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Dr Michael Weiss, Opus-DC, Ulm, Germany MDT Grau, Ulm, Germany SKY fast & fixed – standardisation is the key to success

Introduction

Case Description

SKY fast & fixed therapy, with its standardisation and simplicity, has a proven track record at our dental clinic for the restoration of partially edentulous jaws. This treatment is also flexible enough to be adapted to a wide range of initial situations. In the case we are about to describe, it was necessary to replace both the remaining teeth in the jaw and two implants which were significantly compromised by peri-implantitis.

A middle-aged patient attended our dental clinic. He presented a rather complex case in clinical terms, but also still wanted a fixed and natural-looking restoration during the treatment phase. The precise clinical diagnosis revealed advanced peri-implantitis, caries, and areas of apical infection. The patient quickly agreed to the proposed SKY fast & fixed therapy. The infected teeth and implants were removed during surgery. Granulation tissue was carefully cleaned away from the extraction alveoli and HELBO therapy was used to remove bacteria. Six implants were then immediately inserted into the autologous bone and restored with the appropriate SKY fast & fixed abutments. Bone defects were filled in with bone chips and bone augmentation material. After an impression had been taken, the temporary bridge was manufactured and integrated on the same day to ensure that there was marginal impact on the patient's ability to eat and socialise during the healing phase. The definitive restoration was created three months later. This involved the provision of new abutments for the implants at the front to improve aesthetics.

Standardised treatments are only really suitable if they are flexible enough to adapt to both the initial clinical situation, and the wishes and needs of the patient. This case shows that using SKY fast & fixed at the definitive restoration stage gives the person choosing the restoration a great deal of freedom, making it possible to take all aspects into account without having to deviate from the basic concept. As demonstrated by X-ray examinations two years later, this concept also has a reputation for the long-term preservation of hard tissue, which is associated in turn with a good long-term prognosis.

Conclusion

Two years following surgery