Case: Patient with IMZ Implants Wants Fixed Provision but Rejects Augmentation

Disclosure: This case was submitted by Optimum Solutions, providers of the Q-Implant Marathon. The following images show a clinical case of the lower jaw. The patient received two IMZ dental implants in region 044, 045 in 1994 which came with a partly removable bridge. In 2006 the patient wished to receive a fixed provision and strictly rejected augmentation procedures which made the application of the Q-Implant GIP implant ideal.

Generally the use of the template is sufficient for an exact determination of the implant position with a pediculated vestibular mucosa flap preparation of the operation area. The full milling is applied 1.5mm below bone level and the implant bed prepared with a 6mm hollow drill. (Fig. 1) The hollow drill milling should be carried out at low RPM (350rpm) to avoid overheating of the bone.

After implant insertion a soft silicone cap (Fig 2; Easy Cap, Trinon Titanium/Germany) is used for immediate care and the operation completed with a horizontal mattress suture. (Fig 3) Although the implants showed a high primary stability (Periotest readings between -2 and -4) immediate loading was avoided in this case. One week post surgery an irritation free emergent profile is seen (Fig.4) with X-ray images taken immediately after implantation, before prosthetics and 18 months post surgery. (Fig. 5)

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Fig.1 – Impant Bed prepared with a 6mm hollow drill

Fig.2 – After Implant Insertion

Fig.3 – Soft silicone cap used for immediate care

Fig.4 – One week post surgery, an irritation-free emergent profile

Fig.5 – X-ray immediately after implantation & 18 months post surgery