Individualized Implants in the Atrophic Jaw: Case Reports of the First Treatments with Implantize Compact in Switzerland

Background: Until 1950/1960, for young women in rural areas of Switzerland (e.g., in Entlebuch) it was common practice to have all their teeth extracted or even forced to have them extracted, in order to become eligible for marriage with full dentures. This was the only way their future husbands could be sure that they would not incur any costs in this regard! This practice, which would now be considered mutilation, has led to many women today wearing partially insufficient dentures and suffering from severe alveolar bone atrophy (Fig. 1). Fig. 1, if the local bone is no more sufficient to place conventional implants, alternatives such as invasive augmentation or zygoma implants are considered. With the further development of laser-sintering titanium in recent years, customized, patient-specific implants now offer a minimally invasive alternative which does not require the destruction of relevant bone structures and offers immediate loading Case Presentation: Case 1: female, 74y, healthy, non-smoker, suffering from; Case 2: female, 72y, healthy, light smoker, advanced periodontitis; Case 3: male, 45y, suffering from Morbus Krohn since 30y, intense therapy with cortison, heavy smoker, Cawood Class V-VI. Conclusion: With the development of exact 3D manufacturing of patient-specified implants the treatment options of severe bone atrophy in both jaws have increased by the option of minimally invasive use of individualized implants. The last eight years show promising data for this relatively new treatment which is not to be compared with the old subperiostal implants. Following the principles of Branemark (Osseointegration), Ledermann (Immediate Loading) and the modern principles of titanium implant surfaces Patient-specific Implants are a valuable alternative for Full-Arch-Treatments in severely atrophied upper and lower jaws.