Abstract

Clinical protocol for a high insertion torque immediate implant in fresh extraction sites: A 3-year audit

Highlights

  • The outcome of conventional staged protocol for dental implant osseointegration has been shown to be highly predictable and successful regardless many different designs and brands of implants [1,2,3]

  • The 3-Year results show that immediate placement of a variable-thread tapered implants by high insertion torque (>50 -70Ncm) in fresh extraction socket could achieve a high survival rate at 95.6%, immediate temporary restored and function group even achieve 100% cumulative survival in this cohort

  • Majority of patients suffered from Crown & Bridge work failure 31.1% (14/45) (Table 1) that sought for dental implant rehabilitation

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Summary

Introduction

The outcome of conventional staged protocol for dental implant osseointegration has been shown to be highly predictable and successful regardless many different designs and brands of implants [1,2,3]. There has been an increase in the number of studies on immediate placement which present their results a high success rate of osseointegration as comparable to conventional staged approach [5]. In order to secure a predictable outcome, the clinician should well master the bio-physiology of fresh extraction socket healing in addition to the initial stability of implant placement. Primary or initial Implant stability is of paramount important for implant placement in fresh extraction sockets and immediately loaded [6]. In 2007, a variablethread implant (Nobel ActiveTM) with it’s feature of high insertion torque [7] enhancing immediate implant placement was introduced

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