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Immediate Loading of Four Guided Unsplinted Narrow Implants Supporting a Maxillary Overdenture: A Minimally Invasive
Michele Agusto1, Benjamin Kordusky2, Matthew S Bryington2
1Department of Periodontics, School of Dentistry, West Virginia University, Morgantown, West Virginia, USA.
Clinical Advances in Periodontics
|January 27, 2021
Summary
Immediate loading of narrow diameter implants for maxillary overdentures is feasible. This case report demonstrates successful outcomes with four implants and Locator abutments in an edentulous patient.
Area of Science:
- Dentistry
- Prosthodontics
- Implantology
Background:
- Limited evidence exists for loading protocols of implant-supported overdentures in the edentulous maxilla.
- Most studies on immediate maxillary overdenture loading involve splinted implants.
Observation:
- A 64-year-old edentulous patient received four 3.3 mm diameter narrow implants in the maxilla.
- Implants were placed using a guided, flapless approach, followed by immediate connection of the overdenture with Locator abutments.
Findings:
- The case report demonstrates the feasibility of immediate loading for four narrow diameter implants supporting a maxillary overdenture.
- Clinical and radiographic evaluations at 12 months showed no prosthetic or implant complications.
Implications:
- This case provides proof of principle for immediate loading of narrow diameter implants in the edentulous maxilla.
- The findings suggest a viable treatment option for patients requiring maxillary overdentures.
