scholarly journals Immediate loading: principles, requirements, and soft-tissue management

2021 ◽  
Author(s):  
Vladyslav Pereverzyev

Immediate loading is defined as the prosthetic loading of dental implants within the first weekof loading. From a biomechanical standpoint, immediate loading can result in success andsurvival rates comparable to conventionally loaded dental implants. Immediate implantpositioning and loading preserved the papillae and soft tissue contours around the implant.Additionally, overall treatment time is decreased and the patient’s functional abilities aresooner established. Completing this procedure yields the potential for increased patientsatisfaction predictably and efficiently. There are multiple factors to consider in determiningwhether a patient is an ideal candidate for immediate loading. Placement of an adequate numberof implants in well-dispersed positions is necessary in successful immediate loading.

2021 ◽  
pp. 155-158
Author(s):  
Abhigyan Kumar ◽  
Gaurav Singh ◽  
Amit Gaur ◽  
Ashita Singh ◽  
Dhritiman Pathak ◽  
...  

Study Design: The patient’s desire to shorten the treatment time and to avoid an edentulous condition immediate loading of implants has emerged as an alternative approach as compare to delayed loading implants for replacing missing natural teeth. The aim of this study is to compare the effect of immediate and delayed loading of implants in partially edentulous mandibular posterior region and to analyze outcome of both techniques Objective: To compare and evaluate postoperative treatment outcome in mandibular posterior region clinically and radiographically. Method: This is a Randomized controlled study, consisting of 50 patients. They were divided in two groups. Group1 (Number of patients- 25, Delayed loading implant) and Group2 (Number of patients-25, Immediate loading implant). Soft tissue examination were measured by probing depth with William probe , Hard tissue were measured and compared using OPG/CBCT and IOPAR. Result: The difference in the bone loss between Group A and Group B was 0.02 mm. In respect to soft tissue healing of gingiva bucally, lingually and papilla the average score of mean modied sulcus bleeding index and mean modied plaque index was not more than 01, signifying mild inammation at the most. Primary stability increases in both the groups. In delayed group mean stability was 56 and in immediate group mean stability was 57 which was adequate at the time of surgery and during healing period. The mean bone healing score was higher in delayed group than that of immediate group but the difference failed to reach the level of statistical signicance. Conclusion: Our study concludes that whether it is immediate loading or delayed loading protocol, under appropriate circumstances, medical condition and maintenance of good oral hygiene provide similar success rate.


1994 ◽  
Vol 21 (3) ◽  
pp. 265-274 ◽  
Author(s):  
R. T. Lee

Orthodontic therapy is best carried out in a normal skeletal and soft tissue environment. In patients requiring orthognathic surgery, it is suggested that there are advantages in correcting the skeletal and soft tissue elements as early as possible, and to orthodontically control the occlusion post-operatively. This results in a shorter overall treatment time due to more biologically favourable tooth movement, more predictable occlusal results and better management by the orthodontist. The clinical benefits of post-operative orthodontics are outlined.


2018 ◽  
Vol 8 (6) ◽  
pp. 196-202
Author(s):  
Phuc Ngo Vinh ◽  
Tai Tran Tan ◽  
Duong Huynh Van

Background: The concept of immediate implant loading has recently become popular due to less trauma, reduction in overall treatment time, decrease in hard and soft tissue resorption, increase in patient’s acceptance, along with better function, aesthetics and has a psychological satisfaction to the patient. The purpose of this study is to evaluate the results of implant placement immediately after tooth extraction. Materials and method: The study consisted of 32 patients with 43 implants have been placed immediately after tooth extraction in the Odonto-Maxillo-Facial Hospital of Ho Chi Minh City. Evaluation results after dental implants 1 week, 1 month, 3 months, 6 months. Results: Good clinical results after 1 week was 55.8%, after 3 months and 6 months were 100%. After 1 week of implant placement, good healing took 59.4%. After 1 month, 3 months and 6 months, 100% of the patients are well healed. After 3 months, 6 months without any implant has the status of shaky. Most dental implants have good levels of bone graft. The level of good after 3 months of implants was 72.1% and after 6 months all cases are good. The success rate for dental implants was up to 97.7%, failing only 2.3%. After 3 months the implants had a good level of 72.1% and after 6 months, all cases were good. Patients with success in implant placement accounted for a high rate of 97.7%, failure only accounted for 2.3%. Conclusions: Success rate in immediate implant is high. It is necessary to develop this method to restore lost teeth to achieve optimum results. Key words: Dental implant, immediate implant after tooth extraction


2019 ◽  
Vol 47 (1) ◽  
pp. 78-81
Author(s):  
Nima Amin ◽  
Eileen Watt ◽  
Joseph Noar

The management of impacted teeth can be complex, time-consuming and expensive for the patient and healthcare system. These cases often require referral to a different specialty which increases the overall treatment time and number of appointments. This article introduces a simple, efficient technique using a cylindrical punch biopsy instrument to expose superficial, buccally impacted upper permanent canines and incisor teeth in carefully selected cases. This patient- and operator-friendly technique avoids the need for a referral to a different specialty, gives the orthodontist autonomy of the position of the bond, allows immediate traction, thereby reducing the number of appointments and overall treatment time for the patient.


2021 ◽  
Author(s):  
Ebrahim Eyni ◽  
Hojatollah Yousefimanesh ◽  
Alireza Hashemi Ashtiani ◽  
Amal Saki-Malehi ◽  
Amin Olapour ◽  
...  

Abstract Background and aims: The replacement of teeth with osseointegrated implants is one of the significant advances in the field of restorative dentistry. The time interval between tooth extraction and the implant can be very short or long. This systematic review and meta-analysis aimed to collect and evaluate articles related to determining the effect of immediate loading of dental implants are placed in the fresh socket initial stability on the clinical success of the implant compared to delay loading procedure. Materials and Methods: In this study, all the available articles indexed in leading databases, including PubMed, ISI Web of Science, Embase, PsycINFO, PROSPERO, and Scopus were searched. The full text of the articles meeting the primary criteria to be included in this research was obtained and appraised. Data of studies were extracted if they were scored as a high or moderate level of evidence. Results: A total of 2,258 published articles were found through electronic database searching. After screening the titles and abstracts, and full-text of articles 16 studies met the inclusion criteria and were included in the analysis. The results of this study revealed that regarding the success rate, although there was no significant difference between immediate and delay loading of dental implants, immediate procedure showed a lower incidence of bone loss in single implants. Conclusion: Based on the results of this study, immediate loading of dental implant, under certain conditions, is a successful treatment process and is effective in reducing treatment time. Thus, immediate loading represents a valid alternative to the traditional delayed loading rehabilitation.


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