Clinical viability for immediate loading of dental implants: part II--treatment alternatives.
The treatment with implants aims to obtain a direct interface between bone and implant. The implant is kept load-free during 4 to 6 months in the 2-stage procedure, which is considered a requisite for osseointegration. However, this period is based on empirical principles and uncomfortable for patient. So, the immediate loading protocol was suggested to submit implants to occlusal function after placement. This protocol has been applied for several conditions of edentulism. The aim of this study was to evaluate the treatment alternatives for immediate loading of complete and partial edentulous patients. In general, the studies have demonstrated high previsibility for rehabilitation of complete edentulous arches with full-arch, implant-supported prosthesis. The rehabilitation with immediate loading for maxillary overdenture is questionable because there is no longitudinal study in literature. The studies with partial edentulous arches have demonstrated high success rates for implants placed in the mandibular and maxillary anterior region. Additional care is recommended for posterior region mainly in the maxillary arch, and further studies are suggested to corroborate this treatment.
Goiato
Marcelo Coelho
MC
UNESP--Araçatuba Dental School, Dental Materials and Prosthodontics, José Bonifácio, 1193, Araçatuba, São Paulo 16015-050, Brazil. goiato@foa.unesp.br
Pellizzer
Eduardo Piza
EP
Barão
Valentim Adelino Ricardo
VA
dos Santos
Daniela Micheline
DM
de Carvalho
Bruno Machado
BM
Magro-Filho
Osvaldo
O
Garcia
Idelmo Rangel
IR
D003758:Dental Implantation, Endosseous / Q000379:methods*; D015921:Dental Implants; D017267:Dental Prosthesis Design; D019094:Dental Prosthesis, Implant-Supported; D003799:Dental Stress Analysis; D003825:Denture, Complete, Immediate; D003828:Denture, Overlay; D003831:Denture, Partial, Immediate; D006801:Humans; D007575:Jaw, Edentulous / Q000534:rehabilitation; D007576:Jaw, Edentulous, Partially / Q000534:rehabilitation; D008334:Mandible; D008437:Maxilla; D013997:Time Factors
D015921:Dental Implants