mplant Dent. 2004 Sep;13(3):207-17.

Rationale for the application of immediate

load in implant dentistry: Part I.
Misch CE1, Wang HL, Misch CM, Sharawy M, Lemons J, Judy KW.

Author information

Department of Periodontics/Geriatrics, University of Michigan, Ann Arbor, MI,

USA. info@misch.com

Abstract
Immediate loading in implant dentistry is increasing in popularity as a clinical procedure. A
scientific rationale of immediate occlusal loading of the implant support system should
emphasize methods to decrease surgical trauma during implant placement and to decrease
bone loading trauma during the early loading period. The surgical trauma may be reduced by
decreasing heat generation and pressure necrosis. The early loading trauma may be decreased
by decreasing the bone strain adjacent to the implant interface. Greater microstrain conditions
in bone increase the remodeling rate of bone. The higher the remodeling rate, the weaker the
bone and the more risk of occlusal overload. Occlusal overload may lead to implant failure.
Since strain is directly related to stress, methods to decrease stress are beneficial. In the
present report, the stress-reducing influences include increasing the number of implants.
PMID:
15359155
[PubMed - indexed for MEDLINE]