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.

Implante imediato sem estabilidade primária – uma abordagem em área estética

2020 ◽  
Vol 12 (45) ◽  
pp. 44-51
Author(s):  
Ricardo Schestatsky ◽  
Juliana Angonese ◽  
Rodrigo Alessandretti ◽  
Aloisio Oro Spazzin ◽  
Rodrigo Beltrão
Keyword(s):  
Tooth Extraction ◽  
Treatment Time ◽  
Primary Stability ◽  
Implant Stability ◽  
Significant Progress ◽  
Oral Rehabilitation ◽  
Aesthetic Result ◽  
Immediate Implant ◽  
The Aesthetic ◽  
Implant Loading

Oral rehabilitation with the use of dental implants has made significant progress in recent years, especially for the development of more predictable and bold materials and protocols.Thus, the immediate rehabilitation of a dental absence, mainly in the aesthetic area, becomes a preferable alternative to late approaches. The reason for this approach would be to preserve the original bone and gingival architecture by optimizing the aesthetic result of the treatment, even in cases where excellent primary stability is not obtained for immediate implant loading. In view of this context, the objective of this article is to report a clinical case of an upper central incisor rehabilitation with immediate implant, followed by bone graft, customized healing abutment, and temporary restoration for aesthetic purposes. It was concluded that the immediate implant installation after tooth extraction may be associated with the reduction of bone resorption of the dental alveolus, the reduction of the treatment time, and the immediate aesthetic result, in addition to providing the patient with greater comfort and convenience, eliminating a second surgical procedure for implant installation, even when a primary implant stability is not achieved.

scholarly journals Immediate implant loading with fixed dental restorations: An animal model study

2012 ◽  
Vol 69 (2) ◽  
pp. 181-189 ◽  
Author(s):  
Aleksandra Spadijer-Gostovic ◽  
Aleksandar Todorovic ◽  
Vojkan Lazic ◽  
Ana Todorovic ◽  
Iva Milinkovic ◽  
...  
Keyword(s):  
Resonance Frequency ◽  
Primary Stability ◽  
Immediate Loading ◽  
Implant Stability ◽  
Significant Difference ◽  
Animal Model Study ◽  
Implant Dentistry ◽  
Experimental Findings ◽  
Implant Loading

Background/Aim. Immediate loading is considered to be the most innovative technique in contemporary implant dentistry. Recent clinical and experimental findings have demonstrated that only implants with high primary stability can be subjected to immediate loading protocol with predictable results. It is generally accepted that the most important prerequsite for successful osseointegration is achievement and maintenance of implant stability. The aim of this in vivo study was to investigate the possibility for successful application of immediate loading protocol in implant systems with different surface properties. Methods. In the experimental study 2 mongrel dogs were edentulated bilaterally in the mandibular and maxillary premolar areas. After 3 months implants were placed in a pattern 4 different commercially available implants per quadrant (n = 32): Mk III TiUnite (Nobel Biocare, Sweden), ITI TPS (Straumann, Switzerland), 3IOsseotite (Implant Innovation, USA) and XiVE Cell-Plus (Friadent, Germany). Implants were subjected to immediate loading with 4 unit gold cast bridges, 2 days post implantation. The assessment of implant stability and immediate loading possibilities were done by performing Resonance frequency analysis (RFA). Results. After a 6- month loading period all bridges were in function and all implants occurred well osseointegrated. When summarizing the Implant Stability Quotient (ISQ) values, it was noted that resonance frequency was significantly higher for mandibular implants. The results of this experimental setting showed that all evaluated surfaces achieved good implant stability. Increase of ISQ values was found for all implants in the mandible and partially decrease of ISQ values for maxillary implants after 6 months of functional loading with 4 unit bridges. Conclusions. Investigated endooseal implants did not show different degree of osseointegration, because there was not statisticaly significant difference among observed parameters (ISQh i ISQp) between implant systems.

scholarly journals An In Vitro Evaluation of Primary Stability Values for Two Differently Designed Implants to Suit Immediate Loading in Very Soft Bone

2021 ◽  
Vol 9 (1) ◽  
pp. 5
Author(s):  
Dirk Krischik ◽  
Selen Ergin Tokgöz ◽  
Andreas van Orten ◽  
Anton Friedmann ◽  
Hakan Bilhan
Keyword(s):  
Dental Implants ◽  
Primary Stability ◽  
Poor Quality ◽  
Immediate Loading ◽  
Standard Protocol ◽  
Resonance Frequency Analysis ◽  
Implant Stability ◽  
Sufficient Stability ◽  
Implant Bed

The achievement of sufficient implant stability in poor quality bone seems to be a challenge. Most manufacturers develop special dental implants, which are claimed to show higher stability even in very soft bone. The aim of this experimental study was to compare two recently introduced dental implants with differing thread designs. A total of 11 implants of each group were inserted in the part of the fresh bovine ribs, corresponding to very soft bone. The primary stability was measured with resonance frequency analysis (RFA) and Periotest; the average of two measurements for each method and for each implant was taken and statistical analysis was applied. The highest stability values were obtained with the ICX Active Master implants, followed by the Conelog® Progressive-Line implants placed with the very soft bone protocol. The primary stability values of the Conelog® Progressive-Line implants inserted by the very soft bone protocol and the ICX Active Master implants placed with the standard protocol showed sufficient stability for immediate loading in low-density bone. Within the limitations of this study, the thread design of the implants and underdimensioned implant bed preparation seem to be effective for better primary stability in cancellous bone.

Immediate Loading: Three Cases with up to 38 Months of Clinical Follow-up

2009 ◽  
Vol 35 (2) ◽  
pp. 75-81 ◽  
Author(s):  
Hakan Bilhan ◽  
Esma Sönmez ◽  
Emre Mumcu ◽  
Tayfun Bilgin
Keyword(s):  
Alveolar Bone ◽  
Treatment Time ◽  
Smoking Habit ◽  
Immediate Loading ◽  
Related Factors ◽  
Surgical Interventions ◽  
Immediate Implant ◽  
Systemic Health ◽  
Immediate Implantation

Abstract Since the first report describing the placement of dental implants into fresh extraction sockets, there has been an increasing interest in this technique. The advantages of immediate implant placement have been reported to include a reduction in the number of surgical interventions, potentially decreased alveolar bone resorption after tooth loss, and shorter treatment time. Appropriate indications, good surgical technique, eand the use of a prosthetic protocol have resulted in success for immediate loading and immediate implantation. Adverse patient-related factors, such as systemic health, a smoking habit, poor oral hygiene, presence of a thin biotype, or an infection in the region of the extraction, are contraindications for this treatment. Patient satisfaction is very high, and some difficulties related to the implantation site in late implantations may be eliminated. This article reports on three cases of immediate loading with up to 30 months of clinical follow-up.

scholarly journals Infected tooth extraction, bone grafting, immediate implant placement and immediate temporary crown insertion in a patient with severe type-B hemophilia

2019 ◽  
Vol 12 (3) ◽  
pp. e229204 ◽  
Author(s):  
Jose Luis Calvo-Guirado ◽  
Georgios E Romanos ◽  
Rafael Arcesio Delgado-Ruiz
Keyword(s):  
Quality Of Life ◽  
Bone Grafting ◽  
Dental Treatment ◽  
Bleeding Complications ◽  
Severe Bleeding ◽  
Type B ◽  
Immediate Implant ◽  
Implant Loading ◽  
Severe Type

Haemorrhagic disorders combined with soft tissue inflammation and infection may lead to severe bleeding complications before, during or after dental treatment. In selected cases, a combined therapeutic approach involving clinical therapies and systemic and local medication could improve the treatment outcomes and the patient’s quality of life. This clinical case report, presents for the first time a successful combined approach, completed in a 38-year-old male patient with severe type-B haemophilia in which an infected tooth was extracted, an immediate implant was inserted, bone grafting was performed and early implant loading was successfully applied. In addition to the clinical therapy, medication was provided orally, systemically and locally, thus preventing the haemorrhagic complications and improving the patient’s quality of life.

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 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.

Root Guided Immediate Implant Placement at Mandibular Molar Site: A Case Report

2019 ◽  
Vol 2 (2) ◽  
pp. 102-107
Author(s):  
Bismita Pradhan ◽  
SP Joshi ◽  
S Sah
Keyword(s):  
Primary Stability ◽  
Traditional Treatment ◽  
Treatment Protocols ◽  
Surgical Guide ◽  
Implant Positioning ◽  
Implant Placement ◽  
Alternative Approach ◽  
Mandibular Molar ◽  
Immediate Implant ◽  
Implant Bed

With the advancement in science and technology, Immediate implant placement has become a widely used and well accepted alternative to traditional treatment protocols. Post extraction implant placement in multicoated molar area is challenging. The primary stability in molar areas is achieved by engaging the interradicular bone but slipping of osteotomy drill to mesial or distal root socket during implant bed preparation is the main problem in post extraction immediate implant placement. Use of surgical guide, pre- extractive interradicular implant bed preparation and the combination of both these techniques has been used to overcome the problem related to immediate implant placement at molar sites. This paper presents an alternative approach in immediate Implant placement in multi rooted molar area that uses the anatomy and morphology of roots in guiding the osteotomy  to provide an ideal3-dimensional implant positioning.

scholarly journals Effect of Different Immediate Implant Loading Protocols on Peri-implant Soft Tissue Health

2020 ◽  
Vol 23 (4) ◽  
pp. 7p
Author(s):  
Ashraf Refaie ◽  
Maged Zohdy ◽  
Ahmad Aboelfadl ◽  
Marwa Wahsh
Keyword(s):  
Soft Tissue ◽  
Immediate Loading ◽  
Control Group ◽  
Base Line ◽  
Probing Depth ◽  
Cad Cam ◽  
Immediate Implant ◽  
Implant Loading ◽  
Functional Loading

Objective:This clinical study was conducted to evaluate the effect of immediate loading on peri-implant soft tissue health using three protocols: i) Immediate functional loading using polymer infiltrated ceramic (PIC) material (IFLV). ii)Immediate functional loading using polymethyl methacrylate (PMMA) followed by delayed functional loading using PIC material (IFLP). iii) Immediate non-functional loading using PMMA followed by delayed functional loading using PIC material (INFLP). Material & Methods: 30 Implants were placed in the upper premolar area and divided randomly according to the immediate loading protocol. In the control group (INFLP), CAD/CAM PMMA crowns were placed out of occlusion for 3 months, and then replaced by CAD/CAM VITA ENAMIC crowns in functional occlusion. For (IFLV) group, CAD/CAM VITA ENAMIC crowns were immediately loaded in functional occlusion; while in (IFLP) group, CAD/CAM PMMA crowns were placed in functional occlusion for 3 months, and then replaced by CAD/CAM VITA ENAMIC crowns. Modified pink esthetic score (MPES) and probing depth were used for evaluation of peri-implant soft tissue at base line and follow up periods. Results: INFLP showed higher MPES results compared to IFLV and IFLP. Moreover, the INFLP probing depth at 3 months showed higher results compared to the other groups. Conclusions: Immediate non-functional loading showed the best outcomes. However, peri-implant soft tissue health of the immediate functional loading using the PIC crown material was clinically acceptable.Key WordsPolymer infiltrated ceramics, immediate dental implant loading, peri-implant soft tissue health.

scholarly journals An immediate implant placement technique to rehabilitate multi-rooted teeth by pre-extraction interradicular implant bed preparation using remaining roots as a guide: A case presentation

2021 ◽  
Vol 7 (3) ◽  
pp. 181-187
Author(s):  
Ronauk Singh ◽  
H S Sandhu ◽  
Saumyendra V. Singh
Keyword(s):  
Dental Implants ◽  
Treatment Time ◽  
Patient Acceptance ◽  
Psychological Benefits ◽  
Present Case Report ◽  
Implant Placement ◽  
Osseointegrated Implants ◽  
Single Tooth ◽  
Immediate Implant ◽  
Implant Bed

The introduction of osseointegrated implants have revolutionized the art and science of modern dentistry giving a new lease of life to the restorative aspects in day-to-day practice. Immediate loading (IL) of dental implants can significantly decrease treatment time and thus increase patient acceptance. IL of dental implants has recently gained popularity due to several factors including reduced trauma as well as aesthetic and psychological benefits to the patient. The present case report describes the immediate replacement of partially edentulous maxilla using Nobel Active™ implant. It describes about the diagnosis, treatment planning and procedures involving the placement of single tooth immediate implant followed by uneventful healing.

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