Substantiation of the expediency of bone reduction in Strategic Implant® technology

Abstract

Summary. The use of Strategic Implant technology allows to perform total reconstruction of the jaws on dental implants, even in conditions of critically reduced bone volume in the protocol of immediate loading. However, to implement the aforementioned concept, it is necessary to strictly follow the established rules of prosthetics on cortico-basal implants, including placement of dental arches in standard positions and at a standard angle to prosthetic planes, complete symmetry to achieve bilateral chewing and avoid chewing overload, etc. which is frequently associated with the need to reduce the bone tissue of the alveolar process to some extent.

The aim of the study – to describe how Strategic implant technology allows for a complete reconstruction of the jaws in a single surgical procedure, including tooth extraction, bone reduction and implant placement, on the example of a clinical case of a patient with critical asymmetry of the dento-alveolar complex.

Materials and Methods. A 53-year-old patient with partial edentulism on both jaws and the presence of significant dento-alveolar elongation was examined and operated on. Treatment consisted of multiple tooth extraction, reduction of alveolar processes, installation of cortico-basal implants with their immediate loading within 3 days.

Results and Discussion. As can be seen from the clinical example, the reduction of bone tissue as a measure of surgical and зкщиеруешс rehabilitation of the patient allowed not only to move the upper front teeth more cranially and mask the transition zone between the prosthetic structure and the patient's own gums, which was appropriate from an aesthetic point of view, but also to align anterior-posterior planes of Ihde on both sides, which contributed to the optimization of chewing.

Conclusions. Cortico-basal implantation, in particular in the form of Strategic Implant technology frees implantology from the need for a large volume of bone tissue, especially in the vertical direction, which eliminates the problem of bone augmentation, and in combination with bone reduction allows to achieve excellent long-term aesthetic and functional results , opening the door for a completely new, simplified and affordable restoration of adequate dental status of patients, regardless of the available volume of bone tissue, its quality, the condition of existing teeth, etc.