Research Article
Year: 2022 | Month: April | Volume: 9 | Issue: 4 | Pages: 19-27
DOI: https://doi.org/10.52403/ijrr.20220404
Evaluation of Immediate Functional Loading with Single Piece Implants
Sanjay Madhavan1, Pradeep Christopher Jesudas2, K Mohamed Afradh3
1PG Student, Department of Oral and Maxillofacial Surgery, Thai Moogambigai Dental College and Hospitals, Chennai
2Professor and Head, Department of Oral and Maxillofacial Surgery, Thai Moogambigai Dental College and Hospitals, Chennai
3Associate Professor, Department of Oral and Maxillofacial Surgery, Thai Moogambigai Dental College and Hospitals, Chennai
Corresponding Author: Sanjay Madhavan
ABSTRACT
Introduction: In recent years, implantology has increasingly advocated the concept of immediate loading, even with single implants. It is defined as the placement of a prosthetic restoration within 48-72 hours after implant placement. Among the other advantages of immediate loading like overall treatment reduction in timing, with function, cosmetic and psychological benefits for the patient. This case described a new surgical concept and a technique to fabricate screw-retained provisional crowns for immediate loading of free-standing single tooth implants. Hence the aim of this study is to evaluate immediate functional loading with single piece implants
Materials and Methods: For rehabilitation with basal implants in sites after immediate extraction, a 2-mm twist drill, the first cortex (alveolar) was drilled and then drilling was continued till the basal cortex (nasal floor/sinus floor/lingual cortex/pterygoid bone), which was perceived as a dip. For rehabilitation with compressive screw implants in healed edentulous sites, the compression screw implants in the upper and lower jaw were inserted with the primary aim of achieving stability through compression of trabecular bone along the vertical (endosseous) axis of the implant. Frequency tables and chi square tests were used to analyze the data.
Results: There were 30 patients with 76 implants present and assessed for this study. The mean age of the participants was 47.43±16.93. In the study participants, 30% of the participants had hypertension, 20% had diabetes mellitus and 20% had smoking habit. BCS and Compressive type of implants were both used in the study. In 51.32% sites, BCS implants were used and 48.68% sites Compressive type implants were used depending on the clinical situation. For the success of the implant, many criteria was assessed such as Implant stability quotient, mid-buccal gingival level and inter proximal gingival papilla, absence of complications (pain, discomfort, infection, bone loss and mobility).
Results showed that there was a significant association found between diabetes mellitus with mobility, bone loss and discomfort. Contrastingly there was no association between smoking habit and any of the complications affecting the success of the implant. This showed that systemic disease plays a major role in the success of the implants.
Conclusion: The high cumulative implant survival rate for the devices and the technology of the Strategic Implant® indicates (within the limitations of this study) that the immediate functional loading concept with cortically anchored implants or implants providing corticalization of spongious bone for the rehabilitation of partially edentulous segments and for single-tooth replacement in maxilla and mandible can be a viable concept even in cases where extractions of teeth were done simultaneously.
Keywords: Single implants, immediate loading, Compressive implants, implants, BCS implants.
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