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posted on:
Monday, May 5th, 2008 | in
en, Dental Implant Videos
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Special Video Presentation from DentalXP
Author: Dr. Maurice Salama
Description of Video:Demonstration of the placement of Zimmer One-Piece Unibody Implant in a staged site utilizing bone expansion osteotomes, punch technique, and immediate temporization.
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8 Responses to “ One-Piece Unibody Implant Placement ”
Great production on the video, and the Zimmer One Piece looks perfect!
I have found the Zimmer One Piece very useful where interdental space is small. I have used this implant in it’s 3mm version as an immediate placement for the upper lateral incisor when space does not meet the minnimunfor a 3.5mm implant.My initial temporary has been bonded in place, then transitioned to the fixture after 4 months healing.
I like what Dr Salama has done with the impression for a final restoration at the time of surgery. This would be a time saveing
patient centered approach. Thank you Maurice for shearing your insightful approach for using a onepiece design implant.
Beautiful! Onepiece unibody implants , once respected the healing time out of loading , are extraordinary . Tooth are naturally one piece. This means no microgaps, no unscrewing failures and no bone loss due to angulation of abutments in the future if occlusion and predictive planning were well set in pre-op. Congratulations on the perfect presentation and on respecting the lower number of sessions this procedure requires. Final result: fast win win situation for all parts and less time on chair. Thanks!
Thank you Maurice for the clear and concise video you have made.
You have introduced some new tools such as the “soft tissue cutter” that fits on to the Osteotome and the metal spacer that also fits on to the Osteotome to insure adequate placement in all dimensions….where are these tools available?
A very old technique rehashed as new and unduly complicated by use of punch and hand instruments etc. 5 secs drill through soft tissue insertion of tapered implant to expand ridge (barely needed in this case).
The Tapered Screw-Vent which as the same body as Zimmer’s one-piece (unibody) derivation, was developed to be used as its own osteotome, expanding and compressing bone as it is inserted in soft bone. Using osteotomes just pushes the bone out of the way that would otherwise get compressed between the threads during insertion, increasing stability. Using a bone tap in soft bone, instead of inserting the implant self-tapping, removes bone chips that were just compressed with the osteotome and further compromises intial stability. A 3.7mmD Screw-Vent evenly tapered implant (and the unibody as it has the same body) should be inserted in soft bone following preparation of a 2.8mmD straight socket with either a drill or an osteotome. The surgical protocol for the Screw-Vent, which is the same as Implant Direct’s Spectra-System Implants has proven successful over the last decade and, as the developer of the Screw-Vent and its soft-bone, hard-bone surgical protocol, I would not recommend anyone changing it.
8 weeks for final restoration seems a bit short to me.
Good presentation. Is the abutment head prepared in the mouth the same way you would do for regular crown and bridge prosthesis?
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