The Importance Of The Surface Layer Of Dental Implants For Successful Tissue Integration : A Clinical Case Report

Abstract:An evaluation of twenty patients was made during a period of thirty six months. The treatment, the observation and the evaluation of the patients have taken place in the private office of dentistry “Dent Estet” located in Shtip, Republic of Macedonia. All of the patients of this study were treated with the same system of dental implants and the results of the treatment were much similar among different patients. One of the clinical cases analyzed in details is a 30 years old male patient with missing second premolar, first and second molar on the left side of the mandible. As a consequence of the early lost of these teeth and the delayed decision of the patient for dental treatment, the amount of alveolar bone tissue was significantly reduced. There were done clinical and other investigations such as computer tomography and x – ray imaging. After that we made a decision to apply three dental implants using the dental implant system BioHorizon, combined with artificial bone MinerOss XP and artificial membrane to fill the bone defects. After the application of the dental implants, the primary stability was measured and we made a control X – ray image to evaluate the treatment. 6 months after the period of integration, the soft tissue recovery process was evaluated and also a few more x – ray images were taken for better visualization of the osteointegration. On the implants were placed sulcus formers and 15 days after their opening a prosthetic construction of solo crew - retained crowns was placed. After 12 months, control reviews were done, twice in the first 12 months and every next 12 months, during a period of total 36 months. Thanks to the modified superficial layer of the implants and their specific design, the primary stability was excellent, the physiological bone loss was minimal almost invisible, the bone integration and the soft tissue recovery were excellent. Key words: Dental implants , surface layer , surface modification, osteointegration, soft tissues healing