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implants_international magazine of oral implantology No. 2, 2016

 industry | 352 2016 implants was conducted by an experienced surgeon and a simpleplatewasusedtoassistthepositionofthe implant. Immediate loading Traditionally,implanttreatmentisbasedonatwo- stage protocol with a healing period of three to six monthsduringwhichtheimplantsaresubmergedto achieve osseointegration. Recently, this clinical sug- gestion has been challenged. Numerous clinicians now advocate immediate or early loading of im- plants. The advantages of immediately loaded im- plants are clear: they require shorter treatment peri- ods and allow immediate recovery of function and aesthetics.Theclinicalperformanceandprognosisof the single-stage surgical protocol are known to be comparable to the traditional two-stage method. There are some articles reporting a cumulative sur- vival rate of 95 %, which is investigated immediately loaded single implants. Results from these studies suggest that immedi- ate loading could achieve equal success rates to those found in delayed loading. Many studies re- ported a greater satisfactory rate and less marginal bone loss in patients with immediate loading com- pared to delayed loading. Another benefit of this technology is its improvement of aesthetics and function in partially edentulous patients, especially patients with absence of anterior tooth. In addition, we can get better soft tissue morphology with the adjustment of the provisional prosthesis. In our case, the patient lost her anterior tooth of the max- illa and had high demands on her appearance. For these reasons, immediate loading was the best therapy for her. Conclusion With strictly selected indications, carefully de- signed treatment plans, and a carefully conducted operation, flapless implant surgery with immediate restoration in the aesthetic area can be a satisfying therapy. With the maturing of dental planting techniques, immediate restoration after implant surgery has become a field of interest in clinical treatment and scientific research. Conventional rehabilitation with implant-supportedprostheseshavealongperiodof waiting before the patients receive the upper pros- thesis—this period differs between six to twelve months. This may have some kind of aesthetics, function, pronunciation, and mental health effects on patients with a missing anterior maxilla tooth. Many studies have shown that implant survival rate and marginal bone loss of immediate restoration were not statistically significant compared to con- ventional rehabilitation. Immediate reconstruction can greatly reduce the time the patient has to spend withanincompletedentition.Furthermore,thepro- visional prosthesis can shape the morphology of thesofttissueandachieveeffectsdesiredbypatient and clinician._ Variables of the white esthetic score Variables Major discrepancy Minor discrepancy No discrepancy Tooth form 0 1 2 Tooth volume/outline 0 1 2 Color (hue/value) 0 1 2 Surface texture 0 1 2 Translucency 0 1 2 Maximum total WES 10 Table 2 contact Zhe qu, Xiang zhang & Lan ma Dalian Stomatological Hospital No. 935 Changjiang Road Shahekou District Dalian, China Tel.: +86 411 84625234 13604151642@sohu.com www.dlkq.cn 3522016 Tooth form 012 Tooth volume/outline 012 Color (hue/value) 012 Surface texture 012 Translucency 012 Tel.: +8641184625234

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