Center for Facial Esthetics Clinic OA DDr. Angelo C. Trödhan Dr Center for Facial Esthetics Clinic OA DDr. Angelo C. Trödhan Dr. Izabela Wasowicz European Congress on OMF-Surgery Austria 2005: Immediate Loading – Results of a 2 Study with Q1-Implant-system dDr. Angelo C. Trödhan Dr. Angelo C. Trödhan www.kieferchirurgie.at www.parodontose.at

the Q1-IMPLANT Single Stage Implant-system No Abuttments necessary Simple Instruments Preparation and Impression like on a natural tooth 3,5mm and 4,5mm Diameter Dr. Angelo C. Trödhan

DAS Q1-IMPLANTAT Durchmesser Halsbereich = 4mm 3.5 mm 4.5 mm Q-IMPLANT ® standard Halsbereich = 4mm Q-IMPLANT ® short Halsbereich = 2mm Beliebig tief versenkbar Durchmesser 3.5 mm 4.5 mm 4 2 Längen 8 mm 10 mm 12 mm 14 mm Dr. Angelo C. Trödhan

SurfOss II Implantatoberflaeche Nano-structured Dr. Angelo C. Trödhan

Single Stage Implant similar to the natural anatomy of the root Dr. Angelo C. Trödhan

Single Stage Implant similar to the natural anatomy of the root Selfcutting screw (Bone Spreading/Bone Condensing) Dr. Angelo C. Trödhan

Single Stage Implant Similar to the natural anatomy of the root Selfcutting screw (Bone Spreading/Bone Condensing) Bone-Trap as rotation-lock after healing Dr. Angelo C. Trödhan

Single Stage Implant Similar to the natural anatomy of the root Selfcutting screw (Bone Spreading/Bone Condensing) Bone-Trap as rotation lock after healing Variable insertion depth due to 4mm polished implant neck and prepable implant head for shaping like on a natural tooth Dr. Angelo C. Trödhan

Implant-head prepable Q-MultiCap for: Provisional Crown Impression Meltable base for dental technician Dr. Angelo C. Trödhan

Simple Instruments Pilot drill 1,5mm Form drills 3,5/4,5 Insertion wheel ratchet Dr. Angelo C. Trödhan

Q-Implant-Box Dr. Angelo C. Trödhan

Surgical Procedure Crestal cut or punch Pilot- drill Form drill 3,5mm ev. Form drill 4,5mm Insertion Suture (not in case of punch) Provisional Dr. Angelo C. Trödhan

Single stage implantation after extraction Dr. Angelo C. Trödhan

Edentolous maxilla Dr. Angelo C. Trödhan

Clinical study 62 119 32 8 6 36 16 19 1 2 Dr. Angelo C. Trödhan Gesamtzahl Patienten Davon: 62 Gesamtzahl gesetzte Q1-Implantate 119 Anzahl Sofortimplantation nach Extraktion Einzelzahnversorgung Patientenzahl 32 Anzahl gesetzte Q1-Implantate 27 (regio 4-4 OK/UK) 4 (regio 46/36) 1 (regio 16) 15 sofort post ex 1 sofort post ex Stegprothetische Versorgung UK (immer 4 Q1-Implantate) 8 8 sofort post ex Stegprothetische Versorgung OK (immer 6 Q1-Implantate) 6 36 6 sofort post ex Freiend- Schaltlücken- Versorgung (gemischt getragene Prothetik) 16 19 4 Oberkiefer 14 Unterkiefer Summe Sofortimplantate unmittelbar nach Extraktion 31 sofort post ex Implantatverluste 1 Insgesamt verlorene Q1-Implantate 2 Ursache: Periimplantitis 6 Wochen post Insertionem Dr. Angelo C. Trödhan

Klinische Nachuntersuchung 8 Wochen post Insert. 18 Wochen post Insert. Single tooth x-ray Papillae bleeding index (1-3) Gingival Pocket measurement (TT) Percussion-test Subjective rating by patients (Dolor 0-5, swelling 0-5) 104 Wochen post Insert. Klinik 104 Wochen post Insert Dr. Angelo C. Trödhan

Results 62 119 61 117 Dr. Angelo C. Trödhan Gesamtzahl nachuntersuchte Patienten: 62 Gesamtzahl nachuntersuchte Q1-Implantate 119 Parameter: PBI (1-3), TT (mm), KB-Rö (mm), Perkussionstest, Dolor (0-5) 4 Wochen post-OP PBI: 0, TT: 0-1mm, Knochen abbau: 0mm Perkussionstest: hell, Dolor:0 8 Wochen post-OP 61 6. Woche post-OP: Verlust von 2 Q1-Impl. wegen Periimplantitis (Ursache: Suprastruktur ?) 117 idem 12 Wochen post-OP 16 Wochen post-OP 15. Woche: Lockerung Impl. Pos. 24 symptomlos (Ursache: Bruxismus) 24: 3mm Knochen abbau, PBI: 0, TT 4mm,Perc:dumpf, Dolor:0 18 Wochen post-OP 22 Wochen post-OP 38 Wochen post-OP 56 Wochen post-OP 72 Wochen post-OP bis 116 Wochen post-OP Dr. Angelo C. Trödhan

Conclusion Success-rate over 2 years > than 2-stage implant-systems Highest primary stability Applicable in almost any case High acceptance by patients affordable Dr. Angelo C. Trödhan

Thank You for Your interest Dr. Angelo Trödhan troed@aon.at www.kieferchirurgie.at Dr. Angelo C. Trödhan