Dental Education
Online Dental Education Dental education lectures and videos Online dental ce Dental education articles Expert dental educators Dental products education Dental Community
 
Dental Publication / Article Details

Immediate Versus Delayed Functional Loading of Implants in the Posterior Mandible Immediate Versus Delayed Functional Loading of Implants in the Posterior Mandible

Author(s):

Georgios E. Romanos, DDS, PhD, Prof. Dr. med. dent.;Georg-Hubertus Nentwig, DMD, Dr Med Dent, PhD

Date Added:

4/22/2009


Summary:

The aim of this investigation was to evaluate the clinical success of immediately loaded implants versus implants loaded in a delayed fashion in the posterior mandible. Three implants were placed distal to the canines bilaterally in the edentulous distal mandibular ridges of 12 patients. One side was randomly selected for placement of three implants (delayed loading; control sites) with a progressive thread design for submerged healing, and after 3 months the implants were exposed and loaded with provisional splinted crowns, which were replaced 6 weeks later by the definitive restorations. Three additional implants (immediately loaded; test sites), of the same size were placed in the contralateral side of the mandible. The test implants had abutments placed and were loaded immediately using the same protocol as the control implants. After a mean loading period of 25.3 months, the patients showed normal mean clinical values without significant differences (P < 0.05) for test and control implants, respectively, as follows: Plaque Index: 0.4 versus 0.8; Sulcus Bleeding Index: 0.5 versus 0.3; probing pocket depth: 1.9 mm versus 2.1 mm; width of keratinized mucosa: 2.5 mm versus 3.3 mm; Periotest value: -3.7 versus -3.2. Twenty-nine of the examined sites showed no bone loss. After 2 years of loading in the posterior mandible, test and control implants had the same prognosis. (Int J Periodontics Restorative Dent 2006;26:459-469.)

Related Articles
Prosthetic Management of Implants with Different Osseous Levels

Prosthetic Management of Implants with Different Osseous Levels
The osseointegrated implant has become a standard treatment with a high degree of predictability for patients missing one or more teeth. It is especially recommended when the patient has a clear medical history and normal bone levels in both width and height in the edentulous areas. In constant search for improvement, clinicians find themselves looking into every element relating to the replacement of a missing tooth or teeth: existing bone structure, surgical technique, implant placement, implant…

Author(s): Sergio Rubinstein, DDS;Alan J. Nidetz, DDS, Leslie B. Heffez, DMD, MS, Fujiki Toshi, RDT, Fujiki Toshi, RDT
View Article>>
Peri-Implant Tissue Response Following Connective Tissue and Bone Grafting in Conjunction with Immediate Single-Tooth Replacement in the Esthetic Zone

Peri-Implant Tissue Response Following Connective Tissue and Bone Grafting in Conjunction with Immediate Single-Tooth Replacement in the Esthetic Zone
The case series evaluated the peri-implant tissue response following extraction and immediate placement and restoration of an implant in conjunction with subepithelial connective tissue graft (SCTG) and bone grafting in the esthetic zone.

Author(s): Hirotaka Tsuda, DDS; Kitichai Rungcharassaeng, DDS, MS; Joseph Y. K. Kan, DDS, MS; Phillip Roe, DDS, MS; Jaime L. Lozada, DDS; Grenith Zimmerman, PhD
View Article>>
Sinus Floor Augmentation With Simultaneous Implant Placement In Severely Atrophic Maxilla

Sinus Floor Augmentation With Simultaneous Implant Placement In Severely Atrophic Maxilla
DENTAL IMPLANT PLACEMENT ASSOCIATED augmentation of the sinus floor in the severely atrophic maxilla can be performed in 1- or 2 surgical stages depending on the height of the residual alveolar bone.

Author(s): Ziv Mazor, DMD;Michael Peleg, DMD;Gravriel Chaushu, Arun K. Garg
View Article>>
Related Videos
Methods of Determining Implant Stability and Scientific Loading Criteria

Methods of Determining Implant Stability and Scientific Loading Criteria
There can always be difficulties in determining the osseointegration status when an implant is to be loaded with the prosthesis. Nevertheless, it is vital to know whether the implant is stable. Research today demonstrates that implants can be subject to immediate or early loading, but there were no objective standard methods of determining implant stability which will be very helpful criteria for immediate or early loading.

Presented By:: Kwang-Bum Park, DDS, MS, PhD
Presentation Style: Video
Community Rating:
 
Watch Now>>
Platform Switching Research and Clinical Decisions in Implant Therapy - Part 1 Premium Member Content

Platform Switching Research and Clinical Decisions in Implant Therapy - Part 1
Dr. Alan Fetner discusses how he utilized a retrospective analysis of his clinical results to confirm his decision to utilize a platform switch implant design combined with subcrestal placement to optimize and stabilize osseous and esthetic soft tissue levels.

Presented By:: Alan Fetner, DMD
Presentation Style: Lecture
Community Rating:
 
Watch Now>>
Platform Switching Research and Clinical Decisions in Implant Therapy – Part 2 Premium Member Content

Platform Switching Research and Clinical Decisions in Implant Therapy – Part 2
Dr. Tord Lundgren presents his research on the effectiveness of the abutment-implant connection of the Ankylos system to prevent bacterial leakage.

Presented By:: Dr. Tord Lundgren
Presentation Style: Lecture
Community Rating:
 
Watch Now>>
Related Courses
Immediate Implant Provisionalization: A Critical Aspect in Tissue Care and Esthetics-Part 1 of 2 Premium Member Content

Immediate Implant Provisionalization: A Critical Aspect in Tissue Care and Esthetics-Part 1 of 2
The management of the hopeless tooth or an edentulous span in the Estheitc Zone is amongst the most clinically demanding procedures in tooth replacement do to the demands of tissue preservation and patient management during the healing phase. As important as the implant surgical process in these areas is the role of the immediate provisional restoration. A step-by-step protocol will be presented in how to fabricate the proper screw-retained provisional restoration from the fabrication of the acrylic shell to managing and capturing the proper supportive subgingival contour.

Presented By:: Stephen J. Chu, DMD, MSD, CDT
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
Watch Now>>
Cad Cam Technologies to Restore a Case on Natural Dentition &amp; Implant Premium Member Content

Cad Cam Technologies to Restore a Case on Natural Dentition & Implant
Dr Agnini will describe various clinical options and techniques for efficiently and esthetically fabricating a temporary restoration immediately after implant placement in the replacement of a single tooth.

Presented By:: Alessandro Agnini, DMD;Andrea Mastrorosa Agnini, DDS;Luca Dondi, DT
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
Watch Now>>
The Central-Lateral Replacement Dilemma in Esthetic Implant Dentistry: Clinical Alternatives &amp; Case Management Premium Member Content

The Central-Lateral Replacement Dilemma in Esthetic Implant Dentistry: Clinical Alternatives & Case Management
This presentation puts an emphasis on identifying the risk factors to successful esthetic outcomes specific to multiple adjacent tooth replacement within the Esthetic Zone. Specifically, the challenges to replacement of adjacent Maxillary Lateral and Central Incisors will be highlighted as well as developing appropriate solutions to overcoming them. A clear blueprint will be outlined which will incorporate digital and biomaterial technology synergistically with advanced surgical protocols to overcome esthetic challenges and predictably achieve successful results. In addition, specific guidelines for the utilization of new regenerative products will be outlined as well as new technologies and applications for future enhancement.

Presented By:: Maurice Salama, DMD
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
Watch Now>>
Download Now

Important!

To view this dental publication or article, you must be a registered user of Dental XP. If you are already a member, click here to login.

Registration is free and only takes several minutes. Dental XP will never spam you, or sell your information.

Join For Free





Contact Us | Privacy Policy | Terms of Use
©2019

Preferred Language: English Flag
Contact Us · Login · Register