Over the past three decades, oral implantology has proven to be a reliable and predictable technique for the rehabilitation of edentulous spaces. Attainment of this goal, however, is predicated on the ability of the implant to achieve osseointegration with its bony environment. This process passes through a primary stage characterized by mechanical stabilization of the implant, and a secondary stage of biological anchorage, the actual osseointegration process.
Different parameters such as bone density, implant geometry and surgical techniques play a major role in achieving optimal implant primary stability. Understanding these parameters will allow us to predictably plan our future loading protocol (immediate, early or delayed).
During this presentation, the scientific and clinical rationale will be presented in order to give the clinician an evidence-based approach, for immediate or early loading protocol, in everyday clinical situations, by using implants with versatile thread geometry adapted to different bone densities.
- Understand how bone density, implant geometry and surgical technique affect implant mechanical primary stability.
- Comprehend biological changes following placement of dental implants and their clinical implications.
- Learn the importance of implant surface characteristics on the osseointegration process.
- Understand the clinical and scientific rationale behind immediate and early loading protocol.
- Recognize and avoid risk factors leading to failure of accelerated loading protocols when planning implant reconstructions.