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References 1. Chen ST, Beagle J, Jensen SS, Chiapasco M, Darby I. Consensus statements and recommended clinical procedures regarding surgical techniques. Int J Oral Maxillofac Implants 2009; 24 Suppl: 272-278. 2. Pieri F, Aldini NN, Fini M, Marchetti C, Corinaldesi G.: Preliminary 2-Year Report on Treatment Outcomes for 6-mm-Long Implants in Posterior Atrophic Mandibles. Int J Prostho- dont. 2012 May;25(3):279-89. 3. Esposito M, Cannizzaro G, Soardi E, Pistilli R, Piattelli M, Corvino V, Felice P.: Posterior atrophic jaws rehabilitated with prostheses supported by 6 mm-long, 4 mm-wide im- plants or by longer implants in augmented bone. Preliminary results from a pilot randomised controlled trial. Eur J Oral Implantol. 2012 May;5(1):19-33. 4. Grutter L, Belser UC. Implant loading protocols for the partially edentulous esthetic zone. Int J Oral Maxillofac Implants 2009; 24 Suppl: 169-179. 5. Albrektsson T, Branemark PI, Hansson HA, Lindstrom J. Osseointegrated titanium implants. Requirements for ensuring a long-lasting, direct bone-to-implant anchorage in man. Acta Orthop Scand 1981; 52:155-170. 6. Telleman G, Raghoebar GM, Vissink A, Meijer HJ.: Impact of platform switching on inter-proximal bone levels around short implants in the posterior region; 1-year results from a randomized clinical trial. J Clin Periodontol. 2012 Mar 29. doi: 10.1111/j.1600-051X.2012.01887.x. 7. Chen ST, Darby IB, Reynolds EC, Clement JG. Immediate implant placement postextraction without flap elevation. J Periodontol 2009; 80:163-172. 8. Zafiropoulos GG, Deli G, Bartee BK, Hoffmann O. Single-tooth implant placement and loading in fresh and regenerated extraction sockets. Five-year results: a case series using two different implant designs. J Periodontol 2010; 81:604-615. 9. Mura P. Immediate loading of tapered implants placed in postextraction sockets: Retrospective analysis of the 5-year clinical outcome. Clin Implant Dent Relat Res 2010. 10. Block MS, Mercante DE, Lirette D, Mohamed W, Ryser M, Castellon P.: Prospective evaluation of immediate and delayed provisional single tooth restorations. J Oral Maxillofac Surg 2009; 67:89-107. 11. Linares A, Mardas N, Dard M, Donos N.: Effect of immediate or delayed loading following immediate placement of implants with a modified surface. Clin Oral Implants Res 2011; 22:38-46. 12. Atieh MA, Payne AG, Duncan WJ, Cullinan MP.: Immediate restoration/loading of immediately placed single implants: is it an effective bimodal approach? Clin Oral Implants Res 2009; 20:645-659. 13. Glauser R, Ruhstaller P, Windisch S, Zembic A, Lundgren A, Gottlow J, et al.: Immediate occlusal loading of Branemark System TiUnite implants placed predominantly in soft bone: 4-year results of a prospective clinical study. Clin Implant Dent Relat Res 2005;7 Suppl 1:52-59. 14. Ravindran DM, Sudhakar U, Ramakrishnan T, Ambalavanan N: The efficicacy of flapless implant surgery on soft-tissue profile comparing immediate loading implants to delayed loading implants: A comparative clinical study. J Indian Soc Periodontol, 2010 Oct;14(4):245-51 15. Al-Juboori MJ, bin Abdulrahaman S, Subramaniam R, Tawfiq OF: Less morbidity with flapless implant. Dent Implantol Update, 2012 Apr;23(4):25-30 16. Crespi R, Capparè P, Gherlone E, Romanos GE: Immediate occlusal loading of implants placed in fresh sockets after tooth extraction. Int J Oral Maxillofac Implants. 2007 Nov- Dec;22(6):955-62 17. Crespi R, Capparé P, Gherlone E, Romanos GE : Immediate versus delayed loading of dental implants placed in fresh extraction sockets in the maxillary esthetic zone: a clinical comparative study. Int J Oral Maxillofac Implants. 2008 Jul-Aug;23(4):753-8 18. Crespi R, Capparè P, Gherlone E, Romanos G.: Immediate provisionalization of dental implants placed in fresh extraction sockets using a flapless technique. Int J Periodontics Restorative Dent. 2012 Feb;32(1):29-37 19. Romanos GE, Nentwig GH: Immediate functional loading in the maxilla using implants with platform switching: five-year results. Int J Oral Maxillofac Implants. 2009 Nov- Dec;24(6):1106-12 20. Müller CK, Thorwarth M, Chen J, Schultze-Mosgau S: A laboratory study comparing the effect of ridge exposure using tissue punch versus mucoperiosteal flap on the formation of the implant-epithelial junction. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2012 Jan 25 About the author Dr Armin Nedjat, dentist, implantol- ogy specialist, Dip- lomate ICOI and CEO of Champions Implants Champions Im- plants GmbH Bornheimer Land- straße 8 D-55237 Flonheim Tel +49 (0) 67 34 - 91 40 80 Fax +49 (0) 67 34 - 10 53 info@champions-implants.com www.champions-implants.com page 19DTß Fig 14a Fig 14b Figs 12-18 In a session, the bridge 13-15 was removed, and the support teeth were prepared. The 14mm long and the 3.5mm diameter Champions® implants were inserted in region 12, the 8mm long and 3.5mm diameter Champions® implants in region 16 mesially and distally, and 8mm long and 4.5 mm diameter Champions® implants in region 17. The implants achieved primary stability from 40-60Ncm. The implants were immediately restored with a fixed temporary restoration (Fig. 6). After 10 days, the final prosthodontic restoration was fitted. X-rays were taken six months after the final prosthodontic restoration had been fit. The X-rays and current studies have shown that an imme- diate restoration, including an immediate restoration in combination with an im- mediate implantation, prove to be efficient, reliable and beneficial8,16-18 and allow for good hard and soft tissue regenera- tion8-13,16-18. The contact rate between the bone and the immediately restored implant interface is comparable to the one between the bone and the interface of an implant that has not been immediately restored11. According to our experiences, the final prosthodontic restoration can be immediately fit if at least four teeth/im- plants can be splinted passively fit within the first two weeks. Fig 15 Fig 16 Fig 17 Fig 18 Fig 19 Fig 20 Fig 21 Fig 22 Fig 23 Fig 24 Figs 19-24 In the first session, a 6mm long and 4.5mm diameter Champions® implant was placed in region 25 according to the MIMI® method. The MIMI® method is quite nontraumatic for the patient and ensures periost protection. In this case, primary stability was achieved at a torque of 60Ncm. We temporarily fixed the temporary restoration to the proxi- mal surfaces of the adjacent teeth. The temporary restoration was glued with composite. Then, the final crown was cemented and fit eight weeks following implantation. The X-rays were taken a year after implantation. January 21-27, 201320 Implant Tribune United Kingdom Edition