A Clinical Checklist for Immediate Loading
While immediate loading has greatly evolved in recent years, the implication that it is a simple procedure is wrong. For every hour spent immediately loading an implant, there should be several hours of planning and several more of laboratory work.
To achieve a high level of success, immediate loading of dental implants requires a full understanding of bone physiology and adherence to a clinical checklist, which is outlined below.
• Absence of active disease (e.g., periodontitis, caries, periapical infection)
• Presence of or ability to establish a stable interocclusal relationship
• Sufficient bone volume for implant placement
• Implant placement consistent with global treatment planning goals
• Implant placement occurs with verified primary stability
• Implant placement does not compromise restoration (too deep axial placement)
• Buccal bone resorption immediately following extraction may challenge immediate placement and loading protocols
• Provisional restoration develops proper transition contour
• Provisional restoration supports peri-implant mucosal health and architecture
• Occlusal contacts controlled or avoided
• Control peri-implant inflammation (antimicrobial mouth rinse)
• Follow-up evaluating soft tissue and occlusal relationships at one and four weeks
To learn more about the rationale and realities of immediate loading of single tooth dental implants, register to join me for an upcoming live AO CONNECT Webinar on October 26, 2016. I will address the biological factors that limit success, as well as practical issues regarding attaining and maintaining implant stability, assuring proper abutment management, and creating ideal provisional restorations. I will also discuss how a standardized approach that follows concrete biological and anatomical rules for success assures clinical excellence and high patient satisfaction.
Authored by Lyndon Cooper, DDS, PhD, Associate Dean for Research, Head of the Department of Oral Biology, UIC College of Dentistry.
About the Academy of Osseointegration
With 6,000 members in 70 countries around the world, the AO is recognized as the premier international association for professionals interested in implant dentistry. AO serves as a nexus where specialists and generalists can come together to evaluate emerging research, technology, and techniques; share the best information; and coordinate optimal patient care using timely, evidence-based science and methods. Follow AO on Facebook, Twitter and LinkedIn.