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Center for Facial Esthetics Clinic OA D Dr. Angelo C. Trödhan Dr. Izabela Wasowicz. European Congress on OMF-Surgery Austria 2005: I mmediate Loading – Results of a 2 Study with Q1-Implant - system d Dr. Angelo C. Trödhan. www.kieferchirurgie.at www.parodontose.at. the Q1-IMPLANT.

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center for facial esthetics clinic oa d dr angelo c tr dhan dr izabela wasowicz
Center for Facial EstheticsClinic OA DDr. Angelo C. TrödhanDr. Izabela Wasowicz

European Congress on OMF-SurgeryAustria 2005:Immediate Loading – Results of a 2 Study with Q1-Implant-systemdDr. Angelo C. Trödhan

Dr. Angelo C. Trödhan

www.kieferchirurgie.atwww.parodontose.at

the q1 implant
the Q1-IMPLANT
  • Single StageImplant-system
  • No Abuttments necessary
  • Simple Instruments
  • Preparation and Impression like on a natural tooth
  • 3,5mm and 4,5mm Diameter

Dr. Angelo C. Trödhan

das q1 implantat
DAS Q1-IMPLANTAT

Durchmesser

  • 3.5 mm
  • 4.5 mm
  • Q-IMPLANT ® standard

Halsbereich = 4mm

  • Q-IMPLANT ® short

Halsbereich = 2mm

Beliebig tief versenkbar

4

2

Längen

  • 8 mm
  • 10 mm
  • 12 mm
  • 14 mm

Dr. Angelo C. Trödhan

single stage implant
Single Stage Implant
  • similar to the natural anatomy of the root

Dr. Angelo C. Trödhan

single stage implant1
Single Stage Implant
  • similar to the natural anatomy of the root
  • Selfcutting screw (Bone Spreading/Bone Condensing)

Dr. Angelo C. Trödhan

single stage implant2
Single Stage Implant
  • Similar to the natural anatomy of the root
  • Selfcutting screw (Bone Spreading/Bone Condensing)
  • Bone-Trap as rotation-lock after healing

Dr. Angelo C. Trödhan

single stage implant3
Single Stage Implant
  • Similar to the natural anatomy of the root
  • Selfcutting screw (Bone Spreading/Bone Condensing)
  • Bone-Trap as rotation lock after healing
  • Variable insertion depth due to 4mm polished implant neck and prepable implant head for shaping like on a natural tooth

Dr. Angelo C. Trödhan

implant head prepable
Implant-head prepable

Q-MultiCap for:

Provisional Crown

Impression

Meltable base for dental technician

Dr. Angelo C. Trödhan

simple instruments
Simple Instruments

Pilot drill 1,5mm

Form drills 3,5/4,5

Insertion wheel

ratchet

Dr. Angelo C. Trödhan

q implant box
Q-Implant-Box

Dr. Angelo C. Trödhan

surgical procedure

Crestal cut

or punch

Pilot-

drill

Form

drill

3,5mm

ev. Form

drill

4,5mm

Insertion

Suture (not in case of punch)

Provisional

Surgical Procedure

Dr. Angelo C. Trödhan

edentolous maxilla

Edentolous maxilla

Dr. Angelo C. Trödhan

clinical study

Gesamtzahl Patienten

Davon:

62

Gesamtzahl gesetzte Q1-Implantate

Davon:

119

Anzahl Sofortimplantation nach Extraktion

Einzelzahnversorgung

Patientenzahl

32

Anzahl gesetzte Q1-Implantate

32

27 (regio 4-4 OK/UK)

4 (regio 46/36)

1 (regio 16)

15 sofort post ex

1 sofort post ex

Stegprothetische Versorgung UK (immer 4 Q1-Implantate)

Patientenzahl

8

Anzahl gesetzte Q1-Implantate

32

8 sofort post ex

Stegprothetische Versorgung OK (immer 6 Q1-Implantate)

Patientenzahl

6

Anzahl gesetzte Q1-Implantate

36

6 sofort post ex

Freiend- Schaltlücken- Versorgung (gemischt getragene Prothetik)

Patientenzahl

16

Anzahl gesetzte Q1-Implantate

19

4 Oberkiefer

14 Unterkiefer

1 sofort post ex

Summe Sofortimplantate unmittelbar nach Extraktion

31 sofort post ex

Implantatverluste

Gesamtzahl Patienten

1

Insgesamt verlorene

Q1-Implantate

2

Ursache: Periimplantitis 6 Wochen post Insertionem

Clinical study

Dr. Angelo C. Trödhan

klinische nachuntersuchung
Klinische Nachuntersuchung

8 Wochen post Insert.

18 Wochen post Insert.

104 Wochen post Insert.

  • Single tooth x-ray
  • Papillae bleeding index (1-3)
  • Gingival Pocket measurement (TT)
  • Percussion-test
  • Subjective rating by patients (Dolor 0-5, swelling 0-5)

Klinik 104 Wochen post Insert

Dr. Angelo C. Trödhan

results

Gesamtzahl nachuntersuchte Patienten:

62

Gesamtzahl nachuntersuchte Q1-Implantate

119

Parameter:

PBI (1-3), TT (mm), KB-Rö (mm), Perkussionstest,

Dolor (0-5)

4 Wochen post-OP

62

119

PBI: 0, TT: 0-1mm, Knochen abbau: 0mm Perkussionstest: hell, Dolor:0

8 Wochen post-OP

61

6. Woche post-OP: Verlust von 2 Q1-Impl. wegen Periimplantitis (Ursache: Suprastruktur ?)

117

idem

12 Wochen post-OP

61

117

idem

16 Wochen post-OP

61

15. Woche: Lockerung Impl. Pos. 24 symptomlos

(Ursache: Bruxismus)

117

24: 3mm Knochen abbau, PBI: 0, TT 4mm,Perc:dumpf, Dolor:0

idem

18 Wochen post-OP

61

idem

117

idem

idem

22 Wochen post-OP

61

idem

117

idem

idem

38 Wochen post-OP

61

idem

117

idem

idem

56 Wochen post-OP

61

idem

117

idem

idem

72 Wochen post-OP bis

116 Wochen post-OP

61

idem

117

idem

idem

Results

Dr. Angelo C. Trödhan

conclusion
Conclusion
  • Success-rate over 2 years > than 2-stage implant-systems
  • Highest primary stability
  • Applicable in almost any case
  • High acceptance by patients
  • affordable

Dr. Angelo C. Trödhan

thank you for your interest

Thank You for Your interest

Dr. Angelo Trödhan

troed@aon.at

www.kieferchirurgie.at

Dr. Angelo C. Trödhan