Article 13
Immediate Loading with Many Complicated Factors (severe periodontal disease, collapsed occlusion, Immediate extraction)
INTERNATIONAL JOURNAL OF FUTURE DENTISTRY
2022:Vol. 2:No. 1: 71-78
Dr. Myungho Lee
The patient was born in 1970 and had a good systemic condition. He visited our clinic due to severe periodontal disease at a young age. He is doing a lot of work. Based on the diagnosis, it was decided to extract all his teeth. As he is young, implants are chosen over dentures. (Fig. 1,2,3)
Among the many options for a treatment plan, all the upper and lower teeth are extracted at once. (Fig. 4, 5)
Fig. 4 Immediate extraction at mandible
Fig. 5 Immediate extraction at maxillary
Different types of implants are used, including internal and external implant types. Various implant threads are also used. For slightly soft bone, Any Ridge threads work well for primary stability. When using an implant with a platform between the implant and the abutment post, the bone surrounding the implant can be preserved. The implants are placed in the maxilla
and mandible with bone grafting on the day of surgery. (Fig. 6)
Various bone types are used for the bone grafting. The structure of the bone is considered the most important.. It should have good porosity, and good wettability facilitates the formation of blood vessels. However, some products are treated at high temperatures to remove organic materials, which changes the bone material structure leaving no pores.
Growth factors (BMP, PRP) are utilized. The outcome seems to be better when autogenous bone is mixed. Membranes are hardly used. They are only used for space maintenance when a lot of bone is grafted horizontally and vertically. (Fig. 7, 8)
Various bone types are used for the bone grafting. The structure of the bone is considered the most important.. It should have good porosity, and good wettability facilitates the formation of blood vessels. However, some products are treated at high temperatures to remove organic materials, which changes the bone material structure leaving no pores.
Growth factors (BMP, PRP) are utilized. The outcome seems to be better when autogenous bone is mixed. Membranes are hardly used. They are only used for space maintenance when a lot of bone is grafted horizontally and vertically. (Fig. 7, 8)
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