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Surgical and prosthetic concepts for predictable immediate loading of oral implants.

Identifieur interne : 007685 ( Main/Exploration ); précédent : 007684; suivant : 007686

Surgical and prosthetic concepts for predictable immediate loading of oral implants.

Auteurs : George E. Romanos [États-Unis]

Source :

RBID : pubmed:15715376

Descripteurs français

English descriptors

Abstract

Immediate loading of oral implants is an established concept for lower jaw restoration using four intraforaminal implants splinted together with a bar. There is a lot of misunderstanding in the literature and not exact definition of the term "immediate loading." Moreover, the number of implants to restore edentulous jaws is relatively high to compensate for the loading forces and dependent on the bone quality and quantity. This report presents the different surgical and prosthetic concepts for immediate loading to get long-term success in the upper and lower jaw. When the primary stability is adequate, only six implants may be loaded immediately after surgery, if the implants are splinted using a provisional fixed restoration. Using a number of six primary stable implants, it is possible to restore edentulous jaws independent on the clinical situation. This concept may be used successfully in the posterior part of the mandible when three implants are splinted with provisional crowns and loaded immediately. The biomechanical aspects, the implant design and surface seem to be of great importance for the long-term success in compromised and advanced surgical cases. In conclusion, immediate loading of oral implants may be successful if a primary stability as well as immobilization (splinting) immediately after surgery are taken care.

PubMed: 15715376


Affiliations:


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Le document en format XML

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<nlm:affiliation>New York University, College of Dentistry, Department of Implant Dentistry, NY, New York 10010, USA.</nlm:affiliation>
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<term>Dental Abutments</term>
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<term>Dental Implants</term>
<term>Dental Prosthesis Design</term>
<term>Dental Prosthesis Retention (instrumentation)</term>
<term>Dental Prosthesis Retention (methods)</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Dental Stress Analysis</term>
<term>Denture, Partial, Immediate</term>
<term>Female</term>
<term>Humans</term>
<term>Jaw, Edentulous, Partially (diagnostic imaging)</term>
<term>Jaw, Edentulous, Partially (rehabilitation)</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Radiography</term>
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<term>Adulte d'âge moyen</term>
<term>Analyse du stress dentaire</term>
<term>Conception de prothèse dentaire</term>
<term>Femelle</term>
<term>Humains</term>
<term>Implants dentaires</term>
<term>Mâchoire partiellement édentée (imagerie diagnostique)</term>
<term>Mâchoire partiellement édentée (rééducation et réadaptation)</term>
<term>Mâle</term>
<term>Piliers dentaires</term>
<term>Pose d'implant dentaire endo-osseux ()</term>
<term>Prothèse dentaire implanto-portée</term>
<term>Prothèse dentaire partielle immédiate</term>
<term>Radiographie</term>
<term>Rétention de prothèse dentaire ()</term>
<term>Rétention de prothèse dentaire (instrumentation)</term>
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<term>Mâchoire partiellement édentée</term>
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<term>Dental Prosthesis Retention</term>
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<term>Dental Implantation, Endosseous</term>
<term>Dental Prosthesis Retention</term>
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<term>Jaw, Edentulous, Partially</term>
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<term>Mâchoire partiellement édentée</term>
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<term>Dental Prosthesis Design</term>
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<term>Denture, Partial, Immediate</term>
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<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Radiography</term>
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<term>Analyse du stress dentaire</term>
<term>Conception de prothèse dentaire</term>
<term>Femelle</term>
<term>Humains</term>
<term>Implants dentaires</term>
<term>Mâle</term>
<term>Piliers dentaires</term>
<term>Pose d'implant dentaire endo-osseux</term>
<term>Prothèse dentaire implanto-portée</term>
<term>Prothèse dentaire partielle immédiate</term>
<term>Radiographie</term>
<term>Rétention de prothèse dentaire</term>
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<div type="abstract" xml:lang="en">Immediate loading of oral implants is an established concept for lower jaw restoration using four intraforaminal implants splinted together with a bar. There is a lot of misunderstanding in the literature and not exact definition of the term "immediate loading." Moreover, the number of implants to restore edentulous jaws is relatively high to compensate for the loading forces and dependent on the bone quality and quantity. This report presents the different surgical and prosthetic concepts for immediate loading to get long-term success in the upper and lower jaw. When the primary stability is adequate, only six implants may be loaded immediately after surgery, if the implants are splinted using a provisional fixed restoration. Using a number of six primary stable implants, it is possible to restore edentulous jaws independent on the clinical situation. This concept may be used successfully in the posterior part of the mandible when three implants are splinted with provisional crowns and loaded immediately. The biomechanical aspects, the implant design and surface seem to be of great importance for the long-term success in compromised and advanced surgical cases. In conclusion, immediate loading of oral implants may be successful if a primary stability as well as immobilization (splinting) immediately after surgery are taken care.</div>
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