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One Abutment/One Time-インプラント治療の革新的プロトコル

解説:
Dr. Henry Salama presents a detailed and well documented clinical protocol, One Abutment/One Time, that calls for the placement of the final abutment on the day of implant placement and never removing it again. Dr. Salama makes the case that by not removing and replacing components, there is less chance of traumatizing the stability and position of the peri-implant soft tissue.

追加された日:
2011/05/22

著者:

Henry Salama, DMD Henry Salama, DMD
Dr. Henry Salama completed his undergraduate education at the State University of New York at Binghamton where he received a...
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オンラインビデオ / Surgery / Implant / One Abutment/One Time-インプラント治療の革新的プロトコル


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コンテントディスカッション
FARHAN DURRANI492 - (2012/01/30 22:19)

dear sir you are an excellent clinician ,your concepts are so easy and acceptable

Miguel Lebed - (2012/01/26 14:28)

Exellent lecture, as Dr. Salama have us accustomed. I'm a fan of his dentistry. Dr.Miguel Lebed, Guayaquil, Ecuador

Helder da Silva - (2011/09/24 17:44)

Excellent. Very Good. All tissues hard and soft and a correct approach to get the best results esthetics.

henry salama - (2010/08/24 13:47)

There are no human studies that I am aware of for the obvious reasons related to taking biopsies of successful implants in humans. However, there are several excellent animal studies that initiated and perpetuate the hypothesis of the One Abutment/One Time concept. I refer you to 2 of them: 1) J Clin Periodontol. 1997 Aug;24(8):568-72. The mucosal barrier following abutment dis/reconnection. An experimental study in dogs. Abrahamsson I, Berglundh T, Lindhe J. 2) Clin Oral Implants Res. 2009 Mar;20(3):226-31.Subcrestal placement of two-part implants. Welander M, Abrahamsson I, Berglundh T.

shahram vaziri556 - (2010/08/21 14:49)

Great Presentation, Is there any scientific article on the subject of one abumtent/One Time? I know in 1996 Bergludh and Lindhe performed a dog experiment where they placed an implant with the healing abutment at the time of surgery (control side) and implant followed by second stage surgery for abutment placement in few weeks (test side). At all times the level of supracrestal soft tissue was higher in control group than in Test groups. So my question is that is there any clinical human studies using one abutment one time protocol and comparing it with two stage surgeries.Thank you.

vijay parmar - (2010/04/22 15:06)

excellent presentation!

Sam Busich - (2010/04/20 5:00)

Louis; I also have good experience with this system for the same reasons you describe. Have you tried the Ankylos C/X which has an indexing option and what has been your experience with the microtextured surface going over the top of the shoulder of the implant? thanks Sam

Louis Conte - (2010/04/19 18:14)

Great video. I have been restoring and placing Ankylos for 20 months now. The bio-mechanical connection of the implant/abutment interface solves all of the short and long problems you discussed. The convergent abutment design allows for maximum tissue thickness. Long term stability of crestal bone leads to predictability of the papilla. What is your experience/opinion with this system.

henry salama - (2010/04/18 19:40)

Great question Sameh! The two variables that are most difficult to control perfectly is the timing of the hex (rotationally), and the end point vertically. For the rotational variable, it is as you suggested, we try to get the flat part of the hex facing labially as always but then fine tune it using the abutment and temporary restoration. You have to make sure that the contact point is not too tight that it limits your ability to make minute rotational adjustments. For the vertical variable, we have the lab make the temp about a .5 mm longer than the adjacent tooth on the model so that we can you never end up short and have to add length clinically at the chair. Hope that helps.... Henry

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