Журнал клинических случаев

Implants and Bone Augmentation − A Case Report

Abstract

Manolis M

The use of endosseous implants provides dentistry, the solution in many problems. Someone who worked
in early 90’s may remember, the full arch reconstructions in periodontal teeth, the heroic attempts for endodontic
treatments, root-end resections (palatal roots of molars, mandibular premolars), root resections/root separations
of molars. Today no uses these approaches, because our patients after spending time, effort, and money, want
solutions with proven durability, solutions that only endosseous implants can provide. In fixed prosthodontics,
natural bone, late loading, good surgery, the failure rate is something like 2%. Friberg et al. conducted a study
comprising of 4641 Branemark dental implants for a period of 3 years and reported a failure rate of 1.5%. My
statistics in these conditions are 1%. Failure rate in immediate loading rise (9%), also in maxillary overdentures with
4 implants freestanding (15%), and when I use implants to salvage removable partial dentures (20%) (my statistics).
It is believed that in the field of general dentistry the failure rate is bigger. Also, when we use removable interim
rehabilitations, we have to expect high failure rates. I had a patient with a removable interim rehabilitation, and he
gave me in the hand the implant after one week, (was inserted with torque 55 N-cm and closed with the gingiva).