Case Report
BibTex RIS Cite

Immediate loading and Hind's technique

Year 2024, Volume: 25 Issue: 4, 111 - 117, 30.12.2024
https://doi.org/10.70509/dicledentj.1548921

Abstract

Immediate loading aims to rapidly restore the patient’s aesthetics, function, and phonation by placing a temporary prosthesis on dental implants immediately after or shortly following the surgical procedure. The goal of immediate loading with a temporary prosthesis during the same session as tooth extraction is to preserve or enhance both hard and soft tissues. Temporary restorations are a key step in guiding the design of permanent prosthetic restorations. Clinical studies support the successful outcome of immediate implant placement into fresh extraction sockets. This case presentation discusses immediate loading and Hind’s technique in the anterior region. Due to mobility issues, it was deemed appropriate to extract teeth numbered 11, 21, and 22. Immediate implant placement was decided for the 11 and 22 regions. On the same day, prosthetic rehabilitation was provided with a temporary prosthesis on the implants. After three months, the temporary prosthesis was removed, an impression was taken using Hind’s technique to match the shaped emergence profile, and the permanent prosthesis was fabricated. The immediate loading of the implants prevented the patient from experiencing a period of edentulism, facilitated soft tissue healing, and established the emergence profile for the permanent restorations. It was observed that the tissues shaped with Hind’s technique were transferred to the laboratory more accurately, resulting in more precisely fabricated permanent restorations. Immediate implant loading provides more aesthetics, fonetic and predictable treatment. The immediate implant placement protocol not only shortens the overall treatment time and minimizes the number of surgical interventions but also maximizes the utilization of the existing bone to achieve optimal primary stability for the implant.

References

  • Branemark PI. Osseointegration and its experimental background. J Prosthetic Dent. 1983;50(3):399-410.
  • Albrektsson T, Brånemark PI, Hansson HA, Lindström J. Osseointegrated titanium implants: requirements for ensuring a long-lasting, direct bone-to-implant anchorage in man. Acta Orthopaed Scand. 1981;52(2):155-170.
  • Jan L, Niklaus PL. Klinik Periodontoloji ve Diş Hekimliğinde İmplant Uygulamaları. Nobel Tıp Kitabevleri. 2017.
  • Grütter L, Belser UC. Implant loading protocols for the partially edentulous esthetic zone. Int J Oral Maxillofac Implants. 2009; 24(Suppl):169-179.
  • Gallucci GO, Hamilton A, Zhou W, Buser D, Chen S. Implant placement and loading protocols in partially edentulous patients: a systematic review. Clin Oral Implants Res. 2018;29(Suppl 16): 106-134. doi:10.1111/clr.13276
  • Dhami B, Shrestha P, Gupta S, Pandey N. Immediate implant placement: current concepts. J Nepal Soc Periodontol Oral Implantol. 2019;3(1):18-24.
  • Hinds KF. Custom impression coping for an exact registration of the healed tissue in the esthetic implant restoration. Int J Periodont Restorat Dent. 1997;17(6):584-591.
  • De Rouck T, Collys K, Cosyn J. Single-tooth replacement in the anterior maxilla by means of immediate implantation and provisionalization: a review. Int J Oral Maxillofac Implants. 2008; 23(5):897-904.
  • Chen ST, Wilson TG Jr, Hämmerle CH. Immediate or early placement of implants following tooth extraction: review of biologic basis, clinical procedures, and outcomes. Int J Oral Maxillofac Implants. 2004;19(Suppl):12-25.
  • Schropp L, Wenzel A, Kostopoulos L, Karring T. Bone healing and soft tissue contour changes following single-tooth extraction: a clinical and radiographic 12-month prospective study. Int J Periodontics Restorative Dent. 2003;23(4):313-323.
  • Schropp L, Kostopoulos L, Wenzel A. Bone healing following immediate versus delayed placement of titanium implants into extraction sockets: a prospective clinical study. Int J Oral Maxillofac Implants. 2003;18(2):189-199.
  • D’Addona A, Ghassemian M, Raffaelli L, Manicone PF. Soft and hard tissue management in implant therapy-part I: surgical concepts. Int J Biomater. 2012;2012:531202. doi:10.1155/2012/ 531202
  • Drago CJ, Lazzara RJ. Immediate occlusal loading of Osseotite implants in mandibular edentulous patients: a prospective observational report with 18-month data. J Prosthodont. 2006; 15(3):187-194. doi:10.1111/j.1532-849X.2006.00099.x
  • Slagter KW, den Hartog L, Bakker NA, Vissink A, Meijer HJ, Raghoebar GM. Immediate placement of dental implants in the esthetic zone: a systematic review and pooled analysis. J Periodontol. 2014;85(7):e241-e250. doi:10.1902/jop.2014.130632
  • Barone A, Rispoli L, Vozza I, Quaranta A, Covani U. Immediate restoration of single implants placed immediately after tooth extraction. J Periodontol. 2006;77(11):1914-1920. doi:10.1902/jop.2006.060072
  • Degidi M, Piattelli A, Gehrke P, Felice P, Carinci F. Five-year outcome of 111 immediate nonfunctional single restorations. J Oral Implantol. 2006;32(6):277-285. doi:10.1563/0.795.1
  • Chen ST, Buser D. Clinical and esthetic outcomes of implants placed in postextraction sites. Int J Oral Maxillofac Implants. 2009;24(Suppl):186-217.
  • Glauser R, Sailer I, Wohlwend A, Studer S, Schibli M, Schärer P. Experimental zirconia abutments for implant-supported single-tooth restorations in esthetically demanding regions: 4-year results of a prospective clinical study. Int J Prosthodont. 2004; 17(3):285-290.
  • Tetelman ED, Babbush CA. A new transitional abutment for immediate aesthetics and function. Implant Dent. 2008;17(1):51-58. doi:10.1097/ID.0b013e318167648c
  • Hahnel S, Wieser A, Lang R, Rosentritt M. Biofilm formation on the surface of modern implant abutment materials. Clin Oral Implants Res. 2015;26(11):1297-1301. doi:10.1111/clr.12454
  • Parpaiola A, Sbricoli L, Guazzo R, Bressan E, Lops D. Managing the peri-implant mucosa: a clinically reliable method for optimizing soft tissue contours and emergence profile. J Esthet Restor Dent. 2013;25(5):317-323. doi:10.1111/jerd.12046
  • Ganddini MR, Tallents RH, Ercoli C, Ganddini R. Technique for fabricating a cement-retained single-unit implant-supported provisional restoration in the esthetic zone. J Prosthet Dent. 2005; 94(3):296-298. doi:10.1016/j.prosdent.2005.06.010
  • Sayin B. Estetik bölgede yapılan implant tedavilerinde farklı dişeti şekillendirme materyalleri kullanımının değerlendirilmesi: klinik ve biyokimyasal çalışma. 2019.
  • Levin BP. Immediate temporization of immediate implants in the esthetic zone: evaluating survival and bone maintenance. Compend Contin Educ Dent. 2011;32(4):52-62.
  • Yao JW, Wang HL. Assessment of peri-implant soft tissue adaptive pressure and time after provisional restorations. Int J Periodontics Restorative Dent. 2019;39(6):809-815. doi:10.11607/prd.4063
  • Nevins M, Wang HL. Implant therapy: Clinical approaches and evidence of success 2nd Edition 2019 Book 544. p.
  • Mengel R, Flores-de-Jacoby L. Implants in regenerated bone in patients treated for generalized aggressive periodontitis: a prospective longitudinal study. Int J Periodontics Restorative Dent. 2005;25(4):331-341.
  • Thöne-Mühling M, Peleska B, Gockel F, Lotzmann U, Mengel R. Template-guided flapless implant insertion and prosthetic rehabilitation with telescopic crowns in a patient with treated generalized aggressive periodontitis: a case report. Quintessence Int. 2012;43(3):179-185.
  • Meijer HJ, Raghoebar GM, Van ‘t Hof MA. Comparison of implant-retained mandibular overdentures and conventional complete dentures: a 10-year prospective study of clinical aspects and patient satisfaction. Int J Oral Maxillofac Implants. 2003; 18(6):879-885.
  • Ekelund JA, Lindquist LW, Carlsson GE, Jemt T. Implant treatment in the edentulous mandible: a prospective study on Brånemark system implants over more than 20 years. Int J Prosthodont. 2003;16(6):602-608.
Year 2024, Volume: 25 Issue: 4, 111 - 117, 30.12.2024
https://doi.org/10.70509/dicledentj.1548921

Abstract

References

  • Branemark PI. Osseointegration and its experimental background. J Prosthetic Dent. 1983;50(3):399-410.
  • Albrektsson T, Brånemark PI, Hansson HA, Lindström J. Osseointegrated titanium implants: requirements for ensuring a long-lasting, direct bone-to-implant anchorage in man. Acta Orthopaed Scand. 1981;52(2):155-170.
  • Jan L, Niklaus PL. Klinik Periodontoloji ve Diş Hekimliğinde İmplant Uygulamaları. Nobel Tıp Kitabevleri. 2017.
  • Grütter L, Belser UC. Implant loading protocols for the partially edentulous esthetic zone. Int J Oral Maxillofac Implants. 2009; 24(Suppl):169-179.
  • Gallucci GO, Hamilton A, Zhou W, Buser D, Chen S. Implant placement and loading protocols in partially edentulous patients: a systematic review. Clin Oral Implants Res. 2018;29(Suppl 16): 106-134. doi:10.1111/clr.13276
  • Dhami B, Shrestha P, Gupta S, Pandey N. Immediate implant placement: current concepts. J Nepal Soc Periodontol Oral Implantol. 2019;3(1):18-24.
  • Hinds KF. Custom impression coping for an exact registration of the healed tissue in the esthetic implant restoration. Int J Periodont Restorat Dent. 1997;17(6):584-591.
  • De Rouck T, Collys K, Cosyn J. Single-tooth replacement in the anterior maxilla by means of immediate implantation and provisionalization: a review. Int J Oral Maxillofac Implants. 2008; 23(5):897-904.
  • Chen ST, Wilson TG Jr, Hämmerle CH. Immediate or early placement of implants following tooth extraction: review of biologic basis, clinical procedures, and outcomes. Int J Oral Maxillofac Implants. 2004;19(Suppl):12-25.
  • Schropp L, Wenzel A, Kostopoulos L, Karring T. Bone healing and soft tissue contour changes following single-tooth extraction: a clinical and radiographic 12-month prospective study. Int J Periodontics Restorative Dent. 2003;23(4):313-323.
  • Schropp L, Kostopoulos L, Wenzel A. Bone healing following immediate versus delayed placement of titanium implants into extraction sockets: a prospective clinical study. Int J Oral Maxillofac Implants. 2003;18(2):189-199.
  • D’Addona A, Ghassemian M, Raffaelli L, Manicone PF. Soft and hard tissue management in implant therapy-part I: surgical concepts. Int J Biomater. 2012;2012:531202. doi:10.1155/2012/ 531202
  • Drago CJ, Lazzara RJ. Immediate occlusal loading of Osseotite implants in mandibular edentulous patients: a prospective observational report with 18-month data. J Prosthodont. 2006; 15(3):187-194. doi:10.1111/j.1532-849X.2006.00099.x
  • Slagter KW, den Hartog L, Bakker NA, Vissink A, Meijer HJ, Raghoebar GM. Immediate placement of dental implants in the esthetic zone: a systematic review and pooled analysis. J Periodontol. 2014;85(7):e241-e250. doi:10.1902/jop.2014.130632
  • Barone A, Rispoli L, Vozza I, Quaranta A, Covani U. Immediate restoration of single implants placed immediately after tooth extraction. J Periodontol. 2006;77(11):1914-1920. doi:10.1902/jop.2006.060072
  • Degidi M, Piattelli A, Gehrke P, Felice P, Carinci F. Five-year outcome of 111 immediate nonfunctional single restorations. J Oral Implantol. 2006;32(6):277-285. doi:10.1563/0.795.1
  • Chen ST, Buser D. Clinical and esthetic outcomes of implants placed in postextraction sites. Int J Oral Maxillofac Implants. 2009;24(Suppl):186-217.
  • Glauser R, Sailer I, Wohlwend A, Studer S, Schibli M, Schärer P. Experimental zirconia abutments for implant-supported single-tooth restorations in esthetically demanding regions: 4-year results of a prospective clinical study. Int J Prosthodont. 2004; 17(3):285-290.
  • Tetelman ED, Babbush CA. A new transitional abutment for immediate aesthetics and function. Implant Dent. 2008;17(1):51-58. doi:10.1097/ID.0b013e318167648c
  • Hahnel S, Wieser A, Lang R, Rosentritt M. Biofilm formation on the surface of modern implant abutment materials. Clin Oral Implants Res. 2015;26(11):1297-1301. doi:10.1111/clr.12454
  • Parpaiola A, Sbricoli L, Guazzo R, Bressan E, Lops D. Managing the peri-implant mucosa: a clinically reliable method for optimizing soft tissue contours and emergence profile. J Esthet Restor Dent. 2013;25(5):317-323. doi:10.1111/jerd.12046
  • Ganddini MR, Tallents RH, Ercoli C, Ganddini R. Technique for fabricating a cement-retained single-unit implant-supported provisional restoration in the esthetic zone. J Prosthet Dent. 2005; 94(3):296-298. doi:10.1016/j.prosdent.2005.06.010
  • Sayin B. Estetik bölgede yapılan implant tedavilerinde farklı dişeti şekillendirme materyalleri kullanımının değerlendirilmesi: klinik ve biyokimyasal çalışma. 2019.
  • Levin BP. Immediate temporization of immediate implants in the esthetic zone: evaluating survival and bone maintenance. Compend Contin Educ Dent. 2011;32(4):52-62.
  • Yao JW, Wang HL. Assessment of peri-implant soft tissue adaptive pressure and time after provisional restorations. Int J Periodontics Restorative Dent. 2019;39(6):809-815. doi:10.11607/prd.4063
  • Nevins M, Wang HL. Implant therapy: Clinical approaches and evidence of success 2nd Edition 2019 Book 544. p.
  • Mengel R, Flores-de-Jacoby L. Implants in regenerated bone in patients treated for generalized aggressive periodontitis: a prospective longitudinal study. Int J Periodontics Restorative Dent. 2005;25(4):331-341.
  • Thöne-Mühling M, Peleska B, Gockel F, Lotzmann U, Mengel R. Template-guided flapless implant insertion and prosthetic rehabilitation with telescopic crowns in a patient with treated generalized aggressive periodontitis: a case report. Quintessence Int. 2012;43(3):179-185.
  • Meijer HJ, Raghoebar GM, Van ‘t Hof MA. Comparison of implant-retained mandibular overdentures and conventional complete dentures: a 10-year prospective study of clinical aspects and patient satisfaction. Int J Oral Maxillofac Implants. 2003; 18(6):879-885.
  • Ekelund JA, Lindquist LW, Carlsson GE, Jemt T. Implant treatment in the edentulous mandible: a prospective study on Brånemark system implants over more than 20 years. Int J Prosthodont. 2003;16(6):602-608.
There are 30 citations in total.

Details

Primary Language English
Subjects Prosthodontics
Journal Section Olgu Sunumu
Authors

Faris Akyüz 0009-0004-2879-0961

Saadet Nur İstanbulluoğlu 0009-0005-2240-0982

Emine Göncü Başaran 0000-0002-5183-7746

Publication Date December 30, 2024
Submission Date September 13, 2024
Acceptance Date December 10, 2024
Published in Issue Year 2024 Volume: 25 Issue: 4

Cite

AMA Akyüz F, İstanbulluoğlu SN, Göncü Başaran E. Immediate loading and Hind’s technique. Dicle Dent J. December 2024;25(4):111-117. doi:10.70509/dicledentj.1548921