A New Wedge-Shape Dental Implants for Narrow Bone Ridge: REX Piezoimplant, a Case Report With 12 Months of Follow-Up |Biomedgrid

Objective: The purpose of this study was to report the surgical protocol used in implant prosthetic rehabilitation with REX PiezoImplant type TL1.8 (Rex TL, Rex Implants, Columbus, OH, USA). Methods: A 54-year-old patient was enrolled in the study. Clinical and radiographic examination (CBCT) showed severe bone atrophy of the maxilla. The preparation of the implant sites was performed with piezoelectric instruments and a specific sequence of inserts (SLC, W1, W2, W3, and W4). The implants were inserted with the REX IPD magnetic hammer achieving a slight bone expansion. Results: The patient was strictly monitored monthly for up to 12 months. The final prosthesis was delivered 5 months after surgery. CBCT performed at the end of the study demonstrated good osseointegration of the implants and the absence of periimplant bone resorption. Conclusions: The use of REX PiezoImplants can be considered a valid minimally invasive surgery technique in atrophic bone crests, which do not allow the insertion of traditional implants without bone regeneration procedures.