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Volume 15 , Issue 5
September/October 2000

Pages 711721

Development of Gingival Esthetics in the Edentulous Patient with Immediately Loaded, Single-Stage, Implant-Supported Fixed Prostheses: A Clinical Report

Richard P. Kinsel, DDS, Robert E. Lamb, DDS, MSD

PMID: 11055138

Many clinicians have reported on the success of immediately loaded implants supporting a bilaterally stabilized provisional fixed prosthesis. This protocol offers several advantages, including increased masticatory function, minimized uncontrolled transmucosal loading through cross-arch stabilization, improvement of psychologic well-being, and reduction in treatment time. However, the development and maintenance of proper dentogingival esthetics in the edentulous maxilla presents substantial challenges for the implant team. This article presents the specific pretreatment diagnostic requirements for immediate loading of single-stage implants and demonstrates a new surgical technique, followed by appropriate prosthodontic management, to develop an optimal gingival profile with interdental papillae surrounding a natural-looking dentition. One hundred fifty-one ITI implants were placed into 22 dental arches and immediately loaded with a 1-piece fixed prosthesis. The results of this technique over the last 5 years are presented. (INT J ORAL MAXILLOFAC IMPLANTS 2000;15:711721) Key words: dental implants, endosseous dental implantation, gingival papilla, implant-supported dental prosthesis, osseointegration, surgical flaps

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