{"id":355239,"date":"2021-02-26T00:05:51","date_gmt":"2021-02-26T03:05:51","guid":{"rendered":"https:\/\/fgmdentalgroup.com\/?p=355239"},"modified":"2023-01-23T16:55:42","modified_gmt":"2023-01-23T19:55:42","slug":"dento-alveolar-rehabilitation-with-arcsys-implant-and-nanosynt-bone-graft","status":"publish","type":"post","link":"https:\/\/fgmdentalgroup.com\/intl\/blog\/posts\/dento-alveolar-rehabilitation-with-arcsys-implant-and-nanosynt-bone-graft\/","title":{"rendered":"Dento-alveolar rehabilitation with Arcsys implant and Nanosynt bone graft"},"content":{"rendered":"\r\n<p><em>Authors: Dr. J\u00e9ferson Fagundes<\/em><\/p>\r\n\r\n\r\n\r\n<p><strong>Patient gender and age:<\/strong>\u00a0Female patient, 67 y.o.<\/p>\r\n\r\n\r\n\r\n<p><strong>Chief complaint:\u00a0<\/strong>Absence of tooth 12 and aesthetic dissatisfaction<\/p>\r\n\r\n\r\n\r\n<p><strong>Initial evaluation:<\/strong>\u00a0After anamnesis, clinical and tomographic examination, a thin alveolar bone structure was observed in the region of element 12 and volume loss of soft tissue, indicating tissue reconstruction associated with implant installation.<\/p>\r\n\r\n\r\n\r\n<h3 class=\"wp-block-heading\">Treatment performed<\/h3>\r\n\r\n\r\n\r\n<p>A 3.3&#215;9 Arcsys implant was installed in the region of the element 12, with a torque obtained of 50Ncm. After the implant was installed, a vestibular bone wall fenestration was observed (which was expected, due to the thin bone wall). Soon after, the angular referrer was attached to the implant to personalize the angle of the 3x6x2.5 Arcsys sleeve. After customizing the trunnion to the Arcsys angulator in 6 degrees, the prosthetic component was installed on the implant with the hammer. Then, the autogenous conjunctive graft and the Nanosynt bone graft were applied to the buccal bone wall and protected by an absorbable collagen membrane. The provisional crown was made directly on the multifunctional peek transfer with flow resin. The surgery was completed using PTFE sutures. After 120 days, definitive restorative procedures were initiated, by making ceramic zirconia \/ feldspathic crowns on teeth and on the implant 12.<\/p>\r\n\r\n\r\n\r\n<figure class=\"wp-block-image\"><img decoding=\"async\" title=\"Imagem1\" src=\"https:\/\/fgmdentalgroup.com\/system\/refinery\/images\/W1siZiIsIjIwMjEvMDIvMjYvM2dvcDN6cjF5c19JbWFnZW0xLnBuZyJdXQ\/Imagem1.png\" alt=\"Imagem1\" \/><\/figure>\r\n\r\n\r\n\r\n<p><em>FIG. 1 &#8211; Initial aspect<\/em><\/p>\r\n\r\n\r\n\r\n<figure class=\"wp-block-image\"><img decoding=\"async\" title=\"Imagem1\" src=\"https:\/\/fgmdentalgroup.com\/system\/refinery\/images\/W1siZiIsIjIwMjEvMDIvMjYvMmpnaHUxbHR5el9JbWFnZW0yLnBuZyJdXQ\/Imagem2.png\" alt=\"Imagem1\" \/><\/figure>\r\n\r\n\r\n\r\n<p><em>FIG. 2 &#8211; Initial tomographic section<\/em><\/p>\r\n\r\n\r\n\r\n<figure class=\"wp-block-image\"><img decoding=\"async\" title=\"Imagem1\" src=\"https:\/\/fgmdentalgroup.com\/system\/refinery\/images\/W1siZiIsIjIwMjEvMDIvMjYvM2RndDg2MWFkM19JbWFnZW0zLnBuZyJdXQ\/Imagem3.png\" alt=\"Imagem1\" \/><\/figure>\r\n\r\n\r\n\r\n<p><em>FIG. 3 &#8211; Initial lateral aspect<\/em><\/p>\r\n\r\n\r\n\r\n<figure class=\"wp-block-image\"><img decoding=\"async\" title=\"Imagem1\" src=\"https:\/\/fgmdentalgroup.com\/system\/refinery\/images\/W1siZiIsIjIwMjEvMDIvMjYvNWZ1MnJ5dHdwY19JbWFnZW00LnBuZyJdXQ\/Imagem4.png\" alt=\"Imagem1\" \/><\/figure>\r\n\r\n\r\n\r\n<p><em>FIG. 4 &#8211; Incisal initial aspect<\/em><\/p>\r\n\r\n\r\n\r\n<figure class=\"wp-block-image\"><img decoding=\"async\" title=\"Imagem1\" src=\"https:\/\/fgmdentalgroup.com\/system\/refinery\/images\/W1siZiIsIjIwMjEvMDIvMjYvNXl2Z3F0MDB0aV9JbWFnZW01LnBuZyJdXQ\/Imagem5.png\" alt=\"Imagem1\" \/><\/figure>\r\n\r\n\r\n\r\n<p><em>FIG. 5 &#8211; 3,3 x 9 Arcsys implant<\/em><\/p>\r\n\r\n\r\n\r\n<figure class=\"wp-block-image\"><img decoding=\"async\" title=\"Imagem1\" src=\"https:\/\/fgmdentalgroup.com\/system\/refinery\/images\/W1siZiIsIjIwMjEvMDIvMjYvMnZuemMxcGUzOV9JbWFnZW02LnBuZyJdXQ\/Imagem6.png\" alt=\"Imagem1\" \/><\/figure>\r\n\r\n\r\n\r\n<p><em>FIG. 6 &#8211; Implant installed 2mm infra-bone<\/em><\/p>\r\n\r\n\r\n\r\n<figure class=\"wp-block-image\"><img decoding=\"async\" title=\"Imagem1\" src=\"https:\/\/fgmdentalgroup.com\/system\/refinery\/images\/W1siZiIsIjIwMjEvMDIvMjYvOHd4MW5yenBiOV9JbWFnZW03LnBuZyJdXQ\/Imagem7.png\" alt=\"Imagem1\" \/><\/figure>\r\n\r\n\r\n\r\n<p><em>FIG. 7- Incisal view of the implant<\/em><\/p>\r\n\r\n\r\n\r\n<figure class=\"wp-block-image\"><img decoding=\"async\" title=\"Imagem1\" src=\"https:\/\/fgmdentalgroup.com\/system\/refinery\/images\/W1siZiIsIjIwMjEvMDIvMjYvNWUwMXluaG12OV9JbWFnZW04LnBuZyJdXQ\/Imagem8.png\" alt=\"Imagem1\" \/><\/figure>\r\n\r\n\r\n\r\n<p><em>FIG. 8- Angle referrer coupled<\/em><\/p>\r\n\r\n\r\n\r\n<figure class=\"wp-block-image\"><img decoding=\"async\" title=\"Imagem1\" src=\"https:\/\/fgmdentalgroup.com\/system\/refinery\/images\/W1siZiIsIjIwMjEvMDIvMjYvMmNidDRvbTdmN19JbWFnZW05LnBuZyJdXQ\/Imagem9.png\" alt=\"Imagem1\" \/><\/figure>\r\n\r\n\r\n\r\n<p><em>FIG. 9- Angulation determined for the abutment<\/em><\/p>\r\n\r\n\r\n\r\n<figure class=\"wp-block-image\"><img decoding=\"async\" title=\"Imagem1\" src=\"https:\/\/fgmdentalgroup.com\/system\/refinery\/images\/W1siZiIsIjIwMjEvMDIvMjYvNWJxa3BkbXJhdF9JbWFnZW0xMC5wbmciXV0\/Imagem10.png\" alt=\"Imagem1\" \/><\/figure>\r\n\r\n\r\n\r\n<p><em>FIG. 10- Angulation customized in 6 degrees<\/em><\/p>\r\n\r\n\r\n\r\n<figure class=\"wp-block-image\"><img decoding=\"async\" title=\"Imagem1\" src=\"https:\/\/fgmdentalgroup.com\/system\/refinery\/images\/W1siZiIsIjIwMjEvMDIvMjYvMWl1N29pMHdpNF9JbWFnZW0xMS5wbmciXV0\/Imagem11.png\" alt=\"Imagem1\" \/><\/figure>\r\n\r\n\r\n\r\n<p><em>FIG. 11- Abutment installed and Bone graft<\/em><\/p>\r\n\r\n\r\n\r\n<figure class=\"wp-block-image\"><img decoding=\"async\" title=\"Imagem1\" src=\"https:\/\/fgmdentalgroup.com\/system\/refinery\/images\/W1siZiIsIjIwMjEvMDIvMjYvaWl1eTV3MGZzX0ltYWdlbTEyLnBuZyJdXQ\/Imagem12.png\" alt=\"Imagem1\" \/><\/figure>\r\n\r\n\r\n\r\n<p><em>FIG. 12- Nanosynt bone graft<\/em><\/p>\r\n\r\n\r\n\r\n<figure class=\"wp-block-image\"><img decoding=\"async\" title=\"Imagem1\" src=\"https:\/\/fgmdentalgroup.com\/system\/refinery\/images\/W1siZiIsIjIwMjEvMDIvMjYvNDI4YXYwYnFkal9JbWFnZW0xMy5wbmciXV0\/Imagem13.png\" alt=\"Imagem1\" \/><\/figure>\r\n\r\n\r\n\r\n<p><em>FIG. 13- Collagen membrane placed<\/em><\/p>\r\n\r\n\r\n\r\n<figure class=\"wp-block-image\"><img decoding=\"async\" title=\"Imagem1\" src=\"https:\/\/fgmdentalgroup.com\/system\/refinery\/images\/W1siZiIsIjIwMjEvMDIvMjYvN3cyajhkcWxiX0ltYWdlbTE0LnBuZyJdXQ\/Imagem14.png\" alt=\"Imagem1\" \/><\/figure>\r\n\r\n\r\n\r\n<p><em>FIG. 14- Multifunctional transfer over the abutment<\/em><\/p>\r\n\r\n\r\n\r\n<figure class=\"wp-block-image\"><img decoding=\"async\" title=\"Imagem1\" src=\"https:\/\/fgmdentalgroup.com\/system\/refinery\/images\/W1siZiIsIjIwMjEvMDIvMjYvMTF6a3MyN2M5ZV9JbWFnZW0xNS5wbmciXV0\/Imagem15.png\" alt=\"Imagem1\" \/><\/figure>\r\n\r\n\r\n\r\n<p><em>FIG. 15- Provisional crown installed<\/em><\/p>\r\n\r\n\r\n\r\n<figure class=\"wp-block-image\"><img decoding=\"async\" title=\"Imagem1\" src=\"https:\/\/fgmdentalgroup.com\/system\/refinery\/images\/W1siZiIsIjIwMjEvMDIvMjYvN201aXZwZXFtYV9JbWFnZW0xNi5wbmciXV0\/Imagem16.png\" alt=\"Imagem1\" \/><\/figure>\r\n\r\n\r\n\r\n<p><em>FIG. 16 &#8211; Surgery completed<\/em><\/p>\r\n\r\n\r\n\r\n<figure class=\"wp-block-image\"><img decoding=\"async\" title=\"Imagem1\" src=\"https:\/\/fgmdentalgroup.com\/system\/refinery\/images\/W1siZiIsIjIwMjEvMDIvMjYvM29qcmE1NjN6aF9JbWFnZW0xNy5wbmciXV0\/Imagem17.png\" alt=\"Imagem1\" \/><\/figure>\r\n\r\n\r\n\r\n<p><em>FIG. 17- Lateral postoperative appearance<\/em><\/p>\r\n\r\n\r\n\r\n<figure class=\"wp-block-image\"><img decoding=\"async\" title=\"Imagem1\" src=\"https:\/\/fgmdentalgroup.com\/system\/refinery\/images\/W1siZiIsIjIwMjEvMDIvMjYvM2sybXFlc25jbF9JbWFnZW0xOC5wbmciXV0\/Imagem18.png\" alt=\"Imagem1\" \/><\/figure>\r\n\r\n\r\n\r\n<p><em>FIG. 18 &#8211; Panoramic image after 30 days<\/em><\/p>\r\n\r\n\r\n\r\n<figure class=\"wp-block-image\"><img decoding=\"async\" title=\"Imagem1\" src=\"https:\/\/fgmdentalgroup.com\/system\/refinery\/images\/W1siZiIsIjIwMjEvMDIvMjYvd3VpMjV5bHRzX0ltYWdlbTE5LnBuZyJdXQ\/Imagem19.png\" alt=\"Imagem1\" \/><\/figure>\r\n\r\n\r\n\r\n<p><em>FIG. 19- Clinical aspect after 90 days<\/em><\/p>\r\n\r\n\r\n\r\n<figure class=\"wp-block-image\"><img decoding=\"async\" title=\"Imagem1\" src=\"https:\/\/fgmdentalgroup.com\/system\/refinery\/images\/W1siZiIsIjIwMjEvMDIvMjYvOW5oeW51dDNvdF9JbWFnZW0yMC5wbmciXV0\/Imagem20.png\" alt=\"Imagem1\" \/><\/figure>\r\n\r\n\r\n\r\n<p><em>FIG. 20- Digital prosthetic planning<\/em><\/p>\r\n\r\n\r\n\r\n<figure class=\"wp-block-image\"><img decoding=\"async\" title=\"Imagem1\" src=\"https:\/\/fgmdentalgroup.com\/system\/refinery\/images\/W1siZiIsIjIwMjEvMDIvMjYvN2N4eTd2dGtzNl9JbWFnZW0yMS5wbmciXV0\/Imagem21.png\" alt=\"Imagem1\" \/><\/figure>\r\n\r\n\r\n\r\n<p><em>FIG. 21- Ceramic crowns on the model<\/em><\/p>\r\n\r\n\r\n\r\n<figure class=\"wp-block-image\"><img decoding=\"async\" title=\"Imagem1\" src=\"https:\/\/fgmdentalgroup.com\/system\/refinery\/images\/W1siZiIsIjIwMjEvMDIvMjYvNHp0ZGpvcXE0OV9JbWFnZW0yMi5wbmciXV0\/Imagem22.png\" alt=\"Imagem1\" \/><\/figure>\r\n\r\n\r\n\r\n<p><em>FIG. 22- Cemented crowns: case completed<\/em><\/p>\r\n\r\n\r\n\r\n<figure class=\"wp-block-image\"><img decoding=\"async\" title=\"Imagem1\" src=\"https:\/\/fgmdentalgroup.com\/system\/refinery\/images\/W1siZiIsIjIwMjEvMDIvMjYvNHltbmVmMHBzN19JbWFnZW0yMy5wbmciXV0\/Imagem23.png\" alt=\"Imagem1\" \/><\/figure>\r\n\r\n\r\n\r\n<p><em>FIG. 23 &#8211; Lateral view:\u00a0case completed<\/em><\/p>\r\n\r\n\r\n\r\n<figure class=\"wp-block-image\"><img decoding=\"async\" title=\"Imagem1\" src=\"https:\/\/fgmdentalgroup.com\/system\/refinery\/images\/W1siZiIsIjIwMjEvMDIvMjYvOWVsZW9mNmkyZV9JbWFnZW0yNC5wbmciXV0\/Imagem24.png\" alt=\"Imagem1\" \/><\/figure>\r\n\r\n\r\n\r\n<p><em>FIG. 24 &#8211; Zoomed image element 12<\/em><\/p>\r\n\r\n\r\n\r\n<figure class=\"wp-block-image\"><img decoding=\"async\" title=\"Imagem1\" src=\"https:\/\/fgmdentalgroup.com\/system\/refinery\/images\/W1siZiIsIjIwMjEvMDIvMjYvMjRlbzI1NG94cl9JbWFnZW0yNS5wbmciXV0\/Imagem25.png\" alt=\"Imagem1\" \/><\/figure>\r\n\r\n\r\n\r\n<p><em>FIG. 25 &#8211; Before\/After: lateral view<\/em><\/p>\r\n\r\n\r\n\r\n<figure class=\"wp-block-image\"><img decoding=\"async\" title=\"Imagem1\" src=\"https:\/\/fgmdentalgroup.com\/system\/refinery\/images\/W1siZiIsIjIwMjEvMDIvMjYvMThqbTRpbHl5a19JbWFnZW0yNi5wbmciXV0\/Imagem26.png\" alt=\"Imagem1\" \/><\/figure>\r\n\r\n\r\n\r\n<p><em>FIG. 26 &#8211; Before\/After: frontal view<\/em><\/p>\r\n","protected":false},"excerpt":{"rendered":"<p>Authors: Dr. J\u00e9ferson Fagundes Patient gender and age:\u00a0Female patient, 67 y.o. Chief complaint:\u00a0Absence of tooth 12 and aesthetic dissatisfaction Initial evaluation:\u00a0After anamnesis, clinical and tomographic examination, a thin alveolar bone structure was observed in the region of element 12 and volume loss of soft tissue, indicating tissue reconstruction associated with implant installation. Treatment performed A [&hellip;]<\/p>\n","protected":false},"author":15,"featured_media":355240,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[],"tags":[],"produto-relacionado":[],"categoria-post":[1024],"linha-de-atuacao":[488,483],"class_list":["post-355239","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","categoria-post-clinical-case","linha-de-atuacao-product-biomaterials","linha-de-atuacao-product-implants"],"_links":{"self":[{"href":"https:\/\/fgmdentalgroup.com\/intl\/wp-json\/wp\/v2\/posts\/355239"}],"collection":[{"href":"https:\/\/fgmdentalgroup.com\/intl\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/fgmdentalgroup.com\/intl\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/fgmdentalgroup.com\/intl\/wp-json\/wp\/v2\/users\/15"}],"replies":[{"embeddable":true,"href":"https:\/\/fgmdentalgroup.com\/intl\/wp-json\/wp\/v2\/comments?post=355239"}],"version-history":[{"count":0,"href":"https:\/\/fgmdentalgroup.com\/intl\/wp-json\/wp\/v2\/posts\/355239\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/fgmdentalgroup.com\/intl\/wp-json\/wp\/v2\/media\/355240"}],"wp:attachment":[{"href":"https:\/\/fgmdentalgroup.com\/intl\/wp-json\/wp\/v2\/media?parent=355239"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/fgmdentalgroup.com\/intl\/wp-json\/wp\/v2\/categories?post=355239"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/fgmdentalgroup.com\/intl\/wp-json\/wp\/v2\/tags?post=355239"},{"taxonomy":"produto-relacionado","embeddable":true,"href":"https:\/\/fgmdentalgroup.com\/intl\/wp-json\/wp\/v2\/produto-relacionado?post=355239"},{"taxonomy":"categoria-post","embeddable":true,"href":"https:\/\/fgmdentalgroup.com\/intl\/wp-json\/wp\/v2\/categoria-post?post=355239"},{"taxonomy":"linha-de-atuacao","embeddable":true,"href":"https:\/\/fgmdentalgroup.com\/intl\/wp-json\/wp\/v2\/linha-de-atuacao?post=355239"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}