RESUMO
This article describes the clinical techniques and laboratory procedures for fabricating a predictable Malo Implant Bridge involving application of an occlusal screw-retained implant superstructure on the basis of the All-on-4 concept. The Malo Implant Bridge features a removable occlusal screw-retained superstructure; fabrication of the framework with a computer-aided design/computer-aided manufacturing system allowing accurate adaptation; and use of the final tooth position model with guide temporary crowns allowing easy porcelain build-up and satisfying the patient's esthetic concerns.
Assuntos
Implantes Dentários , Prótese Dentária Fixada por Implante , Prótese Total , Boca Edêntula/reabilitação , Idoso , Cimentação/métodos , Desenho Assistido por Computador , Materiais Dentários/química , Porcelana Dentária/química , Planejamento de Dentadura , Retenção de Dentadura/instrumentação , Prótese Total Imediata , Estética Dentária , Humanos , Registro da Relação Maxilomandibular , Masculino , Ligas Metalo-Cerâmicas/química , Boca Edêntula/cirurgia , Planejamento de Assistência ao Paciente , Titânio/química , Dente Artificial , Zircônio/químicaRESUMO
Gelatin sponge (GS) is one of the most widely used embolic agents in interventional procedures. There are four commercially available GS products in Japan; however, the endovascular use of Gelfoam and Spongel is off-label, and Gelpart can only be used for hepatic artery embolization and Serescue can only be used for hemostasis of arterial bleeding. GS has been used for a variety of clinical indications, mainly tumor embolization and stopping massive arterial bleeding. The optimal size and preparation procedure of GS particles differs slightly for each clinical indication. In addition, there is a risk of ischemic and/or infectious complications associated with GS embolization in various situations. Therefore, radiologists should be familiar with not only the preparation and handling of GS particles, but also the disadvantages and potential risks, in order to perform GS embolization safely and effectively.