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A New Protocol for Immediate Functional Loading of Dental Implants By Thomas J. Balshi, DDS, FACP; Introduction In the last two decades, it became clear that clinical implantology had advanced to the point that this treatment represented a predictable approach to the replacement of lost teeth. As initially introduced, a complex surgical protocol was required, with the implants submerged in the soft tissue and alveolar bone to allow for healing without loading. Surgical uncovering and restoration occurred 3 to 6 months later. Per-Ingvar Brånemark, a Swedish physician, developed this two-stage protocol based on meticulous research conducted over a 20-year period.1,2 Brånemark estimated that implants placed with this protocol had "an expected function time of several decades -- perhaps 50 years."30 Later, evidence was beginning to suggest that a one-stage protocol might offer patients the prospect of expedited dental rehabilitation.4,5 In 1993, the authors initiated a study6 in which they immediately loaded 40 Brånemark implants placed in conjunction with 90 unloaded implants in 10 edentulous mandibles. Although some (20%) implants were lost, all of the patients successfully retained their prostheses. Since then the authors have further developed and refined this protocol (known as "Teeth in a Day"). This article reviews and explains the protocol and provides a quick overview of the scientific evidence upon which it is based. A case illustrating the application of the protocol is also presented. |
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All information is intended for your general knowledge only and is not a substitute for dental or medical advice or treatment for specific dental or medical conditions. You should seek prompt dental and medical care for any specific health issues. See Disclaimer Copyright 2009 Pi Dental Center (Prosthodontics Intermedica). |
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