Dentistry & Oral Care

Biography

Biography: Tatjana Nimčenko

Abstract

During the past decades implant therapy has shown to be a successful option for tooth replacement, thus dental implants considered as an alternative to traditional solutions of dental arch rehabilitation. However, reduced alveolar bone height or presence of anatomical structures very often present a challenge to implant therapy usually in posterior areas of the maxilla and the mandible. Therefor, additional bone augmentation procedures are necessary prior to insertion of traditional (modified variations of Brånemark System) implants. Although augmentation procedures have been considered successful, they are more technically demanding and therefore require skillful operators. They are associated with significant postoperative morbidity and complications, are often more expensive and usually require more painful and longer healing times thus prolonging overall treatment time before patients are able to chew on their implant-supported prosthesis. The development of the implant’s macro design and surface, as well as surgical technique improvement lead to the changes of surgical protocols. Esthetically and funcionally successful, long-lasting results can now be achieved in clinically complicated situations with reduced bone quality and quantity. Placement of improved geometry dental implants immediately after tooth extraction thus adapting to the existing anatomy is an alternative treatment modality to bone grafting procedures. It avoids additional surgical intervention, is less traumatic to surrounding tissue, less expensive and more attractive to patients. Consequently, this presentation introduces a series of “one surgery” concept procedures of immediate implantations after tooth extractions in molar regions.