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Theodoros Strat ikisDental Surgeon

Èåüäùñïò Óôñáôßêçò×åéñïõñãüò Ïäïíôßáôñïò

×åéñïõñãéêÜ ðåñéóôáôéêÜ êáé ðåñéóôáôéêÜ åìöõôåõìÜôùí êáé ðñïóèåôéêÝò áðïêáôáóôÜóåéò

Surgical treatment cases, implant treatment cases and prosthetic rehabilitations 01

1. Ατομικά στοιχείαΕπώνυμο: ΣΤΡΑΤΙΚΗΣΌνομα: ΘΕΟΔΩΡΟΣΗμ. Γέννησης: 14 Φεβρουαρίου 1969Τόπος Γέννησης: ΚΑΛΑΜΑΤΑΙθαγένεια: ΕΛΛΗΝΙΚΗΔιεύθυνση κατοικίας: ΑΘΗΝΑ, Λ. Κηφισίας 82 τ.κ. 11526

2. Εκπαίδευση1986: αποφοίτηση από το 1ο λύκειο Ν.Ψυχικού1986: εγγραφή στην Οδοντιατρική Σχολή Παν/μιου Αθηνών κατόπιν Πανελλαδικών εξετάσεων1991: απόκτηση του Πτυχίου της Οδοντιατρικής. Σειρά αποφοίτησης 1ος στο σύνολο του έτους του2006: απόκτηση CERTIFICAT εξειδίκευσης στην εμφυτευματολογία της Γερμανικής Eμφυτευματολογικής Ακαδημίας

3. Συμμετοχή σε Συνέδρια-Εκπαιδευτικές δραστηριότητες1989: παρακολούθηση του 8ου Πανελληνίου συνεδρίου στη Θεσαλλονίκη1991: παρακολούθηση του 10ου Πανελληνίου συνεδρίου στην Αθήνα1995: παρακολούθηση του 1ου Διεθνούς συνεδρίου Οδοντικών και Γναθοπροσωπικών εμφυτευμάτων και βιοϋλικών1999: παρακολούθηση του 18ου Πανελληνίου συνεδρίου στην Αγία Πελαγία Κρήτης2001: παρακολούθηση της εαρινής ημερίδας της Ενδοδοντίας στην Αθήνα2003: παρακολούθηση του Παγκοσμίου συνεδρίου Ενδοδοντίας στην Αθήνα2005: παρακολούθηση του Διεθνούς συμποσίου Προσθετικής του Ελληνογερμανικού Συνδέσμου στην Αθήνα2006: παρακολούθηση στην κλινική της Γναθοπροσωπικής Χειρουργικής του Παν/μίου του Εrlangen στη Γερμανία στα πλαίσια της εκπαίδευσης του στην εμφυτευματολογία2007: παρακολούθηση του Διεθνούς συμποσίου Προσθετικής του Ελληνογερμανικού Συνδέσμου στην Αθήνα

4. Εργασίες-ομιλίες1991: Λαμβάνει μέρος με δύο εργασίες και ένα poster στο 1ο συνέδριο φοιτητών Οδοντιατρικής εκ των οποίων τη μία την ανέπτυξε σαν ομιλητής και με την οποία αρίστευσε(Δευτερογενής τερηδόνα κάτω από εμφράξεις αμαλγάματος και Σ.Ρ.) Τα θέματα της άλλης εργασίας ήταν «Διαγνωστικό κέρωμα» και του poster «Γενετική εκδήλωση οδοντικών ανωμαλιών»2002: Λαμβάνει μέρος σαν ομιλητής,σε εκδηλωση του Οδοντιατρικού συλλόγου Μεσσηνίας, αναπτύσοντας το θέμα ¨Επιπλοκές κατά τη διάρκεια της Ενδοδοντικής Θεραπείας¨2005: Λαμβάνει μέρος στο 1ο Περιφερικό Συνέδριο Ενδοδοντιας στην Αρχαία Ολυμπία αναπτύσοντας το θέμα ¨Η Ψηφιακή ακτινο-γραφία στην Ενδοδοντiα¨

5. Προηγούμενη εμπειρίαΙανουάριος 1992-Ιούνιος 1993 (17 μήνες): Οδοντίατρος στις τάξεις του Ελληνικού Στρατού σε μονάδες των Ειδικών Δυνάμεων.Ιούλιος 1993 - σήμερα:Εξάσκηση της οδοντιατρικής στο ιδιωτικό του οδοντιατρείο στην ΑθήναΣεπτέμβριος1993-σήμερα:Επιστημονικός Συνεργάτης στην κλινική της Ενδοδοντίας του Παν/μίου Αθηνών.

6.Τίτλοι-Διακρίσεις1991: Αποφοιτεί 1ος από την Οδοντιατρική σχολή του Παν/μίου Αθηνών1993: Γίνεται δεκτός σαν Επιστημονικός Συνεργάτης στην κλινική της Ενδοδοντίας του Παν/μίου της Αθήνας.2005: Εκλέγεται μελος της Ελληνικής Ενδοδοντικής Εταιρείας2006: Γίνεται μελος της Γερμανικής Εμφυτευματολογικής Εταιρείας

7. Ξενες Γλώσσες Αγγλικά

8. ΕνδιαφέρονταΤαξίδια, Ιστιοπλοϊα, νέες τεχνολογίες.

Óýíôïìï Âéïãñáöéêü

Curriculum Vitae

Personal dataLast name: StratikisFirst name: TheodorosNationality: GreekAddress: 82 Kifisias Ave., 11526, Athens, GreeceTelephone: 00302106995169 / 00306977223278E-mail: thstrat1@hol.grDate of birth: 14th February 1969Marital status: Single

Education1986: graduate from the 1st Lyceum of Neo Psyhico, Athens 1986 – 1991: student at the Dental School of the University of Athens. 2006: acquisition of the Certificate of specialization in implantology of the German Implantologic Academy

Seminars – Conferences – Other 1989: attended the 8th Pan-Hellenic Dental congress in Thessaloniki, Greece1991: attended the 10th Pan-Hellenic Dental congress in Athens, Greece1991: attended the 1st congress of Students of Dental Schools in Greece1995: attended the 1st International congress of Dental, Gnathomaxillofacial implants and biomaterials In Athens, Greece1999: attended the 18th National Dentists’ congress in Agia Pelagia, Crete2001: attended the Seminar on Endontology in Athens, Grrece2003: attended the World congress on endontology in Athens, Greece2005: attended the International Symposium on Dental Prosthetics of the Greek-German Association in Athens, Greece2006: attended the seminars at the Maxillofacial Surgical Clinic of the University of Erlangen in Germany2007: attended the International Symposium on Dental Prosthetics of the Greek-German Association in Athens, Greece

Essays – Studies – Speaches1991: awarded speaker at the 1st congress of Students of Dental Schools in Greece with the essay: “Secondary caries under forma-tion amalgam and composite fillings”1991: takes part at the 1st congress of Students of Dental Schools in Greece with the poster “Genetic expression of dental abnormali-ties” and the essay: “Diagnostic waxing”2002: speaker at an event of the Dentist’s Association of Messinia, on “Complications during the Endodontic therapy” in Kalamata, Greece2005: speaker at the 1st Peripherical congress on Endontology, on “Digital radiography on endontology”, Ancient Olympia, Greece

ExperienceJanuary 1992 – June 1993: Dentist at the Special Forces of the Greek ArmyJuly 1993 – today: active dentist at his private dental clinic in AthensSeptember 1993 – today: Scientific collaborator at the Endontology clinic of the University of Athens

Distinctions1991: best graduate of 1991 of the Dental School of the University of Athens2005: Elected member of the Greek Endodontic Association2006: Member of the German Association of Implantology

LanguagesEnglish

InterestsTravelling, Sailing, Reading, new technologies

Project: Hypodontia case. Treatment of a 38 year old female patient presenting a gap in the upper arch due to eventual exfoliation of the until previously retained primary molar and congenital absence of the succesor. Treatment included use of an osseointegrated implant.

Åñãáóßá: Ðåñéóôáôéêü: ÁðïêáôÜóôáóç áíïäïíôßáòÈåñáðåßá áóèåíïýò 38 åôþí, ðïõ ðáñïõóéÜæåé êåíü óôçí Üíù ãíÜèï áñéóôåñÜ, åîáéôßáò áãåíåóßáò ôïõ ìïíßìïõ ðëÜãéïõ 22 ôïìÝá êáé ðáñáìïíÞ ôïõ íåïãéëïý êõíüäïíôá. Ç èåñáðåßá ðåñéåëÜìâáíå ÷ñÞóç ïóôåïåíóùìáôïýìåíùí åìöõôåõìÜôùí.

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1. The initial X-ray panoramic radiography. The treatment plan involved placement of an osseointegrated implant. A 3i type implant was chosen to preserve the adjacent canine intact in the arch.

2. View of the healing abutment3. View of the gingival arround the implant. Compact connective tissue is evident.4. Placement of implant copying in order to take the master impression using the open tray technique.5. View of the abutment.6. The metal frames on the abutment and the premolar tooth.7. The patient shortly after the cementation of the crowns.8. The patient 3 months after the cementation of the crowns.9. The final X-ray panoramic radiography revealing the implant in the left region of maxilla. (There is another in the right area of the maxilla.)

1. Óôçí áñ÷éêÞ ðáíïñáìéêÞ áêôéíïãñáößá ìðïñïýìå íá äïýìå ôï êåíü êáé ôï ïóôü óôçí ßäéá ðåñéï÷Þ ôïõ ôüîïõ.

2. ¢ðïøç ôïõ êïëëÜñïõ åðïýëùóçò.3. ¢ðïøç ôùí ïýëùí ãýñù áðü ôï åìöýôåõìá. Ìðïñïýìå íá äïýìå ôï óõìðáãÞ óõíäåôéêü éóôü ðïõ Ý÷åé äçìéïõñãçèåß.4. ÔïðïèÝôçóç ôïõ Üîïíá ìåôáöïñÜò ðñïêåéìÝíïõ íá ðÜñïõìå ôåëéêü áðïôýðùìá ìå ôçí ôå÷íéêÞ ôïõ áíïéêôïý äéóêáñßïõ.5. ¢ðïøç ôïõ abutment (êïëïâþìáôïò) ðÜíù óôï åìöýôåõìá.6. Ìðïñïýìå íá äïýìå ôï ìåôáëëéêü óêåëåôü ðÜíù óôï abutment êáé óôïí ðñïãüìöéï.7. Ç áóèåíÞò áìÝóùò ìåôÜ ôç óõãêüëëçóç ôùí óôåöáíþí.8. Ç áóèåíÞò 3 ìÞíåò ìåôÜ ôçí óõãêüëëçóç ôùí ôåëéêþí óôåöáíþí. Äéáêñßíïõìå ðüóï êáëÜ åßíáé ôá ïýëá ãýñù áðü ôçí óôåöÜíç.9. Ç ôåëéêÞ ðáíïñáìéêÞ áêôéíïãñáößá ìáò äåß÷íåé ôï åìöýôåõìá ïëïêëçñùìÝíï óôçí Üíù áñéóôåñÞ ðåñéï÷Þ ôçò Üíù ãíÜèïõ. ÕðÜñ÷åé êé Üëëï åìöýôåõìá óôçí äåîéÜ ðåñéï÷Þ ôçò Üíù ãíÜèïõ.

Project: Oral rehabilitation of a 66 year old male patient, initially presenting with edentulous maxilla and partially edentulous mandible, with the use of osseointegrated implants and fixed prosthetic restorations.

Åñãáóßá: ÁðïêáôÜóôáóç ïëéêÞò áíoäïíôßáò ôçò Üíù ãíÜèïõ êáé ïðßóèéáò ìåñéêÞò áíoäïíôßáò ôçò êÜôù ãíÜèïõ êáé ïóôåïåíóùìáôïýìåíá åìöõôåýìáíá êáé áêßíç-ôåò ðñïóèÝóåéò (ãÝöõñåò) (Öùôü IMG 1401)

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1. The initial X-ray panoramic radiography reveals a abudant bone in order to accept implants in both jaws.

i. The placement of 6 osseointegrated implants in the maxilla and 4 in the mandible was carefully planned.ii. Precise insertion sites were decided in each quadrand.

2. The six Frialit implants delivered in the maxilla. 3,4. The four Frialit implants delivered in the mandible. 5,6,7 Intraoral view of the abutments on the implants in the maxilla and the mandible 8. Fixed implant prostheses in the maxilla. 9. X-ray panoramic radiography revealing the position of the implants in the maxilla. 10,11. The metal frames on the implants in the mandible. 12,13. Fixed implant prostheses in the mandible (pict 12 right, pict 13 left). 14. Oral view of the fixed implant prostheses. 15. The final X-ray panoramic radiography with all the implants in the maxilla and mandible and the final restorations.

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Ðåñéóôáôéêü: ÓôïìáôéêÞ áðïêáôÜóôáóç áóèåíïýò 66 åôþí ìå ïëéêÞ áíïäïíôßá óôçí Üíù ãíÜèï êáé ìåñéêÞ áíïäïíôßá óôçí êÜôù ãíÜèï, ÷ñçóéìïðïéþíôáò ïóôåïåíóùìáôïýìåíá åìöõôåýìáôá êáé áêßíçôåò ðñïóèåôéêÝò åñãáóßåò.

1. Ç áñ÷éêÞ áêôéíïãñáößá áðïêáëýðôåé áñêåôü ïóôü ðñïêåéìÝíïõ íá ôïðïèåôçèïýí åìöõôåýìáôá óôç íùäÞ ðåñéï÷Þ êáé ôùí äýï ãíÜèùí.

i. Áðïöáóßóôçêå ç ôïðïèÝôçóç Ýîé ïóôåïåíóùìáôïýìåíùí åìöõôåõìÜôùí óôçí Üíù ãíÜèï êáé ôÝóóåñá óôçí êÜôù ãíÜèï.ii.¸ãéíå ðñïóå÷ôéêÞ ó÷åäßáóç ôùí ðåñéï÷þí ðïõ áðïöáóßóôçêå íá äå÷èïýí ôá åìöõôåýìáôá óå êÜèå ôåôáñôçìüñéï.2. Ôá Ýîé åìöõôåýìáôá (frialit) ôïðïèåôçìÝíá óôçí Üíù ãíÜèï.3,4. Ôá ôÝóóåñá åìöõôåýìáôá (frialit) ôïðïèåôçìÝíá óôçí êÜôù ãíÜèï.5,6,7. ÅíäïóôïìáôéêÞ Üðïøç ìå ôá abutments ôïðïèåôçìÝíá ðÜíù óôá åìöõôåýìáôá óôçí Üíù êáé êÜôù ãíÜèï.8. Áêßíçôç åìöõôåõìáôéêÞ áðïêáôÜóôáóç ôïðïèåôçìÝíç óôçí Üíù ãíÜèï.9. Ç ðáíïñáìéêÞ áêôéíïãñáößá áðïêáëýðôåé ôç èÝóç ôùí åìöõôåõìÜôùí óôçí Üíù ãíÜèï.10,11. Ïé ìåôáëëéêïß óêåëåôïß ôïðïèåôçìÝíïé óôá åìöõôåýìáôá ôçò êÜôù ãíÜèïõ.12,13. Áêßíçôåò åìöõôåõìáôéêÝò áðïêáôáóôÜóåéò åðß ôùí åìöõôåõìÜôùí ôçò êÜôù ãíÜèïõ.14. ÓôïìáôéêÞ Üðïøç ìå ôéò åìöõôåõìáôéêÝò ðñïóèåôéêÝò áðïêáôáóôÜóåéò ôïðïèåôçìÝíåò ìüíéìá óôï óôüìá.15. Ç ôåëéêÞ ðáíïñáìéêÞ áêôéíïãñáößá ìå ôï óýíïëï ôùí ôïðïèåôçìÝíùí åìöõôåõìÜôùí êáé ôéò åðéåìöõôåõìáôéêÝò ðñï-

óèåôéêÝò åñãáóßåò óôï óôüìá.

Project: Extraction of a fused tooth and restoration of the premaxillary region with the insertion of implants to a 23 year old male patient.

Åñãáóßá: Áöáßñåóç ôïõ äßäõìïõ (11-12) ïäüíôïò ìå áðïêá-ôÜóôáóç ôçò ðåñéï÷Þò ìå ôïðïèÝôçóç åìöõôåõìÜôùí

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Case1. The patients intraoral appearance on his first visit to the dental clinic.2. The post extraction site. Post extraction appearance of the tissues due to disloggement of the bucceal plate.3. The extracted fused tooth after the extraction.4,5,6. Regenerative techniques used for ridge augmentation Bio-oss material covered by Gore- tex augmentation bioabsorbable membrane. The extraction site was left to heal.7. Post surgical view of the region.8,9. View of the region 6 months after the extraction.

10. Soft tissues’ recovery appraisal after 6 months. 11,12,13. Insertion of two implants in the augmentated site. Reaugmentation tech niques were employed in order to achieve optimal aesthetic results. 14,15. Suturing of the surgical wound after the insertion of the implants and the reaugmentation procedure. 16. Intraoral view with the healing abutments adjusted on the implants. 17. Placement of implant copying in order to take the master impression.18. The abutments adjusted on the implants.19, 20. Final view of the prosthetic restoration sortly after cementation

Ðåñéóôáôéêü: ÅîáãùãÞ äßäõìïõ äïíôéïý (11,21) êáé áðïêáôÜóôáóç ôçò ðñüóèéáò ðåñéï÷Þò ôçò Üíù ãíÜèïõ ìå ôçí ôïðïèÝôçóç åìöõôåõìÜôùí, óå íåáñü áóèåíÞ 23 åôþí.

1. ÅíäïóôïìáôéêÞ åìöÜíéóç ôïõ áóèåíïýò êáôÜ ôçí ðñþôç ôïõ åðßóêåøç óôï ïäïíôéáôñåßï.2. ÌåôåîáêôéêÞ åìöÜíéóç ôùí éóôþí, åîáéôßáò ôçò áðüóðáóçò ôïõ ðñïóôïìéáêïý ðåôÜëïõ.3. Ôï äßäõìï äüíôé ìåôÜ ôçí åîáãùãÞ ôïõ.4,5,6. ÁíáãåííçôéêÝò ôå÷íéêÝò ÷ñçóéìïðïéÞèçêáí ãéá ôçí áíáãÝííçóç ôçò áêñïëïößáò. Ïóôéêü ìüó÷åõìá Bio-oss ôïðïèåôÞ-èçêå óôï öáôíßï êáé êáëýöèçêå áðü ìßá ìåìâñÜíç Bioguide, áðïññïöÞóéìç. Ç ðåñéï÷Þ ôçò åîáãùãÞò áöÝèçêå íá åðïõ-ëùèåß êáíïíéêÜ.7. Ìåôåã÷åéñçôéêÞ Üðïøç ôçò ðåñéï÷Þò.8,9. Åéêüíá ôçò ðåñéï÷Þò 6 ìÞíåò ìåôÜ ôçí åîáãùãÞ êáé ôçí áíáãåííçôéêÞ äéáäêáóßá.

10. ÁíáðÝôáóç êñçìíïý ìåôÜ áðü 6 ìÞíåò êáé åìöÜíéóç ôçò áíáãåííçóèåßóáò ðåñéï÷Þò.11,12,13. ÔïðïèÝôçóç äýï åìöõôåõìÜôùí óôçí áíáãåííçèåßóá ðåñéï÷Þ ôïõ ïóôïý. Äéáäéêáóßá åðáíáíáãÝííçóçò ôùí éóôþí ãßíåôáé ðñïêåéìÝíïõ íá åðéôá÷èåß éäåþäçò áéóèçôéêÞ åìöÜíéóç.14,15. Êëåßóéìï ôïõ ÷åéñïõñãéêïý ôñáýìáôïò ìåôÜ ôçí ôïðïèÝôçóç ôùí åìöõôåõìÜôùí êáé ôçí áíáãÝííçóç ôùí éóôþí.16. ¢ðïøç ôùí åìöõôåõìÜôùí ìå ôá êïëëÜñá åðïýëùóçò.

View of the healing abutments adjusted on the implants.17. ÔïðïèÝôçóç ôùí áîüíùí ìåôáöïñÜò ãéá ôçí ôåëéêÞ áðïôýðùóç.18. Ï áóèåíÞò ìå ôá abutments ôïðïèåôçìÝíá ðÜíù óôá åìöõôåýìáôá.19, 20. Ç ôåëéêÞ áðïêáôÜóôáóç ôïõ áóèåíïýò áìÝóùò ìåôÜ ôç óõãêüëëçóç ôçò ðñïóèåôéêÞò.

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Project: Surgical marsupialization and final removal of a markedly extended cyst affecting the right premoral/molar region of the mandible.Dental rehabilitation of the 62 year-old male patient via implants supported over denture in mandible and denture maxilla

Åñãáóßá:×åéñïõñãéêÞ ìáñóéðïðïßçóç êáé ôåëéêÞ áðï-ìÜêñõíóç ðïëý åêôåôáìÝíçò êýóôçò åðåêôåé-íüìåíç óôçí äåîéÜ ðåñéï÷Þ ôçò êÜôù ãíÜèïõ, áðü ôïí ðñïãüìöéï ìÝ÷ñé ôçí ðåñéï÷Þ ôïõ êëáäïõ ôçò êÜôù ãíÜèïõ ìå ôïí öñïíéìÞôç. ÓôïìáôéêÞ áðïêáôÜóôáóç-åðáíÝíôáîç åíüò çëéêéùìÝíïõ, 62 åôþí, áóèåíïýò ìÝóù ôïðïèÝ-ôçóçò åìöõôåõìÜôùí êáé åðÝíèåôçò åðß áõôþí ïäïíôïóôïé÷ßáò óôçí êÜôù ãíÜèï êáé ïëéêÞò ïäïíôïóôïé÷ßáò óôçí Üíù ãíÜèï.

Pre/operative radiographic assesment revealed seriously extended cystic formation regarding the right mandibular area, resulting in increased risk of spondaneous fracture of the mandible. The involved molar’s extraction was followed by marsupialization of the cyst.

Ðñïåã÷åéñçôéêÞ áêôéíïëïãéêÞ áîéïëüãçóç, áðïêáëýðôåé óïâáñÜ åêôåôáìÝíç êýóôç ðïõ áöïñÜ ðåñéï÷Þ ôçò êÜôù ãíÜèïõ, ðïõ åãêõìïíåß óïâáñü êßíäõí áõôüìáôïõ êáôÜã-ìáôïò ôçò êÜôù ãíÜèïõ. Ç åîáãùãÞ ôïõ åìðëåêüìåíïõ äïíôéïý áêïëïõèÞèçêå áðü ìáñóéðïðïßçóç ôçò êýóôçò.

The area consequently and gradually exibited resolution of the cystic lesion. Regenerated bone tilled the space previously occupied by the cyst.

Ç ðåñéï÷Þ áêïëïýèùò êáé âáèìéáßá åðéäåéêíýåé óìßêñõíóç ôçò êõóôéêÞò âëÜâçò, üðïõ áíáãåííçìÝíï ïóôü ãåìßæåé ôï äéÜóôçìá ðïõðñïçãïõìÝíùò êáôáëÜìâáíå ç êýóôç.

The following stage involved the surgical extraction of the impacted lower right third molar.Óôï åðüìåíï óôÜäéï áêïëïýèçóå ç ÷åéñïõñãéêÞ åîáãùãÞ ôïõ åãêëåßóôïõ êÜôù äåîéïý 3ïõ ãïìößïõ.

It was desided to extract all of the teeth in both arches in order to provide an impland supported overdenture in the mandibule and a full denture in the maxilla.Four frialit type implants have been inserted.

Áðïöáóßóôçêå íá åîá÷èïýí üëá ôá äüíôéá óôçí Üíù êáé êÜôù ãíÜèï, ðñïêåéìÝíïõ íá ôïðïèåôçèåß ïëéêÞ ïäïíôï-óôïé÷ßá óôçí Üíù ãíÜèï êáé ïëéêÞ ïäïíôïóôïé÷ßá åðß åìöõ-ôåõìÜôùí óôçí êÜôù ãíÜèï. ÔÝóóåñá frialit åìöõôåýìáôá Ý÷ïõí ôïðïèåôçèåß.

The implants have been revealed.

Ôá åìöõôåýìáôá Ý÷ïõí áðïêáëõöèåß.

The denture in place in the upper jaw. Ball abutments used on the implants in order to support the overdenture.

Ç ïëéêÞ ïäïíôïóôïé÷ßá Ý÷åé ôïðïèåôçèåß óôçí Üíù ãíÜèï. Ìðïñïýìå íá äïýìå ôá ball-abutments ðÜíù óôá åìöõôåý-ìáôá, ðñïêåéìÝíïõ íá õðïóôçñßîïõí ôçí ïëéêÞ åðÝíèåôç ïäïíôïóôïé÷ßá

Project: Replacement of a retained primary maxillary canine by use of an osseointegrated implant and ceramic crown.

Åñãáóßá: ÁíôéêáôÜóôáóç åíüò ðáñáìåßíáíôïò íåïãéëïý Üíù êõíü-äïíôá äåîéÜ áðü Ýíá ïóôåïåíóùìáôïýìåíï åìöýôåõìá êáé óôåöÜíç ìåôáëëïðïñóåëÜíçò.

The 23 year old female patient initially presented with a palately impact right permanent canaine and a consequently retained right primary canain still functioning in the upper arch.

Ç íåáñÞ, 23 åôþí, áóèåíÞò áñ÷éêÜ ðáñïõóéÜóôçêå Ýíáí õðå-ñþúá Ýãêëåéóôï ìüíéìï êõíüäïíôá äåîéÜ êáé óõíåðáêüëïõèá ôï íåïãéëü êõíüäïíôá íá Ý÷åé ðáñáìåßíåé áêüìá óôï ôüîï ôçò Üíù ãíÜèïõ.

We can see the gap in the maxilla after the extraction of the impacted right permanent canine.1.5 months after the surgical extraction of the impacted canine and the extraction of the primary canine a frialite implant was placed at the site.

Ìðïñïýìå íá äïýìå ôï êåíü óôçí õðåñþá ìåôÜ ôçí åîáãùãÞ ôïõ åãêëåßóôïõ äïíôéïý (ìüíéìïõ êõíüäïíôá). 1,5 ìÞíåò ìåôÜ ôçí ÷åéñïõñãéêÞ åîáãùãÞ ôïõ êõíüäïíôá êáé ôçí åîáãùãÞ ôïõ íåïãéëïý, Ýíá frialit implant Ý÷åé ôïðïèåôçèåß óôçí ðåñéï÷Þ.

Intra oral view of the healing cap.

ÅíäïóôïìáôéêÞ Üðïøç ôïõ êïëëÜ-ñïõ åðïýëùóçò.

Shortly before cementing the crown with the abutment.

Ëßãï ðñéí ôç óõãêüë-ëçóç ôçò óôåöÜíçò ìå ôï abutment.

The final aesthetic restoration placed in the mouth.

Ç ôåëéêÞ áéóèçôéêÞ áðïêáôÜ-óôáóç ôïðïèåôçìÝíç óôï óôüìá.

Ðåñéóôáôéêü: ÔïðïèÝôçóç ìßáò åðÝíèåôçò ïëéêÞò ïäï-íôïóôïé÷ßáò åðß åìöõôåõìÜôùí óôçí êÜôù ãíÜèï óå Ýíáí áóèåíÞ çëéêßáò 56 åôþí.

Project: Placement of an implant-supported overdenture in the mandible of a 56 year-old male patient.

Ðåñéóôáôéêü: ÔïðïèÝôçóç ìßáò åðÝíèåôçò ïëéêÞò ïäï-íôïóôïé÷ßáò åðß åìöõôåõìÜôùí óôçí êÜôù ãíÜèï óå Ýíáí áóèåíÞ çëéêßáò 56 åôþí.

View of the mandible after the revealing of the implants {IMZ} and placing the ball abutments.

¢ðïøç ôçò êÜôù ãíÜèïõ ìåôÜ ôçí áðï-êÜëõøç ôùí åìöõôåõìÜôùí (ÉÌÆ) êáé ôçí ôïðïèÝôçóç ôùí ball abutments.

View of the denture with the gold cups placed.

¢ðïøç ôçò ïäïíôïóôïé÷ßáò ìå ôá ÷ñõóÜ ¨êáðÜêéᨠôïðïèåôç-ìÝíá ó’áõôÜ.

Intraoral view of the denture in situ.

Ç ôåëéêÞ áðïêáôÜóôáóç ôïðïèåôçìÝíç.

The f inal restoration in place.

¢ðïøç ôïõ óôüìáôïò ìå ôçí ïäïíôïóôïé÷ßá ôïðïèåôçìÝíç.

Intraoral view of the petient’s occlusion.

¢ðïøç ôçò óýãêëåéóçò ôïõ áóèåíïýò.

Project: Restoration of a partially edentulus maxilla with implants and fixed prosthetics 58 year old male patient.

Åñãáóßá: Ðåñéóôáôéêü: ÁðïêáôÜóôáóç ìßáò ìåñéêÜ áíüäïíôçò Üíù ãíÜèïõ ìå åìöõôåýìáôá êáé áêßíçôç ðñïóèåôé-êÞ åñãáóßá óå áóèåíÞ 58 åôþí.

Ç ðñïåã÷åéñçôéêÞ ðáíïñáìéêÞ åñãáóßá áðïêáëý-ðôåé åðáñêÝò ýøïò ïóôïý ðñïêåéìÝíïõ íá äå÷èåß ôñßá ïóôåïåíóùìáôïýìåíá åìöõôåýìáôá óôçí äåîéÜ ðåñéï÷Þ ôçò Üíù ãíÜèïõ.

The pre/operative X/ray panoramic radiography reveals sufficient bone height in order to place three osseointegrated implants in the right area of maxilla.

Ç áíüäïíôç äåîéÜ ðåñéï÷Þ ôçò Üíù ãíÜèïõ, üðïõ èá ôïðïèå-ôçèïýí ôá åìöõôåýìáôá (öùôï-ãñáößåò ìå ÷ñÞóç êáèñÝðôç).

The edentulous right area of the maxilla where implants will be inserted {photos by use of mirror}.

Ï ÷åéñïõñãéêüò íÜñèçêáò ôïðïèå-ôçìÝíïò óôï óôüìá. Ìðïñïýìå íá äïýìå ìáñêáñéóìÝíá óçìåßá üðïõ èá äéáôñÞóïõìå ôï ïóôü.

The surgical stent in the mouth showing the marked points where the bone will be penetrated.

Tree 3i implants were inserted at appropriately selected sites in the maxilla based on anatomic limitations of the region.

Ôñßá 3i åìöõôåýìáôá åéóÝñ÷ïíôáé óôçí êáôÜëëçëá åðéëåãìÝíç ðåñéï÷Þ óôçí Üíù ãíÜèï áêïëïõèþíôáò ôïõò áíáôïìéêïýò ðåñéïñéóìïýò.

Intraoral view after 6 mounths, before the second/stage surgery.

ÅíäïóôïìáôéêÞ Üðïøç ìåôÜ áðü 6 ìÞíåò, ðñéí ôï äåýôåñï óôÜäéï ôçò ÷åéñïõñãéêÞò áðïêÜëõøçò.

Intraoral view after placement of sutures.

ÅíäïóôïìáôéêÞ Üðïøç ìåôÜ ôçí ôïðïèÝôçóç ôùí ñáììÜôùí.

Åêôåëåßôáé ôï äåýôåñï ÷åéñïõñãéêü óôÜäéï êáé áíôéêáèßóôáíôáé ïé âßäåò êÜëõøçò ìå êïëëÜñá åðïýëùóçò.

Second stage surgery was performed replacement of cover screws were replaced by healing caps.

Ôá åêìáãåßá ìå ôá åñãáóôçñéáêÜ áíÜëïãá êáé ôá ôå÷íçôÜ ïýëá.

The cast showing the laboratory analogs and artificial gingiva.

Ôï åêìáãåßï ìå ôá abutments ðÜíù óôá åñãáóôçñéáêÜ áíÜëïãá.

The cast with the abutment on the laboratory analogs.

Ôá abutments óôá åìöõôåýìáôá ìÝóá óôï óôüìá.

The abutments on the implant in the mouth.

Ç áêßíçôç ðñïóèåôéêÞ áðïêáôÜ-óôáóç (óôåöÜíåò) Ý÷åé ôïðïèå-ôçèåß óôï óôüìá.

The fixed metal ceramic prosthetic {crowns} have been placed on the abutments on the mouth.

Ç ôåëéêÞ ðáíïñáìéêÞ áêôéíï-ãñáößá. Ó’ áõôÞí áðïêáëýðôåôáé ôÝëåéá áãêýëùóç åìöõôåõìÜôùí-ïóôïý.

The final panoramic Xray. The post treatment radiograph reveals complete bone anchorage.

Project: Implant placement in the left region of the mandible to a 22 year old female.

Åñãáóßá: ÔïðïèÝôçóç åìöõôåõìÜôùí óôçí êÜôù áñéóôåñÞ ðåñéï÷Þ ìå äéáäï÷éêÞ áëëáãÞ ôïõ ó÷åäßïõ èåñá-ðåßáò

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Ðåñéóôáôéêü: ÔïðïèÝôçóç åìöõôåõìÜôùí óôçí áñéóôåñÞ ðåñéï÷Þ ôçò êÜôù ãíÜèïõ óå áóèåíÞ 22 åôþí.

1. Ç áñ÷éêÞ ðáíïñáìéêÞ áêôéíïãñáößá áðïêáëýðôåé ôï êåíü óôçí áñéóôåñÞ ðåñéï÷Þ ôçò êÜôù ãíÜèïõ êáé Ýíáí ãïìößï ìå åíäïäïíôéêÞ èåñáðåßá.

2. Ç åíäïóôïìáôéêÞ áêôéíïãñáößá áðïêáëýðôåé ðñïâëçìáôéêÞ åíäïäïíôéêÞ èåñáðåßá ôïõ ãïìößïõ óôçí ðåñéï-÷Þ. (ëåßðåé ç öùôï)

3. ¢ðïøç ôçò ðåñéï÷Þò. Ï áóèåíÞò äåí åìöáíßóôçêå ãéá ìáêñý ÷ñïíéêü äéÜóôçìá, åî’ áéôßáò ïéêïãåíåéáêþí ðñïâëçìÜôùí. Óáí áðïôÝëåóìá ôçò ðåñéïäéêÞò åîáöÜíéóÞò ôïõ, ï äåýôåñïò ãïìößïò áñéóôåñÜ óôçí êÜôù ãíÜèï Ý÷åé óðÜóåé. Ôï ôåëéêü ó÷Ýäéï èåñáðåßáò Þôáí ç åîáãùãÞ ôïõ óðáóìÝíïõ ãïìößïõ êáé ç ôïðïèÝôçóç äýï åìöõôåõìÜôùí óôçí ðåñéï÷Þ ôùí äýï äïíôéþí.

4. ¢ðïøç ôçò ôïìÞò ôùí ïýëùí.5. ¢ðïøç ôïõ êñçìíïý.6. Åéêüíá ðïõ äåß÷íåé ôç äéÜíïéîç ôïõ ïóôïý, ðñïêåéìÝíïõ íá åéóáãÜãïõìå ôá åìöõôåýìáôá.7,8. Äýï frialit åìöõôåýìáôá ôïðïèåôÞèçêáí óôï ïóôü êáé êáëýöèçêáí ìå Bio-guide áðïññïöïýìåìç ìåìâñÜíç.

9. ¢ðïøç ôçò ðåñéï÷Þò ìåôÜ ôçí ôïðïèÝôçóç ôùí ñáììÜôùí. 9a,9b. Äýï ïðéóèïöáôíéáêÝò áêôéíïãñáößåò äåß÷íïõí ôç èÝóç ôùí åìöõôåõìÜôùí óôçí êÜôù ãíÜèï. 10,11. ¢ðïøç ôùí åìöõôåõìÜôùí ìå ôá êïëëÜñá åðïýëùóçò.

12. Ôï åêìáãåßï ìå ôá åñãáóôçñéáêÜ áíïæéãá13,14. Ôá abutments ôïðïèåôçìÝíá óôá åìöõôåýìáôá ìÝóá óôï óôüìá.15,16. Ç ôåëéêÞ ðñïóèåôéêÞ áðïêáôÜóôáóç.17. Ç ôåëéêÞ ðáíïñáìéêÞ áêôéíïãñáößá ìáò äåß÷íåé ôá åìöõôåýìáôá ìÝóá óôï ïóôü êáé ôçí ðñïóèåôéêÞ ôïðïèåôç-ìÝíç.

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Implant placement in the left region of the mandible to a 22 year old female

1. The initial X-ray panoramic radiography revealing the gap in the left region of the mandible and an endodontologically treated molar

2. The intraoral X-ray radiography reveal failure endodontic therapy of moral tooth (ëåßðåé ç öùôï).3. View of the region. The patient failed to show up for a long period of time due to family reasons. As a

result of discontinuation of treatment the lower second left molar had fractured. The final treatment plan was to extract the fractured second molar teeth and place two implants.

4. View of the incision5. View of the raised flap.6. Bone drilling.7,8. The frialit implants was inserted in the bone and covered with Bio guide bioabsorbable membrane.9. View of the suture. 9a.9â, X-ray reveals the region of implant incertion.10,11. View of the implants with the healing abutments.12. The cast with the laboratory analogs.13,14. The abutments on the implants in the mouth.15,16. The complete prosthetic restoration17. The final X-ray panoramic radiography reveals the result. (ëåßðåé ç öùôï)

Project: Full mouth restoration of a 58 year old male patient.

Åñãáóßá: ÏëéêÞ óôïìáôéêÞ áðïêáôÜóôáóç óå Üíäñá

áóèåíÞ 58 åôþí.

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1. Óôçí áñ÷éêÞ åðßóêåøç óôï ïäïíôéáôñåßï ï áóèåíÞò ðáñïõóßáæå áðïäéïñãáíùìÝíá ïäïíôéêÜ ôüîá êáé áóôáèÞ óýãêëåéóç. Ôï ó÷Ýäéï èåñáðåßáò ðïõ ó÷çìáôßóôçêå ðåñéëÜìâáíå:

- ÐåñéïäïíôéêÞ èåñáðåßá, óõíôçñçôéêÞ êáé ÷åéñïõñãéêÞ- ÅíäïäïíôéêÞ èåñáðåßá, üðïõ êñßíïíôáí áðáñáßôçôï- ÐñïóèåôéêÞ áðïêáôÜóôáóç, áðïóêïðþíôáò óôçí óôïìáôéêÞ ôïõ êáëÞ ëåéôïõñãßá êáé áéóèçôé-

êÞ.2. Ç êáôÜóôáóç ôùí ðåñéïäïíôéêþí éóôþí åßíáé åìöáíþò âåëôéùìÝíç ìåôÜ ôçí ïëïêëÞñùóç ôçò ðåñéïäï-

íôéêÞò èåñáðåéÜò.3,4. ÐñïðáñáóêåõÞ ôùí äïíôéþí (êïëïâþìáôá) ãéá íá äå÷èïýí ôçí ðñïóèåôé êÞ áðïêáôÜóôáóç.5,6. Ï áóèåíÞò ìå ôéò ðñïóùñéíÝò áêñõëéêÝò ðñïóèåôéêÝò áðïêáôáóôÜóåéò óôï óôüìá.7,8. ÊáôáóêåõÞ ôùí ðñïóèåôéêþí áðïêáôáóôÜóåùí óôï åñãáóôÞñéï.9. Ôï ôåëéêü óôÜäéï ôçò èåñáðåßáò. Óõãêüëëçóç ôùí óôåöáíþí êáé ãåöõ ñþí óôï óôüìá.

1. On his initial visit to the dental clinic, the patient presented disorganized dental arches and untable occlusal pattern.The comprehensive treatment plan included: i. Periodontal therapy, conservative and surgicalii. Endodontic therapy where it would be indicatediii. Prosthetic, rehabilitation.2. The improved periodontal conditions are obvious after completion of the periodontal therapy.3,4. Preparation of the teeth to accept prosthetic restorations.5,6. The patient was supplied with temporary acrylic restorations.7,8. Preparation of the prosthetic restorations at the laboratory.9. Final stage of treatment. Cemented crowns and bridges.

1. Óôçí áñ÷éêÞ åðßóêåøç óôï ïäïíôéáôñåßï ï áóèåíÞò ðáñïõóßáæå áðïäéïñãáíùìÝíá ïäïíôéêÜ ôüîá êáé áóôáèÞ óýãêëåéóç. Ôï ó÷Ýäéï èåñáðåßáò ðïõ ó÷çìáôßóôçêå ðåñéëÜìâáíå:

- ÐåñéïäïíôéêÞ èåñáðåßá, óõíôçñçôéêÞ êáé ÷åéñïõñãéêÞ- ÅíäïäïíôéêÞ èåñáðåßá, üðïõ êñßíïíôáí áðáñáßôçôï- ÐñïóèåôéêÞ áðïêáôÜóôáóç, áðïóêïðþíôáò óôçí óôïìáôéêÞ ôïõ êáëÞ ëåéôïõñãßá êáé áéóèçôé-

êÞ.2. Ç êáôÜóôáóç ôùí ðåñéïäïíôéêþí éóôþí åßíáé åìöáíþò âåëôéùìÝíç ìåôÜ ôçí ïëïêëÞñùóç ôçò ðåñéïäï-

íôéêÞò èåñáðåéÜò.3,4. ÐñïðáñáóêåõÞ ôùí äïíôéþí (êïëïâþìáôá) ãéá íá äå÷èïýí ôçí ðñïóèåôé êÞ áðïêáôÜóôáóç.5,6. Ï áóèåíÞò ìå ôéò ðñïóùñéíÝò áêñõëéêÝò ðñïóèåôéêÝò áðïêáôáóôÜóåéò óôï óôüìá.7,8. ÊáôáóêåõÞ ôùí ðñïóèåôéêþí áðïêáôáóôÜóåùí óôï åñãáóôÞñéï.9. Ôï ôåëéêü óôÜäéï ôçò èåñáðåßáò. Óõãêüëëçóç ôùí óôåöáíþí êáé ãåöõ ñþí óôï óôüìá.

Project: Case of sinus elevation and concurrent implant placement regarding a 56 year old male patient.

Åñãáóßá:Ðåñßðôùóç áíýøùóçò éãìïñåßïõ ìå ôáõôü-÷ñïíç ôïðïèÝôçóç åìöõôåõìÜôùí óå Üíäñá áóèåíÞ 56 åôþí.

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1. 1á The presence of defective bone in the maxilla required augmentative procedure by sinus lift with simultaneous placement of 3 implants on both sides.

2,3. View of the accessed opened left sinus.4,5. The implemented bone graft consisted of a mixture of Bio-oss material and autologous bone.6. The collagenous membrane used to cover the graft in the accessed

sinus is of the Bioguide type. 7,8. The sinus shows sings of recovery 1,5 months after the implant placement.9,10. Intraoral view with the healing abutmants on the implants. 11, 12. Ôhe abutments placed on the implants.13,14. The final prosthetic restoration.15. The final panoramic x-ray.

1,1á. Ç ðáñïõóßá åëëåéììáôéêïý ïóôïý óôçí Üíù ãíÜèï, áðáéôåß áíáãåííçôéêÞ äéáäéêáóßá ìå áíýøùóç éãìïñåßïõ, ìå ôáõôü÷ñïíç ôïðïèÝôçóç ôñéþí åìöõôåõìÜôùí áìöïôåñüðëåõñá.2,3. ¢ðïøç ôïõ áíïé÷ôïý áíõøùìÝíïõ éãìïñåßïõ4,5. Ôï ïóôéêü ìüó÷åõìá áðïôåëåßôáé áðü Ýíá ìåßãìá Bio-oss êáé áõôüëïãï ìüó÷åõìá ôïõ áóèåíïýò.6. Ãéá íá êáëõöèåß ôï áíïé÷ôü éãìüñåéï ÷ñçóéìïðïéÞèçêå ìåì âñÜíç áðïññïöÞóéìç Bio-guide.7,8. Ôï éãìüñåéï, üðùò öáßíåôáé ìå ôï ìüó÷åõìá êáé ôá åìöõôåý ìáôá 1,5 ìÞíåò ìåôÜ ôçí ôïðïèÝôçóç ôïõ ìïó÷åýìáôïò êáé ôùí åìöõôåõìÜôùí.9,10. ÁðïêÜëõøç ôùí åìöõôåõìÜôùí êáé ôïðïèÝôçóç ôùí êïëëÜñùí åðïýëùóçò.11, 12. O áóèåíÞò ìå ôá abutments τοποθετημένα στο στόμα.13,14. Η τελική προσθετική αποκατάσταση 15. Ç ôåëéêÞ ðáíïñáìéêÞ áêôéíïãñáößá

ÈÅÏÄÙÑÏÓ Ã . ÓÔÑÁÔÉÊÇÓ , ×ÅÉÑÏÕÑÃÏÓ ÏÄÏÍÔÉÁÔÑÏÓ - ÅÌÖÕÔÅÕÌÁÔÏËÏÃÏÓ, D.D.S. ÐÁÍÅÐÉÓÔÇÌÉÏÕ ÁÈÇÍÙÍ, ÌÅËÏÓ ÔÇÓ ÃÅÑÌÁÍÉÊÇÓ ÅÌÖÕÔÅÕÌÁÔÏËÏÃÉÊÇÓ ÅÔÁÉÑÉÁÓ (D.G.I.), ÅÐÉÓÔÇÌÏÍÉÊÏÓ ÓÕÍÅÑÃÁÔÇÓ ÏÄÏÍÔÉÁÔÑÉÊÇÓ Ó×ÏËÇÓ ÐÁÍ/ÌÉÏÕ ÁÈÇÍÙÍ ÔÏÌÅÁÓ ÍÏÓÏËÏÃÉÁÓ & ÈÅÑÁÐÅÕÔÉÊÇÓ ÏÄÏÍÔÉÊÙÍ & ÐÅÑÉÏÄÏÍÔÉÊÙÍ ÉÓÔÙÍÉÁÔÑÅÉÏ: ËÅÙÖ. ÊÇÖÉÓÉÁÓ 82ÁÌÐÅËÏÊÇÐÏÉ - Ô.Ê. 115 26ÁÈÇÍÁÔÇË.: 210 6995169, 210 6910057Êéí.: 6977 223278, fax: 210 6982429www.stratikis-dental.gr, e-mail: thstrat1@hol.gr

THEODORE G . STRATIK IS , DENTAL SURGEON - IMPLANTOLOGIST, D.D.S. UNIVERCITY OF ATHENS, MEMBER OF GERMAN ASSOSSIATION OF IMPLANTOLOGY (D.G.I.), SCIENTIFIC COOPERATOR DENTAL SCHOOL UNIVERCITY OF ATHENSDENTAL CLINIC: 82, KIFISIAS AVE., 115 26 AMPELOKIPOI, ATHENS, GREECETEL.: +30 210 6995169, +30 210 6910057MOB.: +30 6977 223278, fax: +30 210 6982429www.stratikis-dental.gr, e-mail: thstrat1@hol.gr

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