Digital Occlusion in the Workflow of Implant Rehabilitations

2020 ◽  
pp. 945-995
Author(s):  
Henriette Lerner, DMD
Keyword(s):  
Immediate Loading ◽  
Digital Workflow ◽  
Rehabilitation Treatment ◽  
Guided Surgery ◽  
Implant Placement ◽  
Digital Planning ◽  
Immediate Implant ◽  
Implant Prosthesis ◽  
Implant Loading

Contemporary implant rehabilitations are esthetically driven. Consequently, digital planning and guided surgery deliver higher esthetic predictability and precision than do analog procedures. The aim of this chapter is to show the integration of digital occlusion in the different phases of full arch implant rehabilitation with immediate implant placement and immediate loading procedures. Digital occlusal analysis raises the precision of functional occlusal adjustments, while improving the long-term predictability and stability of both case function and esthetics. This chapter will present a systematic digital workflow detailing every stage of full arch rehabilitation treatment, while showcasing digital occlusal diagnosis with the T-Scan 9 system, to install a precise implant prosthesis occlusal scheme. A full arch rehabilitation case involving immediate implant placement and immediate implant loading will be presented, with it occlusally finished with the T-Scan.

scholarly journals Immediate Implants Loading by 4 Units Temporary Restoration: A Case Report

2019 ◽  
Vol 4 (8) ◽  
Keyword(s):  
Case Report ◽  
Soft Tissues ◽  
Long Term Results ◽  
Immediate Loading ◽  
Implant Placement ◽  
Immediate Implants ◽  
Immediate Implant ◽  
Dental Professionals

Immediate implant placement is the placement of dental implant in the extraction socket immediately after extraction with no healing of bone or soft tissues. The timing of implant placement has increased the debate, while patients have become persistent in their desire to be treated in an efficient and expedient manner. When seeking a solution, they wish for safe and effective treatment that can be performed in the shortest possible time and with as little pain and discomfort as possible. Dental professionals with their expertise are addressing patients request as much as possible. Immediate implant placement and loading are valuable techniques for the clinician to call upon, but their skill and experience, as well as case selection, are all crucial elements to ensure successful long-term results [1]. The placement of implants immediately in fresh sockets with immediate loading is a well known treatment modality, but the practitioner has to follow a very strict protocol. This case report describes the detailed procedures of immediate implant placement with immediate loading for 2 – implants supporting 4 – units’ provisional restorations with 5 years follow-up

scholarly journals Dentists’ knowledge and attitude in immediate implant loading protocol of dental implants- A cross-sectional survey

2021 ◽  
Vol 12 (1) ◽  
pp. 112-117
Author(s):  
Suraksha Shrestha ◽  
Santosh Kumar Yadav
Keyword(s):  
Dental Implants ◽  
Immediate Loading ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Implant Placement ◽  
Dental Practitioners ◽  
Immediate Implant ◽  
Knowledge And Attitude ◽  
Implant Loading ◽  
General Dentist

Background: Dental implant therapy is still considered an evolving field in Nepal, with most dentists favoring implant placement following the delayed loading protocol (>3 months) even in the rehabilitation of missing anterior teeth. There is need to understand the clinical difference between immediate and delayed loading protocols of the dental implants. With advent of immediate loading protocol of dental implants, instant rehabilitation in addition to better esthetics and self-confidence can be obtained. Aims and Objectives: This study aims to evaluate the knowledge and attitude of general dentist towards immediate loading protocol of dental implants. Materials and Methods: A descriptive, cross sectional survey was conducted among Nepalese general dentists who have entered their clinical practice in private or government hospital regardless of their years of experience. A self-administered questionnaire adapted from some previous studies was framed and distributed with the primary objective to determine their knowledge and attitude towards immediate loading protocols of dental implants. Data collected were analyzed using the Statistical Packages for the Social Sciences version 22 (IBM Corp, Armonk, NY, USA). Results: Among the 250 participants included in this study, 94.8% of the respondents completely filled the questionnaire. Nearly 46.4% of participants had good knowledge on the procedure and advantages offered by the immediately loaded dental implants with provisional restorations, whereas 83.1% had negative reservations toward implant placement using the protocol. In addition, this study found a statistically significant association (p<0.05) between the knowledge and attitude of dental practitioners regarding the protocol. Conclusion: Although dental implants have changed the outlook of dentistry in the past few decades, there is slightly poor knowledge and significant negative attitude of dentists toward the immediate implant loading protocol. The general dentist are expected to increase their awareness about immediate loading with subsequent training on its use and viability so that proper information can be disseminated to the patients. This will help to increase the practice of immediate implant in indicated cases by implantologist with further benefit to patient’s time and esthetics.

Digital workflow for image-guided immediate implant placement by using the socket-shield technique and custom abutment in the esthetic area

2021 ◽  
Author(s):  
Alan Jony de Moura e Costa ◽  
Shaban Burgoa ◽  
Otavio Henrique Pinhata-Baptista ◽  
Virgilio Gutierrez ◽  
Arthur Rodriguez Gonzalez Cortes
Keyword(s):  
Digital Workflow ◽  
Image Guided ◽  
Implant Placement ◽  
Immediate Implant ◽  
Esthetic Area

scholarly journals Implant Therapy in the Esthetic Zone-Surgical Considerations

2016 ◽  
Vol 20 (2) ◽  
pp. 83-88 ◽  
Author(s):  
Aleksa Marković ◽  
T. Mišić
Keyword(s):  
Treatment Time ◽  
Implant Positioning ◽  
Implant Placement ◽  
Individual Assessment ◽  
Complex Procedure ◽  
Immediate Implant ◽  
Implant Therapy ◽  
And Function ◽  
Selection Of

Summary Implant placement in the esthetic zone is a complex procedure and requires a restoration-driven approach. Proper selection of patients and implant together with individual assessment of the risk of esthetic complications are very important. Correct 3D-implant positioning and sufficient bone volume should provide long-term esthetic and function. Esthetic region is a zone in which expectations and possibilities collide. Clinician should bring the important decision on the appropriate time of implant placement. Immediate implant placement is particularly challenging in the esthetic zone. Patient desire for reduced treatment time should be weighed against the possible risk factors. Protocol of immediate implant placement in conditions of unfavourable gingival biotypes, the lack of bone or soft tissue in patients with a high smile line lead to esthetic failure which is very important in the esthetic region.

Immediate Occlusal Loading the Same Day or the Day After Implant Placement: Comparison of 2 Different Time Frames in Totally Edentulous Lower Jaws

2004 ◽  
Vol 30 (5) ◽  
pp. 307-313 ◽  
Author(s):  
Tiziano Testori ◽  
Massimo Del Fabbro ◽  
Fabio Galli ◽  
Luca Francetti ◽  
Silvio Taschieri ◽  
...  
Keyword(s):  
Success Rate ◽  
Immediate Loading ◽  
Endosseous Implants ◽  
Implant Placement ◽  
Lower Jaw ◽  
Crestal Bone Loss ◽  
Hybrid Prosthesis ◽  
Time Frames

Abstract Immediate loading of endosseous implants is becoming a widespread therapeutic procedure for the rehabilitation of patients with edentulous jaws. The purpose of this prospective clinical trial was to evaluate the long-term success rate of endosseous implants placed in the edentulous lower jaw and loaded on either the same day of surgery or the next day. Nineteen patients were enrolled in the study. Eleven patients, accounting for 64 implants, received their provisional prosthesis the same day of implant placement, and 8 patients, accounting for 52 implants, were rehabilitated the day after surgery. All patients were rehabilitated by a hybrid prosthesis supported by 5 to 6 Osseotite implants. Two implants failed in the group of patients who had their implants loaded the same day (96.9% success rate), whereas 1 implant failed in the other group (98.1% success rate). The overall implant success rate was 97.4%. All failures occurred within 2 months of function. No other complication was reported. The mean follow-up for this interim report was 37.8 ± 16.5 months (range 8–65 months). Crestal bone loss was similar to that reported for standard delayed loading protocols. The results of this study suggest that the rehabilitation of the edentulous lower jaw by an immediate occlusally loaded implant-supported hybrid prosthesis is equally successful when loading is applied the same day or the day after implant placement. Immediate loading with 5 to 6 implant-supported prostheses represents a viable alternative treatment to classic delayed loading protocols.

Immediate Implant Loading – A Paradigm Shift

2014 ◽  
Vol 8 (1) ◽  
pp. 43-46
Author(s):  
S Aneja ◽  
M Rathee
Keyword(s):  
Paradigm Shift ◽  
Treatment Time ◽  
Primary Stability ◽  
Surface Modifications ◽  
Immediate Loading ◽  
Marked Rise ◽  
Immediate Implant ◽  
Implant Loading ◽  
Implant Bed

ABSTRACT The marked rise in patients’ demands as regards quality of life and a good appearance makes it mandatory for the Prosthodontist to provide a dental prosthesis with optimal functional, esthetic and physiological requirements. Recent researches in dental implants advocate precise preparation of the implant bed and an adequate primary stability for more vital bone to be in contact with the implant interface facilitating immediate loading. Improvements in implant designs and surface modifications have favored reduced treatment time.

Simple Diagnostic Method to Assess the Available Bone for Immediate Implant Placement in an Extracted Socket

2011 ◽  
Vol 37 (4) ◽  
pp. 473-476 ◽  
Author(s):  
Ramesh Chowdhary ◽  
Neeraj Chandraker
Keyword(s):  
Gingival Recession ◽  
Tooth Replacement ◽  
Mapping Procedure ◽  
Implant Placement ◽  
Endosseous Implant ◽  
Bony Plate ◽  
Immediate Implant ◽  
Palatal Bone ◽  
Relationship Of

Abstract The success rate of immediate tooth replacement has been well documented in the literature. To achieve long-term success of dental implants, evaluation of the dimensions of the resorbing alveolar process must be accurate because an implant should be surrounded by at least 1 mm of bone. To minimize facial gingival recession, an intact labial bony plate along with an osseous-gingival relationship of 3 mm on the facial aspect of the failing tooth has been suggested. This article mentions a technique wherein the amount of available labial and palatal bone of an extracted socket can be assessed by using the extracted tooth that is to be replaced with an endosseous implant and a ridge mapping procedure without reflecting the flap.

Sign in / Sign up

Export Citation Format

Share Document