CF1
Nobel Biocare USA: Biomechanical and Histological Evidence for Immediate Loading the Fully Edentulous Patients
7:30 AM-9:00 AM
315 (Hawaii Convention Center)
This is a Ticketed Session
Edmond Bedrossian DDS
San Francisco, CA, USA
Presence of pneumatized maxillary sinuses as well as lack of alveolar bone due to significant horizontal and or vertical resorption in the completely edentulous maxilla, poses unique surgical treatment planning challenges. Prosthetic challenges such as esthetics, lip support and phonetics also are affected. Therefore, unique considerations are needed when treating the edentulous maxillary arch in this group of patients.
The successful fabrication and delivery of fixed implant supported prosthesis for is dictated by a systematic approach to surgical as well as prosthetic treatment planning.
A paradigm shift has taken place as the graftless surgical approach has gained credibility through multicenter publications showing predictable positive outcomes. Reduced treatment time, a single stage surgical reconstructions and immediate loading, eliminating the need for transitional dentures, has resulted in a higher degree of case acceptance by most patients.
This presentation will discuss the Biomechanical criteria for immediate loading the fully edentulous patient. The critical number of implants and their distribution will be discussed as well as the criteria for undersizing the osteotomy in order to attain a reliable initial stability which is paramount for immediate loading.
- Treatment planning concepts for the maxilla;
- Decision making tree for the Graftless approach;
- The number and the distribution of implants; and
- Biomechanical and the Histological bases for undersizing the osteotomy.