Contemporary New Implant Protocol: Innovations and Clinical Applications In a recent clinical video session, Dr. Yoshinori Kamae, a distinguished member of the Society of Japan Clinical Dentistry, presented an innovative new implant protocol that promises to revolutionize dental implantology. His presentation focused on integrating recent research findings with practical clinical applications to enhance bone augmentation and implant success rates. This article summarizes Dr. Kamae's presentation, highlighting key research articles and a clinical case study.
Introduction to New Implant Protocols Dr. Kamae began by introducing three significant articles that form the foundation of his new protocol. These studies, conducted by leading researchers in the field, explore various techniques for bone augmentation and their effectiveness in dental implant procedures.
Key Research Articles Dr. Simeon's Study on Particle Augmentation:
This study compared three groups: Group A used a bios block with Bio-Gide, Group B used Biosproc with rhPDGF without a membrane, and Group C used Bios block with rhPDGF with a membrane. The results indicated that Group B showed significantly more bone formation, highlighting the efficacy of combining bios with rhPDGF without the need for a membrane. Dr. Navin's Tunnel Technique:
In this study, Group A used FDFA with rhPDGF, Group B used bios with rhPDGF, and Group C used Bios collagen with rhPDGF. All groups exhibited bone formation, but Group B once again demonstrated superior results. This study underscores the potential of the tunnel technique in enhancing bone regeneration. Dr. Ahn's Smart Technique:
Dr. Ahn's research introduced the Smart technique, which was found to be more effective for both horizontal and vertical augmentation compared to the sausage technique. Remarkably, this technique does not require a flap, tent screw, membrane, or connective tissue graft, simplifying the procedure significantly. Clinical Case Study Dr. Kamae illustrated the application of these findings through a clinical case involving a 45-year-old male patient. The patient presented with a complaint about the path of his upper central incisors, which were grossly displaced due to skeletal issues, leading to root fractures and labial bone resorption.
Treatment Plan:
Orthodontic Treatment:
The first step involved orthodontic treatment to address the skeletal issues and determine the final gingival level using a mock-up. This step also helped in automatically determining the implant position for the incisors. Implant Placement:
Implants were first placed in the lateral incisors. A three-unit provisional restoration was prepared to perfectly seal the extraction site at the final gingival level. Extraction and Provisional Restoration:
After eight weeks, the central incisors were carefully extracted, and the three-unit provisional restoration was set to compact the extraction site at the final gingival level. Final Restoration:
Nine weeks post-extraction, an impression was taken to prepare the final restoration. The result was a beautifully restored dental arch with preserved labial bone volume. A one-year follow-up showed that the labial bone volume remained stable, demonstrating the success of the new protocol. Conclusion Dr. Kamae's presentation highlighted the advantages of contemporary implant protocols, which incorporate the latest research to improve clinical outcomes. These protocols offer minimally invasive solutions with better preservation of bone and soft tissues. Dr. Kamae emphasized the importance of continuous monitoring and research to refine these techniques further.
This new approach to implantology not only enhances the efficacy of bone augmentation but also simplifies the overall procedure, making it more patient-friendly and less invasive. As these methods become standardized, they hold the potential to significantly improve the quality of care for edentulous patients.