PDF: Minimal treatment options with one-piece implants

The aim of this publication is to present case reports to show what is possible with pterygoid implants for the rehabilitation of edentulous space in the jaw (maxilla) while avoiding sinus lifts and bone grafting procedures.

In addition, the added value of one-piece implants for screwed retention is elucidated. 

The one-piece implant offers a unique monobloc design that integrates both implant and superstructure, for a quick, simple one-stage procedure or two stage procedure.

The one piece or monobloc implant is based on the Schroeder single surgery philosophy. The advantage of the one-piece implant (by ROOTT) is that there is no connection between the implant body and the abutment. 

There is no risk of loosening a screw or a screw fracture. There is also no ‘pumping effect’ that may induce bone loss around the implant neck. 

The monobloc implant (Compressive M by ROOTT) has a tissue level connection instead of a bone level connection. 

This tissue level connection ensures that even if there is a pumping effect it will not induce bone resorption since it is far from the bone level. Implants are speciϐically engineered for use in narrow ridges and tight spaces. 

The implant body is tapered, it ensures a high implant stability which encourages an immediate loading process. 

The one-piece implant (Compressive ROOTT) is an implant for immediate loading due to the built-in abutments, while the monobloc implants offer the surgeon 2 possibilities, the first is the immediate load by screwing the abutment on the implant neck at the tissue level, or a delayed load in case of weak insertion torque.

One-piece implants are time efficient since there is no need for a second stage surgery, mucosal healing period which decreases patient exposure to additional pain and discomfort. The innovative geometries and advanced surface morphology of the implant offer high initial stability. 

Single piece implants are less invasive and can be immediately loaded in case of good bone quality, or progressively loaded in case of less than ideal bone quality. The one-piece implant provides a simple treatment sequence at a lower cost and it offers the possibility to treat elderly patients with a minimal invasive implant placement (Flapless implant surgery) technique. 

The following case reports describe procedures where the pterygoid implants and one- piece implants were used to rehabilitate edentulous jaws. 

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