Objectives: The aim of the present study would be able to demonstrate that when there are the right conditions (bone quality, occlusion type, absence of parafunction) immediate loading full arch can improve the percentage of success in the short and medium term. Materials and methods: 225 edentulous patients were selected, 67 of these were subjected to immediate loading with placing of 402 implants to both jaws and 158 patients to delayed loading with placing of 948 implants to both jaws. A screwed resin prosthesis has been positioned to the first group while a removable temporary prosthesis to the second one. The patients were recalled 6, 12 months after the surgical phase. Results: 20 of 298 immediate loading implants placed in the upper jaw were lost with a 93.2% survival rate while in the case of delayed loading at the upper jaw 64 of 636 were lost with a 89.9% survival rate. Results at lower jaw in terms of success were similar. Discussion: The biggest lost of implants with delayed loading is due to a decubitus of removable temporary prosthesis on implants with excessive pressure excerted on them, during the function. Conclusions: Immediate loading full arch is a mandatory choice in total prosthetic-implant rehabilitation of the upper jaw when the conditions of quality and quantity of bone allow it.

Full arch a carico immediato:scelta alternativa o trattamento obbligatorio?

G. Pantaleo;AMATO, Massimo;
2013-01-01

Abstract

Objectives: The aim of the present study would be able to demonstrate that when there are the right conditions (bone quality, occlusion type, absence of parafunction) immediate loading full arch can improve the percentage of success in the short and medium term. Materials and methods: 225 edentulous patients were selected, 67 of these were subjected to immediate loading with placing of 402 implants to both jaws and 158 patients to delayed loading with placing of 948 implants to both jaws. A screwed resin prosthesis has been positioned to the first group while a removable temporary prosthesis to the second one. The patients were recalled 6, 12 months after the surgical phase. Results: 20 of 298 immediate loading implants placed in the upper jaw were lost with a 93.2% survival rate while in the case of delayed loading at the upper jaw 64 of 636 were lost with a 89.9% survival rate. Results at lower jaw in terms of success were similar. Discussion: The biggest lost of implants with delayed loading is due to a decubitus of removable temporary prosthesis on implants with excessive pressure excerted on them, during the function. Conclusions: Immediate loading full arch is a mandatory choice in total prosthetic-implant rehabilitation of the upper jaw when the conditions of quality and quantity of bone allow it.
2013
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11386/4051654
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