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Scientific Basis of Immediate Loading and the Biomechanics of Graftless Solutions

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Graftless Solutions for the Edentulous Patient

Part of the book series: BDJ Clinician’s Guides ((BDJCG))

Abstract

The implementation of graftless 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 treatment of the edentulous patient with dental implants. Today, the graftless approach combines three published variables:

  1. 1.

    Four to six implants to support a full-arch fixed restoration.

  2. 2.

    Use of tilted implants for graftless anchorage.

  3. 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 patients’ medical history must also be thoroughly evaluated for relative contraindications to immediate load.

The clinical application of the graftless concept has been well accepted, and survival rates in excess of 98% have been reported in the literature (Busenlechner et al., Int J Oral Maxillofac Implants 31:1150–1155, 2016).

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

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Authors and Affiliations

  1. University of Minnesota School of Dentistry, Minneapolis, MN, USA

    Bobby Hardeep Birdi

  2. Private Practice, Vancouver, BC, Canada

    Bobby Hardeep Birdi

  3. Om Dental Clinic, Navi Mumbai, India

    Komal Majumdar

  4. Anacapa Dental Art Institute, Oxnard, CA, USA

    Saj Jivraj

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  1. Anacapa Dental Art Institute, Oxnard, CA, USA

    Saj Jivraj

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Birdi, B.H., Majumdar, K., Jivraj, S. (2023). Scientific Basis of Immediate Loading and the Biomechanics of Graftless Solutions. In: Jivraj, S. (eds) Graftless Solutions for the Edentulous Patient. BDJ Clinician’s Guides. Springer, Cham. https://doi.org/10.1007/978-3-031-32847-3_8

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