How can improve the insufficient success rate at immediate loading?

Jun,  Sang-Ho; Ahn,  Jin-Soo; Ryu,  Jae-Jun; Kwon,  Jong-Jin

doi:2013.51.4.190

J Korean Dent Assoc > Volume 51(4); 2013 > Article

The Journal of The Korean Dental Association 2013;51(4):190-197.
DOI: https://doi.org/10.22974/jkda.2013.51.4.001 Published online April 30, 2013.

임상가를 위한 특집 1 - Immediate loading 부족한 성공률 5% 채우기

전상호¹, 안진수², 류재준³, 권종진⁴

^¹고려대학교 의과대학 치과학교실 구강악안면외과
^²서울대학교 치의학대학원 치과생체재료과학교실
^³고려대학교 의과대학 치과학교실 보철과
^⁴고려대학교 의과대학 치과학교실 구강악안면외과

How can improve the insufficient success rate at immediate loading?

Sang-Ho Jun¹, Jin-Soo Ahn², Jae-Jun Ryu³, Jong-Jin Kwon⁴

¹Division of Oral and Maxillofacial Surgery, Department of Dentistry, Anam Hospital, Korea University
²Department of dental biomaterials science, School of dentistry, Seoul national university
³Division of Prosthodontics, Department of Dentistry, Anam Hospital, Korea University
⁴Division of Oral and Maxillofacial Surgery, Department of Dentistry, Anam Hospital, Korea University

Abstract

A titanium based screw shaped dental implant was first introduced by Branemark and a treatment protocol where the restoration of edentulous area by connecting abutment after the osseointegration of the titanium surface of the implant and surrounding bone structure has been proposed. Although this protocol is widely accepted as a standard up to date, the healing duration of 3-6 months as well as the need for provisional prostheses during this period present as a major drawback. Immediate loading has been accomplished through the advent of various implant designs, enforced surface treatments, diverse forms of abutment, and delicate surgical techniques together with the increase in demand from the patients. The success rate of the immediate loading technique has been first reported as 85.7% by Dr. Schnitman in 1990 which recently has been reported up to 100% in the case of immediate loading in single tooth by Dr. Kan. To ameliorate the success rate of immediate loading technique, selection of patients presenting a sound bone quality and quantity, acquiring primary stability through delicate surgical techniques and fabrication of prostheses which accounts for biological stabilities should all be taken into consideration. This presentation introduces the understanding of biological stability of immediate loading, various methods for measurement of stability and clinical cases regarding immediate loading technique.

Key Words: Dental implants;Immediate loading;Implant stability;Progressive loading;