Scientifica implantology

Journal of Oral Implantology 2014;40:313-319

Implant peri-apical lesion (IPL) is a periapical lesion, usually asymptomatic, in which the coronal portion of the implant achieves a normal bone to implant interface. A case of IPL following immediate implant placement and treated with guided bone regeneration (GBR) principles is described. Five-year clinical and radiographic follow-up with cone-beam assessment showed complete healing of the bone. GBR principles applied to IPL could completely solve the lesion.

Numeri Uno, 19: 12-14, 2014

IMPLANT TREATMENT FOR THIN CRESTS: SPLIT-CREST OR GBR?

Introduction: Surgical treatment on thin alveolar crests for implants has always been a difficult task, even for the most experienced implantologists. The many surgical techniques suggested in literature may confuse clinicians to a certain degree in the choice of the correct surgical technique to be used.
The main surgical techniques found in literature can essentially be divided into two basic groups:

• Split-crest techniques, which aim to divide the thin crest present into two parts to be opened out, thus creating an intraosseous bone defect delimited by the two split cortices.
• Regenerative techniques, which leave the residual thin crest intact and increase the thickness of the crest with the application of a block or particulate graft, protected by a membrane or a titanium mesh.

Numeri Uno, 16: 6-9, 2013

SYSTEMATIC REGENERATIVE APPROACH TO MORPHOLOGICAL AND FUNCTIONAL INTEGRATION IN IMPLANT SUPPORTED PROSTHESES

The treatment of sectors of great aesthetic importance with implant prostheses is particularly critical even when post-extraction apicocoronal and buccolingual bone dimensions are substantially conserved. However, the “mere” loss of the root eminence and the papillae is sufficient to produce anatomical deficits that if not adequately compensated for can compromise the results of prosthetic rehabilitation. Over the last two decades numerous surgical regeneration techniques have been developed to allow anatomy to be corrected so that implants that are adequate in dimension, location and inclination can be inserted. Some of these techniques are complex and involve the use of membranes together with biomaterials, as well as multiple surgical phases to be able to correct alterations of the mucogingival tissues induced by the bone regeneration procedures. Furthermore, to treat a single case it is often necessary to put together different techniques devised to resolve single parts of the problem, such as bone deficit, malformations of the mucogingival tissues, the positioning of the implants or the pontics, etc. The systematic ESE approach addressed by this case report promotes the morphological restoration of the osseo-mucogingival peri-implant matrix (osseous and mucogingival tissues) in a single surgical phase. It uses implants, posts and the overlying prosthetic devices as essential features for peri-implant tissue morphogenesis.

Il Dentista Moderno, 7 (9): 121-126, 2003

POST-EXTRACTION IMPLANT WITH AUTOLOGOUS BONE GRAFT AND NON RESORBABLE MEMBRANE

Il Circolo, Rivista Periodica di Odontostomatologia, 1: 21-26, 2004

IMPLANT REPROCESSING: OBSERVATIONS OF A CLINICAL CASE

Implantologia, 1: 51-59, 2009

Dental Cadmos, 10:79-85, 2002

Immediate implants are currently considered an effective therapeutic option in maxillary and/or mandibular arch rehabilitations of edentulous or partially edentulous patients. Often the bone defi cits around the implant require regenerative therapies. Barrier membranes were often used in these
procedures and in some cases were accompanied by an early exposure in the oral cavity that could explain the poor clinical results recorded as evidence. The paper describes case of an immediate implant with a vestibular bone defi cit treated with the use of an autologous grafting of plasma rich platelet.

International Journal of Oral and Maxillofacial Implants, 21: 124-130, 2006

Implantologia, 4:63-65, 2008

FUNCTIONAL AND AESTHETIC REHABILITATION OF IMPLANT-SUPPORTED PROSTHESIS WITH UNILATERAL SINUS LIFT A CASE REPORT

NumeriUno, 2(10-12):04-06, 2008

BIMAXILLARY PROSTHETIC IMPLANT REHABILITATION OF A PATIENT WITH SEVERE BONE ATROPHY BY MEANS OF CRESTAL EXPANSION ASSOCIATED TO IMMEDIATE LOADING IN THE LOWER ARCH AND MAXILLARY SINUS LIFT LOCALISED WITH THE CRESTAL APPROACH

The techniques of immediate loading in the edentulous mandibular arch nowadays have relatively minor risk factors if this rehabilitation is performed according to the guidelines shared by literature and widely used by dentists.
On the other hand, the surgical techniques for crest expansion and localised sinus lift allow, according to the author, minimising surgical trauma, and the post-operative course and to obtain faster healing times compared to other surgical techniques, even though today these depend on the surgeon’s skills.
Nevertheless, in cases like the present one, the sum of several risk factors requires extreme accuracy and attention in the pre-operative planning phase, in the programming of the fi nal prosthetic structure and its completion. This study proposes combining the crestal expansion technique with the immediate loading technique.
The surgical techniques used in performing this total bi-maxillary rehabilitation allow resolving the implant-prosthetic problem in impaired anatomic situations that could otherwise only be treated by guided bone regeneration techniques or bone grafts or other more invasive surgical procedures. Those proposals are safe with comparable results in terms of prognosis as well as of effi cacy and can be associated, at least in the lower arch, to immediate loading.