Compressive Implants: A Boon for Immediate Loading Protocol (Case Report) (original) (raw)
Related papers
Compressive Implants: A Boon for Immediate Loading Protocol
Acta Scientific Dental Sciences, 2020
Keywords: Dental Implant; Flapless Technique; Immediate Loading In recent times, for the restoration of partially and completely edentulous arches, implants have become the treatment of choice [1,2]. The original Branemark protocol is based upon delayed loading i.e. 3 -4 months in mandible and 4 -6 months in maxilla before final prosthesis. This long treatment period that involves temporary prosthetic phase which may be of great inconvenience in terms of patient compliance [3,4].
The Journal of Indian Prosthodontic Society, 2018
Missing teeth have traditionally been replaced with dentures or bridges to restore the ability of patients to eat, speak, and improve appearance. [1] These conventional modalities of rehabilitation have certain limitations such as suboptimal mastication, psychological acceptance, and problems related to esthetics, retention, and stability of the prosthesis. To overcome these, the clinical utilization of dental implants has increased in the recent years. There are various factors which affect the success rate of implant. Occlusal overload is one such key biomechanical Aim: Immediate loading protocol, in recent times, has gained popularity as it has not only shortened the treatment time but also resulted in enhanced patient satisfaction. The aim of this study was to evaluate and compare the effectiveness of immediate implant loading protocol over conventional implant loading protocol with respect to peri-implant bone loss. Materials and Methods: Twenty patients selected for this study were divided into two groups. In Group I patients, implants were immediately loaded, whereas in Group II, they were loaded with conventional loading protocol. Peri-implant bone loss was measured and compared using intraoral periapical radiographs with the grid at the time of implant loading, 1, 3, and 6 months after implant loading. Results: Change in radiographic bone loss in both the groups was found to be statistically significant when baseline was compared to 1, 3, and 6 months, but the difference in the bone loss between Group I and II was not found to be statistically significant. Conclusion: No statistically significant difference was observed in the crestal bone loss on comparison of immediate loading to delayed loading protocol. Clinical Significance: After achieving good primary stability, immediate-loaded implants can be used for the benefit of the patients as it reduces the period of edentulism.
The International journal of oral & maxillofacial implants
The purpose of this study was to evaluate the immediate loading of Brånemark System implants following placement with a screw-retained provisional prosthesis in edentulous patients. Twelve mandibular and 5 maxillary arches were treated from December 1997, including 3 bimaxillary patients. The provisional prosthesis, made of heat-polymerizing resin, had an inner casting of cobalt-chromium alloy to provide rigidity. The implants whose placement torque was more than 40 Ncm were immediately loaded. Implants that were placed with placement torque of less than 40 Ncm or that were associated with bone grafting were submerged. Following abutment connection, temporary cylinders were incorporated into the provisional prosthesis intraorally with autopolymerizing resin. After the provisional prosthesis was completed extraorally, it was screw-retained. After a 4- to 6-month healing period, a definitive prosthesis was fabricated and placed. Of the 140 immediately loaded implants, 136 osseointegra...
Immediate Loading of Dental Implants: Theory and Clinical Practice
This clinical manual details the surgical and prosthetic protocols for clinicians who wish to utilize immediate implant loading in qualified patients. It details the fundamental principles, from patient selection to surgical procedures to the final adjustment of the definitive restoration. In addition, the chapters describe solutions to various challenges, such as when to use screw-retained or cement-retained provisional prostheses, how to prepare the prosthesis chairside, and when to have the prosthesis prepared in the laboratory. Including ample clinical photographs and decision-making flow charts, this comprehensive volume offers readers concrete guidelines for a proven technique that simplifies implant procedures and provides clear benefits to patients.
Loading protocol in implant dentistry: A review Dr. Nikhil N Pawar and Dr. Payal A Karkar
International Journal of Applied Dental Sciences, 2020
When using modern dental implants, conventional and early loading protocols are both well-documented and predictable. Interdisciplinary teams may choose a longer healing period in sites that are compromised or in patients in which healing is expected to be altered. Immediate loading in partially edentulous patients is possible in select cases, but the evidence for successful outcomes is less extensive. Many patients are eager to have their treatment completed as rapidly as possible. Individual dentists and interdisciplinary teams are reminded that immediate loading has increased risk of implant failure and should be used in esthetically critical areas only after careful consideration of the benefits, risks and alternatives. Present review article discussed about loading protocols in implant dentistry.
An Overview Regarding Contemporary Biomechanical Aspects on Immediate Loading Dental Implants
Implant Dentistry - A Rapidly Evolving Practice, 2011
An Overview Regarding Contemporary Biomechanical Aspects on Immediate Loading Dental Implants 131 1999). Generally, the mandible has a denser and thicker cortical layer than the maxilla, with the cortical layer becoming thinner and more porous posteriorly. According to Morris et al. (2001), poor quality and quantity of surrounding bone was ranked as the most influential factor for reducing the success rate of dental implant treatments. Misch et al. (1999) stated that the density of the bone is directly proportional to the strength of the bone, with less density demonstrating strength reduction of 50% to 80% compared to higher density bone tissues. In addition, Goodacre et al. (2003) reported that dental implants loaded in lower density bone averaged 16% higher failure rates compared to more ideal bone quality. In a multicenter study by Weng et al. (2003), the posterior maxilla produced a 25% failure rate when short implants were used to support the prosthesis, and the implant failure occurred during the first 18 months of loading. Consequently, researchers have been unanimous for the indication of a larger number of implants for the rehabilitations of partially or completely edentulous maxillae. Therefore, the greater the number, the smaller will be the biomechanical risk. The design of the implants is more associated to the area of functional surface than to its size. Cylindrical implants without threads and with larger diameter possess smaller surface area in comparison to a screw implant of smaller diameter (Misch et al., 2004b). Consequently, implants with threads should be the most appropriate for the immediate loading p r o c e d u r e s. T h i s a s p e c t w i l l b e f o c u s e d i n a n o t h e r s e c t i o n o f t h i s C h a p t e r. F i n a l l y , following the recommendations of Attard & Zarb (2005), the posterior region of the jaws should be carefully evaluated for the indication of immediate loading implants. The cantilever elimination and the accomplishment of bilateral ferulization seem to be advantageous in order to reduce the stress concentrations on peri-implant bone.