GIP Implant Case in Patient with Sinus Complication

Last Updated: Feb 05, 2012

![]](https://www.osseonews.com/courses/q-implant-marathon-40-hours-of-intensive-hands-on-practical-implant-surgery/)This case was submitted by Optimum Solutions, providers of the Q-Implant Marathon. The Q-Implant Marathon, with multiple dates in the Dominican Republic, Cambodia, and Laos includes 40 hours of practical surgery, and more… Learn More and Register Now!This is a case of a 38-year old patient with a gap of 11mm in the upper jaw, due to loss of teeth 15 and 16 and a osseous height of 9mm to sinus. One Q-Implant GIP (Trinon Titanium) of 6mm was applied. (Fig. 1) The patient on several occasions suffered from sinusitis and was in medical treatment by an otolaryngologist.

Figure 2 shows the situation after implantation whereas in Figure 3 the clinical situation immediately after seam closure and immediate care with silicone cap is displayed. Figures 4 and 5 show the prosthetic care with a bridge.

During the clinical examination the pocket depth was measured, the bleeding index was checked during probing.

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Fig.1 – 1mm gap in the upper jaw

Fig.2 – Situation after Implantation

Fig.3 – Immediatly after seam closure and sillicone cap

Fig.4 – Prosthetic care with bridge

Fig.5 – Prosthetic care with bridge

22 Comments on GIP Implant Case in Patient with Sinus Complication

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Dr. Alex Zavyalov

02/05/2012

It would have been better if you had made an occlusion rest on the adjacent canine to prevent cantilever-rotation moment from the restoration.

bebo

02/08/2012

yes i think so also

Dr. Don Rothenberg

02/08/2012

I do not believe the implant will move if it is properly osseointegrated; therefore no need for a cantilever.

Dr. salim hazim

02/06/2012

may be if you insert a narrower tow implant then you will get a more favorable distribution of occlussal forces for example implant with diameter of 3.3

Dr. Fabio Silvestre

02/25/2012

Yes I agree with you..Two implants are much better than a cantilever.

WJ Starck, DDS

02/07/2012

Pre/postop radiographs would be nice. Can you post them?

Dr. Dan

02/07/2012

Nice photos, but need to do a better job of cropping.

Tyler

02/07/2012

Instead of one 6mm fixture why not two smaller fixtures? If you're going to go with one large fixture why place it nearly in the absolute middle of the space?

Baker vinci

02/08/2012

I'm confused as to what the treatment associated with the otorhinolaryngologist, has to do with what you did. I hope you didn't perform a sinus lift, with that flap design. Your incision goes directly over the window. Actually, don't like those designs ,even if you didn't do lift. Just a matter of preference. A little more info., please . Bv

Richard Hughes, DDS, FAAI

02/08/2012

Is that a two tooth cantilever bridge? If so, it's a bad choice!

Paolo Rossetti Milano

02/11/2012

It does not seem to me that a big cantilever is there. The implant seems to be almost in the middle of the edentulous span. A 11mm span is the dimension of a molar, and the diameter of the implant is wide enough for a molar. The only questionable aspect, in my opinion, is the shape of the prosthesis, that may lead to some difficulties in the hygienic maintenance. As for aesthetics, it is subjective: if the patient is happy...

02/08/2012

two, 3mm implants would of been appropiate...that would of given you a 2-3-2-3-2 space configuration....

Dr Chan

02/08/2012

jg, the space is only 11mm. Are you thinking of stripping the adjacent teeth?

02/09/2012

hi Dr Chan! yes, maybe .5 on each side or it can probably be acomplished by manipulating abutments and porcelain....

Guy Carnazza DMD

02/08/2012

Did patient have history of sinusitis before surgery? If not when did sinusitis develop? Pre-op xrays would be helpful. You state 9mm of height. What is the length of your implant and was an internal lift performed?

Dr Samir Nayyar

02/09/2012

I think pre-op & post-op x-rays can clear the picture

Bruce GKnecht

02/09/2012

I do not like this solution due to cantilever forces. The opposing occlussion has to be considered. I ve teh distal of the canine and place two 3mm implants and splint if necessary.

Baker vinci

02/09/2012

Hard to argue with the cosmetic result. For obvious reasons , the cantilever is not ideal, but It wouldn't surprise me, if this provides your patient with a life time of service. Still don't understand the sinus association. Bv

Richard Hughes, DDS, FAAI

02/10/2012

Interesting implant system. I would like to see some long term studies. To cantilever off one implant is unconventional. Time will tell.

andrÃ©s paraud

02/12/2012

I would prefer 2 implants 3.5 Morse cone system (ankylos) with almost no bone lost, of course that with surgical guide.

John Manuel, DDS

02/14/2012

While I inderstand the desire and need for most implants to be 2-3 mm apart, the finned nature of the Bicon design allows very close positioning without hampering the circulation/integration. I just finished a case of two 3.0 mm implants in am 9.0 mm crystal ridge opening. Yea the new prong roots were,a bit flared away, so there was a bit more space there, but essentially it was 1.0 mm space between each structure with a GBR and graft over that. I do not like 3.0 implants, but it was the only path in this case. John

Dr Ben

02/28/2012

Commenting on baker Vinci point. I think what author is trying to say they put short implant of under 9mm height as didnt want to do sinus lift due to medical history of patient. bio mechanically 6mm is better than two 3 mm implants in this situation as its only 11mm space not more than a molar gap. two 3mm implants provide no tripod effect either.

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