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ELECTROWELDED IMPLANTOLOGY
Electrowelded Implantology - Italian School Implantology. The term electrowelded implantology refers to the method of bracing implants to each other by a bar welded directly to their emerging posts just after their placement in the bone. Such connections result in a rigid, rather strong structure. Electrowelded implantology is a synonym of immediate load To understand precisely why it is so difficult to realize immediate load, and the importance of electrowelded implantology, and why so often patients have to hear that it is not possible in their case, the following must be considered: bone healing facts, functional restoration time frames, biomechanical foundations of immediate load, the design and structural rationale of the element placed between immediate load (the force applied during function) and the bone tissue that has to bear it. In fact, the whole implant structure has to be examined together. As far as bone healing is concerned, it must be considered that there is a moment when the bone “shrinks” from the implant, and, in a certain sense, loosens its grip. In this time period the implant is not as strongly fastened in the bone, and electrowelded implantology can solve this temporary problem. As far as the functional restoration time frames are concerned, it has to be kept in mind that the bone where implants have been placed loses its integrity precisely because of the surgical lesions it has been subjected to, therefore it suffers a temporary disability that sometimes reduces considerably its capacity to work. Electrowelded implantology can solve this problem too. The description of biomechanical principles is perhaps a little too technical for a popular treaty such as this one. Suffice it to say that there is a close relationship between the mechanical features of the implant structure, the mechanical features of the local bone structure and the work both are called to perform. In short, this work consists of bearing the load in spite of the reduced stability of the structure, because of the above described phenomenon. One more time, electrowelded implantology is essential to guarantee the best resilience of the bone mass, even in “critical” conditions. The bone is called to perform two different jobs, each one difficult in itself: to heal, and at the same time to work, because the mouth cannot be put to rest completely. Electrowelded implantology makes possible in almost every case what is possible only in optimal conditions for traditional implantology. It can allow immediate load even in cases of structural shortfalls, such as little bone or bad quality bone due to some pathologies such as diabetes or osteporosis. This last point is the most important because it is the most likely to be influenced by the intervention of a single operator, and is represented by the design and structural element placed between immediate load (force applied during function) and medium supporting it (bone tissue). This interposed element is the implant structure. In order to understand exactly the meaning of electrowelded implantology we can think of a building: it is necessary to have a well thought out plan taking into account the ground composition (soft or hard) , the natural risks present in the geographic area (seismicity, hydrogeology, etc.), the total load of the structure and its shape. The implantologist practicing electrowelded implantology does this type of work: studies, plans, then builds. We all know that contemporary building techniques allow the construction of structures connected with each other in a completely rigid way like it was not possible before the advent of reinforced concrete. Once upon a time buildings made use of different joints, columns, arches. The weight of the structure blocked mobile elements (columns) thanks to a precise placement of arch keystones, monolithic weights (lintels) and buttresses. Today we can build buildings that are hundred of meters tall, thanks to cement and its single-bodied, fixed structure steel reinforcements, fastened by welding or bolts. Electrowelded implantology has exactly the same purpose: it connects all the implants together, transforming them from isolated supports to a single, solid structure, able to distribute any load applied on a single implant to all the neighboring implants. In advanced implantology cases (atrophic bone, bad quality bone, etc.) electrowelded implantology allows the building of real structures, similar to the interconnected steel beams forming a bridge, that allow the placement of implants in patients who cannot benefit at all from Swedish implantology, and to do so with immediate load. Performing electrowelded implantology means solving cases otherwise impossible without any important surgeries. When handled by the submerged implant protocols, such cases would require bone reconstruction with hipbone or skull bone harvesting, something never liked by patients and ridden with failures and important complications.
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