Atlas of Immediate Dental Implant Loading

2019 ◽  
2020 ◽  
Vol 7 (2) ◽  
pp. 144
Author(s):  
Miguel Peñarrocha-Diago ◽  
Ugo Covani ◽  
Luis Cuadrado

Author(s):  
Dennis Flanagan ◽  
Alessandro Fisher BS ◽  
Carmen Ciardiello ◽  
Vito Moreno ◽  
Alen Uvalic ◽  
...  

When planning an implant supported restoration the dentist is faced with the surgical and prosthetic technical issues as well as the patient’s expectations. Many patients wish an immediate solution to an edentulous condition. This is especially may be true in the esthetic zone. The extent of the zone is determined by the patient. The dentist may consider when it is feasible to load the supporting implants with definitive or provisional prosthetics. For the work herein, consideration of many parameters were theoretically assessed for inclusion: bone density, cortical thickness, seating torque, parafunction, bite load capacity, number of implants under load, implant/crown ratio, implant diameter and length. After assessment, the most influential parameters were selected. An iteration, using patient age, implant diameter, bite load capacity and cortical thickness, is now presented to aid the implant dentist in determining the feasibility for immediate functional loading of a just placed dental implant in a healed site. Extensive testing is required to develop this concept. According to this iteration, most immediate functional loaded implants would fail. A future refined and definitive formula may enable the clinician to safely immediately functional load an implant with a definitive prosthesis.


2017 ◽  
Vol 8 (2) ◽  
pp. 49-54
Author(s):  
Adel Pirjamalineisiani ◽  
Mohsen Sarafbidabad

Background. Improving the implantation conditions in order to reduce the failure is always desirable for researchers. The aim of this study was to compare two different types of dental implant materials from biomechnical viewpoint in order to introduce a novel simulation method to select suitable materials for dental implants. Methods. In this research, drilling process was performed in the cortical bone of the mandible by finite element analysis simulation. Then, a 3D model of the produced hole in the drilled site was derived and a dental implant model by ITI design was inserted into the cavity. The space remaining between the implant and cavity was considered as a newly formed cortical bone area. Implant loading was performed on two dental implants with different types of material. The change in the volume of the cortical bone around each implant was considered a criterion for evaluating bone damage. Additionally, the micromotion of dental implant in the mandible after implantation was used for investigating dental implant stability. Results. After implant loading, the volume changes in newly formed cortical bone around Ti and Zr-2.5%Nb dental implants were measured at 0.010809 and 0.010996 mm3 , respectively. Furthermore, micromotion of Ti and Zr-2.5%Nb dental implants were measured at 0.00514 and 0.00538 mm, respectively. Conclusion. This study showed that Ti dental implant creates better conditions than Zr-2.5%Nb dental implant in the maxillofacial region


Author(s):  
Imran Aziz ◽  
Waleed A. Khan ◽  
Faisal Moeen ◽  
Imran Akhtar ◽  
Wasim Tarar

The life of dental implant depends on various parameters such as insertion torque, implant diameter and cortical and cancellous bones thickness. The thickness of the cortical and cancellous bones varies from patient to patient and for each thickness, the corresponding studies are required to determine the favorable implant loading. In this study, stress analysis on various dental implant fixtures inserted in compromised bony ridges is performed using three dimensional finite element analyses. Initially, the modeling and analysis of previously analyzed structure is done to validate the solution procedure. After successful validation, three dimensional linear elastic analysis of bone implant bone assembly is performed. The implant material is treated as isotropic whereas the bone materials are taken as anisotropic materials. The parametric study finds the effect of insertion torque and variation of implant diameter on stress induced in the compromised bony ridge. Further, the implant bone assembly was analyzed using various cortical bone thicknesses. It has been observed that the increase in torque results in increased stress and deformation in the bone. With increasing bone thickness, the similar variation of torque produces less stress and deformation in dental implants. The study is helpful in prediction of favorable implant loading and implants diameters for compromised bony ridges. The study provides useful knowledge in improving the performance and life of dental implants.


2020 ◽  
Vol 74 (1) ◽  
pp. 34-47
Author(s):  
Milos Duka ◽  
Zoran Lazic ◽  
Marija Bubalo ◽  
Branko Mihailovic ◽  
Milan Miladinovic ◽  
...  

Introduction. In order to provide the most favorable conditions for bone healing following implant loading, new techniques such as the use of growth factors to directly or indirectly regulate cell and tissue growth are becoming increasingly popular. Simplicity in producing concentrated thrombocytes derived from platelet-rich plasma has led to increasing application of growth factors derived from thrombocytes, such as PDGF, TGF-?, IGF and VEGF, in order to increase the percentage of bone-to-implant contact that provides better implant stability and possibly earlier functional loading. The aim of the study was to determine the effects of platelet-rich plasma and guided tissue regeneration on bone regeneration in the case of bone defects in early dental implant insertion. Materials and Methods. This experimental study was conducted on 10 study dogs that received 40 BCT implants, i.e., 4 implants per dog. The study included early dental implant placement in the sites of the extracted premolars. Artificial bone defects, resembling peri-implantitis defects, were made on the mesial side of each site, and the defects were filled using suitable guided tissue regeneration protocols with platelet-rich plasma derived from each experimental animal an hour before surgery. Histopathologic and histomorphometric evaluations were performed 10 months following the implantation. Results and Conclusion. The applied protocols had different effects on bone healing. According to the results obtained, the use of platelet-rich plasma combined with deproteinized bovine bone and bovine-derived resorptive membrane provided superior bone defect ossification


2014 ◽  
Vol 47 (16) ◽  
pp. 3830-3836 ◽  
Author(s):  
Petr Marcián ◽  
Libor Borák ◽  
Jiří Valášek ◽  
Jozef Kaiser ◽  
Zdeněk Florian ◽  
...  

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