Download - Dr. Angelo C. Trödhan Center for Facial Esthetics Clinic OA DDr. Angelo C. Trödhan Dr. Izabela Wasowicz .

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


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


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


SurfOss IISurfOss IIImplantatoberflaecheImplantatoberflaeche

Nano-structuredNano-structured


Single Stage ImplantSingle Stage Implant

similar to the natural anatomy of the root



similar to the natural anatomy of the root

Selfcutting screw (Bone Spreading/Bone Condensing)



Similar to the natural anatomy of the root


Bone-Trap as rotation-lock after healing



Similar to the natural anatomy of the root


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


Implant-head prepableImplant-head prepable

Q-MultiCap for:Provisional CrownImpressionMeltable base for dental technician


Simple InstrumentsSimple Instruments

Pilot drill 1,5mm Form drills 3,5/4,5 Insertion wheel

ratchet


Q-Implant-BoxQ-Implant-Box


Surgical ProcedureSurgical Procedure

Crestal cut or punch

Pilot-drill

Formdrill3,5mm

ev. Formdrill4,5mm

Insertion Suture (not in case of punch) Provisional


Single stage implantation after Single stage implantation after extractionextraction


Edentolous maxillaEdentolous maxilla


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


32 8 sofort post ex

Stegprothetische Versorgung OK (immer 6 Q1-Implantate)Patientenzahl


36 6 sofort post ex

Freiend- Schaltlücken- Versorgung (gemischt getragene Prothetik)Patientenzahl


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


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.



Klinik 104 Wochen post Insert


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




72 Wochen post-OP bis116 Wochen post-OP

61 idem 117 idem idem


ConclusionConclusion

Success-rate over 2 years > than 2-stage implant-systems

Highest primary stability Applicable in almost any

case High acceptance by

patients affordable


Thank You for Your interestThank You for Your interest

Dr. Angelo Trödhan

[email protected]

www.kieferchirurgie.at