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Single tooth immediate restoration of dental implants

Author: Ahmed Hashim H. AL-Musawi
Journal: Karbala Journal of Medicine مجلة كربلاء الطبية ISSN: 19905483 Year: 2012 Volume: 5 no 1 Issue: 11 Pages: 1360-1369
Publisher: Kerbala University جامعة كربلاء


Background: For over 20 years, dental implants have been a source of light for many who have suffered lost or bad teeth. Traditional dental implants involve placing the implants and providing the tooth restorations after 3 to 6 months after osseointegration is complete. In this procedure all is done as a single procedure rather than the traditional two stage placement or delayed placement.Objective: The purpose of this study was to examine the clinical outcome of a single-tooth implants placed in the posterior region of the oral cavity.Materials & methods: 22 adult patients were selected and a single implants were placed in the posterior region of the oral cavity. Temporary acrylic crowns were adjusted and cemented. The crown occlusion was adjusted to obtain minimal contacts in maximum intercuspation. After 8 weeks a zirconium crown was cemented. Radiographic and clinical examinations were made at baseline at 3, 6, and 12 months. Cortical bone response and peri-implant mucosal responses were evaluated.Results: Preservation of the marginal bone level at the time of implant placement was achieved. The marginal bone level mean change was 0.02 mm at 12 months. The mean Periotest value after 360 days was –3. The peri-implant mucosal adaptation to the anatomic form of the provisional crown resulted in a natural esthetic outcome, and a gain in papilla length was observed.Conclusion: We can conclude that immediate loading of unsplinted single-tooth implants in the posterior region could be an treatment option with a good esthetic outcome.Key words: dental implants, esthetics, immediate loading, osseointegration

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