Immediate placement/load protocol
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Immediate placement and immediate load protocol for implant supported prosthesis
Surgical considerations of immediate placement and immediate load
- No pathology, no significant grafting
- Primary stability of implant with insertion torques of 35-45Ncm min. Meta-analysis says 20Ncm
- Eliminate occlusal overload (interferences)
- Cross arch stabilization (splinted restorative)
- Patient compliance
Advantages of immediate load
- Support and maintenance of gingival and bony architecture
- Min. post op discomfort
- Fixed provisional restoration
- Prevention of soft and hard tissue grafting
- Reduction in need of number of surgical procedures
- Reduction of time to complete and clinical chair time
Disadvantages of immediate load
- More complex surgery
- Correction of placement more difficult
- Need materials, procedures, and laboratory support at time extraction
- Risk of infection/failure
- Risk of failure to osseointergrate
Reference
Karen McAndrew
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