Resumo

VELASCO ORTEGA, E. et al. Immediate loading with microdent implants in maxilla: I. Surgical step. Avances en Periodoncia [online]. 2007, vol.19, suppl.1, pp.9-16. ISSN 2340-3209.

Introduction. The aim of this paper was to present the surgical protocol of immediate loading of implants in the treatment of maxilla. Immediate functional loading of dental implants for rehabilitation of maxilla constitute a comprehensive approach that include a preoperative assessment. Before surgery, systemic and oral documentation, and radiographic (orthopantomographs, dental scan) imaging were obtained. Antimicrobial prophylaxis was obtained with antibiotics (clavulanic acid and amoxicillin) and chlorhexidine. Local anesthesia was induced with articaine/epinephrine. Surgery begans a bone crest incision or non invasive technique (non flap). One-piece implants may be inserted with a anterior-posterior distribution according a surgical guide. Appropiate surgical technique and a good design with rough surface of implant improve primary stability and osseointegration. Number and size of implants were selected according patient diagnosis and prosthetic assessment. Conclusions. This paper indicate that surgical step of treatment of maxilla by immediate loading with osseointegrated implants may constitute a high successful treatment.

Palavras-chave : Dental implants; immediate loading; fixed prostheses; implant dentistry; maxilla.

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