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Proper Loading Techniques for the Two-Implant Overdenture

Learning Objectives:

After hearing this podcast, the listener should:
  • Understand three distinct techniques for the loading of a mandibular two-implant overdenture
  • See the unique advantages and clinical challenges presented by each method

Wherever possible, a one-stage surgical procedure with an early loading protocol (ie, 6 to 8 weeks) is the recommended technique for the two-implant overdenture. There may be instances when conventional loading (ie, 12 weeks) might be appropriate as well. A third “philosophical” variation on early and conventional loading protocols is immediate loading, in which final abutments are connected and retentive elements are activated at the time of implant placement. At present, immediate loading is not appropriate for the unsplinted two-implant overdenture design.


Related Reading:

  1. Testori T, Del Fabbro, Feldman S, et al. A multicenter prospective evaluation of 2-months loaded Osseotite implants placed in the posterior jaws: 3-year follow-ups. Clin Oral Implants Res 2002;13:154-161.
  2. Bornstein MM, Lussi A, Schmid B, et al. Early loading of nonsubmerged titanium implants with a sandblasted and acid-etched (SLA) surface: 3-year results of a prospective study in partially edentulous patients. Int J Oral Maxillofac Implants 2003;18(5):659-666.
  3. Chiapasco M. Early and immediate restoration and loading of implants in completely edentulous patients. Int J Oral Maxillofac Implants 2004;19:76-81.
  4. Brånemark P-I, Hansson BO, Adell R, et al. Osseointegrated implants in the treatment of the edentulous jaw. Experience from a 10-year period. Scand J Plast Reconstr Surg 1977;16(Suppl):1-132.
  5. Soballe K. Hydroxyapatite ceramic coating for bone implant fixation. Mechanical and histological studies in dogs. Acta Orthop Scand 1993;255(Suppl):1-58.
  6. Vaillancourt H, Pilliar RM, McCammond D. Finite element analysis of crestal bone loss around porous-coated dental implants. J Appl Biomater 1995;6(4):267-282.

 

 

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