Reimplantation and Immediate Loading of an Accidentally Avulsed Beaded Implant: Case Report

Reimplantation and Immediate Loading of an Accidentally Avulsed Beaded Implant: Case Report
March 2004
Ogunsalu, C. MBBS, BDS, MScMed(Lon)*
Implant Dentistry: Volume 13(1) March 2004 pp 54-57
Lippincott Williams & Wilkins
*Consultant/Lecturer, Oral Disease Unit, School of Dentistry, Faculty of Medical Sciences, University of the West Indies, Trinidad.
Reprint requests and correspondence to:
Christopher Ogunsalu, BDS
School of Dentistry
University of the West Indies
Trinidad
Phone: 868-645-3823
E-mail: chrisogun@yahoo.com
Abstract
We present a case of reimplantation of an accidentally avulsed beaded Endopore¨? (Innova Corp., Toronto, Canada) implant. The technique of immediate splinting and pharmacotherapy is described together with the clinical and radiologic evaluation for reosseointegration. This single case of reimplantation with immediate functional loading would suggest that, contrary to the manufacturer's recommendation, the Endopore¨? implants can be successfully loaded immediately, functionally or nonfunctionally.
The concept of osseointegration has been proven by various studies to be beneficial and successful. 1-4 Strict protocol has been followed to achieve a predictable success rate. 5 These protocols include sterile protocols, 6 flap design, 7 and timing of loading. 8 Clinical investigations continue to control the timing of loading. 9 Over the last 5 to 7 years, the focus of implant treatment has been on the immediate loading of implants placed in either the mandible or maxilla. 10 Initial clinical studies of immediate loading have demonstrated variable success for full arch rehabilitation, whereas other studies that have focused on the immediate loading and restoration of single and multiple tooth implants in various areas of the oral cavity have proven to have a high degree of success. 10
A case is reported of immediate functional loading of an accidentally avulsed Endopore implant (Innova Corp., Toronto, Canada). Endopore implants are sintered porous-surfaced implants that have a three-dimensional interlocking with bone. It is created by sintering a solid machined implant core with multiple layers of spherical particles of titanium alloy. The implant in our reported case was initially placed as an immediate implant 7 months before accidental avulsion. To date, a review of the literature has reported no such case.
An implant is considered to be immediately loaded if an occlusal load is placed on the implant on the same day of the surgical placement of an implant through a fixed, removable, provisional or permanent prosthesis. This immediate tooth replacement eliminates the need for a removable appliance while maintaining the soft tissue environment.
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