Dragan Eliza
Grigore T Popa University of Medicine and Pharmacy, Romania
Title: Innovative surgical workflow for immediately loaded rehabilitations
Biography
Biography: Dragan Eliza
Abstract
The primary objective of implant therapy in the esthetic zone is an optimal esthetic treatment outcome with high
predictability and a low risk of complication. In its ITI Consensus Conference 2013, the ITI has clearly indicated that
implants should be placed in the early time frame aft er tooth extraction, either as an immediate or early implant placement
approach. A rationale for immediate loading is not only to reduce the risk of fi brous tissue formation (which results in clinical
failure) but also to minimize woven bone formation and promote lamellar bone maturation to sustain occlusal load. Immediate
implant placement can be used in ideal clinical conditions. Th e most important requirements are a fully intact facial bone wall
with a thick wall phenotype (>1 mm) and a thick gingival biotype. According to Braut et al., 2011, in central incisor sites, only
4.6% had a thick wall phenotype (>1 mm). Th e presentation will bring new aspects related to soft tissue volume and phenotype,
bone volume, timing of implant placement, type of implant indicated for immediately loading, 3D planning, Implant Stability
Quotient (ISQ), aspects related to occlusion, pharmacologic adjuvants and provisional implants. Strontium ranelate improved
implant osseointegration (Maimoun et al., 2010) and bone graft microarchitecture and mechanical properties (Dragan et
al., 2016). A new surgical workfl ow for immediately loaded rehabilitations will be presented using 3D planning, 3D printed
surgical guides, provisional prosthetics. Flapless procedure showed a superiority in preserving bone tissues but may increase
the failure risk of the dental implants, especially in the situation of immediate/early loading.