Complications related to immediately loaded dental implants

Ganeles, Jeffrey; Wilson, David J.

doi:10.1002/9781119140474.ch23

Cited by 4 publications

(5 citation statements)

References 93 publications

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“…Immediate-loading protocols have become more popular due to their ability to improve the patient's experience, reduce edentulous periods, satisfy esthetic demands, and preserve gingival architecture [ 19 , 20 ]. However, these protocols present complications; for instance, they have been linked with more implant failure compared to the delayed-loading treatment plan, which means proper case selection is vital [ 19 ].…”

Section: Introductionmentioning

confidence: 99%

Digital implant placement accuracy: a clinical study on a fully-guided flapless single-unit immediate-loading protocol

Pirooz,

Atri,

Gholami

et al. 2023

Maxillofac Plast Reconstr Surg

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Aims The primary aim of the present study was to measure the discrepancy between the virtual and the actual position of the single-unit implants placed via a digitally-designed fully-guided surgical template using a flapless surgical technique. Prefabricated provisional restorations and periodontal factors were evaluated after the immediate loading of implants and 3 months after the surgery, respectively. Materials and methods Fourteen implants in nine patients were virtually planned after importing intraoral scans and cone-beam computed tomography (CBCT) records into 3D planning software. Accordingly, fully-guided surgical templates, customized abutments, and provisional restorations were designed and fabricated. The implant position after the surgery was compared with its virtual counterpart in terms of angular and apical linear deviations. Implants were immediately loaded after the surgery, and the occlusal level of the delivered provisional restorations was compared with their designed positions. Early implant failure, bleeding on probing, and peri-implant pockets were documented on the 3-month follow-up. Results A mean angular deviation of 5.07 ± 2.06° and a mean apical linear deviation of 1.74 ± 0.63 mm resulted. Two out of 14 implants failed within the first 3 months of the surgery, and the occlusal level difference was calculated for nine prefabricated provisional restorations. Conclusions DIONAVI protocol has been evaluated regarding its accuracy, and an estimation of the expected deviation is presented to the clinicians using this protocol. However, before widespread use, immediate-loading protocols and provisional restorations must be studied further. Trial registration IRCT, IRCT20211208053334N1. Registered 6 August 2022.

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Section: Introductionmentioning

confidence: 99%

Digital implant placement accuracy: a clinical study on a fully-guided flapless single-unit immediate-loading protocol

Pirooz,

Atri,

Gholami

et al. 2023

Maxillofac Plast Reconstr Surg

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“…Immediate dental implant placement relies on the positioning of the implant into the fresh socket after tooth extraction. In this respect, it is possible to combine surgical and restorative procedures into a single treatment [1,3,4]. This procedure accounts for several advantages, such as (i) the prevention of bone and gingival tissues resorption, (ii) high patient acceptance due to the overall reduction of trauma and in the number of surgical procedures, and (iii) short-2 of 33 and long-term survival rates similar to delayed implant placement [1,2,4,5].…”

Section: Introductionmentioning

confidence: 99%

“…This procedure accounts for several advantages, such as (i) the prevention of bone and gingival tissues resorption, (ii) high patient acceptance due to the overall reduction of trauma and in the number of surgical procedures, and (iii) short-2 of 33 and long-term survival rates similar to delayed implant placement [1,2,4,5]. However, some complications could be associated with immediate dental implant placement, while early implant failures can occur when osseointegration could not be achieved or is lost after implant function begins [3,5]. Osseointegration refers to a functional and organized relationship between the implant surface and the surrounding bone tissues.…”

Section: Introductionmentioning

confidence: 99%

Lipid Nanocarriers-Loaded Nanocomposite as a Suitable Platform to Release Antibacterial and Antioxidant Agents for Immediate Dental Implant Placement Restorative Treatment

et al. 2021

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Immediate implant placement is a single-stage restorative approach for missing teeth widely used to overcome the ridge remodeling process occurring after dental extractions. The success of this procedure relies on opportune osseointegration in the surrounding tissues. To support this process, a multifunctional nanocomposite, to be applied in the fresh post-extraction socket, was here designed, prepared, and characterized. This formulation consists of quercetin (QRC)-loaded nanostructured lipid carriers (NLCs) entrapped in a chitosan-based solid matrix containing ciprofloxacin (CPX). QRC-NLCs were prepared by homogenization followed by high-frequency sonication, and thereafter this dispersion was trapped in a chitosan-based CPX-loaded gel, obtaining the nanocomposite powder (BioQ-CPX) by lyophilization. BioQ-CPX displayed desirable properties such as high porosity (94.1 ± 0.5%), drug amounts (2.1% QRC and 3.5% CPX). and low swelling index (100%). Moreover, the mechanism of drug release from BioQ-CPX and their ability to be accumulated in the target tissue were in vitro and ex vivo elucidated, also by applying mathematical models. When trapped into the nanocomposite, QRC stressed under UV light exposure (50 W) was shown to maintain its antioxidant power, and CPX and QRC under natural light were stable over nine months. Finally, both the measured antioxidant power and the antimicrobial and antibiofilm properties on Staphylococcus aureus demonstrated that BioQ-CPX could be a promising platform to support the single-stage dental restorative treatment.

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“…Immediate loading of dental implants represents a significant advantage for patients for many reasons, including a reduction of healing time, reduction in surgical procedures, and improvement in function compared to more traditional and longer healing protocols 1,2 . Theoretically, placing implants into function before osseointegration occurs can increase the risk of complications, including bone loss, implant failure, poor esthetics, compromised case design, prosthetic difficulties, and logistic challenges 3 . When managed appropriately, these risks can be successfully mitigated to produce successful outcomes in most circumstances 4…”

Section: Introductionmentioning

confidence: 99%

Immediate Loading Implant Dentistry Strategies Have Their Origins in Periodontal Prosthesis

Ganeles

Rose

Norkin

et al. 2013

Clin Adv Periodontics

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Introduction: The principles of periodontal prosthesis developed in the 1950s to 1970s by Drs. Amsterdam, Abrams, and Weisgold and explained in Periodontal Therapy, edited by Drs. Goldman and Cohen, provide relevant diagnostic and therapeutic criteria and guidelines that apply to teeth as well as implants. For these situations, occlusal, restorative, surgical, esthetic, biomaterial, pharmacologic, and psychologic skills must be carefully combined for optimal results. These points are illustrated through a case presentation of a challenging patient. Case Presentation: A 62‐year‐old woman presented to her general dentist with a chief complaint of drifting of her recent maxillary anterior restorations. On further questioning, she also complained about pain of these teeth, bilateral temporomandibular muscle pain, and tooth mobility. A treatment plan was developed in conjunction with the patient's restorative dentist to restore the patient to first‐molar occlusion using implants in the maxillary arch and a combination of teeth and implants in the mandibular arch. Conclusion: Combining the guidelines of periodontal prosthesis with state‐of‐the‐art implant dentistry can lead to predictable, beneficial, and efficient treatment, even for the most difficult patients and circumstances.

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Complications related to immediately loaded dental implants

Cited by 4 publications

References 93 publications

Digital implant placement accuracy: a clinical study on a fully-guided flapless single-unit immediate-loading protocol

Digital implant placement accuracy: a clinical study on a fully-guided flapless single-unit immediate-loading protocol

Lipid Nanocarriers-Loaded Nanocomposite as a Suitable Platform to Release Antibacterial and Antioxidant Agents for Immediate Dental Implant Placement Restorative Treatment

Immediate Loading Implant Dentistry Strategies Have Their Origins in Periodontal Prosthesis

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