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S&M Publications Clinical cases Implantology IMMEDIATE LOADING Immediate implant load and conditioning of the soft tissues with ceramic provisional prosthesis

Immediate implant load and conditioning of the soft tissues with ceramic provisional prosthesis

Marano G., Tomarelli F.

Marano G.

Graduated with honors in Dentistry at the University of Rome, specialized in Oral Implantology and Surgery. Adjunct Professor in Postural Gnatology and Implant prosthodontics. Active member of SIO and SICOI.

Tomarelli F.

Graduated with honors in Dentistry at the University of Rome, specialized in Implantology, he has attended the Misch Implant Institute (Birmingham, Michigan, US). Winner of the Researchers award at Tor Vergata University, Rome, for his study on tissue regeneration. He cooperates as teacher and researcher in Oral Anatomy, Periodontology, Implant prosthodontics. Member of SIDP, SIO and SICOI

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Prosthesis

Prosthesis
NumeriUno, 10: 18-21, 2011


Recent studies have confirmed the work by Ledermann on immediate loading of osseointegrated titanium implants and the scientific validity of a work protocol that, in combination with the work of the surgeon, prosthetist and dental technician, allows obtaining with scientific predictability, aesthetic and functional results comparable with, if not better than, conventional implant techniques.
Recent studies show that out of 389 implants inserted in 134 patients in the front and back maxillary and mandibular zones, the success rate varied between 80.3% and 100% with an average of 90.5%.
The primary factor of implant success in these studies showed to be the stability of the implant at the time of insertion. The transfer of the masticatory load of the implant to the bone tissue depends on the mechanical anchorage of the implant itself and therefore, on its immediate primary stability and on the subsequent bone remodelling in the healing period. The degree of primary stability and the implant anchorage in the bone both depend on the bone density and insertion torque (between 32 and 45 N x cm); the implant surface has a secondary role due to the fact that it requires a minimum time to be exploited. Therefore, in the presence of proper primary stability, of a non-traumatic surgery and correct prosthetic procedure, immediate implant load can be applied and the initial implant anchorage can be maintained throughout the osseointegration period. 
In the case report presented, the authors illustrated a surgical implant-supported prosthetic method that made use of immediate implant load and temporary and final rehabilitation in ceramic with excellent functional and aesthetic results.

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