Full mouth rehabilitation with immediate loaded dental implants – Case report

Background

Rehabilitation of unsalvageable teeth can be very challenging procedure. Immediate loading of dental implants not just shortens treatment time but enables us to preserve normal chewing function and appearance of our patients after teeth loss. Normal function and good aesthetic appearance are main expectations of our patients from dental implant treatment. Immediate loading as a predictable tool in our hands gives us opportunity to fulfil these demands and expectations in just one visit.

Aim/Hypothesis

The aim of these work is to present a case report using immediate implant loading after teeth extraction for restoring normal chewing function and patients aesthetic appearance in just one visit.

Material and Methods

In healthy female patient 49 years old multiple extractions were performed. The reason for teeth loss was periodontal disease. Four implants were immediately placed in extraction sockets in upper jaw and five implants in lower jaw. Primary stability was measured with Osstell and ISQ values were recorded during implant placement and after 3 months. Conventional impressions were taken immediately after implant placement by closed tray. Temporary abutments were prepared and implants were loaded with provisionals same day. Teeth were in occlusion and patient was advised soft diet for 6 weeks. Only analgesics were used postoperatively. No hard or soft tissue augmentation was performed. Radiographs were performed before treatment, 1 week after implant placement and after 3 months. Patient filled simple questionary postoperatively and after 3 months for measurement of satisfaction score. Evaluating parameters were satisfaction by newly chewing function and aesthetic appearance.

Results

All implants in the upper and lower jaw were primary stable. High primary stability was achieved allowing immediate loading. ISQ values for all implants were above 63 after implant placement and reached values above 82 after 3 months. All implants osseointegrated uneventfully. No bone resorption was noticed on radiographs after 3 months. Patient had high satisfaction score immediately after the operation and during 3 months of healing. Mostly important was having normal chewing function even if the food regimen was changed and good aesthetic appearance.

Conclusion and Clinical Implications

Immediate loading is a reliable and predictable tool in our hand giving us an opportunity to restore normal chewing function and aesthetic appearance even in most demanding cases. Doing this our treatment does not influence negatively on the quality of life of our patients and enables them to live high quality life even in most challenging situations and extensive procedures.