Teeth in a day for the maxilla and mandible: case report.
BACKGROUND
A growing body of evidence indicates that successful osseointegration of dental implants can take place in the wake of immediate loading, providing that bone quality and quantity are adequate, and patients follow postsurgical instructions carefully.


OBJECTIVE
The goal of this report is to demonstrate the efficient treatment protocol based on immediate loading for both the maxilla and mandible, including extraction site locations.


METHODS
Following extraction of the remaining anterior mandibular teeth, 18 Brånemark implants (Nobel Biocare AB, Gothenburg, Sweden), including two zygoma and two pterygoid implants, were installed in both arches in accordance with the Teeth in a DayTM protocol developed by the authors 9 years ago. This protocol uses an acrylic screw-retained prosthesis, with steel prosthetic copings embedded, supported by full-size Brånemark implants to prevent micromotion at the bone-to-implant interface.


RESULTS
Only 1 of the 18 immediately loaded implants failed to osseointegrate. Three years after completion of treatment, the patient reported functioning well with no complications.


CONCLUSIONS
When appropriate subjects are selected, the Teeth in a Day protocol offers patients a number of significant advantages, including condensed treatment time, reduced postsurgical discomfort, and almost instantaneous improvement in speech and masticatory function, esthetics, and patient self-image.
Balshi
Thomas J
TJ
Institute for Facial Esthetics, Fort Washington, PA 19034, USA. PITEAM@aol.com
Wolfinger
Glenn J
GJ
D000180:Acrylic Resins; D003758:Dental Implantation, Endosseous / Q000379:methods*; D015921:Dental Implants; D017267:Dental Prosthesis Design; D017268:Dental Prosthesis Retention / Q000295:instrumentation; D019094:Dental Prosthesis, Implant-Supported; D003825:Denture, Complete, Immediate; D006801:Humans; D008297:Male; D008334:Mandible; D008437:Maxilla; D008875:Middle Aged; D009066:Mouth, Edentulous / Q000534:rehabilitation*; D016348:Osseointegration; D013997:Time Factors
D000180:Acrylic Resins; D015921:Dental Implants