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. 2019 Nov-Dec;24(6):69-79.
doi: 10.1590/2177-6709.24.6.069-079.bbo.

Immediate orthodontic load on dental implants: an option for adult treatment

José Augusto Mendes Miguel  1   2 , Tatiana Ettore do Valle de Sousa Freitas  1   3
Affiliations

Immediate orthodontic load on dental implants: an option for adult treatment

José Augusto Mendes Miguel et al. Dental Press J Orthod. 2019 Nov-Dec.

Abstract
in English, Portuguese

The demand for orthodontic treatment in adults has been increasing. However, these patients often require a multidisciplinary approach, due to the lack of posterior teeth, requiring additional anchorage. The skeletal anchorage by endosseous implants is an option, since they may be used later for prosthetic rehabilitation. The application of immediate load on these appliances for orthodontic movement may reduce the costs and total treatment time. This paper discusses the utilization of endosseous dental implants with immediate load for absolute anchorage for orthodontic movement, with later utilization for prosthetic rehabilitation.

A demanda por tratamento ortodôntico em pacientes adultos tem sido cada vez maior. Entretanto, esses pacientes frequentemente exigem um tratamento multidisciplinar, devido às ausências de dentes posteriores, necessitando de ancoragem adicional. A ancoragem esquelética usando implantes osseointegrados apresenta-se como alternativa, uma vez que eles serão posteriormente utilizados para reabilitação protética. A aplicação de carga imediata sobre esses dispositivos, para movimentação ortodôntica, pode reduzir custos e o tempo total de tratamento. O presente artigo tem como objetivo discutir o emprego de implante dentário osseointegrado, com carga imediata, como ancoragem absoluta para movimentação ortodôntica e, posteriormente, utilizado para reabilitação protética.

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Conflict of interest statement

The authors report no commercial, proprietary or financial interest in the products or companies described in this article.

Figures

Figure 1
Figure 1. Initial facial and intraoral photographs.
Figure 2
Figure 2. Initial panoramic radiograph.
Figure 3
Figure 3. Initial lateral cephalogram (A) and cephalometric tracing (B).
Figure 4
Figure 4. Intrusion mechanics of tooth 16 using miniscrews after space closure.
Figure 5
Figure 5. Alignment and leveling after extraction of teeth 15 and 26 and insertion of endosseous implant at the edentulous region of tooth 46 with immediate load for anchorage.
Figure 6
Figure 6. Panoramic radiograph after placement of miniscrews for intrusion of tooth 16 and endosseous implant for uprighting of tooth 48.
Figure 7
Figure 7. Final facial and intraoral photographs.
Figure 8
Figure 8. Final lateral cephalogram (A) and cephalometric tracing (B).
Figure 9
Figure 9. Total (A) and partial (B) superimpositions of initial (black) and final (red) cephalometric tracings.
Figure 10
Figure 10. Final panoramic radiograph.
Figure 11
Figure 11. Facial and intraoral photographs 3 years after orthodontic treatment.
See this image and copyright information in PMC

References

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