Nov 7 Yilmonster Lecture

Question 1

What are the implant loading protocols

Answer 1

Lower = wait 3-6 months
Upper = wait 4-6 months
New research is showing that you don’t need to wait this long

Question 2

What is immediate loading

Answer 2

Loading within 48 hours
Don’t do it after 7 days or the implant will likely fail
Around Week 3-4, the stability is at the lowest

Question 3

When can a clinician immediate load implants?

Answer 3

You need good primary stability, which is assessed by checking insertion torque

Question 4

What level of insertion torque is it good primary stability?

Answer 4

Above 30 Ncm = good

15-20 Ncm = don’t load the implants

Question 5

What is an Ostell Instrument?

Answer 5

It measures torque from 0-100

above 65 is considered good

Question 6

What are the immediate loading requirements?

Answer 6

Adequate density of bone with insertion torque greater than 30Ncm
Cross arch stabilizaiton
Sufficient interocclusal space for fabrication of framework
Patient compliance and OHI
Soft diet for 6-8 weeks

Question 7

What kind of dentures can be fabricated to immediately load implants placed in edentulous arches?

Answer 7

Complete
Implant retained overdenture
Implant retained fixed hybrid denture
Implant retained fixed metal ceramic restorations