Immediate loading of threaded implants at stage 1 surgery in edentulous arches: ten consecutive case reports with 1- to 5-year data.
Immediate loading of threaded implants with a fixed provisional restoration at stage 1 surgery was evaluated in 10 consecutive patients. The patients selected had to be completely edentulous and have adequate bone for a minimum of 10-mm-long implants. A minimum of 10 implants were placed in each patient's arch. A minimum of five implants were submerged initially for medicolegal reasons and allowed to heal without loading. The remaining implants were loaded the day of stage 1 surgery. Once the provisional restoration was relined, it was cemented or screw retained. A total of 107 implants were placed in these 10 patients; 6 had them placed in the mandible, and 4 in the maxilla. Six patients were treated with Nobel Biocare implants, one with ITI Bonefit implants, two with Astra Tech TiOblast implants, and one with a 31 implant. Sixty-seven of 69 implants that were loaded integrated, and 37 of 38 submerged implants integrated. All 10 patients have been restored with a definitive prosthesis, and all had a fixed provisional prosthesis from stage 1 surgery. The results of this study indicate that immediate loading of multiple implants rigidly splinted around a completely edentulous arch can be a viable treatment modality.
Tarnow
D P
DP
Department of Implant Dentistry, New York University, College of Dentistry, New York, USA.
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D001672:Biocompatible Materials; D002484:Cementation; D000044:Dental Abutments; D003724:Dental Arch / Q000601:surgery*; D003758:Dental Implantation, Endosseous; D015921:Dental Implants; D003766:Dental Occlusion; D017267:Dental Prosthesis Design; D019094:Dental Prosthesis, Implant-Supported; D019232:Dental Restoration Failure; D003823:Denture Rebasing; D003781:Denture Retention; D003825:Denture, Complete, Immediate; D005500:Follow-Up Studies; D006801:Humans; D008334:Mandible / Q000601:surgery; D008437:Maxilla / Q000601:surgery; D009066:Mouth, Edentulous / Q000601:surgery*; D016348:Osseointegration; D013314:Stress, Mechanical; D014025:Titanium; D016896:Treatment Outcome
D001672:Biocompatible Materials; D015921:Dental Implants; C009495:titanium dioxide; D014025:Titanium