Let Your Smile Shine!
Let Your Smile Shine!
Dental Implants
All on 6 Implant
Zygomatic Implants
Sinus Lifting (Internal / External)
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Frenektomy
Gingivectomy / Gingivoplasti
Orthognathic Surgery
Subperiosteal Implants
Subperiosteal Implants
• If oral hygiene is inadequate,
• Patients with whom cooperation is difficult,
• In patients with bruxism,
• Patients with periodontitis, periapical lesion or cyst, or acute infection,
Disadvatages
• Surgical procedures should be performed by experienced specialist physicians.
• The systems used require a well-equipped laboratory environment and expert staff who have received the necessary training (CAD/CAM) to use these laboratories.
• Due to the high cost of the devices, software and materials used, the production cost increases and this is reflected in the treatment fee. Although many new systems have been developed, CAD/CAM applications are not yet economical.
• Virtual design is time consuming and labor intensive. This part of production is still limited by time and manpower.
Intrabone cylindrical dental implants, which are the most popular today, can be made when the jawbone is of acceptable vertical and horizontal thickness. In many cases, jaw bones that do not have sufficient thickness need to be supported with biomaterials such as graft membrane to make them ideal. This means increased surgical protocol and recovery time.
However, rarely, it is not possible to support vertical or horizontal volume losses of the jawbone with any technique or biomaterials. In this case, subperiosteal implants, which are personalized products that can be placed outside the bone rather than inside the bone, can be applied.
In the past, subperiosteal implants had a manual protocol for measurement, production and application, which took a long time. At that time, since subperiosteal implant applications required multi-stage surgical procedures, complications such as infection and prosthesis incompatibility could not be ignored.
With the widespread use of imaging technologies such as computer-assisted tomography and production technologies such as 3D printers/scrapers, it has become possible to use modern application techniques in dental surgeries and dental prostheses.
Thanks to the effective use of technology in imaging and production, subperiosteal implants can now be applied in a shorter time with a single-stage surgical intervention and maximum biological compatibility with minimum infection risks.
Workflow
First session: If it is decided to have a subperiosteal implant after the first examination of the patients, first of all, the teeth and cysts in the patient's mouth, if any, are cleaned and the temporary teeth that can be removed are delivered to the patient.
In the second session, after the recovery period, the patient's removable temporary teeth are rearranged and a Cranial Tomography is taken. Thanks to this imaging, the surface map of the healed bone tissues is created and transferred to the laboratory.
• Thanks to the integration of digital imaging and digital laboratory workflow, the custom-made subperiosteal implant fits perfectly with the jawbone geometry.
• Surgical applications can be performed with local or general anesthesia.
• Operation time is short
• Thanks to the implants spread over a wide area on the bone surface, chewing forces can be distributed evenly.
• Total treatment time is less than traditional treatments using intrabone cylindrical implants that require biomaterial support.
• During the treatment period, patients can use temporary teeth and therefore do not remain toothless.
Advantages
Indications
• In patients with total or partial missing teeth,
• In cases with jaw and facial defects,
• In patients who do not want to use a removable prosthesis,
• In patients who receive removable prosthesis treatment and have difficulty in using it,
• In patients who do not want their teeth to be cut,
• If there is a longer toothless area than necessary for a fixed prosthesis (bridge),
• In patients with parafunctional habits that impair the retention of the prosthesis,
• If better functional and aesthetic results can be achieved compared to traditional treatment methods
• In cases where it is desired to prevent resorption in the jaw bone
• If there is regional or total advanced volume loss in the jawbone and intrabone cylindrical implants cannot be placed
• Failure of intraosseous cylindrical implants
• In patients who do not accept bone formation procedures with biomaterials
Post Operative Care
• 0.12% chlorhexidine mouthwash should be used with antibiotics for the first week.
• Routine tooth brushing should be started after 1 week.
• A soft diet should be followed for 2 months after the surgery.
• In the long term, it should be checked by radiological and clinical examinations at 6-month intervals.
Subperiosteal implant, designed digitally in the laboratory, is produced without human contact with 3D scrapers.
In the third session, a custom-made subperiosteal implant is placed in the areas relevant to the surgical procedure and a fixed temporary prosthesis is attached at the same time.
In the fourth session, digital measurements of the healing soft tissues are taken after the surgery and permanent fixed prostheses are delivered to the patient.
In implant cases that require such delicate surgical treatments, it is recommended that the permanent prosthetic structure to be fixed on the implants is Malo Bridge/Toronto Prosthesis.
• If there is an inappropriate bone structure
• If the patient's aesthetic expectations cannot be met,
• Those with hematological systemic diseases,
• In patients who have not completed their skeletal development,
• In patients with intolerable psychological disorders,
• If there are systemic diseases that are not under control,
• In patients who smoke and consume alcohol a lot,
• In the stages after tumor excision,
• In patients receiving radiotherapy,
• In patients receiving chemotherapy,
• In patients who have used bisphosphonates,
