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Órgano Oficial de la Asociación Dental Mexicana

2011, Number 4

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Rev ADM 2011; 68 (4)

Surgical-prosthetic considerations for immediate occlusal loading in oral implantology

Peniche RR

Language: Spanish
References: 27
Page: 161-168
PDF size: 166.04 Kb.


ABSTRACT

The oral rehabilitation of fully or partially edentulous patients using implant-supported or implant-retained dentures has become increasingly common in dental practice. The desire of both patients and the dentists providing treatment alike to reduce treatment times has led to the development of surgical protocols such as immediate occlusal loading. Various studies have attributed high success rates to this treatment alternative.
A review of the literature included in the Pub-Med Medline database revealed that various surgical and prosthetic considerations must be taken into account if predictable results are to be achieved, with the stability of the initial implant being of particular relevance. This, together with the absence of excessive movement during the osseointegration stage, depends on bone quality and the corresponding variables, the design of the implant (length, geometry, surface) and the surgical technique (drilling technique, insertion torque). The number and location of the implants, the design of the temporary prosthesis, and the systemic condition of the patient are also important.
More research is needed in order to obtain more extensive evidence of the clear benefit of this particular protocol as compared to other loading protocols.


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