BONEPLANT: INNOVATION IN ALVEOLAR RIDGE ONE-STEP RECONSTRUCTION AND IMPLANTATION

Abstract

Objectives: The aim of study was to evaluate the results of use Bone Plant implant in patients with different stages of alveolar ridges resorption. Materials and Methods: This clinical study included 17 patients (30-78 years old) 11 maxillary and 6 mandibles, with different stages of alveolar ridges resorption, with functional and aesthetic complaints requiring and with follow up period of average 4 years. Clinical, laboratory and computed tomography methods were used to plan implant therapy. Total installed 19 Bone Plant implant. Loading time was approximately 4 months after surgeries. Prostheses were made in the clinic according to the generally accepted protocol. The patients were rehabilitated with a fixed prosthesis on implants with good aesthetic and functional results. To evaluate the results of prosthetic rehabilitation, the following parameters were evaluated: implant success, prosthesis survival, implant marginal bone level (MBL). MBL was assess by digital x-ray were taken immediately and 3 months, 1 year, and 4 years after implant installation. A follow-up CT scan was performed to assess the accuracy of the implant. Results: The postoperative periods in all patients passed without complications, there were no serious intraoperative or immediate postoperative complications. 6 months after the prosthetic rehabilitation, clinical and X-ray studies showed no signs of inflammation in the area of the implants. We had one case of implant exposure due to applying a wrong surgical technique, so we had to cover the exposed wound by doing the second surgery. Unfortunately, we lost 2 Bone Plant implant because of infection. After 3 months loss of the marginal bone of 0.2 ± 0.25 mm (MBL), after 12 months of observation, there was a slight loss of the marginal bone over time 0,8 ± 0.48 mm (MBL), 1,3 ± 0.32. mm (MBL), after 4 years of observation. After 5 years, the effectiveness of implants was 97.4%. Conclusion: Boneplant is an innovative product which gives us the chance to reconstruct and remodel different alveolar ridges defects, and simultaneously doing implantation, avoiding other complications of traditional techniques. Achieved graft is very reliable and gives the opportunity of loading in less period of time․