Costa Nicolopoulos
Sameday dental implants, Dubai
Title: Less grafts – more implants & sameday teeth
Biography
Biography: Costa Nicolopoulos
Abstract
Ample reports have been published on immediate loading of dental implants showing that an initial unloaded period of 3-6 months is not necessary.rnAn important factor for success is primary implant stability which can be achieved by using a surface enhanced tapered implant design to enhance lateral compresion of bone.rnIn patients with suboptimal bone volume bone grafts can be avoided by placing angled implants and wider implants in available bone. With good primary stability these implants can also be loaded immediately with same day teeth.rnHigh treatment acceptance and patient satisfaction are the most important advantages of immediate loading and immediate function.rnrnIntroduction: rnThe original Branemark protocol advocated the use of two stage surgical approach where the turned (smooth) implants were buried for several months under the mucosa.rnThe protocol later evolved into a one stage approach.rnSeveral clinicians then proceeded to immediately load these one stage implants with good success provided good primary stability (more than 45Ncm) was achieved at time of implant placement and provided micro-movements could be limited to 100mm. With the advent of surface enhanced (rough microsurfaced) titanium implants the success rates of immediate loaded implants compares favourably with delayed loaded implants.rnFrom a patient’s point of view the reduction in treatment time between implant placement & installation of a functional porosthesis leads to increased patient satisfaction & treatment acceptance. This gain in time for the patient implies an economical benefit especially for professionally and/or socially active patients.