Immediate loading of definitive implants in the edentulous mandible using a fixed provisional prosthesis: The denture conversion technique

Immediate loading of definitive implants in the edentulous mandible using a fixed provisional prosthesis: The denture conversion technique
September 2004
Craig M. Misch, DDS, MDS * ÇƒÜ *
Journal of Oral and Maxillofacial Surgery Online
Abstract
Purpose This article presents a clinical technique for immediate implant loading in the completely edentulous mandible.
Materials and methods The protocol recommends the placement of 4 to 5 root-form implants in the anterior mandible between the mental foramina. Upon insertion the implants must have favorable primary stability. Abutments are added to the implants and the patient's lower denture is converted into an immediate load provisional fixed prosthesis.
Results The denture conversion technique has been shown to provide predictable results for immediate implant loading in the edentulous mandible. The final prosthesis is fabricated upon integration of the implants in 3 months.
Conclusion The denture conversion technique offers several advantages because it may be used with most commercially available implant systems and it incorporates conventional implant components. Guidelines for patient selection, presurgical preparation, implant surgery, prosthesis fabrication, and postoperative care are reviewed.
Publishing and Reprint Information
*Private Practice, Oral & Maxillofacial Surgery and Prosthodontics, Sarasota, FL
ÇƒÜClinical Associate Professor, Department of Implant Dentistry, New York University School of Dentistry, New York, NY
*Address correspondence and reprint requests to Dr Misch: 5741 Bee Ridge Road, #220, Sarasota, FL 34233
Email address: misch@bonegraft.com (Craig M. Misch)
Copyright ¨© 2004 by American Association of Oral and Maxillofacial Surgeons
doi: 10.1016/j.joms.2004.06.042
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