J Adv Prosthodont.  2012 Feb;4(1):52-56. 10.4047/jap.2012.4.1.52.

Immediate placement and functional loading of implants on canine with fixed partial denture for a patient having canine protected occlusion: a case report

• Hong JW
• Ahn SG
• Leem DH
• Seo JM

• KMID: 2284784
• DOI: http://doi.org/10.4047/jap.2012.4.1.52

Abstract

Conventional implant protocols required a load-free healing period of three to six months between placement and functional loading of the implants. Many efforts have been made to minimize the duration of treatment time. Several literatures have documented immediate function with provisional or definitive prosthesis within a week of the placement in response to these demands. In addition, immediate implant placement has advantages such as shortened treatment time and preservation of soft tissue architectures. This article presents immediate implant placement into fresh extraction sockets followed by functional immediate loading with provisional prosthesis on canine and premolars for a patient having canine protected occlusion.

Keyword

Immediate implant placement; Immediate functional loading; Canine guidance; Esthetic implant prosthesis

MeSH Terms

Bicuspid
Dental Occlusion
Denture, Partial, Fixed
Humans
Prostheses and Implants

Figure

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  Fig. 1 Periapical radiographs at initial presentation. A: Maxillary view, B: Mandibular view.

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  Fig. 2 Preoperative buccal view showing fractured maxillary second premolar.

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  Fig. 3 Teeth extraction and immediate implant placement.

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  Fig. 4 Impression taking by using transfer impression coping during first surgery.

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  Fig. 5 Immediate loading by provisional prosthesis with canine protected occlusion.

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  Fig. 6 Postoperative buccal view following four weeks of implant placement and loading.

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  Fig. 7 Zirconia abutment connection to implant fixture.

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  Fig. 8 Buccal view of the definitive restoration in place.

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  Fig. 9 Occlusal view of the definitive restoration in place.

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  Fig. 10 Postoperative appearance one year later following immediate implant placement and immediate loading.

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  Fig. 11 Panorama radiographic image after one year following immediate implant placement and immediate loading.

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