The aim of the present study is to show the aesthetic and functional advantages of a “one to one” immediate-loading protocol, in terms of proper distribution of occlusal loads.

The clinical case concerns a 54-year-old male patient with a mobile prosthesis. At first, 6 implants (self-tapping with deep spirals and wrinkled surface) were inserted to fill the gaps of the mobile prosthesis.

Then, we performed a crestal sinus lift and 5 implant insertions to restore the normal occlusion. In the immediate postoperative period of the first 6 implants, which had an excellent primary stability, we placed a temporary prosthesis acting as a surgical guide; the case was finished by zirconia-ceramic single crowns.

X-ray examination after 6 months revealed good implant stability, without healing defects and bone dehiscence and with an excellent morphology of peri-implant soft tissues.

The choice of immediate loading has an aesthetic advantage, because allows for an immediate resolution of edentulism and an excellent mucogingival aspect, and a functional advantage, because adequate loads in the immediate postsurgical period lead to osseointegration;
“One to one” protocols allow to transfer the occlusal load on every implant pillar, with a reduced risk of overload and implant loss. They also allow to achieve an appearance similar to natural teeth and an easier oral hygiene.

Fig.1 Denta-scan

Fig.2 3D reconstruction of the upper jaw


Fig.3 Temporary prosthesis acting as a presurgical template with landmarks

Fig.4 PRP

Fig.5 Postsurgical OPT

Fig.6 Abutment to parallelize

Fig.7 In situ temporary prosthesis

Fig.8 Zirconia-ceramic single crowns: an occlusal view

Fig.9 Right lateral view


Congresso Nazionale dei Docenti di Discipline Odontostomatologiche e Chirurgia Maxillo Facciale
Firenze – Siena, 14-16 Aprile 2011

Università degli Studi di Bari Dipartimento di Odontostomatologia e Chirurgia
Direttore: Prof.ssa D. DE VITO
Calabrodental S.r.l. Unità Operativa di Chirurgia Maxillo-Facciale Regione Calabria – Crotone Dir. San: Dott. M. W. Marrelli

F. Inchingolo, F. Carbotti, G. Dipalma, M. Serafini, M. Marrelli, A.M. Inchingolo, S. di Teodoro, A. Palladino, M. De Carolis, A.D. Inchingolo


Testori T, Galli F, Del Fabbro M. “IL CARICO IMMEDIATO: la nuova era dell’implantologia orale”.
Acme 2009 Vandamme K, Naert I, Geris L, Vander Sloten J, Puers R, Duyck J. Influence of controlled immediate loading and implant design on peri-implant bone formation. J. Clin. Periodontol 2007c;34(2):172-181 Romanos G.E.,Testori T, Degiidi M, Piattelli A
Histologic and histomorphometric findings from retrieved, immediately occlusally loaded implants in humans. J. Periodontol. 2005;76: 1823-1832

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