Hello everyone
Hope you're fine.
I'm modeling bone healing around dental implants under immediate loading, using a mechanobiological model and finite element analysis.
I need to know if there is a loading protocol or loading limit or any prescribed diet for immediate loading of dental implants for the first weeks or months.
I'll highly appreciate it if you could also provide me with references' links if there is any.
Best regards,
Yunus.
I believe that the way the bone needs to be mechanically stimulated and that this stimulus does not exceed the force capacity so that there is no necrosis of neoformed vessels as a consequence of low oxygenation and cellular apoptosis. Soon, the progressive load increase would be suggested not to interfere with osseointegration. As an observation, we need to differentiate between zygomatic and pterygoid fixations, which somehow do not consider osseointegration. Act like conventional implants. Motta
Not a loading protocol or loading limit but a prescribed diet for immediate loading of dental implants.
In order to limit functional forces during osseointegration, patients need to abstain from chewing anything but soft food or otherwise applying force to restoration for approximately 3 months. The patient is limited to a soft diet such as pasta and fish, from the initial transitional prosthesis delivery until the initial delivery of the final prosthesis.
Excellent question. I see that the loading protocols are facts from the time of non-osseointegrated implants. Therefore, we are dealing with it as if it were conventional implants, for example, such as just bone, Garbatio, endless thread, etc. We go back to the past regardless of an analysis of mechanical or sonic bone locking. In the past, there were no dietary restrictions. Today I understand that greater care must be taken with food that does not break the prosthesis, compromising mechanics or aesthetics. If this occurs, it will often lead to the need to remove it using counter torque (shearing), increasing the risk of failure. Colleagues often lose implants but this does not compromise momentarily and risks the long-term survival of the prosthesis. They end up reporting this as a success, transferring these problems to be repaired with the installation of new implants and prostheses later. I think that reality is that the numbers are masked by a statistical bias and that arrogant personality speaks louder.
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