Abstract
In the following case report, we present a custom-made implant type that was manufactured 6 years ago but went through continuous development during the years to achieve its current geometry, surface treatment, and fixation point design. Development trends were determined by implantation experiences on patients with bone deficiency. Our purpose was to create a long-lasting, mechanically stable baseplate profile of ideal size and geometry that has correction possibility for the dimensional changes of overlaying tissues by defining patient-specific articulation position and considering occlusal forces and articulation movements. Implant material had to fulfil necessary osseointegration requirements and subgingival management of soft tissues. We present a case of a female patient who was 69 years old at the time of implant insertion. She has significant bone deficiency at maxillary areas. Conventional osteoplasty would not have been enough to provide the necessary bone volume for the insertion of standard cylindrical dental implants.
Highlights
Dental implants are used to replace missing teeth
Nickel-cobaltchrome metallic alloy was used as implant material, and dentures were fixed to posts protruding from the gum tissue
The rest of the plate was wrapped with PRF membrane to create isolated circumstances for osseointegration of the titanium baseplate situated between the perforated bone surface and the membrane
Summary
Dental implants are used to replace missing teeth. Implants have different types based on their operating principles and insertion methods. Implant baseplate insertion required another surgical procedure. Dahl’s implantation method had several disadvantages: the baseplate was not fixed to mandibular and maxillary bone regions, its fixation was provided only by being embedded in connective tissue.
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