Page 52 - DP Vol 20 No 4 HR

IMPLANT DENTISTRY SECTION

ARTICLE CITATION
Gaurav Gupta, Richa Gupta,
Neelja Gupta, DK Gupta (2024).
Restoring Fractured Maxillary
Anterior Tooth by Early
Loading of Single Trabecular
Implant with a Chairside
Crown Placement on Ti-Base
Abutment After 15 Days: A
Case Report. Dental Practice,
20(4), 50-52

Fig 5a-b: Follow-up radiographs

particularly in terms of papilla preservation and gingival margin ABOUT THE AUTHORS
stability. A recent study confirmed no statistically significant Dr. Gaurav Gupta graduated from
[10]
differences in the mean mid-facial recession between immediately Government Dental College, SMS, Jaipur in
placed and early-placed implants. In both the studies, no implant loss 2007 and pursued his master’s in Pediatric
[11]
occurred post-loading, supporting the general recommendation that and Preventive Dentistry. He has earned
an ISQ value of 70 or higher is a reliable indicator for the safe loading fellowships in Implantology from both the
of dental implants. Consistent with findings from Arriba et al., the Indian Society of Oral Implantologists (ISOI)
[12]
presence of mineralized and remodelled bone tissue two weeks after and the Academy of Oral Implantology
placement suggests that early stability is achievable. In this case, the ISQ (AOI). A POS (Progressive Orthodontic
Seminar, USA) graduate and a university
value exceeded 80. [13] gold medalist, Dr. Gupta has delivered over 30 scientific
Previous studies, along with the present case, suggest that the presentations at national and international conferences and
biocompatibility, similarity to cancellous bone, and the ability to has more than 75 publications in prestigious journals. He
promote vital bone growth contribute to the long-term clinical can be reached at: dr.gauravgupta99@gmail.com.
predictability of titanium dental implants, as indicated by ISQ values.
The design of these implants enhances secondary stability within 15 Dr. D. K. Gupta is a Senior Consultant at
days to three weeks, as the high volume of ingrowth into the pores and Wisdom Dental Clinics, Jaipur. With more
struts of the implant material acts as a biological boost. than 38 years of clinical and academic
In this case, the patient’s aesthetic needs were met with the immediate experience, he has been the Ex Principal of
chairside construction of a crown on a Ti-base. The trabecular implant Government Dental College, SMS, Jaipur. He
was also Pro-VC of the Rajasthan University
design positively influences healing by integrating into vascularized of Health Sciences. He was an HOD in the
bone, promoting improved osseointegration, especially in cases Department of Oral and Maxillofacial surgery
where early stability is challenging to achieve. This approach not at the Government Dental College for more than 15 years.
only minimizes patient visits but also meets functional and aesthetic
goals. The bimodal strategy offers several benefits, including reduced Dr. Richa Gupta is a consultant dentist, who
patient morbidity, improved peri-implant soft tissue management, completed her BDS (Gold Medalist) in 2011
and enhanced aesthetics. Particularly in the aesthetically demanding from MJP Rohilkhand University, Bareilly,
anterior maxilla, patients dissatisfied with removable provisional and completed a program in Hospital
Management from the National Institute of
restorations may prefer immediate single-tooth implant restorations, Health and Family Welfare, New Delhi.
provided sufficient primary stability is achieved.

CONCLUSION
With precise treatment planning, early loading of single implants can Dr. Neelja Gupta is a BDS graduate and a
achieve high survival rates. Immediate chairside abutment and crown consultant at Wisdom Dental Clinics, Jaipur.
placement following a single implant procedure provides an effective A gold medalist and a skilled cosmetic
solution for the aesthetics, and function, and is a less invasive treatment dentist, she specializes in smile designing
with a shorter timeline. Based on this study, trabecular dental implants and digital dentistry. Dr. Neelja is certified
in Nitrous Oxide Conscious Sedation,
can be immediately loaded out of occlusion in selected patients and incorporating this technique into her
definitively loaded in occlusion after 15 days to one month. Further practice for enhanced patient comfort.
research, particularly long-term follow-up studies, will help to better
assess the success of trabecular implants. n
For a complete list of references email: info@dental-practice.biz

52 Dental Practice I July-August 2024 I Vol 20 No 4