Workshop Guidelines on Immediate Loading in Implant Dentistry

Immediate loading of dental implants

“…Armitage in 2005 stated that ''a traditional consensus conference is an appropriate way to arrive at the best current way to do something if the knowledge base is insufficient to make a scientifically rigorous Currently, four consensus papers have been written on this subject. [6][7][8][9] This review will attempt to find a middle ground by principally looking at the highest level of evidence -the systematic review and then relating this evidence with a selected number of supporting studies. The key ingredient for this systematic process is the development of an answerable question using the PICO formula, where P corresponds to a population or problem, I the intervention being investigated, C a comparison treatment and O the outcome desired.…”

“…This may involve reducing or avoiding tapping; avoiding countersinking to maximize cortical bone contact; engaging both cortices for bicortical stabilization; underpreparation by using narrower drills than the usual protocol; the use of osteotomes; self-tapping threaded implants and different geometries of implant design for increased compression of the site. 6,[8][9][10]13,18,19 The number of different protocols and techniques has led to a level of heterogeneity that is difficult to compare and on which to reach definitive conclusions. The prudent experienced clinician is entrusted to treat each patient individually depending on the bone quality encountered, being cognizant of the need to attain a high initial stability of the implant.…”

“…This is obviously more important in the immediate loading context. 7,8,19,21,22 Biological basis of immediate loading…”

Carga inmediata en implantes dentales

“…Cuando el reemplazo dentario se realiza de forma inmediata en zonas no estéticas el beneficio obtenido es mínimo. 18 Restauración inmediata no significa necesariamente carga inmediata a la más alta magnitud que puede desarrollar en aparato masticador. Un abordaje conservador en el diseño de la prótesis disminuye el estrés al que es sometido el implante aumentando el porcentaje de éxito.…”

Immediately loaded full-arch provisional implant restorations using CAD/CAM and guided placement: maxillary and mandibular case reports

“…With full arch immediate load prostheses this can be achieved when implants attain adequate primary stability at the time of placement, are subject to rigid inter implant splinting, and occlusal forces are appropriately controlled during the osseointegration period. [3][4][5][6][7] Taking surgical protocols and patient management a step further, there has also been a growing interest in explor ing the potential of a fl apless surgical approach to minimise post-operative trauma and accelerate postoperative healing. [8][9][10] However, this approach can risk significant complications should the operator misinterpret the underlying hard and soft tissue anatomy.…”