REHABILITATION OF NARROW MESIODISTAL SPACES WITH ONE PIECE IMPLANT AND IMMEDIATE PROVISIONALIZATION- TWO CASE REPORTS

Akhil Mittal*, Rashmi Sharma, Shaker Bisht, T. K. Giri and Sugato Mukherjee

ABSTRACT

Use of dental implants to replace natural tooth has become common in contemporary dental practice, but some impediments to their use have traditionally included smaller edentulous inter tooth spaces, reduced vertical or transverse dimension of the residual ridge, convergent roots, and/or close proximity of root trunks can cause the implant team to opt for other options to replace the natural tooth, usually a resin-bonded fixed prosthesis or a removable prosthesis. So, a one-piece implant was developed to overcome this challenge. A one-piece implant does not have a microgap between the implant body and abutment connection, and therefore initial crestal bone loss over time may be reduced. The advantage of this design is increased strength and elimination of the risk of abutment screw loosening. These implants are restored immediately resulting in improved esthetics, avoids second stage surgery and maintains the implant stability. This is called as Nonfunctional immediate teeth (N-FIT) concept. Through this paper we will present restoration of narrow mesiodistal spaces with one piece implant followed with immediate restoration.

Keywords: One piece implant, immediate loading, N-FIT.