Italian School One Piece Implants Stabilized with Electrowelded Titanium Needle for The Rehabilitation in Aesthetic Area of Single Post-Extraction Edentulies with Immediate Loading
Main Article Content
Abstract
The stabilization of an one piece implant with an electrowelded titanium needle is a technique introduced at the end of the seventies of the last century to increase the primary stability, already acquired by means of the wide thread and bicorticalism, of the one-piece implants of the Italian school such as the Tramonte screw, especially in immediate loading rehabilitations of single edentulous upper front teeth and thus make the success of immediate loading predictable.
The stabilization of a one piece implant is achieved by inserting a titanium needle (Scialom type) divergent from the axis of the main implant, a needle which must reach and impact the deep cortical bone and be welded with the intraoral welding machine to the one piece basic screw, to form a single prosthetic abutment.
In addition to enhancing primary stability and increasing resistance to static and dynamic stress, given that by forming a single body with the implant it extends the support surface over a larger surface, needle stabilization also carries out an anti-rotational action, opposing the "unscrewing" effect that can be caused by the pressure exerted by the tongue during swallowing.
Needle stabilization also helps to avoid those micromovements which, when they exceed 150 microns, can prevent the osseointegration process, leading to the failure of the immediate loading implant.
Needle stabilization has proven to be particularly effective in the immediate loading of post-extraction single implants in the upper frontal sectors, with reduced bone depth, or with poorly mineralized bone.
Article Details
The Medical Research Archives grants authors the right to publish and reproduce the unrevised contribution in whole or in part at any time and in any form for any scholarly non-commercial purpose with the condition that all publications of the contribution include a full citation to the journal as published by the Medical Research Archives.
References
2. Szmukler-Moncler S., Salama H., Reingewirtz Y., Dubruille J.H. Timing of loading and effect of micromotion on bone-dental implant interface: review of experimental literature. J Biomed Mater Res. 1998 Summer;43(2):192-203.
3. Dal Carlo L, Shulman M, Pasqualini ME: Advanced Implant Dentistry The Multi-modal Approach. Lambert Ac. Pub. Chisinau, 2022
4. SousaV, Mardas N, Farias B, Petrie A, Needleman I, Spratt D, Donos N. A systematic review of implant outcomes in treated periodontitis patients. Clin Oral Implants Res. 2016 Jul; 27(7): 787-844.
5. Carinci F. Restoration of incisor area using one‑piece implants: Evaluation of crestal bone resorption. Dent Res J (Isfahan) 2012;9:S151‑4.
6. Morgano AT. Functional load in oblique bicortical implants: Parasinusal implants and palatine implants. J Oral Implantol 2013;39:467‑74.
7. Rossi F, Pasqualini Me, Carinci F, Meynardi F, Diotallevi P, Moglioni E, Fanali S. “One-piece” immediate-load post-extraction implants in labial bone deficient upper jaws. Annals of Oral & Maxillofacial Surgery 2013 Apr 01;1(2):14.
8. Dal Carlo L. Pasqualini ME, Mondani PM, Vannini F, Nardone M. Welded titanium needle implants in treatment of bone atrophy. Implant Tribune U.S. Edition; October 2013: 6-10.
9. Garbaccio D. The garbaccio bicortical self‑threading screw. Riv Odontostomatol Implantoprotesi 1983;9:53‑6.
10. Scialom J. Implants aiguilles (pin implants). J Oral Implant Transplant Surg 1965;11:18‑23.
11. Pasqualini ME, Lauritano D, Rossi F, Dal Carlo L, Shulman M, Meynardi F, Colombo D, Manenti P, Comola G, Zampetti P. Rehabilitations with immediate loading of one-piece implants stabilized with intraoral welding. J Biol Regul Homeost Agents 2018; 32, 2(S1): 19-26.
12. Palka LR, Lazarow A. Immediately loaded bicortical implants inserted in fresh extraction and healed sites in patients with and without a history of periodontal disease. Annals maxillofacial surgery 2019 Jul-Dec; 9(2):371-78.
13. Mondani PL, Mondani PM. The Pierliugi Mondani intraoral electric solder. Principles of development and explanation of the solder using syncrystallization. Riv Odontostomatol Implantoprotesi. 1982;4:28–32.
14. Dal Carlo L, Pasqualini ME, Mondani PM, Rossi F, Moglioni E, Shulman M. Mondani intraoral welding: historical process and main practical applications. J Biol Regul Homeost Agents. 2017 Apr-Jun; 31(2 Suppl 1):233-239.
15. Ferraris S. Spriano S, Lorenzon G. Intraoral welding of titanium dental implants: Characterization of the joints. Journal of Materials Processing Technology 2016; 235: 85–91
16. Rossi F, Pasqualini ME, Dal Carlo L, Shulman M, Nardone M, Winkler S. Immediate loading of maxillary one-piece screw implants utilizing intraoral welding: a case report. J Oral Implantol 2015; XLI (4): 473-75.
17. Fanali S. Trattato di Implantologia Integrale elettrosaldata. Libellula Edizioni, Tricase (LE) 2014. p 217-23.
18. Tramonte S. A further report on intraosseous implants with improved drive screws. J Oral Implant Transplant Surg 1965;11:35‑7.
19. Pasqualini U, Pasqualini M.E. Treatise of Implant Dentistry. Ariesdue Carimate Como; 2009.
20. Fanali S, Perrotti V, Riccardi L, Piattelli A, Piccirilli M, Ricci L, Artese L. Inflammatory infiltrate, microvessel density, Vascular Endothelial Growth Factor (VEGF), Nitric Oxide Synthase (NOS), and proliferative activity in soft tissues below intraorally welded titanium bars. Journal Of Periodontology 2010 May; 81(5): 748-57.
21. Meynardi F, Pasqualini ME, Rossi F, Biancotti P. Comparison of bacterial profile at multiple stabilized and single pin implants sites by means of a welded titanium bar. Doctor OS 2013; XXIV 5: 411-15.
22. Pasqualini ME, Rossi F, Dal Carlo L, Comola G. Rehabilitations Of A Single Element With OnePiece Implants With Electrowelded Needles. A Different Approach. Dental Research Journal 2018 Nov-Dec; 15 (6): 447-52
23. Misch CE, Hahn J, Judy KW, Lemons JE, Linkow LI, Lozada JL, et al. Workshop guidelines on immediate loading in implant dentistry. November 7, 2003. J Oral Implantol 2004;30:283‑8.
24. Rossi F, Pasqualini ME, Dal Carlo L, Moglioni E, Zampetti P. Occlusal Trauma has a Primary Role in the Etiology of Site-Specific Periodontitis/Perimplantitis. European Soc Med 2023 Sept; (Med Res Archives): 1-11.
25. Meynardi F, Lauritano D, Pasqualini ME, Rossi F, Grivet-Brancot L, Comola G, Dal Carlo L, Moglioni E, Zampetti P. The importance of occlusal trauma in the primary etiology of periodontal disease. J Biol Regul Homeost Agents 2018; 32, 2 (S1): 27-34.
26. Meynardi F, Pasqualini ME, Rossi F, Dal Carlo L, Biancotti P, Carinci F. Correlation between dysfunctional occlusion and periodontal bacterial profile. J Biol Regul Homeost Agents. 2016 Apr-Jun; 30(2 Suppl 1): 115-21.
27. Meynardi F. Pasqualini Me.. Rossi F. Dal Carlo L. Nardone M. Baggi L. Implant Dentistry : Monitoring of bacteria along the transmucosal passage of the healing screw in absence of functional load. Oral Implantol (Rome) 2017 Feb 14; 9(Suppl 1/2016 to N4/2016): 10-20.
28. Walton G, Heasman P. The role of occlusion in periodontal disease. Dent. Update. 1998 Jun;25(5):209-10, 212-4, 216.