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Achieving immediate function with provisional prostheses after implant placement: a clinical report.

When using a conventional implant treatment protocol in edentulous patients, reduced function and comfort for up to 6 months after implant surgery is inevitable until bone healing is complete and a prosthesis is securely attached to the implants. The following report highlights 2 treatment modalities that enable immediate function by inserting provisional prostheses immediately after implant placement.

Aged↗

[Mandibular surgical prosthesis].

The need for prosthesis in patients presenting losses of mandibular substance has been examined, with a subdivision of prostheses into: containment, immediate modelling and reconstructive. Technical difficulties involved in their application are described.

Denture, Complete, Immediate↗

Early functional loading in the fully edentulous mandible after mandibular resection and reconstruction due to an ameloblastoma: case report.

BACKGROUND: Immediate or early functional loading of implants in fully edentulous mandibles can enhance patient comfort and the ability to masticate within a few days after implant placement. Recently there has been evidence that this method of restoring edentulous mandibles is predictable. PURPOSE: The goal of this case report is to present the treatment of a patient diagnosed with a large ameloblastoma in the mandible. After removal of the tumor and mandibular reconstruction, the patient had complete anesthesia in the right mandible, with an alveolar ridge deformity. METHODS: Two years after removal of an ameloblastoma in the right mandibluar sextant, five implants were installed between the mental foramina. One implant was installed for safety reasons in the event one of the others was lost. This implant remains buried. A denture was used as a drilling guide. Abutments were attached to the implants, and impression copings were fixed to the abutments. The denture was used for the "pickup" impression. Flaps were sutured, maintaining exposure of the abutments. In the laboratory, gold cylinders were heat cured to the tissue side of the denture. The cylinders were attached to the cast with laboratory screws. The gold cylinders were heat cured to the intaglio side of the denture. Five days after implant placement, the nonmetal reinforced acrylic denture was fixed to the implants with laboratory screws. The bridge is removed annually, and the implants are examined for mobility and periapical radiographs are taken. RESULTS: The patient has worn the prosthesis for 2.5 years without loss of implants and without breakage of the nonmetal reinforced denture. At 2.5 years the implants are stable, implant sites demonstrate stable crestal bone, and the patient is eating comfortably and without limitations. CONCLUSION: Early functional loading of implants in the edentulous mandible may offer patients the option of wearing implant-supported prosthesis immediately or shortly after implant insertion.

Acrylic Resins↗

Efficiency of immediately loaded mandibular full-arch implant restorations.

BACKGROUND: The concept of immediately loading dental implants in fully edentulous patients offers patients many benefits, including the ability to eat post placement and improved comfort during healing. This approach may also minimize the number of patient visits when compared with the traditional approach of implant placement and healing over a 3- to 4-month healing period. PURPOSE: The aim of this study was to compare the number of treatment visits for patients undergoing traditional implant placement and healing with that of patients receiving immediate implant loading prior to construction of the definitive prostheses. MATERIALS AND METHODS: This case series evaluated two patient groups. Group 1 consisted of seven patients who were edentulous in the mandible. After implant placement, the implants were covered by oral mucosa during 3 to 4 months of healing. During this time patients wore relined mandibular dentures. Group 2 consisted of seven patients who had their implants immediately loaded with fixed prostheses on the day of implant placement. RESULTS: The implants in both groups were integrated successfully; however, the number of patient visits between implant placement and construction of the definitive prostheses was 38 in the conventionally loaded group and 1 in the immediately loaded group. CONCLUSIONS: The group with immediate loading required significantly fewer postoperative visits compared with the conventionally loaded group.

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Computer-assisted implant placement. A case report: treatment of the mandible.

The authors present a case of immediate loading of mandibular implants using a 5-step procedure. The first step consists of building a scannographic template, the second step consists of taking a computerized tomographic (CT) scan, and the third step consists of implant planning using SurgiCase software. The final 2 steps consist of implant placement using a drill guide created by stereolithography and placement of the prosthesis. Using a CT scan-based planning system, the surgeon is able to select the optimal locations for implant placement. By incorporating the prosthetic planning using a scannographic template, the treatment is optimized from a prosthetic point of view. Furthermore, the use of a stereolithographic drill guide allows a physical transfer of the implant planning to the patient's mouth. The scannographic template is designed so that it can be transformed into a temporary fixed prosthesis for immediate loading, and the definitive restoration is placed 3 months later.

Computer-Aided Design↗