Connecticut Maxillofacial Surgeons, llc

“Evolving Implant Design – The NobelActive Implant”

December 16th, 2013 by ifi-admin

by Gary Orentlicher, DMD and Matthew Teich, DDS.

The design and development of today’s dental implants has been an evolving process based on scientific research, clinician input, and manufacturers’ ingenuity. One new addition to the dental implant armamentarium, the NobelActive™ implant. was introduced worldwide by NobelBiocare® approximately 2 years ago. While many of the design features of the NobelActive implant are found individually in other dental implants, the implant’s combination of external and internal design characteristics provides for unique handling and applications in many difficult clinical situations. Although the NobelActive implant can be used in most all clinical situations, its design allows for high levels of initial stability even in situations with low density or compromised bone, making it a good implant choice for immediate extraction, immediate implant placement, and immediate load cases, as well as cases with less·than-ideal qualities and quantities of bone. In addition, the implant has the ability to be redirected if less-than·ideal implant placement occurs at the time of implant insertion, maximizing the potential prosthetic outcomes. Prosthetically, the implant has features designed to minimize crestal bone loss and maximize gingival architecture. while minimizing the prosthetic components and instrumentation. This article discusses the characteristics of the NobelActive implant in detail and employs case presentations to illustrate its clinical use.

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“Effect of Maxillary Sinus Augmentation on the Survival of Endosseous Dental Implants. A Systematic Review”

December 9th, 2013 by ifi-admin

by Stephen S. Wallace and Stuart J. Froum

Grafting of the posterior maxillary region has become one of the most common of all surgical procedures associated with the placement of implants in the posterior maxillary region.  This article attempts to address the some of the variables associated with the success of this procedure as well as summarize its overall efficacy.
The survival rate of implants placed in sinuses augmented with the lateral window technique varied between 61.7% and 100% in this collection of studies with an average of 91.8%.  The implant survival rates compared favorably to reported survival rates for implants placed in the non-grafted posterior maxilla.  Rough surfaced implants have a higher survival rate than machine surfaced implants.  Implant survival rate was higher when a membrane was placed over the lateral window.
This article poses a good overall summary of the current state of affairs as it relates to subantral augmentation for posterior implant reconstruction.

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