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Implantology Prosthodontics/ 3 December 2023/ |

Immediate Implant placement and Immediate restoration in esthetic zone: four years follow up

Author: Dr Sanjay

Website: http://Dr%20Sanjay

Nationality: Nepal

Branch: Implantology, Prosthodontics

Brand: Straumann, Geistlich

Material: Straumann BLT

Technique: Immediate Implants(Type I Placements)

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A 27-year female patient with dislodged Resin bonded FPD. She had that FPD for past few years, it had metal wings on palatal surfaces of UR1 and UL2 and a post like metal extension into the root canal of UL1. There was gingival abscess due to fractured root segment most probably due to extended metallic post like structure. Immediate implant placement (IIP) and Immediate restoration (IR) was planned for this patient.

Galluci et al. reviewed the evidence for the clinical outcome of fixed implant prostheses treated with different combinations of implant placement and loading protocols in partially edentulous patients.
They formulated conclusions and proposed clinical recommendations for all types of placement and loading protocols; the included studies were ranked per their design, sample size, and outcome homogeneity (OH). The outcome homogeneity was considered positive (OH+) when the variation of implant survival rates for the same treatment protocol was 10% or less, and negative (OH–) when the variation was >10% (Gallucci et al., 2009).
Type 1A was deemed according the validation tool as presenting clinical documentation. Although there were six comparative studies and 18 noncomparative studies in this group, the validation of this protocol was influenced by a negative outcome homogeneity (OH) ranging from 87.5% to 100% survival rate. The studies that reported on the success criteria showed a range of 87% to 100%. From the studies assessing Type 1A, carefully case selection criteria were described. Here, the presence of sufficient apical bone, intact buccal plate, and absence of infection at the extraction site was predominant. For Type 1A, the negative OH should be considered as clinical relevant particularly when careful patient selection criteria are recommended.
Implant placement and loading protocols in partially edentulous patients: A systematic review
German O. Gallucci1 | Adam Hamilton2 | Wenjie Zhou3,4 | Daniel Buser5 | Stephen Chen6
Clin Oral Impl Res. 2018;29(Suppl. 16):106–134.

Immediate post-op

Occlusal check

20 days post-op after suture removal

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Dr Sanjay

Dr Sanjay Sah completed his BDS from Tribhuwan university, Nepal in 2007, and MDS in prosthodontics and Implantology from Huazhong university of science and technology, China in 2013. Dr Sah is passionate about implant restorations in anterior maxilla and focuses greatly on optimizing esthetics by hard and soft tissue management. He is actively involved in sharing his knowledge and clinical experiences in various national and international forums. He has been privileged with a blue badge in RIPEGlobal, a social media-based learning and sharing platform. He was one of the recipients of global smile award conducted by Straumann and ITI in 2020. He has recently been appointed as the assistant editor of dental tribune South Asia, and an educator of fellowship in modern implantology at RIPEGlobal. He is a fellow of Asia pacific academy of implant dentistry. Dr Sah is a consultant prosthodontist and assistant professor in the department of prosthodontics at National Academy of Medical Sciences, Bir hospital, Kathmandu, Nepal.