Since the eighties, dental repositioning was performed with removable prothesis and bridges,that involved healthy teeth.
Dr. BRÄNEMACK´s works open a new era in oral reconstruction permiting dental repositioning on the base of titanium screws, that biologically stick to the bone in a process called osteointegration..
The goal of this technique is the manufacturing of fixed dental prothesis with the maximun of functionality and esthetics determined by the remnant tissues (bones and guns).
The advantages of Implanted Dental Prothesis are:
Surgical planning is very important in order to avoid failure of this procedure.
Surgical implant placement is performed under local anestesia in the majority of cases. Only in exceptional cases intravenous sedation or general anesthesia is needed. We perform the operation in the operating theatre to offer the maximum safety control not only during the surgical procedure, but also in case of possible medical complications.
Due to the anatomy of the mandible, paresthesia of half lip can occur. This is reversible in 95% of cases within the next twelve months of surgery.
Depending on the maxillary bone volume of the patient, we can perform minimal invasive implantation that
offers a comfortable postoperative care.
If the bone quality of the patient allows implant placement with good retention , a provisional prothesis can be placed, permitting inmediate dental rehabilitación over the implants.
Sometimes bone reabsorbtion does not permit implant placement. In these cases, prior bone grafting is necessary to allow the placing of implants and a better esthetical final result.
With this technique we can create new bone and gingiva. We perform local osteotomies and place a distraction device, which progresively widens the bone gap creating new bone inside.
Severe posterior upper-maxillary atrophy can be treated placing bone graft into the maxillary sinus in between
sinus membrane and remnant bone. Autograft is the most desirable.
Implants placed in the Zigoma bone are a good alternative in severe maxillary atrophy, in patients where bone grafting is not possible.
Advanced Oral Implants need a symbiosis of dental and surgical knowledge, to better interpret the wishes of the patient and get the best results.