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International journal of odontostomatology

On-line version ISSN 0718-381X

Abstract

FIGUEROA-AHUMADA, Emanuel  and  RABY-OLAVARRIA, Ian. Clinical Protocol for Control of an Immediately Loaded Implant-Supported Prosthesis. Int. J. Odontostomat. [online]. 2018, vol.12, n.3, pp.296-303. ISSN 0718-381X.  http://dx.doi.org/10.4067/S0718-381X2018000300296.

Dental protocols are guidelines used to optimize service quality and to standardize procedures to establish a better prognosis. There are many complications that can occur after installation of a an immediately loaded implant-supported prosthesis for rehabilitation. These may generate damage to the provisional structure and even loss of osseointegration from the dental implants. Limited evidence on the clinical approach required to monitor these procedures, makes it necessary to establish clinical protocols for treatment control, and increases the success rate. In order to develop such protocols a systematic research was carried out in the Pubmed database. The filters used were "immediate loading", "full arch" and "Resonance frequency analysis". The results were subject to the inclusion and exclusion criteria. A total of 15 studies were selected. All of the studies were randomized clinical trials. An important number of complications were recorded, such as fractures, dislodgment and wear of the prosthesis structure. There is no evidence about the number and range of sessions needed to assess the clinical control of an immediate loading fixed rehabilitation. The best time to remove the provisional prosthesis and install the restorative rehabilitation is during the third and fourth month following immediate loading. Limited evidence was found regarding the number, time and type of radiological images requested for clinical support. Therefore, the clinical protocol developed by the authors will be a guide for future controls related to an immediately loaded implant-supported prosthesis.

Keywords : immediate loading; full arch; Resonance frequency analysis.

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