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Application of the 2-piece orthodontic C-implant for provisional restoration with laser welded customized coping: a case report.

Paek J, Ahn HW, Jeong DM, Shim JS, Kim SH, Chung KR - Head Face Med (2015)

Bottom Line: Two parts then were laser welded (Master 1000, Elettrolaser Italy, Verona, Italy) and indirect lab composite (3 M ESPE Sinfony, St. Paul, MN, USA) was built up.The patient had successful result, confirmed by clinical and radiographic examinations.Before the patient is ready to get a permanent restoration later on, this provisional restoration will be used.

View Article: PubMed Central - PubMed

Affiliation: Department of Prosthodontics, School of Dentistry, Kyung Hee University, Seoul, Korea. paek217@gmail.com.

ABSTRACT
This article presents the application of laser welding technique to fabricate an orthodontic mini-implant provisional restoration in missing area after limited orthodontic treatment. A 15-year-old boy case is presented. Two-piece orthodontic C-implant was placed after regaining space for missing right mandibular central incisor. Due to angular deviation of implant, customized abutment was required. Ready-made head part was milled and lingual part of customized abutment was made with non-precious metal. Two parts then were laser welded (Master 1000, Elettrolaser Italy, Verona, Italy) and indirect lab composite (3 M ESPE Sinfony, St. Paul, MN, USA) was built up. The patient had successful result, confirmed by clinical and radiographic examinations. Before the patient is ready to get a permanent restoration later on, this provisional restoration will be used. This case shows that a two-piece orthodontic C-implant system can be used to maintain small edentulous space after orthodontic treatment.

No MeSH data available.


Three months after treatment. Anterior spacing was closed and space for implant was gained in right mandibular central incisor area.
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Fig3: Three months after treatment. Anterior spacing was closed and space for implant was gained in right mandibular central incisor area.

Mentions: A 15-year-old boy presented with missing right mandibular central incisor and missing space in anterior dentition (Figures 1 and 2). The treatment goal was to close the space and restore the missing tooth. Treatment objectives included reestablishing the original space of the mandibular right central incisor by uprighting the mandibular lateral incisor, minimizing the involvement of the posterior dentition. After 6 months of active orthodontic treatment, however, the size of the regained space was insufficient for placement of a conventional diameter dental implant (Figure 3). Therefore, C-implant (length 10.5 mm, diameter 1.8 mm) was placed in right mandibular central incisor area. The body part of the mini-implant was placed at the crest of the alveolar bone of the mandibular right central incisor following the angle of residual alveolar bone (Figure 4). Posttreatment CT was taken to verify the placement (Figure 5). The 2-mm long head part of the mini-implant assembly was attached to the body and kept in place to ensure gingival patency above the mini-implant body for the fabrication of temporary restoration.Figure 1


Application of the 2-piece orthodontic C-implant for provisional restoration with laser welded customized coping: a case report.

Paek J, Ahn HW, Jeong DM, Shim JS, Kim SH, Chung KR - Head Face Med (2015)

Three months after treatment. Anterior spacing was closed and space for implant was gained in right mandibular central incisor area.
© Copyright Policy - open-access
Related In: Results  -  Collection

License 1 - License 2
Show All Figures
getmorefigures.php?uid=PMC4404066&req=5

Fig3: Three months after treatment. Anterior spacing was closed and space for implant was gained in right mandibular central incisor area.
Mentions: A 15-year-old boy presented with missing right mandibular central incisor and missing space in anterior dentition (Figures 1 and 2). The treatment goal was to close the space and restore the missing tooth. Treatment objectives included reestablishing the original space of the mandibular right central incisor by uprighting the mandibular lateral incisor, minimizing the involvement of the posterior dentition. After 6 months of active orthodontic treatment, however, the size of the regained space was insufficient for placement of a conventional diameter dental implant (Figure 3). Therefore, C-implant (length 10.5 mm, diameter 1.8 mm) was placed in right mandibular central incisor area. The body part of the mini-implant was placed at the crest of the alveolar bone of the mandibular right central incisor following the angle of residual alveolar bone (Figure 4). Posttreatment CT was taken to verify the placement (Figure 5). The 2-mm long head part of the mini-implant assembly was attached to the body and kept in place to ensure gingival patency above the mini-implant body for the fabrication of temporary restoration.Figure 1

Bottom Line: Two parts then were laser welded (Master 1000, Elettrolaser Italy, Verona, Italy) and indirect lab composite (3 M ESPE Sinfony, St. Paul, MN, USA) was built up.The patient had successful result, confirmed by clinical and radiographic examinations.Before the patient is ready to get a permanent restoration later on, this provisional restoration will be used.

View Article: PubMed Central - PubMed

Affiliation: Department of Prosthodontics, School of Dentistry, Kyung Hee University, Seoul, Korea. paek217@gmail.com.

ABSTRACT
This article presents the application of laser welding technique to fabricate an orthodontic mini-implant provisional restoration in missing area after limited orthodontic treatment. A 15-year-old boy case is presented. Two-piece orthodontic C-implant was placed after regaining space for missing right mandibular central incisor. Due to angular deviation of implant, customized abutment was required. Ready-made head part was milled and lingual part of customized abutment was made with non-precious metal. Two parts then were laser welded (Master 1000, Elettrolaser Italy, Verona, Italy) and indirect lab composite (3 M ESPE Sinfony, St. Paul, MN, USA) was built up. The patient had successful result, confirmed by clinical and radiographic examinations. Before the patient is ready to get a permanent restoration later on, this provisional restoration will be used. This case shows that a two-piece orthodontic C-implant system can be used to maintain small edentulous space after orthodontic treatment.

No MeSH data available.