Placement of implants and prosthetic components
Once bone expansion has been performed, the two Galimplant implants with a diameter of 4 mmand a length of 10 mm (IPX 4010). These implants are grade IV titanium with an 11 degree conical connection. Once the implants have been placed, we remove the implant holder with a mosquito and insert 2 multi-position straight aesthetic abutments 3mmheight (MUSR04030)
Theimmediateplacement of these abutments is essential for obtaining results. optimal. Not only is it necessary for the implant to be integrated, but an optimal relationship between the implant connection, the prosthetic abutment and a good biological seal is also necessary, which, in many cases, it is altered by the connection and disconnection of different abutments during the osseointegration and restoration phase of the implant.
When an implant is placed, three types of epitheliumare created: oral, peri-implant, and peri-implant sulcus. The mucosa around the implant creates a seal very similar to the natural tooth; however, the biological width is increased (approximately 3 to 4 mm). The cells Epithelial cells bind to the titanium surface in a similar way to how epithelium binds to the tooth surface. The epithelium has a rapid proliferation, growing on the surface of the fibril that is deposited immediately on the prosthetic attachment; which, once contacted with the prosthetic abutment, moves in a corono-apical direction, originating the junction epithelium of approximately 2 mm, joining the surface through hemidesmosomes in the first days after surgery.
When we place an implant, the surrounding soft tissues create a barrier in the form of first fixation to the implant surface that blocks the entry of bacteria and oral toxins into the space between the implant and biological tissues, sealing the region.
The immediate placement of the prosthetic abutment at the same time of surgery and without disconnections, maintains the biological seal intact at all times, obtaining better results. In addition, the use of an aesthetic straight multi-position abutment makes the tooth-abutment interface more distant from the implant-bone contact point. This results in the removal of the inflammatory infiltrate from the connective tissue of the marginal bone crest. This platform change keeps the bone distant from the implant platform minimizing peri-implant marginal bone loss.