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RATIOPLANT ® -IMPLANTS CASE STUDY Dr. med. Dr. med. dent. Martin Keweloh Mutlangen/Germany

Dr. med. Dr. med. dent. Martin Keweloh · Praxisklinik-MKG Wetzgauer Straße 62 73557 Mutlangen Germany [email protected] University: Studies of human medicine and dentistry

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Page 1: Dr. med. Dr. med. dent. Martin Keweloh · Praxisklinik-MKG Wetzgauer Straße 62 73557 Mutlangen Germany sg-implant@praxisklinik-mkg.de University: Studies of human medicine and dentistry

RATIOPLANT®-IMPLANTSCASE STUDY

Dr. med. Dr. med. dent. Martin Keweloh

Mutlangen/Germany

Page 2: Dr. med. Dr. med. dent. Martin Keweloh · Praxisklinik-MKG Wetzgauer Straße 62 73557 Mutlangen Germany sg-implant@praxisklinik-mkg.de University: Studies of human medicine and dentistry

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Dr. med. Dr. med. dent. Martin Keweloh M.Sc.

University:Human and dental medicine, oral and maxillofacial surge-on, Master of Science in Implantology06/1993 Registration as a dental surgeon(University of Ulm/Baden-Wuerttemberg/Germany)08/1999 Registration as a medical doctor(University of Erlangen-Nuernberg/Bavaria/Germany)

Contact: Praxisklinik-MKGWetzgauer Straße 6273557 MutlangenGermanysg-implant@praxisklinik-mkg.dewww.praxisklinik-mkg.de

University:Studies of human medicine and dentistry at the Universities of Ulm and Erlangen- Nürnberg06/1993 License to practice as a dentist08/1999 License to practice medicineMaster in Implantology at the University of Witten / Herdecke11/2012 Master of Science in Implantology

Work experience:1993 - 1996 oral surgical assistant, practice of Oral and Maxillofacial Surgery, Ulm1997-2001 Training and recognition as a specialist for oral and maxillofacial surgeon, Department of Oral and Maxillofacial Surgery - Plastic Surgery - Klinikum Stuttgart - Katharinenhospital, Prof. Dr. Dr. D. Weingart01/2002 Establishment in free clinic for oral and maxillofacial surgery, with major operations in implantology and periodontology. Foundation and medical director at the department of Oral and Maxillofacial Surgery at the Hospital of Schwäbisch-Gmünd, Konsilarius on Ostalb Hospital Aalen.

Main areas of work: navigated implantology, augmentation of hard and soft tissue,Quality management in the health sectorCertified Implantologist & Periodontist (DGMKG, DGI, DGZI, BDO, BDIZ)Member of the Department Implantology of the German Society for Oral and Maxillofacial SurgeryEditorial Advisory Board of „Implantologie-Zeitung“Training authority in the field of Oral and Maxillofacial Surgery and Oral SurgeryMember of the German Society of Oral and Maxillofacial Surgery (DGMKG), German Society for Implantology (DGI), German Society of Plastic and Reconstructive Surgery (DGPW)

Lecturing at home and abroadEACMFS: Edinburgh/Scotland 2000, PAAOMS: Dubai/VAE 2001, Int. Camlog-Congress: Montreux/Switzerland 2006, EACMFS: Bologna/Italy 2008, ANZAOMS Christchurch/New Zealand 10/2008, Melbourne/Australien 7/2009 and Goldcoast/Australia 10/2009)2002 Establishment of the training circuit „Treffpunkt Implantologie – Schwäbisch-Gmünd“2005 Implementation of a quality management system DIN EN ISO 9001:20002007 Installation of a dental CT (volume tomography)

Curriculum vitae

Page 3: Dr. med. Dr. med. dent. Martin Keweloh · Praxisklinik-MKG Wetzgauer Straße 62 73557 Mutlangen Germany sg-implant@praxisklinik-mkg.de University: Studies of human medicine and dentistry

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PatientBecause not to preserve teeth 25 and 27, the 71-year-old female presents in the clinic for implant consultation in October 2011th

Diagnosis The clinical and radiological preliminary investigation results pe-riodontally insufficient teeth 25, 27 and 48. To be considered for surgical therapy is a known anticoagulant medication.

Treatment planThe treatment plan are before a parodontal hygiene pretreat-ment, extractions of 25, 27 and 48 with hemostyptic wound care and implant insertions regions 25 and 27 with sinus lift.

RATIOPLANT®-IMPLANTSCASE STUDY

Page 4: Dr. med. Dr. med. dent. Martin Keweloh · Praxisklinik-MKG Wetzgauer Straße 62 73557 Mutlangen Germany sg-implant@praxisklinik-mkg.de University: Studies of human medicine and dentistry

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Procedure/MethodAgainst the end of 2011 carried out the surgical periodon-tal treatment in the maxilla and mandible and the extraction of teeth 25, 27 and 48 with hemostyptics wound care. After healing of extraction sockets three months later planning dates to prepare a planning template and DVT are introduced X-ray diagnostics.The degree of augmentation and implant types are defined by virtual planning in volume tomogram. The planning template - which is also used during implant - helps in this case to transfer the implant position to the imaging. Considering the maxillary sinus anatomy augmentation is planned and determined the implant length and width.For surgery appointment in April 2012, the hard tissue condi-tions represent that an extended elevation of the sinus floor in regio 25-27 must be done with a bone substitute material. Ne-vertheless, the implants can be placed directly at the same time. The primary stability is achieved through the use of bone-con-densers. The thick soft tissue biotyp needs no augmentation.

Implants: RatioPlant Avantgarderg 25: 4,2/11,5mm (50021.42115)rg 27: 5,0/11,5mm (50021.50115)

After five months, the implants can be surgically exposed and released for prosthetic restoration. The X-ray control is unremar-kable.

Healing caps: RatioPlantRg 25: con 4,0mm SRg 27: con 6,0mm L

Page 5: Dr. med. Dr. med. dent. Martin Keweloh · Praxisklinik-MKG Wetzgauer Straße 62 73557 Mutlangen Germany sg-implant@praxisklinik-mkg.de University: Studies of human medicine and dentistry

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Follow-UpThe surgical processes are straight forward. The emergence profile can be formed by a conical healing abutment.

RATIOPLANT®-IMPLANTSCASE STUDY

Page 6: Dr. med. Dr. med. dent. Martin Keweloh · Praxisklinik-MKG Wetzgauer Straße 62 73557 Mutlangen Germany sg-implant@praxisklinik-mkg.de University: Studies of human medicine and dentistry

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ConclusionRatioplant® implants fulfill the requirements of a modern implant system. The implant treatment for the Avantgarde series is done with a special final drill. Herewith the cortical layer in the shoul-der area of the implant is formed for the base of a high primary stability.The micro-roughness reaches to the upper implant shoulder, thus this type of implant should be placed at bone level (epicres-tal). The timing of osseointegration is comparable with market leading systems. So we release the maxillary implants combined with sinus lift surgery after 5 months for prosthetic care.The prosthetic concept is greatly simplified by the limitation to two platform sizes. The 3.8mm and 4.2mm implants and 5.0mm and 6.0mm implants have one prosthetic platform respectively.

Page 7: Dr. med. Dr. med. dent. Martin Keweloh · Praxisklinik-MKG Wetzgauer Straße 62 73557 Mutlangen Germany sg-implant@praxisklinik-mkg.de University: Studies of human medicine and dentistry

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RATIOPLANT®-IMPLANTSCASE STUDY

Notes

Page 8: Dr. med. Dr. med. dent. Martin Keweloh · Praxisklinik-MKG Wetzgauer Straße 62 73557 Mutlangen Germany sg-implant@praxisklinik-mkg.de University: Studies of human medicine and dentistry

HumanTech Germany GmbHGewerbestr. 5D-71144 SteinenbronnGermanyTel.: +49 (0) 7157/5246-71Fax.: +49 (0) 7157/[email protected]

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