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ePaper created 2017-12-06, 11:14:19 | version 1.38.0
| case report Immediate temporisation using tapered implants Author: Dr Mohamad El Moheb, France Immediate loading of implants is a predictable and successful1 treatment option if it is well planned and well executed. An adequate implant stability is mandatory to permit early loading of the implant.2 This treatment allows an immediate restoring of aes- thetics and offers a more comfortable provisional for the patient. Immediate temporisation (immediate loading) is a predictable technique. There are no significant differences concerning the implant survival, or marginal bone loss when it is compared to the con- ventional loading procedure.3 The patient selection in addition to the primary stability of the implant and the patient compliance with the surgeon's recommendations are important factors of the success of the immediate implant loading.4 Background Immediate temporisation of an implant in the an- terior zone5 to replace a missing tooth is well docu- mented. It is a predictable procedure and its results can be compared to a delayed one6 if an implant sta- bility of 35 N can be reached7 and if the provisional crown is out of occlusion. To achieve a high insertion torque and stability, the choice of which implant shall be used is primordial. The implant surface seems to play a role in the stabil- ity of the implant during insertion. This is due to the augmentation of the roughness, which will increase the friction coefficient8 and demand a larger insertion torque. The implant design plays a key role in primary sta- bility as well as the insertion torque. It has been Fig. 1: Central incisor had been missing for several years. Fig. 2: Concave semilunar incision towards the palate. Fig. 3: Self-taping implant increases bone density by condensation. Fig. 4: Drilling. Fig. 5: Implant insertion at 35 N. Fig. 6: Implant abutment. Fig. 1 Fig. 2 Fig. 3 Fig. 4 Fig. 5 Fig. 6 18 implants 3 2017