Immediate Loading of Implants in Partially and Fully Edentulous Jaws: A Series of 27 Case Reports
- 1 May 2000
- journal article
- clinical trial
- Published by Wiley in The Journal of Periodontology
- Vol. 71 (5), 833-838
- https://doi.org/10.1902/jop.2000.71.5.833
Abstract
The concept of immediate loading of dental implants has been researched in animal and man. High predictability with titanium screw implants can be expected under certain circumstances. Delayed loading, which is empirically based, may offer roadblocks to success in the complex case. Micromotion under a denture, retention of compromised teeth, and the necessity for multiple implant surgeries complicate the situation. The present study was undertaken to demonstrate whether in partial and fully edentulous patients, titanium screw implants may be installed and loaded within 72 hours. The study included 27 jaws (23 mandibles and 4 maxillas) in patients who refused to wear a denture or were told of the possibility of immediately loading their implants. Criteria similar to delayed loading was utilized. The patient had to have adequate volume and density for a minimum of 4 (10 mm) implants in the mandible and 6 in the maxilla, in addition to other requirements. After a thorough presurgical evaluation by the restorative dentist, a template and heat-cured/metal-reinforced provisional were fabricated. Following fixture installation, either the fixed provisional was placed or an impression was taken, and the provisional was seated within 72 hours. Once the temporary was placed, it remained until osseointegration was complete. Success rates similar to those in delayed loaded cases may be expected (95%). Fewer sandblasted/acid-etched titanium screws were lost than machined titanium screws. All patients went on to completion of their original prosthetic prescription. Patients who are partially or fully edentulous may predictably be restored with fixed implant prostheses immediately upon fixture placement if certain parameters are met.Keywords
This publication has 13 references indexed in Scilit:
- Immediate functional loading of Brånemark dental implants. An l8‐month clinical follow‐up studyClinical Oral Implants Research, 1999
- Bone response to unloaded and loaded titanium implants with a sandblasted and acid-etched surface: A histometric study in the canine mandibleJournal of Biomedical Materials Research, 1998
- Immediate Loading of Titanium Plasma‐Sprayed Implants: An Histologic Analysis in MonkeysThe Journal of Periodontology, 1998
- Osseointegration enhanced by chemical etching of the titanium surface. A torque removal study in the rabbit.Clinical Oral Implants Research, 1997
- Long‐term evaluation of non‐submerged ITI implants. Part 1: 8‐year life table analysis of a prospective multi‐center study with 2359 implants.Clinical Oral Implants Research, 1997
- The effects of early occlusal loading on one-stage titanium alloy implants in beagle dogs: A pilot studyThe Journal of Prosthetic Dentistry, 1993
- The Excessive Loss of Branemark Fixtures in Type IV Bone: A 5‐Year AnalysisThe Journal of Periodontology, 1991
- Initial bone-implant interfaces of submergible and supramergible endosseous single-crystal sapphire implantsThe Journal of Prosthetic Dentistry, 1986
- A 15-year study of osseointegrated implants in the treatment of the edentulous jawInternational Journal of Oral Surgery, 1981
- The Influence of Functional Use of Endosseous Dental Implants on the Tissue-implant Interface. I. Histological AspectsJournal of Dental Research, 1979