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Center for Facial Esthetics Clinic OA D Dr. Angelo C. Trödhan Dr. Izabela Wasowicz

Center for Facial Esthetics Clinic OA D Dr. Angelo C. Trödhan Dr. Izabela Wasowicz. European Congress on OMF-Surgery Austria 2005: I mmediate Loading – Results of a 2 Study with Q1-Implant - system d Dr. Angelo C. Trödhan. www.kieferchirurgie.at www.parodontose.at. the Q1-IMPLANT.

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Center for Facial Esthetics Clinic OA D Dr. Angelo C. Trödhan Dr. Izabela Wasowicz

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  1. Center for Facial EstheticsClinic OA DDr. Angelo C. TrödhanDr. Izabela Wasowicz European Congress on OMF-SurgeryAustria 2005:Immediate Loading – Results of a 2 Study with Q1-Implant-systemdDr. Angelo C. Trödhan Dr. Angelo C. Trödhan www.kieferchirurgie.atwww.parodontose.at

  2. the Q1-IMPLANT • Single StageImplant-system • No Abuttments necessary • Simple Instruments • Preparation and Impression like on a natural tooth • 3,5mm and 4,5mm Diameter Dr. Angelo C. Trödhan

  3. DAS Q1-IMPLANTAT Durchmesser • 3.5 mm • 4.5 mm • Q-IMPLANT ® standard Halsbereich = 4mm • Q-IMPLANT ® short Halsbereich = 2mm Beliebig tief versenkbar 4 2 Längen • 8 mm • 10 mm • 12 mm • 14 mm Dr. Angelo C. Trödhan

  4. SurfOss IIImplantatoberflaecheNano-structured Dr. Angelo C. Trödhan

  5. Single Stage Implant • similar to the natural anatomy of the root Dr. Angelo C. Trödhan

  6. Single Stage Implant • similar to the natural anatomy of the root • Selfcutting screw (Bone Spreading/Bone Condensing) Dr. Angelo C. Trödhan

  7. Single 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

  8. Single 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

  9. Implant-head prepable Q-MultiCap for: Provisional Crown Impression Meltable base for dental technician Dr. Angelo C. Trödhan

  10. Simple Instruments Pilot drill 1,5mm Form drills 3,5/4,5 Insertion wheel ratchet Dr. Angelo C. Trödhan

  11. Q-Implant-Box Dr. Angelo C. Trödhan

  12. Crestal cut or punch Pilot- drill Form drill 3,5mm ev. Form drill 4,5mm Insertion Suture (not in case of punch) Provisional Surgical Procedure Dr. Angelo C. Trödhan

  13. Single stage implantation after extraction Dr. Angelo C. Trödhan

  14. Edentolous maxilla Dr. Angelo C. Trödhan

  15. Gesamtzahl Patienten Davon: 62 Gesamtzahl gesetzte Q1-Implantate Davon: 119 Anzahl Sofortimplantation nach Extraktion Einzelzahnversorgung Patientenzahl 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 Oberkiefer 14 Unterkiefer 1 sofort post ex Summe Sofortimplantate unmittelbar nach Extraktion 31 sofort post ex Implantatverluste Gesamtzahl Patienten 1 Insgesamt verlorene Q1-Implantate 2 Ursache: Periimplantitis 6 Wochen post Insertionem Clinical study Dr. Angelo C. Trödhan

  16. Klinische Nachuntersuchung 8 Wochen post Insert. 18 Wochen post Insert. 104 Wochen post Insert. • 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) Klinik 104 Wochen post Insert Dr. Angelo C. Trödhan

  17. Gesamtzahl 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 bis 116 Wochen post-OP 61 idem 117 idem idem Results Dr. Angelo C. Trödhan

  18. Conclusion • 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

  19. Thank You for Your interest Dr. Angelo Trödhan troed@aon.at www.kieferchirurgie.at Dr. Angelo C. Trödhan

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