Abstrait

Pillars to Immediate Loading

Rajesh B Dhirawani, Kshitij Aggarwal, Sauvik Singha, Jayant Marya and Ugojyoti Pathi

Introduction: The immediate loading technique allows the placement of a temporary restoration supported by freshly inserted implants. The aim of this prospective study was to evaluate the concept of multicortical anchorage and Splinting as a suitable technique for immediate loading. Methods: Thirty patients received Implants in edentulous regions to engage multiple cortices. These implants were used as a support for the interrim restoration, which was attached within 1 week of implant placement. Mean marginal bone loss and implant osseointegration were assessed using periapical radiographs immediately after surgery and at 6, 12, 24 and 36 months after placement. Results: The results of this study revealed A total of 300 implants were consecutively placed in 30 adult patients between February 2011 and February 2016. 137 female and 163 male patients with 158 in maxillary cases and 142 in mandibular cases The study concluded with high success rate (100%) with the immediate loading protocol Average insertion torque, ISQ values, and bone quality assessments At the 36 month follow-up, the accumulated mean marginal bone loss was within acceptable values. Conclusion: The goal of an immediate loading protocol is to reduce the number of surgical procedures and to shorten the time frame without compromising the implant success rate. Engagement of multiple cortices helps achieve good primary stability and prevents macro movement. Splinting is able to resist the critical degree of micro movement at the bone implant interface. This study has confirmed that it is possible to successfully rehabilitate the edentulous patient within a week as implant placement with a interim fixed restoration.