Columbus Birdge Protocol © 2011

During the recent years the implant prosthetic application principles have been remarkably modified thanks to the development of scientific knowledge that allows adopting simplified protocols.

Yet, the use of protocols shortening the times of functional load of the implant, so reducing the patients’ discomfort and facilitating the treatment, cannot  disregard the maintenance of the high standards of predictability guaranteed by the classical protocol proposed by   Brånemark.

The Columbus Bridge Protocol has been developed with the aim of defining a path which enables maintaining high reliability of the treatment with fixed implant prosthesis at the edentulous maxilla even if with immediate functional load.

The Columbus Bridge Protocol is based on precise surgical-prosthetic determinants from the choice of the implant to the realization of the full-arch fixed prosthesis. The work is subdivided into 15 Chapters taking into consideration every stage of the treatment protocol.

It analyzes all diagnostic, surgical, and prosthetic aspects as well as hygiene procedures and dietary programs in a holistic vision requiring non-fractionable interdisciplinarity.

The book is supplied with a DVD presenting a didactic video of a treatment with full-arch fixed prosthesis on edentulous maxilla with immediate load according to the Columbus Bridge Protocol.

The aesthetic-functional recovery of a severe and wide mutilation, like the loss of all dental elements of an arch, necessarily requires a learning curve.

The Authors’ opinion is that reading this book can represent an essential support and an orientation point in the training of any and every dental operator.

Surgical Protocol

Prosthetic Protocol

Columbus Bridge Protocol™, the book

- Rough-surface implants with external hexagon 

- Implant length ≥13mm 

- Under-preparation of the implant site

- Torque insertion ≥40Ncm

- Tilted implants in residual bone

- Use of pre-angled conical abutments  

- Exclusion of bone regeneration techniques

- Provisional screw-retained fixed prosthesis 

- Plaster cast with pick-up technique 

- Rigid splinting with metal framework 

- Passivation with luting technique 

- Acrylic occlusal surface 

- Absence of distal cantilever/s

- Functional occlusal load 24 hours after the surgery

Clinical case: starting situation, final aesthetic result, panoramic radiography of the completed case