{"id":1278,"date":"2021-03-18T17:49:38","date_gmt":"2021-03-18T16:49:38","guid":{"rendered":"https:\/\/blog.avinent.com\/?p=1278"},"modified":"2024-11-13T09:41:25","modified_gmt":"2024-11-13T08:41:25","slug":"biomimetic-iceberg-single-immediate-load-implant","status":"publish","type":"post","link":"https:\/\/avinent.com\/en\/blog\/biomimetic-iceberg-single-immediate-load-implant\/","title":{"rendered":"BIOMIMETIC ICEBERG SINGLE IMMEDIATE-LOAD IMPLANT"},"content":{"rendered":"\n\t\t\t\t\n<p>With the new BIOMIMETIC ICEBERG implant, Avinent has increased its range\nof surgical solutions to better adapt to all clinical situations.<\/p>\n\n\n\n<p>The characteristics of the Iceberg design are ideal for restorations\nwith implants and prostheses, respecting the biology of the hard and soft\ntissues and favouring their growth, in addition to the aesthetics. Its\nconverging morphology in the transmucosal area, with no angles or sharp edges,\nallows the mucous membranes to grow over the titanium and form a seal, thus\nachieving the adjustment profile established when planning the case. <\/p>\n\n\n\n<p><strong>Clinical Case<\/strong><\/p>\n\n\n\n<p>We present the case of a 57-year-old patient who consulted the clinic\nfor mobility in tooth 14. The examination and complementary tests revealed the\ntooth had a fractured crown that could not be reconstructed.<\/p>\n\n\n\n<ul class=\"wp-block-gallery columns-2 is-cropped wp-block-gallery-1 is-layout-flex wp-block-gallery-is-layout-flex\"><li class=\"blocks-gallery-item\"><figure><img fetchpriority=\"high\" decoding=\"async\" width=\"800\" height=\"400\" src=\"https:\/\/blog.avinent.com\/wp-content\/uploads\/sites\/9\/2021\/03\/1-2.jpg\" alt=\"\" data-id=\"1281\" data-link=\"https:\/\/blog.avinent.com\/?attachment_id=1281\" class=\"wp-image-1281\" srcset=\"https:\/\/avinent.com\/wp-content\/uploads\/2021\/03\/1-2.jpg 800w, https:\/\/avinent.com\/wp-content\/uploads\/2021\/03\/1-2-300x150.jpg 300w, https:\/\/avinent.com\/wp-content\/uploads\/2021\/03\/1-2-768x384.jpg 768w, https:\/\/avinent.com\/wp-content\/uploads\/2021\/03\/1-2-180x90.jpg 180w, https:\/\/avinent.com\/wp-content\/uploads\/2021\/03\/1-2-360x180.jpg 360w, https:\/\/avinent.com\/wp-content\/uploads\/2021\/03\/1-2-640x320.jpg 640w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><figcaption>Initial images of the case<\/figcaption><\/figure><\/li><li class=\"blocks-gallery-item\"><figure><img decoding=\"async\" src=\"https:\/\/blog.avinent.com\/wp-content\/uploads\/sites\/9\/2021\/03\/2-3.jpg\" alt=\"\" data-id=\"1282\" data-link=\"https:\/\/blog.avinent.com\/?attachment_id=1282\" class=\"wp-image-1282\" \/><figcaption>Initial images of the case<\/figcaption><\/figure><\/li><\/ul>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"aligncenter\"><img decoding=\"async\" src=\"https:\/\/blog.avinent.com\/wp-content\/uploads\/sites\/9\/2021\/03\/3-1.jpg\" alt=\"\" class=\"wp-image-1283\" \/><figcaption>CT scan during examination<\/figcaption><\/figure><\/div>\n\n\n\n<p>After the diagnostic stage the treatment plan was explained to the\npatient. This consisted of atraumatic extraction of tooth 14 and the placement\nof an Avinent Biomimetic ICEBERG immediate-load implant, the regeneration of\nthe vestibular gap and a single immediate-load crown.<\/p>\n\n\n\n<p>It was verified that there was sufficient basal bone to achieve good\nprimary stability of the implant. The surgery was scheduled and colour records\nwere taken for the preparation of the provisional in eggshell. <\/p>\n\n\n\n<figure class=\"wp-block-image\"><img decoding=\"async\" src=\"https:\/\/blog.avinent.com\/wp-content\/uploads\/sites\/9\/2021\/03\/4-1.jpg\" alt=\"\" class=\"wp-image-1284\" \/><figcaption>Colour test for the provisional prosthesis<\/figcaption><\/figure>\n\n\n\n<p>The surgery was performed under local anaesthesia, starting with the extraction of tooth 14 and meticulous curettage of the socket. It was verified that the vestibular plate was intact.<\/p>\n\n\n\n<p>The bed was prepared for securing the implant in the palatine bone, thus achieving good primary stability, maintaining distance from the vestibular plate and leaving a gap that would later be filled with a xenograft.<\/p>\n\n\n\n<ul class=\"wp-block-gallery columns-2 is-cropped wp-block-gallery-2 is-layout-flex wp-block-gallery-is-layout-flex\"><li class=\"blocks-gallery-item\"><figure><img decoding=\"async\" src=\"https:\/\/blog.avinent.com\/wp-content\/uploads\/sites\/9\/2021\/03\/6-1.jpg\" alt=\"\" data-id=\"1285\" data-link=\"https:\/\/blog.avinent.com\/?attachment_id=1285\" class=\"wp-image-1285\" \/><figcaption>Details of the extraction and socket<\/figcaption><\/figure><\/li><li class=\"blocks-gallery-item\"><figure><img decoding=\"async\" width=\"800\" height=\"400\" src=\"https:\/\/blog.avinent.com\/wp-content\/uploads\/sites\/9\/2021\/03\/7-1.jpg\" alt=\"\" data-id=\"1286\" data-link=\"https:\/\/blog.avinent.com\/?attachment_id=1286\" class=\"wp-image-1286\" srcset=\"https:\/\/avinent.com\/wp-content\/uploads\/2021\/03\/7-1.jpg 800w, https:\/\/avinent.com\/wp-content\/uploads\/2021\/03\/7-1-300x150.jpg 300w, https:\/\/avinent.com\/wp-content\/uploads\/2021\/03\/7-1-768x384.jpg 768w, https:\/\/avinent.com\/wp-content\/uploads\/2021\/03\/7-1-180x90.jpg 180w, https:\/\/avinent.com\/wp-content\/uploads\/2021\/03\/7-1-360x180.jpg 360w, https:\/\/avinent.com\/wp-content\/uploads\/2021\/03\/7-1-640x320.jpg 640w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><figcaption> <br>Details of the extraction and socket <\/figcaption><\/figure><\/li><\/ul>\n\n\n\n<ul class=\"wp-block-gallery columns-2 is-cropped wp-block-gallery-3 is-layout-flex wp-block-gallery-is-layout-flex\"><li class=\"blocks-gallery-item\"><figure><img decoding=\"async\" width=\"800\" height=\"400\" src=\"https:\/\/blog.avinent.com\/wp-content\/uploads\/sites\/9\/2021\/03\/8-2.jpg\" alt=\"\" data-id=\"1287\" data-link=\"https:\/\/blog.avinent.com\/?attachment_id=1287\" class=\"wp-image-1287\" srcset=\"https:\/\/avinent.com\/wp-content\/uploads\/2021\/03\/8-2.jpg 800w, https:\/\/avinent.com\/wp-content\/uploads\/2021\/03\/8-2-300x150.jpg 300w, https:\/\/avinent.com\/wp-content\/uploads\/2021\/03\/8-2-768x384.jpg 768w, https:\/\/avinent.com\/wp-content\/uploads\/2021\/03\/8-2-180x90.jpg 180w, https:\/\/avinent.com\/wp-content\/uploads\/2021\/03\/8-2-360x180.jpg 360w, https:\/\/avinent.com\/wp-content\/uploads\/2021\/03\/8-2-640x320.jpg 640w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><figcaption>Biomimetic Iceberg implant<\/figcaption><\/figure><\/li><li class=\"blocks-gallery-item\"><figure><img decoding=\"async\" src=\"https:\/\/blog.avinent.com\/wp-content\/uploads\/sites\/9\/2021\/03\/9-2.jpg\" alt=\"\" data-id=\"1288\" data-link=\"https:\/\/blog.avinent.com\/?attachment_id=1288\" class=\"wp-image-1288\" \/><figcaption>View of the implant once positioned<\/figcaption><\/figure><\/li><\/ul>\n\n\n\n<p>A 4&#215;11.5 mm Avinent BIOMIMETIC ICEBERG implant was chosen as the\npatient&#8217;s vertical gum thickness was 4 mm, so it was possible to place the\nimplant at bone level and achieve a seal with the soft tissues around the\npolished neck of the implant.<\/p>\n\n\n\n<p>An insertion torque of 35 Ncm was achieved and, in the same surgical\nintervention, an antirotation titanium abutment was connected to the implant to\nconstruct a screw-mounted immediate-load provisional.<\/p>\n\n\n\n<figure class=\"wp-block-image\"><img decoding=\"async\" src=\"https:\/\/blog.avinent.com\/wp-content\/uploads\/sites\/9\/2021\/03\/10-1.jpg\" alt=\"\" class=\"wp-image-1289\" \/><figcaption>Image of the titanium provisional screw-mounted onto the implant post-placement<\/figcaption><\/figure>\n\n\n\n<p>Using photopolymerisable composite flow (Tetric EvoFlow, Ivoclar\nVivadent) the provisional was captured in the mouth, for improved fit.<\/p>\n\n\n\n<figure class=\"wp-block-image\"><img decoding=\"async\" src=\"https:\/\/blog.avinent.com\/wp-content\/uploads\/sites\/9\/2021\/03\/11-1.jpg\" alt=\"\" class=\"wp-image-1290\" \/><figcaption>Details of the preparation of the provisional immediate-load crown<\/figcaption><\/figure>\n\n\n\n<p>At the same time, the desired emergence profile was modelled.<\/p>\n\n\n\n<p>Prior to positioning the provisional crown, the vestibular gap was\nfilled with a block xenograft to avoid the collapse of the vestibular plate,\nfollowing the immediate-regeneration protocol.<\/p>\n\n\n\n<ul class=\"wp-block-gallery columns-2 is-cropped wp-block-gallery-4 is-layout-flex wp-block-gallery-is-layout-flex\"><li class=\"blocks-gallery-item\"><figure><img decoding=\"async\" src=\"https:\/\/blog.avinent.com\/wp-content\/uploads\/sites\/9\/2021\/03\/12-2.jpg\" alt=\"\" data-id=\"1291\" data-link=\"https:\/\/blog.avinent.com\/?attachment_id=1291\" class=\"wp-image-1291\" \/><figcaption>Customised immediate-load provisional with composite<\/figcaption><\/figure><\/li><li class=\"blocks-gallery-item\"><figure><img decoding=\"async\" src=\"https:\/\/blog.avinent.com\/wp-content\/uploads\/sites\/9\/2021\/03\/13-2.jpg\" alt=\"\" data-id=\"1292\" data-link=\"https:\/\/blog.avinent.com\/?attachment_id=1292\" class=\"wp-image-1292\" \/><figcaption>Regeneration of the post-extraction socket<\/figcaption><\/figure><\/li><\/ul>\n\n\n\n<p>Finally the screw-mounted provisional crown was placed at 35 Ncm and the\nchimney topped with Teflon and composite. The provisional enabled us to seal\nthe graft area and provide support to the soft tissue.<\/p>\n\n\n\n<ul class=\"wp-block-gallery columns-3 is-cropped wp-block-gallery-5 is-layout-flex wp-block-gallery-is-layout-flex\"><li class=\"blocks-gallery-item\"><figure><img decoding=\"async\" src=\"https:\/\/blog.avinent.com\/wp-content\/uploads\/sites\/9\/2021\/03\/14-1.jpg\" alt=\"\" data-id=\"1294\" data-link=\"https:\/\/blog.avinent.com\/?attachment_id=1294\" class=\"wp-image-1294\" \/><figcaption>Images of the screw-mounted immediate-load crown in the mouth<\/figcaption><\/figure><\/li><li class=\"blocks-gallery-item\"><figure><img decoding=\"async\" src=\"https:\/\/blog.avinent.com\/wp-content\/uploads\/sites\/9\/2021\/03\/15-2.jpg\" alt=\"\" data-id=\"1295\" data-link=\"https:\/\/blog.avinent.com\/?attachment_id=1295\" class=\"wp-image-1295\" \/><figcaption> <br>Images of the screw-mounted immediate-load crown in the mouth <\/figcaption><\/figure><\/li><li class=\"blocks-gallery-item\"><figure><img decoding=\"async\" src=\"https:\/\/blog.avinent.com\/wp-content\/uploads\/sites\/9\/2021\/03\/16-1.jpg\" alt=\"\" data-id=\"1296\" data-link=\"https:\/\/blog.avinent.com\/?attachment_id=1296\" class=\"wp-image-1296\" \/><figcaption> <br>Images of the screw-mounted immediate-load crown in the mouth <\/figcaption><\/figure><\/li><\/ul>\n\n\n\n<p>In the post-load x-ray control it was verified that the\nthree-dimensional position of the implant was as planned and thanks to the\nvestibular restorations and the stabilisation of the soft tissues, the\nemergence profile achieved was as expected.<\/p>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"aligncenter\"><img decoding=\"async\" src=\"https:\/\/blog.avinent.com\/wp-content\/uploads\/sites\/9\/2021\/03\/3-2-2.jpg\" alt=\"\" class=\"wp-image-1297\" \/><figcaption>X-ray image post-placement with immediate load<\/figcaption><\/figure><\/div>\n\n\n\n<p>The tapered, converging geometry of the neck of the Iceberg implant, and\nits whole prosthetic line, makes it possible to distance the implant-prosthesis\nconnection from the bone level, maintaining the stability of the periimplant\ntissues and protecting the implant.<\/p>\n\n\n\n<p>Using this type of implant enables the tissues to maintain a perfect\nseal and makes it possible to model the emergence profile right from the start\nof the surgery, improving the final aesthetic result of the restoration. For\nthis purpose, it is very important to take into account the patient&#8217;s gum type,\nwith the final restorative stage in mind.<\/p>\n\n\n\n<figure class=\"wp-block-image\"><img decoding=\"async\" src=\"https:\/\/blog.avinent.com\/wp-content\/uploads\/sites\/9\/2021\/03\/18-1.jpg\" alt=\"\" class=\"wp-image-1298\" \/><figcaption>Image of tissues 7 days after surgery<\/figcaption><\/figure>\n\t\t","protected":false},"excerpt":{"rendered":"<p>\t\t\t\tIn the following article, Dr. Jes\u00fas L. Vilagran shows us a case with an immediate Biomimetic Iceberg unitary implant\t\t\t\t<\/p>\n","protected":false},"author":2,"featured_media":6329,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"categories":[37],"tags":[],"profesional_medics":[114],"segment":[170],"class_list":["post-1278","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-casos-clinicos","profesional_medics-dr-jesus-lopez-vilagran","segments-implantes"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.8 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>\u25b7BIOMIMETIC ICEBERG SINGLE IMMEDIATE-LOAD IMPLANT - \u3010 Avinent \u3011<\/title>\n<meta name=\"description\" content=\"In the following article, Dr. Jes\u00fas L. 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