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Clinical, biomechanical and biological aspects of immediately loaded dental implants: a critical review of the literature

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Published/Copyright: October 25, 2010
Biomedical Engineering / Biomedizinische Technik
From the journal Volume 55 Issue 6

Abstract

In recent years, the use of immediately loaded implants became more acceptable as a standard protocol for completely edentulous lower jaw and/or partially edentulous upper jaw cases, predominantly in the anterior region, after it was one of the cornerstones of the early protocols to avoid any occlusal loading of the implants for at least 3 months. This technique could potentially provide immediate function and aesthetics to the patient. This review aims to present the clinical indications of the immediately loaded protocol according to the individual cases and the corresponding risk factors and contraindications. The clinical, biomechanical and biological requirements concerning bone quality, occlusal loading and implant primary stability are discussed. Primary stability in immediate loading is determined rather by surgical than biological parameters. Peri-implant osteogenesis leading to secondary stability depends on the same biological factors than in unloaded implant healing. However, specific mechanical effects on the biology of immediate loading osseointegration are yet to be investigated.

Keywords: biomechanics; bone cells; dental implants; immediate loading; prosthesis
Corresponding author: Prof. Dr. Werner Götz, Department of Orthodontics, University of Bonn, Dental Hospital, Oral Biology Laboratory, Welschnonnenstr. 17, D-53111 Bonn, Germany Phone: +49-228-287-22116 Fax: +49-228-287-22588
Received: 2010-7-9
Accepted: 2010-10-1
Published Online: 2010-10-25
Published Online: 2010-10-25
Published in Print: 2010-12-01

©2010 by Walter de Gruyter Berlin New York

Articles in the same Issue

  1. Guest editorial
  2. Aspects of oral and dental reconstitution with dental implants and membranes
  3. Review
  4. Clinical, biomechanical and biological aspects of immediately loaded dental implants: a critical review of the literature
  5. Research articles
  6. Crestal bone resorption around platform-switched dental implants with fine threaded neck after immediate and delayed loading
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  10. Biomechanical finite element analysis of small diameter and short dental implant
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https://doi.org/10.1515/bmt.2010.045
Keywords for this article
biomechanics; bone cells; dental implants; immediate loading; prosthesis

Articles in the same Issue

  1. Guest editorial
  2. Aspects of oral and dental reconstitution with dental implants and membranes
  3. Review
  4. Clinical, biomechanical and biological aspects of immediately loaded dental implants: a critical review of the literature
  5. Research articles
  6. Crestal bone resorption around platform-switched dental implants with fine threaded neck after immediate and delayed loading
  7. The influence of biocomposites containing genetically modified flax fibers on gene expression in rat skeletal muscle
  8. Use of primary culture of human fibroblasts in gingiva augmentation procedure
  9. Retention force of secondary crowns to copings after temporary cementation: the effect of crown material and luting agent
  10. Biomechanical finite element analysis of small diameter and short dental implant
  11. Original articles
  12. Systematic user-based assessment of “Navigated Control Spine” / Systematische, nutzerzentrierte Evaluation von „Navigated Control Spine”
  13. Influence of formalin fixation on the biomechanical properties of human diaphyseal bone
  14. Asynchronous steady-state visual evoked potential based BCI control of a 2-DoF artificial upper limb
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