“AnyRidge & R2GATE treatment planning can achieve

final Prosthesis recovery on the day of surgery

even with full-arch implant treatment. ”

Clinical case: Full-arch implant treatment with immediate loading & extraction implantation
- Courtesy of Dr. Laurent Sers, France -

Initial situation

Initial situation

No Diastema study

Treatment planning using R2GATE

Treatment planning using R2GATE

R2GATE Guide

R2GATE guided surgery

R2GATE guided surgery

Prosthesis completed in one day (metal framework & composite)

Prosthesis placed 24hrs post surgery

X-ray control at 24hrs

1mth follow-up (freinectomy performed)

Keywords

AnyRidge, R2GATE, guided surgery, Dr. Laurent Sers, immediate loading, maxilla

Products:

AnyRidge implant system, R2GATE, Digital prosthesis

Reference

Immediate functional loading of single implants: A multicenter study with 4 years of follow-up/ Filiep Raes, Tammaro Eccellente, Carolina Lenzi, Michele Ortolani, Giuseppe Luongo, Carlo Mangano, Francesco Mangano
J Dent Res Dent Clin Dent Prospect 2018; 12(1):26-37 | doi: 10.15171/joddd.2018.005


Soft Tissue Stability around Single Implants Inserted to Replace Maxillary Lateral Incisors: A 3D Evaluation./ F. G. Mangano, F. Luongo, G. Picciocchi, C. Mortellaro, K. B. Park, and C. Mangano
International Journal of Dentistry Volume 2016 (2016), Article ID 9393219, 9 pages


Immediate Loading of Single Implants in the Anterior Maxilla: A 1-Year Prospective Clinical Study on 34 Patients/ Miguel Stanley, Filipa Calheiros Braga, and Beatriz Mota Jordao
Hindawi International Journal of Dentistry Volume 2017, Article ID 8346496, 11 pages


“Only AnyRidge has incredible primary stability & good space

for biologic tissues at the most critical part

of the implant, the neck. ”

Clinical case: AnyRidge immediate loading
- Courtesy of Dr. Andres Paraud Freixas, Chile -

Patient presented with canine fracture. As patient refused ortho treatment, implant + immediate loading was only option

Initial situation

Extraction

AnyRidge implant was placed.

Prosthesis completed in one day

Final prosthesis was restored.

Post O.P

1mth follow-up

22mths follow-up

22mths follow-up

22mths follow-up

Keywords

AnyRidge, ISQ value, initial stability, immediate loading, KnifeThread, maxillary anterior, Mega ISQ, Dr. Andres Paraud Freixas

Products:

AnyRidge implant system, Mega ISQ, Digital prosthesis

Reference

Immediate functional loading of single implants: A multicenter study with 4 years of follow-up/ Filiep Raes, Tammaro Eccellente, Carolina Lenzi, Michele Ortolani, Giuseppe Luongo, Carlo Mangano, Francesco Mangano
J Dent Res Dent Clin Dent Prospect 2018; 12(1):26-37 | doi: 10.15171/joddd.2018.005


Soft Tissue Stability around Single Implants Inserted to Replace Maxillary Lateral Incisors: A 3D Evaluation./ F. G. Mangano, F. Luongo, G. Picciocchi, C. Mortellaro, K. B. Park, and C. Mangano
International Journal of Dentistry Volume 2016 (2016), Article ID 9393219, 9 pages


Immediate Loading of Single Implants in the Anterior Maxilla: A 1-Year Prospective Clinical Study on 34 Patients/ Miguel Stanley, Filipa Calheiros Braga, and Beatriz Mota Jordao
Hindawi International Journal of Dentistry Volume 2017, Article ID 8346496, 11 pages


“Patient’s smile was recovered on the day of surgery

with reliable & highly-aesthetic results using AnyRidge & R2GATE. ”

Clinical case: Digital Data Save concept in upper jaw premolar area
- Courtesy of Dr. Lysov Alexander Dmitrievich & Dr. Sofronov Matvey Vitalievich, Russia -

Patient’s smile on day of surgery

  • Patient presented with constant rasfixation of orthopedic crown & chewing pain related to tooth #14
  • Percussion of tooth #14 was positive
  • Examination revealed periodontal pocket at 6mm depth from medial surface
  • CBCT revealed destruction of bone tissue at apex of tooth #14
  • Diagnosis was exacerbation of chronic periodontitis of tooth #14 & absence of ferul-effect at tooth #14
  • Patient requested immediate restoration with reliable & highly-aesthetic results
  • Preparation protocol for implant installation
  • Immediate placement of AnyRidge implant using R2GATE planning & R2GATE guide

Digital Eye function revealing density of bone tissue

Digital Eye function revealing density of bone tissue

R2GATE Guide, permanent customized zirconium abutment, & temporary CAD/CAM crown

When flap was peeled off in region of tooth #14, growth of granulation tissue was found on entire surface of orthopedic structure

  • Non-traumatic removal of tooth #14
  • Demonstration of bone effect

R2GATE guide for accuracy

Installed AnyRidge implant

Installed permanent customized zirconium abutment

As defect was seen on vestibular side, soft tissue augmentation was used to create conditions for formation of buffer zone in coronal direction

Stitching

Installed temporary crown

Patient’s smile on day of surgery

Final results
3 mths after implant placement, all-ceramic crown with zirconium framework was installed on permanent customized zirconium abutment

  • Occlusal view before / after
  • Digital Data Save technology & R2GATE surgical guide ensured stable soft tissue in area of dental implant
  • Vestibular view
  • Original situation, temporary crown, final result

Scan after prosthetics

Keywords

AnyRidge, R2GATE, R2GATE guide, ISQ value, initial stability, immediate loading, KnifeThread, maxillary posterior, #14, Digital, Dr. Lysov Alexander Dmitrievich, Dr. Sofronov Matvey Vitalievich, zirconia abutment, CAD/CAM crown

Products used

AnyRidge implant system, R2GATE, Digital prosthesis

Reference

Immediate functional loading of single implants: A multicenter study with 4 years of follow-up/ Filiep Raes, Tammaro Eccellente, Carolina Lenzi, Michele Ortolani, Giuseppe Luongo, Carlo Mangano, Francesco Mangano
J Dent Res Dent Clin Dent Prospect 2018; 12(1):26-37 | doi: 10.15171/joddd.2018.005


Soft Tissue Stability around Single Implants Inserted to Replace Maxillary Lateral Incisors: A 3D Evaluation./ F. G. Mangano, F. Luongo, G. Picciocchi, C. Mortellaro, K. B. Park, and C. Mangano
International Journal of Dentistry Volume 2016 (2016), Article ID 9393219, 9 pages


Immediate Loading of Single Implants in the Anterior Maxilla: A 1-Year Prospective Clinical Study on 34 Patients/ Miguel Stanley, Filipa Calheiros Braga, and Beatriz Mota Jordao
Hindawi International Journal of Dentistry Volume 2017, Article ID 8346496, 11 pages


“AnyRidge & R2GATE show stable results

after immediate extraction, immediate implant placement, & immediate loading,

even with low bone density.”

Clinical case: Extraction, immediate implant placement, & provisionalization
- Courtesy of Dr. Iulian Filipov, Romania -

  • 37-yr-old female complained of gingival bleeding & subsequent pain episodes during last 2 mths
  • Clinical examination revealed 2.5 as a failing premolar due to extended decay, plusiinflamed mesial & distal papillae
  • Extraction, immediate implant placement, & provisionalization were decided as treatment

Chronic papillae inflammation

Pre-op CBCT

Pre-op CBCT

Pre-op CBCT

Digital wax-up

Color-coded evaluation of bone density using R2Gate revealed low bone density surrounding failing root

Osteotomy using R2GATE guide

R2GATE guide & provisional prostheses were delivered to clinic 2 days before scheduled surgery

Osteotomy using R2GATE guide
R2GATE guide & provisional prostheses were delivered to clinic 2 days before scheduled surgery

Jump-gap filled with low reservable bone substitute

  • Unchanged gingival architecture preservation
  • Minimally invasive extraction was performed to minimize bone remodeling
  • Provisional polymer-based CAD/CAM implant superstructures
  • Due to low bone density & primary implant stability of 65 ISQ, provisionalization was performed using screw-retained PMMA crown bonded to neighboring teeth
  • Unfunctional loading was treatment of choice

Jump gap sealing with two vertically
suspended mattress sutures  (lateral aspect)

Jump gap sealing with two vertically
suspended mattress sutures  (occlusal aspect)

  • Soft tissue healing
  • Gingival margin was coronally positioned in comparison to first premolar
  • Biological stability was assessed using Mega-ISQ (76 ISQ units)
  • Lateral flaps were ground out due to optimum implant stability

Provisional crown was relined with flow composite

Soft tissue conditioning with newly relined provisional crown

Slight ischemia was noted related to apical repositioning of gingival margin

Post x-ray

Clinical aspect showing stable result

X-ray: stable peri-implant bone peaks

Keywords

AnyRidge, R2GATE, guided surgery, immediate placement, immediate provisionalization, initial stability, Dr. Iulian Filipov, #25, maxillary posterior, immediate loading, Mega ISQ

Products:

AnyRidge implant system, R2GATE, MEGA ISQ, Digital prosthesis

Reference

Immediate functional loading of single implants: A multicenter study with 4 years of follow-up/ Filiep Raes, Tammaro Eccellente, Carolina Lenzi, Michele Ortolani, Giuseppe Luongo, Carlo Mangano, Francesco Mangano
J Dent Res Dent Clin Dent Prospect 2018; 12(1):26-37 | doi: 10.15171/joddd.2018.005


Soft Tissue Stability around Single Implants Inserted to Replace Maxillary Lateral Incisors: A 3D Evaluation./ F. G. Mangano, F. Luongo, G. Picciocchi, C. Mortellaro, K. B. Park, and C. Mangano
International Journal of Dentistry Volume 2016 (2016), Article ID 9393219, 9 pages


Immediate Loading of Single Implants in the Anterior Maxilla: A 1-Year Prospective Clinical Study on 34 Patients/ Miguel Stanley, Filipa Calheiros Braga, and Beatriz Mota Jordao
Hindawi International Journal of Dentistry Volume 2017, Article ID 8346496, 11 pages


How can primary stability be increased?

Primary stability is especially important in the case of poor quality bone. The instability of dental implants results in fibrous encapsulation and failed osseointegration (Lioubavina-Hack, et al. 2006). One method for increasing primary stability is modifying the surgical technique for implant placement. Studies have reported that the undersized surgical technique, which uses a final drill diameter smaller than the diameter of the implant, results in a higher primary stability when compared with the press-fit technique (Tabassum, et al. 2009, Tabassum, et al. 2010a).

Other studies have reported a higher implant stability with the bone-condensing techniques rather than the bone-drilling technique (Fanuscu, et al. 2007, Markovic, et al. 2011) and conventional techniques rather than the osteotome technique (Cehreli, et al. 2009, Padmanabhan, et al. 2010). The stress distribution of Ti implants with various thread depths has also been investigated using finite element analyses(FEA) to identify the most effective thread depth for stress distribution (Ao, et al. 2010, Chun, et al. 2002, Kong, et al. 2008).

The thread depth also provides a higher contribution than the thread width for stress distribution to the bone (Kong, et al. 2008).

Ti implants with a deeper thread depth provide a higher surface area, which is advantageous for increasing stability in areas of poor quality bone (Abuhussein, et al. 2010). Ti implants with deeper thread depths also facilitate an increased load and mechanical interlocking with poor quality bone.

Another method increasing the primary stability is to change the implant design, such as the shape of the implant body and thread, length, and diameter. Various thread designs for taper implants and other dental implant designs have already been reported to effect the primary stability. Taper implants also show a higher primary stability than cylindrical implants (Kim, et al. 2009, Sakoh, et al. 2006, Wilmes, et al. 2008).

Meanwhile, dental implants with a long length or wide diameter show a significantly increased insertion torque (Kim,et al. 2009, Wilmes, et al. 2008). Plus, dental implants without self-tapping blades have a higher primary stability than implants with self-tapping blades (Kim et al. 2011).

Various fixture thread pattern types

Megagen's KnifeThread®
made totally different ISQ pattern!!

KnifeThread®guarentees
sustauned implant stability

Thanks to MegaGen’s unique KnifeThread® and super self-tapping design, better initial stability can be attained in any compromised bone situation.
The design enables bone condensing, gentle ridge expansion, maximized compressive force resistance, and minimized shear force production.

Learn more

What is the ideal surface for dental implants?

Since the osseointegration concept was introduced by Branemark in the 1960s, primarily osseointegrated implants have been recommended in the dental treatment area and high implant success rates have been reported. A prerequisite for successful osseointegration is initial stability after implant placement, which depends on the surface characteristics and morphology of the implant and bone density of the surgical site.

Lately, various surface treatment methods have been studied to facilitate rapid and strong osseointegration. According to the surface roughness and topography, the surface chemistry plays an important role for osseointegration. Titanium (Ti) and Ti alloys are bioinert surfaces and are not able to directly bond with bone. One method for increasing surface reactivity is to coat the Ti surface with nanostructured calcium. Many in vitro and in vivo studies have already reported the effectiveness of nanostructured calcium coating.

For example, in vitro studies have reported that surface modification using calcium ions increased the growth of osteoblastic cells and promoted the precipitation of apatite on Ti surfaces in simulated body fluid. Plus, the effects of cell adhesion to calcium-incorporated Ti surfaces were reduced in human alveolar bone cells and MG-63 cells, and increased in human osteoblasts. Several in vivo studies have reported that incorporating calcium into Ti implants by hydrothermal treatment stimulated osseointegration by increasing the BIC % when compared with untreated Ti implants in rabbit models.

Various surface treatments

Surface treatment technology
guarantees an excellent result.

1. Nano bone matrix layer of Ca2+ -incorporated S-L-A surface
2. Fast & strong osseointegration
3. Dual check system for greater safety

Ca2+ is incorporated into the fixture structure to create a CaTiO3 nano-structure. This then forms a unique & uniform nano-structure with Ca2+ions, which activate osteoblasts in living organisms.

Over 10 years of clinically proven
excellent, rapid & long-lasting osseointegration
Learn more
PROVING the AnyRidge Way... 10 YEARS of Scientific & Clinical Evidence