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Group 5 ITI Consensus Report: Implant placement and loading protocols.

Dean Morton1, Daniel Wismeijer2, Stephen Chen3

  • 1Department of Prosthodontics, Center for Implant, Esthetic and Innovative Dentistry, Indiana University School of Dentistry, Indianapolis, Indiana, USA.

Clinical Oral Implants Research
|September 26, 2023
PubMed
Summary

The Type 1A protocol for immediate implant placement and loading in the anterior maxilla is predictable and successful for single missing teeth. This protocol offers high survival rates and aesthetic outcomes, though complications can arise.

Keywords:
bone implant interactionsclinical assessmentdiagnosisloadingplacementprosthodonticssurgical techniques

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Area of Science:

  • Dental Implantology
  • Prosthodontics
  • Oral Surgery

Background:

  • Single missing teeth in the anterior maxilla present aesthetic challenges.
  • Implant-supported restorations are a common solution.
  • Standardized protocols for placement and loading are crucial for predictable outcomes.

Purpose of the Study:

  • To achieve consensus on implant placement and loading protocols for single missing teeth in the anterior maxilla.
  • To develop clinical recommendations and identify future research directions.

Main Methods:

  • Two systematic reviews were conducted.
  • A working group analyzed systematic review findings and member experience.
  • Consensus statements and recommendations were developed and presented to a plenary.

Main Results:

  • Five consensus statements were approved based on systematic reviews.
  • Twelve clinical recommendations were formulated.
  • Three patient perspectives and five future research suggestions were generated.

Conclusions:

  • The Type 1A protocol (immediate placement and immediate loading) is predictable and viable for the anterior maxilla under favorable conditions.
  • This protocol demonstrates high survival rates and favorable aesthetics.
  • Potential surgical, technical, and biological complications should be considered.