Fixed teeth in 1 day – All-on-4™
The only discomfort for a patient who has to undergo implant surgery is represented by the osteointegration time of one or more implants, a period during which the permanent prosthetic elements can not yet be definitively positioned and sometimes necessitates the use of temporary mobile prostheses that can be badly tolerated by the patient: the normal time for osteointegration of an implant ranges from three to six months from the day of surgery.
Recent and authoritative scientific studies have, however, shown that even in situations of severe bone atrophy, if the implants are immediately loaded, that is the teeth are fixed on the same day as the operation or at most on the next day, the success rate is identical to What you would have in the case of having to wait for a few months to load the implant.
This procedure is commonly referred to as “immediate loading” implantology.
The most suitable cases for immediate loading are related to the total lack of teeth in the jaw because the mandible bone, given the greater presence of cortical bone, gives the implants a remarkable stability.
Another fundamental requirement is the number of implants, which according to the protocols applied at Stomatologico Lariano, must be at least four inserted on the same day and linked to an immediate fixed prosthesis in order to give stability to each other. Immediate loading can also be done on the upper jaw if the bone quality allows screwing the implants with a torque of at least 30 Ncm.
Four implants are sufficient, if correctly positioned, to be able to apply an fixed upper prosthesis without palate on the same day of surgery. Stomatologico Lariano srl has developed, in the figure of Dr. Massimo Cianci and all his collaborators, new low invasive surgical techniques which allow a reduction in surgical times: these new scenarios allow us to perform rehabilitation on partially or completely edentulous maxillary or mandibles, implant surgery and immediate loading with fixed prostheses in the same day.
Therefore, the three months for the lower jaw and five to six months for the upper jaw prior to loading the implants do not now seem to be an indispensable requirement in obtaining a lasting result over time, but only in the presence of certain bone conditions during the Positioning of the implants.
The evolution of modern society leads us to the direct consequence of no longer being able to ignore the ever-increasing needs of people who seek functional implant implants which are aesthetically valid in ever shorter time periods.
In conclusion, methods such as “fixed teeth on 4 or 6 implants” are therapeutic alternatives that allow us to rapidly rehabilitate completely edentulous dental arches without resorting to bone grafts, bone regeneration or major maxillary sinus elevations. Furthermore, where it is possible to combine the concept of “surgically guided implants without scalpels”, the surgical act becomes highly predictable with the loading of the fixed prosthesis immediately after the surgery, as the prosthetic implant has been prepared in advance by the dental technician.
A reduction of sessions and operating times, simple, minimally invasive surgical interventions and very few discomforts for our patients, as well as fixed rehabilitation without passing through a complete edentulous stage, are just some of the major benefits for the doctor and the patient.
