[Prosthetic dilemmas. Immediate versus conventional loading of implants in the edentulous mandible]. 2008

G T Stoker, and D Wismeijer
Orale Functieleer van de Universiteit van Amsterdam/Academisch Centrum Tandheelkunde Amsterdam (ACTA). geertstoker@wxs.nl

Most edentulous patients experience retention problems with their lower denture, which often results in functional problems and also social ones. Since the introduction of the osseointegration concept for the edentulous patient, this patient group has been successfully treated, with demonstrably positive effects for long periods of time. The traditional protocol calls for late loading of the implants. Immediate loading of 4 implants with a bar-retained overdenture or a fixed dental prosthesis has proved to be as successful as the delayed (non-immediate) loading concept. The treatment of the edentulous patient with an overdenture on two implants has until recently been based on a treatment protocol which called for early, but not immediate, yet not definitive retention form. However, recent research shows that immediate loading of 2 implants with an overdenture is just as successful and what's more not more expensive. Because of newly developed treatment concepts delayed loading no longer has to be an automatic choice.

UI MeSH Term Description Entries
D007575 Jaw, Edentulous The total absence of teeth from either the mandible or the maxilla, but not both. Total absence of teeth from both is MOUTH, EDENTULOUS. Partial absence of teeth in either is JAW, EDENTULOUS, PARTIALLY. Edentulous Jaw,Edentulous Jaws,Jaws, Edentulous
D008334 Mandible The largest and strongest bone of the FACE constituting the lower jaw. It supports the lower teeth. Mylohyoid Groove,Mylohyoid Ridge,Groove, Mylohyoid,Grooves, Mylohyoid,Mandibles,Mylohyoid Grooves,Mylohyoid Ridges,Ridge, Mylohyoid,Ridges, Mylohyoid
D003758 Dental Implantation, Endosseous Insertion of an implant into the bone of the mandible or maxilla. The implant has an exposed head which protrudes through the mucosa and is a prosthodontic abutment. Dental Implantation, Osseointegrated,Endosseous Dental Implant Therapy,Endosseous Implantation,Osseointegrated Dental Implantation,Endosseous Dental Implantation,Implantation, Endosseous,Implantation, Endosseous Dental,Implantation, Osseointegrated Dental
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D013997 Time Factors Elements of limited time intervals, contributing to particular results or situations. Time Series,Factor, Time,Time Factor
D016723 Bone Remodeling The continuous turnover of BONE MATRIX and mineral that involves first an increase in BONE RESORPTION (osteoclastic activity) and later, reactive BONE FORMATION (osteoblastic activity). The process of bone remodeling takes place in the adult skeleton at discrete foci. The process ensures the mechanical integrity of the skeleton throughout life and plays an important role in calcium HOMEOSTASIS. An imbalance in the regulation of bone remodeling's two contrasting events, bone resorption and bone formation, results in many of the metabolic bone diseases, such as OSTEOPOROSIS. Bone Turnover,Bone Turnovers,Remodeling, Bone,Turnover, Bone,Turnovers, Bone
D016896 Treatment Outcome Evaluation undertaken to assess the results or consequences of management and procedures used in combating disease in order to determine the efficacy, effectiveness, safety, and practicability of these interventions in individual cases or series. Rehabilitation Outcome,Treatment Effectiveness,Clinical Effectiveness,Clinical Efficacy,Patient-Relevant Outcome,Treatment Efficacy,Effectiveness, Clinical,Effectiveness, Treatment,Efficacy, Clinical,Efficacy, Treatment,Outcome, Patient-Relevant,Outcome, Rehabilitation,Outcome, Treatment,Outcomes, Patient-Relevant,Patient Relevant Outcome,Patient-Relevant Outcomes
D017267 Dental Prosthesis Design The plan and delineation of dental prostheses in general or a specific dental prosthesis. It does not include DENTURE DESIGN. The framework usually consists of metal. Dental Prosthesis Designs,Design, Dental Prosthesis,Designs, Dental Prosthesis,Prosthesis Design, Dental,Prosthesis Designs, Dental
D019094 Dental Prosthesis, Implant-Supported A prosthesis that gains its support, stability, and retention from a substructure that is implanted under the soft tissues of the basal seat of the device and is in contact with bone. (From Boucher's Clinical Dental Terminology, 4th ed) Denture, Implant-Supported,Implant-Supported Dental Prosthesis,Implant-Supported Denture,Prosthesis Dental, Implant-Supported,Dental Prostheses, Implant-Supported,Dental Prosthesis, Implant Supported,Dental, Implant-Supported Prosthesis,Dentals, Implant-Supported Prosthesis,Denture, Implant Supported,Dentures, Implant-Supported,Implant Supported Dental Prosthesis,Implant Supported Denture,Implant-Supported Dental Prostheses,Implant-Supported Dentures,Implant-Supported Prosthesis Dental,Implant-Supported Prosthesis Dentals,Prostheses, Implant-Supported Dental,Prosthesis Dental, Implant Supported,Prosthesis Dentals, Implant-Supported,Prosthesis, Implant-Supported Dental

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