Contents: - Planning and preparing a transfer stent - Introduction to on-screen 3D planning - CAD-designed transfer stent - Integrating the CAMLOG® Guide guiding sleeves - Fabricating a therapeutic restoration - Positioning the lab analogs on the master cast using the transfer stent - Titanium bridge frameworks for the temporary restoration - Surgical procedures: implant placement with the transfer template - Hydrocolloid impression taking and bite registration - Temporary insertion of the therapeutic provisional, demonstrating of a passive fit - Definitive CAMLOG abutments - Scanning the abutments, designing the crowns on-screen, machine driven milling of the zirconia crowns, veneering - Preparation for the delivery of the definitive restoration - Connecting the abutments, checking the torque, cementing the crowns, functional checks - Evaluating the completed restoration and assessing the teamwork of the dentist and dental technician

Objectives: The objective of our study was to develop a method of assessing the functional state of vessels of the jaw bone in patients with periodontal disease. Methods: We examined 77 patients with chronic periodontitis. Clinical assessment was made of the state of periodontal tissues in patients (hygienic index, depth of periodontal pockets, tooth mobility) and radiographic studies (to determine the degree of bone resorption), and regional blood flow of the periodontal tissues by the method of reproductory. We selected 25 patients with chronic periodontitis and 25 with intact periodontium for the control group. Reproductory were conducted using computerised software developed by Diatom and electrode systems. Due to the configuration and number of electrodes in the designed system, the procedure was more comfortable for both investigators and researchers. As a result, we managed to achieve stable fixation of the electrode system within the patient’s oral cavity, which was not possible in previous studies. As a consequence, repeatable results and a standardised methodology were achieved. Results: Patients with intact periodontium of the RIshowed 0.31±0.16 blood saturation. Peripheral vascular tone reflecting the temporal relation of systolic and diastolic waves was 18.74 ± 0.2; resistance to the flow of blood in the regional blood vessels (IPS) was 136.96± 5,6; IEwas equal 76.19 ± 4.2. Similar studies on patients with chronic generalised periodontitis, for comparison with data obtained with standard values, showed lower RI values of 64.5% and 0.11% ± 0.4. PTS gave higher values of 19.4 ± 0.25, which exceeds the same indicator in intact periodontium (3.4%). The value of peripheral resistance was slightly lower (by 3.8%) and amounted to 131.72. The elasticity of blood vessels of patients with periodontitis was lower than that in intact periodontium by a factor of 4 and amounted to RUR of 18.43 ± 0.27. Conclusion: Thus, in result of conducted research we can conclude about the functional changes in regional haemodynamics of the alveolar bone in patients with chronic generalised periodontitis, which consists in reducing the elasticity of the vascular walls, and increased peripheral vascular tone. Marked changes are confirmed by the phenomenon of reducing blood vessels.

Gliederung: - Ästhetische Therapie multipler Gingivarezessionen. Materialliste: - Skalpelle - Microblade BUSM-6700 (Stoma) und 15C (Swan Morton) - Periosthebel - nach Free, De Wijs, Molt (Stoma) - Küretten - Mini-Five 11-12, 7-8 (LM) - Pinzette - gerade 17 cm, 0,6 (Stoma) - Nadelhalter - Micro-Barraquer, gerade, 18 cm, extrafein (Stoma) - Mikroschere - Gomel, gekrümmt, 16 cm, extra fein (Stoma) - Nahtmaterial - Vicryl 6-0 (V384)