Scientific Basis of Immediate Loading and the Biomechanics of Graft-Less Solutions

  • Bobby BirdiEmail author
  • Saj Jivraj
  • Komal Majumdar
Part of the BDJ Clinician’s Guides book series (BDJCG)


The implementation of graft-less solutions requires the clinician to have a clear grasp of many detailed clinical concepts. Diagnosis is critical for long-term success of the procedure. There has been a paradigm shift in the treatment of the edentulous patient with dental implants. Today the graft-less approach combines three published variables: (1) four to six implants to support a full-arch fixed restoration, (2) use of tilted implants for graft-less anchorage and (3) immediate loading to provide immediate function.

For an optimal outcome it is imperative that concepts of immediate loading, biomechanics of the restoration design and management of the occlusal scheme be understood.

The clinical application of the graft-less concept has been well accepted and survival rates in excess of 98% have been reported in the literature [1].

The purpose of this chapter is to shed light on the science and biomechanical aspects of immediate loading of the edentulous patient utilizing a graft-less approach.


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Copyright information

© Springer International Publishing AG 2018

Authors and Affiliations

  1. 1.University of Minnesota School of DentistryMinneapolisUSA
  2. 2.Private PracticeVancouverCanada
  3. 3.Herman Ostrow USC School of DentistryLos AngelesUSA
  4. 4.Eastmann Dental InstituteLondonUK
  5. 5.Private PracticeOxnardUSA
  6. 6.Diplomate of the International Congress of Oral Implantologists, Indian Society of Oral ImplantologistsMumbaiIndia

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