Data di Pubblicazione:
2003
Citazione:
Immediate occlusal loading of Osseotite implants in the completely edentulous mandible / T. Testori, M. Del Fabbro, S. Szmukler-Moncler, L. Francetti, R.L. Weinstein. - In: INTERNATIONAL JOURNAL OF ORAL & MAXILLOFACIAL IMPLANTS. - ISSN 0882-2786. - 18:4(2003), pp. 544-551.
Abstract:
Purpose: This article reports the preliminary data from a clinical study of immediately loaded, full-arch, screw-retained prosthesis with distal extensions (hybrid prosthesis) supported by Osseotite implants placed in the edentulous mandible. Materials and Methods: Fifteen patients who received 103 implants were enrolled in this study. The first 2 patients received both immediately loaded and submerged implants, while the remaining patients had all implants immediately loaded. The first 9 patients received a temporary prosthesis within 4 hours of surgery, and the hybrid prosthesis, made of a titanium framework and acrylic resin teeth, was placed after 6 months. The last 6 patients received the same type of hybrid prosthesis within 36 hours of surgery. Marginal bone loss was monitored via periapical radiographs by a computerized technique. Results: One failure (out of the 92 immediately loaded implants) occurred after 3 weeks of function because of infection. A cumulative success rate of 98.9% was achieved for up to 48 months of follow-up, while the prosthetic cumulative success rate for the same period was 100%. Marginal bone loss at the immediately loaded implants was within the generally accepted conventional limits for standard delayed loading protocols. Discussion: This technique can reduce treatment time but should be applied with caution. Conclusion: The preliminary results of this study suggest that rehabilitation of the edentulous mandible by an immediately loaded hybrid prosthesis supported by 5 to 6 implants may represent a viable alternative treatment to the classical delayed loading protocols.
Tipologia IRIS:
01 - Articolo su periodico
Keywords:
acid etching ; dental implants ; edentulous jaw ; immediate loading ; mandible
Elenco autori:
T. Testori, M. Del Fabbro, S. Szmukler-Moncler, L. Francetti, R.L. Weinstein
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