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Lose your fear of immediate loading

18 April, 2023

Still not using immediate loading with temporary prostheses for your surgical patients? Why not? Are you afraid the implants will fail?

Immediate loading results are predictable and, according to a review of studies carried out in the last 10 years, its survival rate exceeds 97%. In the long term, immediate loading achieves clinical results that are comparable to conventional loading. This means it should be your routine treatment for missing teeth.1,2

Are you afraid of excessive bone loss compared with conventional loading?

No statistical differences (p>0.05) have been found between the different loading timeframes. Conversely, removable prosthetics and incorrect occlusions have been shown to be a bigger cause of bone loss. 3,4

Is it the quality of the temporary restoration?

The durability, stability, aesthetics and biocompatibility of extraoral drilled PMMAs greatly exceed other dental materials available in clinics that are habitually used in immediate loading.5,6

Is it preservation of the peri-implant tissue using transmucosal abutments?

The effectiveness of using transepithelial abutment in prothesis restoration, from a biological perspective9 (increasing the stability of peri-implant soft tissues, conserving marginal bone loss and significantly reducing the possibility of peri-implantitis emerging), in prosthetic dentistry8 relates to facilitating the implant, correcting angulations and standardising processes.

What are the benefits for your patients?

Immediate restoration.

Your patients will thank you for enabling them to leave the surgery with teeth and without having to return in the middle of their postoperative recovery to have a prosthesis put in. As the bibliography shows, immediate loading clearly offers numerous advantages for your implant work7 nd most problems that arise are typically related to the work protocols in place. Making patients wait or come back another day tends to be the solution. Corus instant protocols offer fast solutions that, first and foremost, improve the quality and predictability of immediate loading through digital workflows.

Dr Victor García

References

  1. Del Fabbro M, Testori T, Kekovic V, Goker F, Tumedei M, Wang HL. A Systematic Review of Survival Rates of Osseointegrated Implants in Fully and Partially Edentulous Patients Following Immediate Loading. J Clin Med. 2019 Dec 4;8(12):2142. doi: 10.3390/jcm8122142. PMID: 31817177; PMCID: PMC6947536.
  2. Alfadda SA, Chvartszaid D, Tulbah HI, Finer Y. Immediate versus conventional loading of mandibular implant-supported fixed prostheses inedentulous patients: 10-year report of a randomised controlled trial. Int J Oral Implantol (Berl). 2019;12(4):431-446. PMID: 31781698.
  3. Kohen J, Matalon S, Block J, Ormianer Z. Effect of implant insertion and loading protocol on long-term stability and crestal bone loss: Acomparative study.J Prosthet Dent. 2016 Jun;115(6):697-702. doi: 10.1016/j.prosdent.2015.10.009. Epub 2016 Jan 21. PMID: 26803177.
  4. Pardal-Peláez B, Flores-Fraile J, Pardal-Refoyo JL, Montero J. Implant loss and crestal bone loss in immediate versus delayed load in edentulous mandibles: A systematic review and meta-analysis. J Prosthet Dent. 2020 Apr 8:S0022-3913(20)30102-5. doi: 10.1016/j.prosdent.2020.01.032. Epub ahead of print. PMID: 32276823.
  5. Al-Dwairi ZN, Tahboub KY, Baba NZ, Goodacre CJ. A Comparison of the Flexural and Impact Strengths and Flexural Modulus of CAD/CAM and Conventional Heat-Cured Polymethyl Methacrylate (PMMA). J Prosthodont. 2020 Apr;29(4):341-349. doi: 10.1111/jopr.12926. Epub 2018 Jun 13. PMID: 29896904.
  6. Shim JS, Kim HC, Park SI, Yun HJ, Ryu JJ. Comparison of Various Implant Provisional Resin Materials for Cytotoxicity and Attachment to Human Gingival
  7. Fibroblasts. Int J Oral Maxillofac Implants. 2019 Mar/Apr;34(2):390-396. doi: 10.11607/jomi.6707. PMID: 30883618.Huynh-Ba G, Oates TW, Williams MAH. Immediate loading vs. early/conventional loading of immediately placed implants in partially edentulous patients from the patients’ perspective: A systematic review. Clin Oral Implants Res. 2018 Oct;29 Suppl 16:255-269. doi: 10.1111/clr.13278. PMID: 30328205.
  8. Lops D, Bressan E, Parpaiola A, Sbricoli L, Cecchinato D, Romeo E. Soft tissues stability of cad-cam and stockabutments in anterior regions: 2-year prospective multicentric cohort study. Clin Oral Implants Res. 2015Dec;26(12):1436-42. doi: 10.1111/clr.12479. Epub 2014 Sep 5. PMID: 25196805
  9. Parpaiola A, Toia M, Norton M, Cecchinato D, Bressan E, Lops D. CAD/CAM Implant Abutments: Peri-implant Hard and Soft Tissue Response with Up to 4 Years of Follow-up- A Retrospective Cohort Study Evaluation. Int J Periodontics Restorative Dent. 2020 Mar/Apr;40(2):193-201. doi: 10.11607/prd.3597. PMID: 32032402.
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