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Temporary implants

The use of provisional implants with fixed temporary prostheses as protection for traditional implants after extraction.

Temporary implants

This clinical case evaluates how temporary implants maintain the aesthetics and function of the provisional prosthesis, allowing them to be loaded for maximum comfort and patient satisfaction. Unfortunately, the literature on this type of implant is limited to individual case reports and has as its primary objective the evaluation of the prosthesis, not the implant. 

The prosthetic restoration with endosseous implants is considered a safe treatment with a clinically proven method and has become an established dental procedure. Placing the implants in a submerged manner without immediate loading requires a healing phase of 3 to 6 months, depending on whether it is in the maxilla or the mandible. This loading will essentially rely on the quality of the patient's bones and medical conditions. In the edentulous mandible, immediate interforaminal loading, implants as a prosthetic anchorage have been used successfully for many years. However, this approach requires a minimum of 4 interforaminal implants as a known limitation. Due to the varying quality and quantity of maxillary bone, a uniform opinion has not yet been established on how many implants are needed in the edentulous jaw and when they can be loaded or not. And although the shape of the implant and its surfaces have brought about many positive changes to accelerate the healing phase, it is risky in some cases to load the implants immediately.

In edentulous arches, removable overdentures can be used as temporary prostheses to keep the patient with teeth during the healing time of the newly placed implants until the final restoration. This complete prosthesis placed immediately can produce certain micro-movements in the implants inside the bone with the risk of losing them. Temporary implants (IP) have been developed for provisional restoration and immediate rehabilitation prostheses, avoiding the loading of traditional implants. In addition, it can allow rapid rehabilitation by ensuring adequate stabilization of the overdenture.

On the other hand, the literature on transitional or provisional implants is limited to individual case reports. It has its primary objective to evaluate the prosthesis, not the implant. Therefore, this clinical case estimates how the provisional implants maintain the aesthetics and function of the temporary prosthesis, allowing the loading of the implants for maximum comfort and patient satisfaction.
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