Case Presentations and Evolution in Concepts of Immediate Loading in Edentulous Mandible

Abstract

The purpose of this case series is to demonstrate an innovative paralleling device and a step by step surgical and prosthetic approach for achieving buccolingual and mesiodistal parallelism of immediately loaded implants. Clinical outcomes including success rates, indications, advantages, complications and limitations of this technique in cases using an Immediate Loading (IL) protocol will be discussed. Thirteen consecutive cases from the database that were treated with an IL protocol utilizing a paralleling device were included in this study. The treatment sites included the interforamina area in 8 totally edentulous and 5 partially edentulous mandibles. In this case series the average survival rate was 98.4% with a loading period of 6-28 months. There was one implant failure, one provisional restoration fractured and two cases with cement wash out during the follow-up period. Results of this case series demonstrated that implant placement in optimal position and angulation using the suggested IL protocol and paralleling device produces predictable results. It is also simpler, faster and more cost effective than the screw retained protocol. Ki Bum Kim*, Bhupesh Mandali, Wendy CW Wang and Zahra Bagheri Department of Periodontology and Implant Dentistry, New York University, USA *Address for Correspondence Ki Bum Kim, Department of Periodontology and Implant Dentistry, New York University, Clinic 5W, 345 E 24th St, New York, NY 10010, USA, Tel: +1-212-992-7040; E-mail: kbk211@nyu.edu Submission: 15 January, 2018 Accepted: 16 February, 2018 Published: 26 February, 2018 Copyright: © 2018 Kim KB, et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Case Report Open Access Journal of Oral Biology