CLINICAL AND BIOLOGICAL ASPECTS OF THE IMMEDIATE LOADING OF IMPLANTS
Abstract:
Achieving natural looking implants for the restoration of areas of major aesthetic importance. For this purpose we consider many factors. The first is, definitely, osseointegration, then, the treatment planning for obtaining an aesthetic smile is based both on scientific and artistic principles. Material and methods: The study was conducted on a group of 78 patients, who had fixed prosthetic restorations on implants in the anterior jaw, of both genders, aged between 20 and 50 years old. Results: The overall data submitted let us state that the gums and papillae adjacent to the restoration are crucial elements. Assuming that bone and gingival architecture around the edentulous space is acceptable, preserving bone and soft tissue contours is the target of restorative therapy of areas with major aesthetic importance. This result can be achieved by insertion of implants followed by immediate provisional prosthesis. After soft tissue healing, the choice of restoration material can significantly affect the final outcome. Conclusions: Aesthetics in the anterior area depends on a number of factors. In the case illustrated, the implant platform and its surface were used to increase the stability of the implant and to prevent bone loss without which it would have been impossible to preserve the soft tissue. The patient’s occlusion enabled the implants’ insertion, abutment placement and provisional prosthesis immediately after extraction, thus, maintaining gingival architecture during healing.
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