Double Duplicate Technique for CAD/CAM Full-Arch Immediate Loading: A Technical Description and Case Report.

Full-arch fixed implant-supported prostheses have shown high biologic success rates after long-term follow-up, along with technical and prosthetic complications. Adequate planning is necessary for immediate implant occlusal loading in a completely edentulous maxilla or mandible. For totally edentulous patients, the main prosthetic problem is the transfer of diagnostic information to the master cast when an immediate loading approach is used. The aim of this clinical case report is to illustrate a new prosthetic protocol for immediate implant loading in edentulous or potentially edentulous patients. This innovative procedure can successfully guide the clinician step by step in a predictable way from diagnosis to delivery of an immediately loaded implant-supported full-arch rehabilitation.

Fixed Conometric Retention with CAD/CAM Conic Coupling Abutments and Prefabricated Syncone Caps: A Case Series.

The conometric retention system was proposed and described as a predictable alternative to retain fixed implant-supported complete dentures and, more recently, to retain fixed partial restorations. Currently available studies describe a technique based on the Ankylos (Dentsply) implant system and stock conic coupling abutments. The purpose of this case series study is therefore to demonstrate the possibility of using Atlantis computer-aided design/computer-assisted manufacture technology to produce Conus abutments (Dentsply) and using the fixed conometric retention with other implant brands for which appropriate stock conic coupling abutments are not available.

Interproximal Papilla Stability Around CAD/CAM and Stock Abutments in Anterior Regions: A 2-Year Prospective Multicenter Cohort Study.

The aim of this study was to compare the interproximal papilla stability of restorations supported by computer-aided design/computer-assisted manufacture (CAD/CAM) abutments to those supported by prefabricated stock abutments in anterior areas over a 2-year follow-up. Abutments were selected depending on implant inclination and thickness of buccal peri-implant soft tissues from the following: zirconia stock, titanium stock, zirconia CAD/CAM and titanium CAD/CAM. Differences between the height of the papilla tip were measured (REC). RESULTS: REC values of titanium and zirconia CAD/CAM abutments were significantly lower than those of titanium and zirconia stock. The use of titanium and zirconia CAD/CAM abutments is related to better interproximal papillae stability.

Efficacy of Adjunctive Er, Cr:YSGG Laser Application Following Scaling and Root Planing in Periodontally Diseased Patients.

The application of laser as a monotherapy has been shown to reduce probing pocket depths and increase clinical attachment levels after treatment of patients suffering from chronic periodontitis. Its controversial use as an adjunct to scaling and root planing (SRP) is discussed. The present study aimed to evaluate the efficacy of adjunctive Er, Cr:YSGG laser application following conventional SRP. A total of 30 patients with chronic periodontitis were enrolled in the study. The quadrants of each patient were allocated to either SRP or SRP + laser. A total of 3,654 sites with pocket depths ≥ 4 mm were treated and evaluated at 6 weeks and 6 months postoperatively with respect to attachment gain. Both therapies resulted in improved probing pocket depths and clinical attachment levels. The adjunctive application of Er, Cr:YSGG laser following SRP did not improve probing pocket depth or attachment level compared with SRP alone.