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Giacomo Fabbri: New anodized surfaces designed for tissue integration at every level

Video highlights

  • The new TiUltra and Xeal surfaces
  • Tailoring the implant surface to meet the needs of the hard and soft tissues to promote optimal healing

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10.11.2019 | 15:09

When placing the implant with the TiUltra surface do you also try to not contaminate it but not using irrigation?

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Anonymous
11.11.2019 | 10:52

I need an upper plate made and my whole mouth needs looking at

My teeth on the bottom need looking at  at and wonder if I should keep them I want a smile I al proud of

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My teeth on the bottom need looking at  at and wonder if I should keep them I want a smile I al proud of
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Anonymous
14.01.2020 | 09:54

The anodization and the smear layer thickness increase in the apex area? if does, why don't we have a colour change?

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Profile picture for user fabbrigiacomo@libero.it
The change in color of Ti surface is not proportionally correlated to the surface roughness. The Titanium di-oxide layer thickness in the apex area is really big, and it considers a micro and nano geometry. Michael Nosswitz , Misha Teale , Stephanie Mathes , Andrea Venturato, and Angelines Gasser. Evaluation of anodized surfaces for improved soft tissue integration. March 12, 2019. The Foundation for Oral Rehabilitation. https://www.for.org/en/learn/scientific-article/evaluation-anodized-sur…      
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Anonymous
30.06.2020 | 17:53

I think it is interesting that we are retrofitting bone level implants...

and we are doing this with more components. There are implant brands with different transmucosal machined distances. This is only a way to retrofit an Active implant to get better bone rather than reworking the implant. 

If you place a transmucosal implant where you want it and place a screw retained fully contoured restoration, you have achieved the same thing without further possible expense, complexity and components to deal with. 

This is a solution to a problem created by the marketplace. Bone level implants are not ideal in all locations but they are heavily promoted. Basically we are going back in time with more complexity and I don't think this is the best for patients in the long run. 

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and we are doing this with more components. There are implant brands with different transmucosal machined distances. This is only a way to retrofit an Active implant to get better bone rather than reworking the implant.  If you place a transmucosal implant where you want it and place a screw retained fully contoured restoration, you have achieved the same thing without further possible expense, complexity and components to deal with.  This is a solution to a problem created by the marketplace. Bone level implants are not ideal in all locations but they are heavily promoted. Basically we are going back in time with more complexity and I don't think this is the best for patients in the long run. 
Profile picture for user fabbrigiacomo@libero.it
Bone level implants combined to final intermediate abutments means to create a customized tissue level concept in each clinical situation independently from anatomical conditions such as  vertical soft tissue thickness. REVERSABILITY AND FLEXIBILITY are other important advantages.   Vervaeke S et al.  J Clin Periodontology 2018. Adapting the vertical position of the implants with conical connection in relation to soft tissue thickness prevents early implant surface exposure: A 2-year prospective inter-subject comparison. J Clin Periodontology 2018 May;45 (5): 605-612.