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Immediate placement and functional loading of implants on canine with fixed partial denture for a patient having canine protected occlusion: a case report 원문보기

The journal of advanced prosthodontics, v.4 no.1, 2012년, pp.52 - 56  

Hong, Jun-Won (Department of Prosthodontics, School of Dentistry, Chonbuk National University) ,  Ahn, Seung-Geun (Department of Prosthodontics, School of Dentistry, Chonbuk National University) ,  Leem, Dae-Ho (Department of Oral and Maxillofacial Surgery, School of Dentistry, Chonbuk National University) ,  Seo, Jae-Min (Department of Prosthodontics, School of Dentistry, Chonbuk National University)

Abstract ▼ AI-Helper 아이콘AI-Helper

Conventional implant protocols required a load-free healing period of three to six months between placement and functional loading of the implants. Many efforts have been made to minimize the duration of treatment time. Several literatures have documented immediate function with provisional or defin...

주제어

#Immediate implant placement   #Immediate functional loading   #Canine guidance   #Esthetic implant prosthesis  

AI 본문요약
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제안 방법

  • After cementation of definitive prosthesis, the prosthesis was reevaluated with one-, three-, and six-month follow-up intervals. Soft tissue was stable and the prosthesis was functioning properly one year after immediate loading (Figs.
  • Therefore, it was impossible to avoid occlusal contact of provisional restoration during lateral excursion while maintaining esthetic form of the provisional restoration. Consequently, provisional restoration was constructed not to contact opposing dentition during maximum intercuspation and slightly guided by canines during lateral excursion. It was splinted by a provisional fixed partial denture to distribute functional force.
  • Definitive prostheses were constructed with zirconia abutment (Zirealpost, The Biomet 3i, Palm Beach Gardens, FL, USA) and pressable all-ceramic restoration (IPS-Empress II, Ivoclar Vivadent AG, Schaan, Liechtenstein) in response to the patient’s high esthetic expectation.
  • Dressing and occlusal adjustment were conducted again one day after the surgery and sutures were stitched out a week later. Occlusion was adjusted and provisional restorations were gradually reshaped to enhance soft tissue form at the follow-up appointments in two week, four week, and eight week intervals. After 4 weeks, soft tissue contour was very stable and esthetic (Fig.
  • Extracted teeth sockets had been preserved without any chronic inflammation such as periodontitis. The patient concerned on esthetics of the restoration and was very cooperative with reasonable expectation, good oral hygiene maintenance and careful masticatory pattern. The results of this pilot clinical case suggest that immediate placement and immediate loading is are successful in functionally loaded implant situation if the patient’s cooperation is assured.
  • 1, 2). Treatment of trismus caused by the condyle fracture was followed by extraction of fractured teeth, and the immediate placement and function of implants with provisional prosthesis were planned. After obtaining 40 mm of mouth opening, a preliminary impression was taken.

대상 데이터

  • A 27-year-old woman visited for the treatment of fractured teeth. She previously suffered from right mandibular condyle neck fracture and subgingival fractures of maxillary right second premolar, mandibular right canine and premolar’ crowns (Figs.
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참고문헌 (19)

  1. 1 Albrektsson T Zarb G Worthington P Eriksson AR The long-term efficacy of currently used dental implants: a review and proposed criteria of success Int J Oral Maxillofac Implants 1986 1 11 25 3527955 

  2. 2 Adell R Eriksson B Lekholm U Brånemark PI Jemt T Long-term follow-up study of osseointegrated implants in the treatment of totally edentulous jaws Int J Oral Maxillofac Implants 1990 5 347 359 2094653 

  3. 3 Albrektsson T Brånemark PI Hansson HA Lindström J Osseointegrated titanium implants. Requirements for ensuring a long-lasting, direct bone-to-implant anchorage in man Acta Orthop Scand 1981 52 155 170 7246093 

    상세보기

  4. 4 Friberg B Jemt T Lekholm U Early failures in 4,641 consecutively placed Brånemark dental implants: a study from stage 1 surgery to the connection of completed prostheses Int J Oral Maxillofac Implants 1991 6 142 146 1809668 

  5. 5 Lefkove MD Beals RP Immediate loading of cylinder implants with overdentures in the mandibular symphysis: the titanium plasma-sprayed screw technique J Oral Implantol 1990 16 265 271 2098572 

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  6. 6 Salama H Rose LF Salama M Betts NJ Immediate loading of bilaterally splinted titanium root-form implants in fixed prosthodontics--a technique reexamined: two case reports Int J Periodontics Restorative Dent 1995 15 344 361 8593985 

  7. 7 Schnitman PA Wöhrle PS Rubenstein JE DaSilva JD Wang NH Ten-year results for Brånemark implants immediately loaded with fixed prostheses at implant placement Int J Oral Maxillofac Implants 1997 12 495 503 9274078 

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  8. 8 Tarnow DP Emtiaz S Classi A Immediate loading of threaded implants at stage 1 surgery in edentulous arches: ten consecutive case reports with 1- to 5-year data Int J Oral Maxillofac Implants 1997 12 319 324 9197096 

  9. 9 Shulman LB Surgical considerations in implant dentistry J Dent Educ 1988 52 712 720 3057015 

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  10. 10 Ohrnell LO Hirsch JM Ericsson I Brånemark PI Single-tooth rehabilitation using osseointegration. A modified surgical and prosthodontic approach Quintessence Int 1988 19 871 876 3254544 

  11. 11 Barzilay I Immediate implants: their current status Int J Prosthodont 1993 6 169 175 8329094 

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  12. 12 Han CH Paik JW Lee KW Han DH Chung MK Kim S Immediate and non-immediate provisionalization on the soft tissue esthetics of final restorations on immediately placed implants J Korean Acad Prosthodont 2008 46 238 245 

  13. 13 Anneroth G Hedström KG Kjellman O Köndell PA Nordenram A Endosseus titanium implants in extraction sockets. An experimental study in monkeys Int J Oral Surg 1985 14 50 54 3921480 

  14. 14 Paolantonio M Dolci M Scarano A d'Archivio D di Placido G Tumini V Piattelli A Immediate implantation in fresh extraction sockets. A controlled clinical and histological study in man J Periodontol 2001 72 1560 1571 11759868 

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  15. 15 Kan JY Rungcharassaeng K Lozada J Immediate placement and provisionalization of maxillary anterior single implants: 1-year prospective study Int J Oral Maxillofac Implants 2003 18 31 39 12608666 

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  16. 16 Colomina LE Immediate loading of implant-fixed mandibular prostheses: a prospective 18-month follow-up clinical study--preliminary report Implant Dent 2001 10 23 29 11307644 

    상세보기

  17. 17 Chaushu G Chaushu S Tzohar A Dayan D Immediate loading of single-tooth implants: immediate versus non-immediate implantation. A clinical report Int J Oral Maxillofac Implants 2001 16 267 272 11324215 

    상세보기

  18. 18 Villa R Rangert B Immediate and early function of implants placed in extraction sockets of maxillary infected teeth: a pilot study J Prosthet Dent 2007 97 S96 S108 17618939 

    상세보기

  19. 19 Misch CE Dental implant prosthetics 2005 1st ed St Louis, Mo CV Mosby 559 565 

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