Get your teeth back in 24 hours and go back to doing the best thing in the world: smile
Immediate loading is the most innovative implantology technique that we carry out in our clinics to get your teeth back in less than 24 hours.
The term “Immediate Load” indicates that the teeth are immediately adapted to the dental implants in a fixed way (therefore it is not a mobile prosthesis)
The treatment consists of placing the number of implants needed by the patient, in some cases a single implant, in other cases a complete arch. In the case of the full arch, 4 (All on Four technique) or 6 implants can be placed to be used as a support for the prostheses.
The fixed prosthesis that will be placed is temporary, to ensure the correct osseointegration of the implant into the bone tissue. Once the osseointegration phase has been completed, starting around the third month, it will be possible to install the permanent fixed prosthesis.
Essential requirements:
- Sufficient and good quality natural bone (bone regeneration must not be performed at the same time as implant insertion) in order to have a primary stability of dental implants greater than 35 Ncm:
- Absence of gingivitis or other local inflammatory situations
- Absence of severe dental malocclusion
- Absence of bruxism (teeth grinding)
- Absence of bone neoplasms;
- Absence of severe forms of osteoporosis;
- Proper conformation of the maxillary bones.
In the presence of these conditions in our ” Dental G.B. ” clinics we can carry out immediate loading on three types of implants:
In the case of an entire edentulous arch (total absence of teeth), immediate loading allows to rehabilitate all the dental elements immediately.
In addition to the dental elements, this type of prosthesis may also have parts of ” fake gingiva ” in cases where the bone resorption of the arches is so important that the teeth would be too long. The fake gum in resin or ceramic therefore serves to rebalance the dimensional relationships between teeth and soft tissues (gums).
It should be noted that in the case of an implant-prosthetic intervention where one or more implants inserted do not have a primary stability of at least 35 Newton (soft bone), immediate loading in the form of a fixed prosthesis will not be available; If this situation occurs, a provisional removable prosthesis, such as total prosthesis *, will be provided. The patient will use the mobile prosthesis in place of the fixed one for a variable period from 3 to 6 months, which will subsequently be replaced by a permanent fixed prosthesis.
What is the all on four technique?
ALL ON FOUR is a dental implantology technique that allows you to insert a fixed prosthesis complete with 12 teeth for each edentulous arch.
The big advantage of the all on four compared to the traditional implantology technique which involved 8-10 implants per arch is that a fixed prosthesis can be made on only 4 implants, which rehabilitates the entire arch (12 teeth), without having to make grafts. A large amount of bone is required to place 8-10 implants, especially in the upper arch which unfortunately is present in a small percentage of patients. With the all on four technique, on the other hand, we are able to rehabilitate many more people, without having to make bone grafts.
In fact, using this technique, 4 implants are placed per arch, in the presence of total edentulism (meaning no tooth) and these implants are placed with particular inclinations to make the most of the presence of bone.
Generally, 2 straight implants are placed in the central area of the arch where the incisors were present, and two posterior ones in the premolar areas with an inclination towards the front that allows you to avoid touching important anatomical structures such as the inferior alveolar nerve or the maxillary sinus.
In this way with only 4 implants it is possible to screw a fixed prosthesis of 12 teeth for each arch, which very often can also be inserted after a few hours (about 24 hours). This prosthesis is provisional, then after three months new impressions will be taken to make a permanent fixed ceramic prosthesis.
The fact that Dr. Giovanni Bona in his long dental career has returned the smile to numerous patients using the “all on four” technique demonstrates how effective this technique is and testifies that in a very short time it returns a healthy smile to the patient’s face and a completely new and lasting chewing function.
Dr. Giovanni Bona has been using this technique since 2008, after long years of updating and studies on this system.
The advantage of this method is that very often the patient enters the operating room at our clinic with few teeth, perhaps mobile and painful and the next day he goes home with the possibility of chewing again and smiling happily with temporary fixed teeth.
In addition, the prostheses are screwed and not cemented and this is very important because they can be disassembled by our doctors without any kind of trauma, as often happens with the use of the extractor hammer, here a small dedicated screwdriver is used to unscrew the prostheses.
In the lower arch in almost all cases it is possible to insert the implants and load them with a temporary fixed prosthesis, since the mandibular bone is very compact and therefore the implants stabilize beyond 35 ncm, which is a sufficient force to insert a temporary fixed prosthesis within 24 hours.
Unfortunately, in the upper arch the bone is a bit more tender, so sometimes (in about 20% of cases) it is not possible to load the implants immediately and you have to go through a mobile prosthesis.
The very important thing to know is that in our clinic, thanks to the experience and professional skills of Dr. Giovanni Bona and his valuable collaborators, no patient will be left without a temporary prosthesis for more than 24 hours, whether mobile or fixed.
Thanks to the experience gained over the years, at Dental GBs are able to perform interventions in the absence of pain, both during and after the surgery. A Pharmacological and Behavior Protocol will be delivered to the patient after the surgery, which he must follow scrupulously (post-operative instructions).
Even in the absence of all teeth or with all compromised teeth.