Overview
This case study, presented by Dr. Victor Zhechkov, details the successful treatment of a fully edentulous patient using Alpha-Bio Tec’s MultiNeO™ implants with Nano Hydrophilic Surface (NiNA™). The treatment plan involved immediate loading in both the upper and lower jaws, utilizing a combination of four and six implants, respectively. The approach highlights the role of tailored treatment planning and advanced implant design in full-arch rehabilitation.
Case Description: Initial Presentation
The patient, fully edentulous in both the upper and lower arches, sought a fixed implant-supported solution. The clinical examination showed sufficient bone availability for implant placement, which allowed for the use of immediate loading protocols to restore function shortly after surgery.
Treatment Plan
A structured treatment plan was devised to restore both jaws with implant-supported prostheses. The key elements included:
- Upper Jaw: Placement of four MultiNeO™ implants (\u00d8 3.2 mm / 11.5 mm) with immediate loading.
- Lower Jaw: Placement of six MultiNeO™ implants (\u00d8 3.75 mm / 10 mm) with immediate loading.
Temporary bridges were planned to ensure early restoration of function while allowing the implants to fully integrate and heal.
Surgical Phase and Implant Placement
The surgical phase involved placing the MultiNeO™ implants in both the maxilla and mandible. The implants with a tapered design and a bioactive Nano Hydrophilic Surface were selected to support stability and to promote osseointegration.
Following implant placement, immediate loading was achieved by converting the existing upper prosthesis into a screw-retained temporary bridge. For the lower jaw, a temporary screw-retained Toronto bridge was designed and delivered.
Immediate Loading and Temporary Restoration
Immediate loading protocols were implemented as part of the treatment plan to provide provisional restorations shortly after surgery:
- Upper Jaw: The patient’s existing prosthesis was converted into a screw-retained temporary bridge.
- Lower Jaw: A temporary Toronto bridge was provided as an interim solution.
These temporary restorations offered functional and aesthetic benefits during the healing phase before final restorations were delivered.
Final Restoration
After three months of healing, final prostheses for the upper jaw were delivered. At five months, the lower jaw was restored with a CAD/CAM-fabricated Ivoclar Telio screw-retained Toronto bridge, incorporating a metal bar. This streamlined approach significantly reduced overall treatment time compared to traditional protocols.
Key Success Factors
Several factors contributed to the positive outcome of this case:
- Implant Selection: The MultiNeO™ implants with a tapered design and bioactive NiNA™ surface provided stability and reliable integration in both arches.
- Immediate Loading: The use of immediate loading minimized treatment time and allowed for early functional restoration.
- Tailored Prosthetic Design: Both the temporary and final prostheses were designed to meet the specific anatomical and functional needs of the patient.
One-Year Follow-Up
One year after the initial treatment, follow-up X-rays confirmed the stability of the implants. The imaging demonstrated proper integration and support of the final prostheses, indicating a successful outcome.
Why MultiNeO™ Implants with NiNA™ Are a Reliable Choice
The MultiNeO™ implants, with their tapered design and Nano Hydrophilic Surface, offer dental professionals a reliable option for full-arch rehabilitation. The implant system’s design supports primary stability, even in varied bone conditions, and facilitates effective bone-to-implant integration.
By offering flexible solutions for both temporary and final restorations, Alpha-Bio Tec’s implant systems provide clinicians with tools to achieve safe and reliable outcomes.
Conclusion
This case study illustrates the application of a comprehensive treatment plan and advanced implant design in addressing full edentulism. Using Alpha-Bio Tec’s MultiNeO™ implants with NiNA™, Dr. Zhechkov was able to complete full-arch restorations with immediate loading, delivering a functional outcome in a reduced timeframe. Alpha-Bio Tec continues to support dental professionals with high-quality implant solutions designed for a wide range of clinical needs.
