Course Objectives (2 CE Credits)
With manufacturers touting the success rates of immediately loaded dental implants, clinicians may find themselves under increasing pressure to meet patient expectations for a same-day restorative solution — whether temporary or final — upon implant placement. Doing so, however, may endanger osseointegration in certain clinical situations. As with any surgical procedure, there are selection criteria that, if heeded, can help maximize the chances of success. Conversely, there are guidelines that clinicians ignore at their own peril. Dr. Darrin Wiederhold outlines the Do's and Don'ts of immediate loading with an analysis of the following concepts:
- Distinguishing between “immediate loading” and “immediate non-functional provisionalization”
- Measuring initial stability
- Assessing bone quantity and quality
- Identifying evidence of parafunctional habits or metabolic disorders
- Splinting in multi-unit cases
- Determining intra-arch space
As the cosmetic expectations of implant patients increase, clinicians are strongly motivated to meet the demand for immediate loading or provisionalization of freshly placed implants. For long-term success, however, it is critical that esthetic concerns do not outweigh factors used to promote successful osseointegration. Only after assessing the relevant clinical parameters and implementing the appropriate precautions should a clinician immediately provisionalize or load a newly placed implant.
CAUTION: When viewing the techniques, procedures, theories and materials that are presented, you must make your own decisions about specific treatment for patients and exercise personal professional judgment regarding the need for further clinical testing or education and your own clinical expertise before trying to implement new procedures.
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