Immediate Occlusal Loading (IOL) of Dental Implants: Predictable Results Through DIEM Guidelines
Craig M Misch, DDS, MDS;Tiziano Testori, MD, DDS, FICD;Dennis P. Tarnow, DDS;Richard J. Lazzara, DMD, MScD, Alan Meltzer, DDS, MScD, Stephan Porter, DDS, MDS, MS, Robert del Castillo, DMD, Ronnie J. Goene, DDS
In recent years, the immediate loading of dental implants has become more accepted as a standard protocol for the treatment of the fully edentulous mandible. The pioneers in implant dentistry often tried this technique but only achieved mixed success. One of the main reasons for the failure of these early attempts was the lack of understanding of the biological and mechanical principles that we now know are necessary for clinical success.
Dental implants that are immediately loaded should be stable after insertion, and they should be rigidly splinted around the curvature of the arch. In addition, the provisional prosthesis should not be disturbed (if possible) during the healing process that occurs approximately two months after placement. These simple guidelines have allowed for the predictable treatment of many patients who would otherwise have had to wear their dentures during the healing period or even go without them during the initial postoperative period.
The following monograph is another step in the maturation of the immediate loading technique. The authors have outlined their technique for predictable loading of the edentulous mandible as well as the use of new components that make the procedure faster and more user-friendly for the patient and the treating team. They are to be complimented for taking on this project and using an evidence-based approach to support their techniques and definitions.
Optimizing Anterior Esthetics with Immediate Implant Placement and a Fixed Provisional Restoration
Implant placement immediately after tooth extraction, followed by an immediate provisional restoration of a single dental implant, provides significant benefits compared with traditional delayed protocols. Patients are not burdened with cumbersome removable interim prostheses, osseous anatomy may be preserved, sulcular form is optimized before definitive restoration, soft tissue has matured before implant integration, fewer surgical interventions are required, and treatment time is accelerated.…
The Reverse Pathway - Parameters for the Integration of Function and Aesthetics with Implants
Restorative driven implant based decision making by the surgeon will lead to the correct augmentation and implant selection for the specific needs of the patient. This "reverse pathway" approach is the protocol featured in this article to achieve excellent results and avoid complications.
Immediate Rehabilitation of the Completely Edentulous Jaw with a Fixed Prostheses Supported by Implants
The aims of this study were to assess the treatment outcome of immediately loaded full-arch screw-retained prostheses with distal extensions supported by both upright and tilted implants for the rehabilitation of edentulous jaws and to compare the outcomes of upright versus tilted implants.
Managing Prosthetic Components for Predictable Implant Aesthetics - part 3 of 4
Dr. Gerard J. Lemongello describes the diagnostic and therpeutic components necessary to achieve predictable aesthetic results in implant therapy.
The New Diagnostic Paradigm Changing Today's Dental Practice - Part 1 of 2
Dr. Steven Feldman outlines the basis for the view that with today's new diagnostic tools, clinician's no longer have to wait for symptoms to dictate therapy.
The Ultimate Restoration
Defining the guidelines for ideal restorative dentistry.
Tissue Engineering and Platelet Derived Growth Factors: Evidence Based Therapy
Platelet derived growth factors are now routinely utilized in reconstructive therapy. This presentation describes very detailed and evidence based guidelines for clinicians interested in enhancing their abilities in tissue engineering, especially as it relates to bone augmentation. Specifically, while successful bone augmentation requires the standard surgical parameters of space maintenance, low pressure on the grafts and tension-free flap closure, optimization of this goal requires management and enhancement of the local biological conditions with growth factors. Towards that end, platelet concentrates through the constant release of growth factors are able to promote and enhance new vascularization, provide plasma protein, normal lipidemia, as well as increased collagen and fibrin activity.
CAD CAM Dentistry for Teeth and Implants
This webinar will discuss options for Cad/Cam fabrication of ceramic restorations for teeth and implants.
Bridging Clinical Skills and Practice Success in Periodontics and Implant Therapy
This program is one of a series that will address the "additional" skills and systems that are required to bridge clinical skills into practice success.
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