Table of Contents

1. Introduction

 

2. Proceedings of the 4th ITI Consensus Conference: Loading Protocols in Implant Dentistry
2.1 Recommended Clinical Procedures Regarding Loading Protocols for Endosseous Implants in Edentulous Patients
2.1.1 Definition of Terms
2.2 Consensus Statements
2.3 Consensus Statements on Computer Technology and CAD/CAM for Edentulous Patients
2.3.1 Application of Computer Technology in Surgical Implant Dentistry
2.3.2 Computer-Assisted Design and Computer-Assisted Manufacturing in Implant Dentistry
2.4 Conclusions

 

3. Pre-Operative Assessment and Prosthetic Planning: The Edentulous Patient
3.1 Initial Examination
3.2 Specific Treatment Plan
3.3 Proposed Implant-Prosthetic Design

 

4. Treatment Options for the Edentulous Arch
4.1 Edentulous Mandible: Implant-Retained Overdenture
4.1.1 Two Unsplinted Implants and an Overdenture
4.1.2 Two Splinted Implants and an Overdenture
4.1.3 Four (or More) Splinted Implants and an Overdenture
4.1.4 Fixed Dental Prosthesis in the Edentulous Mandible
4.1.5 Four Splinted Implants and a Fixed Prosthesis
4.1.6 More Than Four Splinted Implants and a Fixed Prosthesis
4.2 The Edentulous Maxilla
4.2.1 Two Unsplinted or Splinted Implants and an Overdenture
4.2.2 Four to Six Unsplinted Implants and an Overdenture
4.2.3 Four to Six Splinted Implants and an Overdenture
4.2.4 Four to Six Splinted Implants and an FDP
4.2.5 More than Six Segmentally Splinted Implants and a FDP

 

5. Guidelines for Selecting the Appropriate Loading Protocol
5.1 Implant Loading Protocols in Edentulous Patients
5.2 The Edentulous Maxilla
5.2.1 Conventional Loading for Maxillary Overdentures
5.2.2 Early Loading for Maxillary Overdentures
5.2.3 Immediate Loading for Maxillary Overdentures
5.2.4 Conventional Loading for Maxillary Fixed Rehabilitations
5.2.5 Early Loading for Maxillary Fixed Rehabilitations
5.2.6 Loading for Maxillary Fixed Rehabilitations
5.3 The Edentulous Mandible
5.3.1 Conventional Loading for Mandibular Overdentures
5.3.2 Early Loading for Mandibular Overdentures
5.3.3 Immediate Loading for Mandibular Overdentures
5.3.4 Conventional Loading for Mandibular Fixed Rehabilitations
5.3.5 Early Loading for Mandibular Fixed Rehabilitations
5.3.6 Immediate Loading for Mandibular Fixed Rehabilitations
5.4 Treatment Regulators and Risk Factors
5.5 Risk of Complications
5.6 Difficulty Level of the Prosthodontic Treatment
5.7 Conclusions

 

6. Clinical Case Presentations
6.1 Early and Conventional Loading
6.1.1 Early Loading of Two Implants in the Mandible and Final Restoration with a Retentive-Anchor-Supported RDP
6.1.2 Conventional Loading of Two Implants in the Mandible and Final Restoration with a Locator-Supported RDP
6.1.3 Conventional Loading of Two Implants in the Mandible and Final Restoration with a Bar-Supported RDP
6.1.4 Conventional Loading of Six Implants in the Mandible and Final Restoration with a Full-Arch Metal-Ceramic FDP
6.1.5 Transition from an "irrational to treat" Maxillary Dentition to a Full-Arch Segmented FDP by Early Loading of Eight Implants Placed Using the Staged Approach
6.1.6 Conventional Loading of Eight Implants in the Maxilla and Final Restoration with a Full-Arch Gold-Ceramic FDP
6.2 Immediate Loading
6.2.1 Immediate Loading of Two Implants in the Mandible and Final Restoration with a Bar-Supported RDP
6.2.2 Immediate Loading of Four Implants in the Mandible and Final Restoration with a Full-Arch Metal Framework FDP
6.2.3 Immediate Loading of Six Implants in the Maxilla and Final Restoration with a Full-Arch Gold/Ceramic FDP Involving the Concept of Tilted Implants
6.2.4 Immediate Loading of Six Implants in the Maxilla and Final Restoration with a Full-Arch CAD/CAM Zirconia FDP
6.2.5 Immediate Loading of Four Implants in the Mandible and Six Implants in the Maxilla and Final Restoration with a Full-Arch Metal Framework FDP and a Full-Arch CAD/CAM Zirconia Framework FDP
6.2.6 Immediate Loading of Eight Implants in the Maxilla and Six Implants in the Mandible and Final Restoration with Three-Unit and Four-Unit FDPs
6.2.7 Immediate Loading of Six Implants in the Mandible and Six Implants in the Maxilla and Final Restoration with Full-Arch CAD/CAM Metal Framework FDPs Involving Digital Planning and Guided Surgery

 

7. Complications Following Implant-Prosthetic Rehabilitations in Edentulous Patients
7.1 Soft-Tissue Complications
7.2 Maintenance-Related Issues
7.3 Failure of the Retentive System
7.4 Fracture of the Dental Prosthesis
7.5 Bone Loss Due to Peri-Implantitis
7.6 Bone Loss Due to Overload or Absence of a Passive Fit
7.7 Implant Fractures
7.8 Complications Due to Insufficient Planning

 

8. Conclusions
8.1 Proceedings of the 4th ITI Consensus Conference
8.2 Patient Considerations
8.3 Treatment Difficulty - SAC Classification
8.4 Future Developments

 

9. Literature/References

ITI International Team for Implantology
ITI Headquarters
Peter Merian-Strasse 88
4052 Basel
Switzerland

Phone +41 61 270 83 83
Fax +41 61 270 83 84
E-Mail headquarters@iti.org 

ITI International Team for Implantology | Peter Merian-Strasse 88 | 4052 Basel | Switzerland | Phone +41 61 270 83 83 | Fax +41 61 270 83 84 | headquarters@iti.org