Immediate implant placement: a case series

Implant Placement and Immediate Loading With Fixed Restorations in Augmented Sockets. Five-Year Results. A Case Report

In this report, a case is presented in which a patient received eight implants 10 months after tooth extraction and socket preservation. The implants were placed in both arches (maxilla = 4, mandible = 4) and immediately loaded using fixed partial restorations; they remained functional over 5 years. No changes in bleeding on probing or plaque index were observed; however, a 1.5-mm probing attachment level loss was observed during the first 3 years (mean: 0.25 mm/year) with no subsequent changes.

The use of definitive implant abutments for the fabrication of provisional crowns: a case series

Purpose

The anterior region is a challenge for most clinicians to achieve optimal esthetics with dental implants. The provisional crown is a key factor in the success of obtaining pink esthetics around restorations with single implants, by soft tissue and inter-proximal papilla shaping. Provisional abutments bring additional costs and make the treatment more expensive. Since one of the aims of the clinician is to reduce costs and find more economic ways to raise patient satisfaction, this paper describes a practical method for chair-side fabrication of non-occlusal loaded provisional crowns used by the authors for several years successfully.

Methods

Twenty two patients (9 males, 13 females; mean age, 36,72 years) with one missing anterior tooth were treated by using the presented method. Metal definitive abutments instead of provisional abutments were used and provisional crowns were fabricated on the definitive abutments for all of the patients. The marginal fit was finished on a laboratory analogue and temporarily cemented to the abutments. The marginal adaptation of the crowns was evaluated radiographically.

Results

The patients were all satisfied with the final appearance and no complications occurred until the implants were loaded with permanent restorations.

Conclusions

The use of the definitive abutments for provisional crowns instead of provisional abutments reduces the costs and the same results can be obtained.

Immediate Loading: Three Cases with up to 38 Months of Clinical Follow-up

Since the first report describing the placement of dental implants into fresh extraction sockets, there has been an increasing interest in this technique. The advantages of immediate implant placement have been reported to include a reduction in the number of surgical interventions, potentially decreased alveolar bone resorption after tooth loss, and shorter treatment time. Appropriate indications, good surgical technique, eand the use of a prosthetic protocol have resulted in success for immediate loading and immediate implantation. Adverse patient-related factors, such as systemic health, a smoking habit, poor oral hygiene, presence of a thin biotype, or an infection in the region of the extraction, are contraindications for this treatment. Patient satisfaction is very high, and some difficulties related to the implantation site in late implantations may be eliminated. This article reports on three cases of immediate loading with up to 30 months of clinical follow-up.

Rehabilitation using single stage implants

Implant related prosthesis has become an integral part of rehabilitation of edentulous areas. Single stage implant placement has become popular because of its ease of use and fairly predictable results. In this paper, we present a series of cases of single stage implants being used to rehabilitate different clinical situations. All the implants placed have been successfully restored and followed up for up to one year.