GAP Australasian-Dentist Issue 80 Jul-Aug 19

Category 78 AustrÀlÀsiÀn Dentist À mplant rehabilitations can’t always be done in the ideal way, because there are different conditions that can prevent it: age, patient’s health, economic reasons, preferences or impediments of the patient. À want to show you a case of a 87 years old man patient with a great resorption in the anterior zone that made it difficult for us to place 6 implants and the patient didn’t want a bone regeneration, but to place implants in the maxilla for a fixed prosthesis. At last, we placed 5 implants, avoiding this anterior zone. Àsing a material, such as carbon fiber coated with resin teeth, allows us to make large rehabilitations avoiding excessive stress in the implants (carbon fiber has the property of absorbing and dissipating forces decreasing the stress in implant-prosthesis area) and helping us in the final treatment. Àsing other materials, such as zirconia or Co-Cr, the stiffness of these materials increase the stress in implant-prosthesis area, therefore, increasing the risk of having peri-implantitis. u 3 DELTA DENTAL supplies – call 0478 731 344 or email info@3deltadental.com Oriol Canto-Naves A new concept of hybrid prosthesis: carbon fiber and resin teeth. Why? By Oriol Canto-Naves , DDÀ, PhD(1) Professor, Department of Àehabilitation and Aesthetic Àestorative, Àniversitat Ànternacional de Catalunya ( C), Barcelona, Àpain. Corresponding author: Dr. Oriol Canto-Àaves, Department of Àehabilitation and Aesthetic Àestorative, Àniversitat Ànternacional de Catalunya. Josep Àrueta s/n, Àant Cugat del Vallès 08195, Barcelona, Àpain, Mail: oriolcanto@uic.es n aÀ Fig. 1. Impression copings over multi-unit abutments (MIS Seven. MIS Implants Israel) using snap-on technique and old burs and light cure resin splinting them. With this technique we get more accuracy of the impression. We can see the long space without implants in the anterior zone. Fig. 3. Impression and analogues. Long space between implants in the anterior zone. Fig. 5. Images of the carbon fiber framework, with the titanium abutments. Fig. 6. The final prosthesis: a hybrid prosthesis. Carbon fiber + resin teeth over 5 implants. Fig. 2. Impression over multi-unit abutments. We can see the plastic caps inside the silicone. Fig. 4. Cast model with the carbon framework screwed. Fig. 7. The final prosthesis placed in mouth: function and esthetic. DT: Albert Garcia-Bassets, Barcelona. Oriol Cantó Navés Doctor in Dental Surgery (DDS), Universitat de Barcelona (1991). PhD, Universitat Internacional de Catalunya (UIC). Associate Professor in the Prosthesis and Implants Masters Program of the Universitat Internacional de Catalunya since 2000. Associate Professor in Master of Rehabilitation and Dental Aesthetic Program of the Universitat Internacional de Catalunya.