Lectures

Immediate Loading - Part 1: The All-on-4 and More

Catalog Number:278-00

Featured Faculty: Dr. Steven Parel 

CE Credits: 1

Running Time: 32 min

Language: English

Release Date: December 12, 2015

Reviewed Date: January 3, 2019

As experience with osseointegration increases, the application of various treatment modalities for both conventional and compromised patients also expands. A natural benefit of this growth in the learning curve is a better appreciation of emerging concepts for treatment planning with immediate loading. Angled or tilted implants used to support edentulous arch restorations have become a standard in implant dentistry. Early concerns regarding off-axis loading producing detrimental forces have been addressed with more recent publications presenting sound evidence as to the efficacy of this approach. As a result, treatment plans can now be created that eliminate the need for grafting, shorten overall treatment time, and allow for immediate loading in a much broader spectrum of patient presentations. Tilting of implants can also provide improved anterior –posterior spread and enhanced cross-arch stability, with the ultimate effect being a reduction in the number of implants needed (as few as 4 in the edentulous arch) for support in many cases. Longer implants can now be placed with the same effect for cross-arch stabilization, but with anchorage in areas remote from the oral cavity (zygoma) with documented high rates of success. With the use of CBCT scans for accurate diagnosis of osseous anatomy and determining the capability of existing bone to allow immediate loading, this approach is now even more controlled and precise.

This presentation will focus on current clinical experience using available bone receptor sites to place implants for maximum desired effect with Immediate Loading.

Additionally presented will be an analysis of present success rates that have provided the basis for creating a treatment planning protocol to avoid complications.

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