4 (regio 46/36) 1 (regio 16)
15 sofort post ex 1 sofort post ex
Stegprothetische Versorgung UK (immer 4 Q1-Implantate)Patientenzahl
8 Anzahl gesetzte Q1-Implantate
32 8 sofort post ex
Stegprothetische Versorgung OK (immer 6 Q1-Implantate)Patientenzahl
6 Anzahl gesetzte Q1-Implantate
36 6 sofort post ex
Freiend- Schaltlücken- Versorgung (gemischt getragene Prothetik)Patientenzahl
16 Anzahl gesetzte Q1-Implantate
19 4 Oberkiefer14 Unterkiefer
1 sofort post ex
Summe Sofortimplantate unmittelbar nach Extraktion
31 sofort post ex
ImplantatverlusteGesamtzahl Patienten
1 Insgesamt verloreneQ1-Implantate
2 Ursache: Periimplantitis 6 Wochen post Insertionem
Dr. Angelo C. Trödhan
Klinische NachuntersuchungKlinische Nachuntersuchung
Single tooth x-ray Papillae bleeding
index (1-3) Gingival Pocket
measurement (TT) Percussion-test Subjective rating by
patients (Dolor 0-5, swelling 0-5)
8 Wochen post Insert.
18 Wochen post Insert.
104 Wochen post Insert.
Klinik 104 Wochen post Insert
Dr. Angelo C. Trödhan
ResultsResultsGesamtzahl nachuntersuchte Patienten:
62 Gesamtzahl nachuntersuchte Q1-Implantate
119 Parameter: PBI (1-3), TT (mm), KB-Rö (mm), Perkussionstest, Dolor (0-5)
4 Wochen post-OP 62 119 PBI: 0, TT: 0-1mm, Knochen abbau: 0mm Perkussionstest: hell, Dolor:0
8 Wochen post-OP 61 6. Woche post-OP: Verlust von 2 Q1-Impl. wegen Periimplantitis (Ursache: Suprastruktur ?)
117 idem
12 Wochen post-OP 61 117 idem
16 Wochen post-OP 61 15. Woche: Lockerung Impl. Pos. 24 symptomlos(Ursache: Bruxismus)
117 24: 3mm Knochen abbau, PBI: 0, TT 4mm,Perc:dumpf, Dolor:0
idem
18 Wochen post-OP 61 idem 117 idem idem
22 Wochen post-OP 61 idem 117 idem idem
38 Wochen post-OP 61 idem 117 idem idem
56 Wochen post-OP 61 idem 117 idem idem
72 Wochen post-OP bis116 Wochen post-OP
61 idem 117 idem idem
Dr. Angelo C. Trödhan
ConclusionConclusion
Success-rate over 2 years > than 2-stage implant-systems
Highest primary stability Applicable in almost any
case High acceptance by
patients affordable
Dr. Angelo C. Trödhan
Thank You for Your interestThank You for Your interest
Dr. Angelo Trödhan
www.kieferchirurgie.at
