A New Protocol for Immediate Functional Loading of Dental Implants

By Thomas J. Balshi, DDS, FACP
and Glenn J. Wolfinger, DMD, FACP

Figures

Figure 2
Preoperative anterior retracted view

Figure 1 Preoperative full face

Figure 3
Preoperative lingual view of periodontally compromised mandibular anterior teeth.

Figure 4
Preoperative lateral facial view showing protruded lower lip

Figure 5
Preoperative lateral retracted view shows labial flaring of mandibular anterior teeth

Figure 7
Preoperative panoramic view showing remaining bone structure and anatomic landmarks

Figure 8
Facial view of alveolar bone following extraction of mandibular teeth and prior to alveoloplasty

Figure 9
Occlusal view of mandibular alveolar ridge after extraction and prior to alveoloplasty

Figure 10
Labial wire reinforced mandibular immediate complete denture with lingual reduction for conversion.

Figure 11
Occlusal view of six Brånemark implants in place following alveoloplasty

Figure 12
Facial view of Brånemark abutments secured to implants.

Figure 13
Facial view of rubber dam in place over customized prosthetic copings (modified stainless steel screw retained Brånemark impression copings)
Figure 14
Close up view of rubber dam which covers junction of prosthetic cylinders and abutment preventing the material from locking into undercuts between the abutments
Figure 15
Autopolymerizing acrylic resin injected intraorally around the prosthetic cylinder. The rubber dam helps to isolate the site to protect the soft tissue and exposed bone.

Figure 16
Modified immediate complete denture set into proper interocclusal position at centric relation position and held in place while autopolymerizing acrylic resin converts the denture to the prosthetic cylinders.

Figure 17
Postoperative panoramic radiograph showing position of six Brånemark implants

Figure 18
Postoperative lateral cephalometric radiograph showing inclination and anterior posterior spread of six Brånemark implants in anterior mandible

Figure 19
Retracted facial view of completed conversion prosthesis

NEW PROTOCOL
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Introduction
Background
Protocol
Indications
Case Report
Conclusion
References
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Figure 20
Up close lateral view showing retracted position of lower teeth of conversion prosthesis

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