Implants

24 I I case report _ Immediate loading implants1_2013 implants Dr Suheil M. Boutros Periodontal Specialists of Grand Blanc 8185 Holly Road, Suite 19 Grand Blanc, MI 48439, USA sboutros@umich.edu _contact of the flap with 4-0 vicryl, the process- ing rings were placed over the locators and were picked up directly in the mouth using hard self-curing acrylic (Rebase II, Tokuyama; Figs 7&8). The patient was giv- en post-operative instructions, including the use of 0.12 per cent chlorhexidine glu- conate (Peridex, Procter & Gamble) three times a day. She was furthermore pre- scribed 500mg of amoxicillin (to be taken every six hours for seven days). The patient was then informed that the implant-sup- ported overdenture was to be left in place for 48 hours. Two days later, she was seen for a follow-up visit and the healing pro- cess was uneventful. The black process- ing rings were switched to blue rings ten weeks after the placement (Figs 9–14). _Follow-up and maintenance After six months, the patient returned for another follow-up visit and all four lo- cators were torqued to 30 N (Figs 15–21). It was determined that all four implants had achieved full integration. Currently, the pa- tient is on a six-month recall to ensure the proper maintenance of the implants and the prosthesis. The last maintenance visit was 24 months post-placement and all im- plants have maintained healthy soft tissue and a stable bone level. _Clinical relevance With a higher demand by patients for immediate implant placement and load- ing, the use of tapered implants can help achieve quick, economic and predictable results without having to use a rigid (bar) attachment, since they a provide high de- gree of primary stability._ Editorial note: A complete list of refer- ences is available from the publisher. Fig. 17 Fig. 18 Fig. 19 Fig. 20 Fig. 21 Figs 17-20_Retorquing the locators to 30 N six months post-placement Fig 21_Final panoramic radiograph six months post-placement