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Immediate transition to an implant-supported dentition
Compendium of Continuing Education in Dentistry (Jamesburg, N.J. : 1995)
|May 2, 2006
Summary
Immediate implant placement and loading requires careful patient selection. Over-engineering cases with more implants ensures stability during early therapy, especially with immediate loading, though esthetics can be unpredictable.
Area of Science:
- Dentistry
- Oral Surgery
- Implantology
Background:
- Immediate implant placement and loading is a growing dental practice.
- Success is contingent upon meticulous case selection and assessment of the post-extraction clinical scenario.
Observation:
- The post-extraction environment may present challenges to implant stability, positioning, and long-term survival.
- Immediate loading protocols necessitate robust support during the critical early healing phase.
Findings:
- Placing a greater number of implants than minimally required can enhance support during the critical early phase of immediate implant therapy.
- The dynamic changes following tooth extraction can complicate predictions of final aesthetic outcomes.
Implications:
- Careful planning and potentially 'over-engineering' implant cases are crucial for successful immediate implant placement and loading.
- Clinicians must manage patient expectations regarding the predictability of esthetic results in immediate implant cases.
