logo 49 | The Camlog Partner Magazine Case study | 17 Discussion A screw-retained fixed bridge on four or six implants is a scientifically documented treatment therapy for the edentulous jaw. Implant survival rates ranged from 95.5 to 100 percent in a retrospective review for a time period up to ten years [4] and in a prospective study up to seven years [5]. The method, first introduced by Paolo Maló, is one option for restoring edentulous jaws without bone augmentation procedures. This form of therapy based on the Malo Clinic protocol has been successfully performed in our practice for a long time. The indication is given when a patient who is either already edentulous or where the residual teeth are not worth preserving wishes a fixed denture that is both time- and cost-efficient. The prerequisites for immediate restoration protocols, such as bone height and width, should be evaluated prior to surgery using a 3D scan [1]. Implementation follows clear guidelines in terms of backward planning, surgery and prosthetics - in the immediate restoration phase as well as in the second phase: the manufacturing of the definitive screw-retained bridge as well as the professional hygiene measures or recall appointments. It is well known that workflows in practices and laboratories can be optimized through digitization. Thus, a predictable outcome is possible through planning and guided surgery. Cooperation with a partner or service provider specializing in digital processes is advantageous and cost-efficient. Cooperation with the DEDICAM services is absolutely flexible. The technicians of the Implant Planning Service create a drilling template on the basis of the model documents and the DVT, in close consultation with the dentist and laboratory technician, order the temporary immediate restoration from the data records created and send all the components required for restoration at the same time. The framework for the definitive restoration is manufactured in a CAD/ CAM process on high-precision milling machines with a perfect fit, following prior measurement with tactile scanners. The time required to produce the reconstruction can be reduced. It can already be ready for use after one session. Conclusion The CAMLOG COMFOUR system and the cooperation with DEDICAM have proven their value to our practice for a long time and provide us with the option of a wide variety of occlusally screw-retained large-span restorations. This combination offers both the practitioner and the dental technician enormous creative leeway in the implementation of customized work for the patient. [1] Rugani P, Kirnbauer B, Arnetzl GV, et al. Cone beam computerized tomography: basics for digital planning in oral surgery and implantology. International journal of computerized dentistry 2009; 12: 131-145 [2] Konsensuspapier 2016 11. Europäische Konsensuskonferenz (EUCC) 2016 in Köln; Update: kurze, angulierte und durchmesserreduzierte Implantate. 6. Februar 2016 [3] Manfred Rasche: Handbuch Klebtechnik. Carl Hanser Verlag, 4. Oktober 2012, ISBN 978-3-446-43198-0, S. 195–196. [4] Malo, P., et al., A longitudinal study of the survival of All-on-4 implants in the mandible with up to 10 years of follow-up. J Am Dent Assoc, 2011. 142(3): p. 310–20. [5] Ayub, K.V., et al., Seven-Year Follow-up of Full-Arch Prostheses Supported by Four Implants: A Prospective Study. Int J Oral Maxillofac Implants, 2017. 32(6): p. 1351–1358. • Study of dentistry at the Medical School of the University Mainz • License to practice dentistry and doctorate under Prof. Dr. Dr. Wagner at the Medical School of the University Mainz • Specialization in the field of dental implant dentistry under Prof. Sader at Frankfurt University Clinic • Specialist for oral surgery in own practice with a focus on oral surgery, implant dentistry and periodontology • Lecturer and clinician within the framework of the Masters of Science in Oral Implantology for postgraduate education at the Carolinum of Frankfurt University Practice for dentistry and oral surgery Erthalstraße 1 55118 Mainz maximilian@zahnmedizin-blume.de Dr. Maximilian Blume References OP video
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