Case Presentation andEvolution of Concepts and Techniques in Maxillary Immediate Loading

Immediate loading in the maxilla is often challenging because of the poor bone quality as compared to the mandible. Moreover, the bone morphology of the maxilla may oftentimes direct the vectors of forces in a non axial direction of loading, which is detrimental for the immediately loaded implants. In literature, few studies are available with more than 3 years of evaluation of immediate loading in the maxilla. While there are several clinical factors that have been recommended for the long term success of immediate loading of the maxilla, it remains a technique sensitive procedure due to the morphology and quality of the maxillary ridge. For these reasons a new screw design, screwdriver and abutment system was introduced to correct the angulation of the implants and fabricate screw retained maxillary immediate loading prostheses. This report documents the clinical results of patients with immediately loaded implants and discusses the evolution of the surgical and restorative concepts in the fully edentulous maxilla. Hafiz Adawi*, Parnward Hengjeerajaras, Ye Shi, Shu Wei Kuo and Maryse Manasse Department of Periodontology and Implant Dentistry, New York University, USA *Address for Correspondence Hafiz Adawi, Department of Periodontology and Implant Dentistry, New York University, Clinic 5W, 345 E 24th St, New York, NY 10010, USA, Tel: +1-2025692026; E-mail: haa382@nyu.edu Submission: 15 January, 2018 Accepted: 24 May, 2018 Published: 31 May, 2018 Copyright: © 2018 Adawi H, 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