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Implants

22 I I case report _ Immediate loading implants1_2013 _Abstract The aim of this case report is to demon- strate the concept of immediate functional loading in the mandible using unsplinted implants to support a locator attachment- supported overdenture. The patient was treated by placing four tapered implants in the anterior mandible. The implants were immediately loaded us- ing individual unsplinted locators to sup- port a removable overdenture. The patient was followed for 24 months. To date, none of the implants has lost osseointegration. The radiographic bone levels remain sta- ble. The patient has been able to maintain healthy soft tissue around all individual implants and indicated that she is com- fortable and is able to function well with her overdenture. This preliminary report presents a case in which individual imme- diately functionally loaded unsplinted im- plants maintained osseointegration when used to retain a removable locator over- denture. _Introduction Patients with an edentulous mandible may not be able to consume a normally textured diet. As they continue to lose alveolar bone height, the dislodgement pressure by the perioral musculature on the prosthesis becomes greater than its re- tentive aspects. This can cause discomfort, sores and trauma to the mental nerve. The placement of endosseous implants into the anterior mandible is an excellent therapy for reconstruction. It helps to restore eden- Immediatefunctionalloadingof theedentulousmandible Taperedimplants&overdentures Author_Dr Suheil M. Boutros Fig 1_Mandible at the time of implant placement with moderate bone resorption Fig 2_Pre-op panoramic radiograph Fig 3_Guiding pins at the time of implant placement Fig 4_Four tapered implants at placement Fig 5_Flap was sutured around the locators using 4-0 vicryl suture Fig 6_Panoramic radiograph immediately after implant placement Fig 7_Occlusal view of the processing rings Fig 8_The processing rings were picked up directly in the mouth Fig. 1 Fig. 2 Fig. 3 Fig. 4 Fig. 5 Fig. 6 Fig. 7 Fig. 8