Dentaltown November 2022 - 44

Fig. 11
Fig. 12
Fig. 13
Fig. 14
Fig. 15
Fig. 16
Fig. 17
Case 2
This 77-year-old patient fractured #14 (Fig. 11). After
atraumatic sectioning removal of the roots (Fig. 12) and healing
of the soft tissues, and with the help of the CIPC (Fig. 13), I could
locate just enough space next to the antrum for a 4.5-by-8by-3
mm implant (Fig. 14). The implant was inserted precisely
between the root and antral wall without touching them, and
I completed implant tooth #14 (Figs. 15 and 16). Fig. 17 shows
the two-year follow-up.
Conclusion
Periapical radiography is routine before and immediately
after implant surgery.6
Fig. 18
Also, intraoperative
periapical radiography is used for many dental procedures.
Employing CIPC periapical radiography imparts
negligible additional ionizing radiation. With my
0.04-second exposure time, a patient receives an estimated
0.08-microsievert effective dose. Investigators
using the same X-ray tube assessed 0.8-microsievert
effective dose at 0.4 second average exposure time,7
indicating
excellent ALARA compliance.
Of the 200 short implants I placed in our offi ce,
I have never encountered a fractured or loose implant
or abutment, despite a variety of challenging placements.
My series includes cases requiring a 15-degree
abutment. In cases with reduced alveolar bone height,
using short implants may avoid bone augmentation.
Short and strong, as illustrated (Fig. 18) with a 10-year
follow-up (Fig. 19).
References
1. Tullarico M, Esposito M, Xhanary E, Caneva M, Meloni SM. " Computer Guided Vs. Freehand Placement of Immediately Loaded Dental Implants: 5-Year Post Loading
Results of Randomized Controlled Trial. " Eur J Oral Implantol. 2018; 11(2): 203-13.
2. Mandelaris GA, Stefanelli LV, and DeGroot, BS. " Dynamic Navigation for Surgical Implant Placement. Overview of Technology, Key Concepts and a Case Report. "
Compendium. 2018; 3(9): 614-21.
3. Filo K, Schneider T, Kruse AL, Gratz Lochner, KW, Lubbers HT. " Frequency and Anatomy of the Retromolar Canal Implications for the Dental Practice. " Swiss Dent J SSO
2015; 125: 278-85.
4. Clark CA. " A Method of Ascertaining the Relative Position of Unerupted Teeth By Means of Film Radiography. " Odontol Soc. R. Soc. Med. Trens. 1909; 3: 87.
5. Richards AG. " Technique for Roentgenographic Examination of Impacted Mandibular Third Molars. " J Oral Surg (Chic).1952; 10(2):138-41.
6. Saltzburg N, Kang P. " Observed Healing of an Immediately Placed Implant in a Molar Site Without Bone Replacement Graft or Primary Closure. " Compendium. 2020;
41(6): 326-30.
7. Granlund C, Thilander-Klang A, Ylhan B, Lofthag-Hansen S, Ekestubbe A. " Absorbed Organ and Effective Doses From Digital Intra-Oral and Panoramic Radiography
Applying the ICRP 103 Recommendations for Effective Dose Estimations. " Br J Radiol. 2016; 89(1066): 20151052.
44 NOVEMBER 2022 // dentaltown.com
Fig. 19
Placing dental implant teeth can change lives, and is
one of the most rewarding aspects of dental practice. ■

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