Henriette Lerner1,2, Uli Hauschild3,4, Robert Sader5, Shahram Ghanaati6,7. 1. , Baden-Baden, Germany. h.lerner@web.de. 2. Department of Oral, Cranio-Maxillofacial and Facial Plastic Surgery, Johann Wolfgang Goethe-University, Frankfurt am Main, Germany. h.lerner@web.de. 3. Department of Post-Graduate Medicine, Johann Wolfgang Goethe-University, Frankfurt am Main, Germany. 4. , Sanremo, Italy. 5. Department of Oral, Cranio-Maxillofacial and Facial Plastic Surgery, Johann Wolfgang Goethe-University, Frankfurt am Main, Germany. 6. Department of Oral, Cranio-Maxillofacial and Facial Plastic Surgery, Medical Center of the Goethe University Frankfurt, Frankfurt am Main, Germany. 7. Institute of Pathology, University Medical Center, Johannes Gutenberg University, Mainz, Germany.
Abstract
BACKGROUND: Guided implant surgery is considered as a safe and minimally invasive flapless procedure. However, flapless guided surgery, implant placement in post-extraction sockets and immediate loading of complete-arch fixed reconstructions without artificial gum are still not throughly evaluated. The aim of the present retrospective clinical study was to document the survival and success of complete-arch fixed reconstructions without artificial gum, obtained by means of guided surgery and immediate loading of implants placed also in fresh extraction sockets. METHODS: A total of 12 patients (5 males and 7 females, with a mean age of 50.0 ± 13.8) were enrolled in this study. Implant planning was performed with a guided surgery system (RealGuide®, 3Diemme, Como, Italy), from which 3D-printed surgical templates were fabricated. All implants (Esthetic Line-EL®, C-Tech, Bologna, Italy) were placed through the guides and immediately loaded by means of a temporary fixed full-arch restoration without any artificial gum; the outcome measures were implant stability at placement, implant survival, complications, prosthetic success, soft-tissue stability, and patient satisfaction. RESULTS: One hundred ten implants (65 of them post-extractive) were placed flapless through a guided surgery procedure and then immediately loaded by means of provisional fixed full arches. Successful implant stability at placement was achieved in all cases. After a provisionalization period of 6 months, 72 fixed prosthetic restorations were delivered. Only 2 implants failed to osseointegrate and had to be removed, in one patient, giving a 1-year implant survival rate of 98.2% (108/110 surviving implants); 8/12 prostheses did not undergo any failure or complication during the entire follow-up period. At the 1-year follow-up control, soft-tissue was stable in all patients and showed satesfactory aesthetic results. CONCLUSIONS: Within the limits of this study, complete-arch fixed reconstruction by means of guided surgery and immediate loading of implants placed in fresh extraction sockets appears to be a reliable and successful procedure. Further long-term prospective studies on a larger sample of patients are needed to confirm these positive outcomes.
BACKGROUND: Guided implant surgery is considered as a safe and minimally invasive flapless procedure. However, flapless guided surgery, implant placement in post-extraction sockets and immediate loading of complete-arch fixed reconstructions without artificial gum are still not throughly evaluated. The aim of the present retrospective clinical study was to document the survival and success of complete-arch fixed reconstructions without artificial gum, obtained by means of guided surgery and immediate loading of implants placed also in fresh extraction sockets. METHODS: A total of 12 patients (5 males and 7 females, with a mean age of 50.0 ± 13.8) were enrolled in this study. Implant planning was performed with a guided surgery system (RealGuide®, 3Diemme, Como, Italy), from which 3D-printed surgical templates were fabricated. All implants (Esthetic Line-EL®, C-Tech, Bologna, Italy) were placed through the guides and immediately loaded by means of a temporary fixed full-arch restoration without any artificial gum; the outcome measures were implant stability at placement, implant survival, complications, prosthetic success, soft-tissue stability, and patient satisfaction. RESULTS: One hundred ten implants (65 of them post-extractive) were placed flapless through a guided surgery procedure and then immediately loaded by means of provisional fixed full arches. Successful implant stability at placement was achieved in all cases. After a provisionalization period of 6 months, 72 fixed prosthetic restorations were delivered. Only 2 implants failed to osseointegrate and had to be removed, in one patient, giving a 1-year implant survival rate of 98.2% (108/110 surviving implants); 8/12 prostheses did not undergo any failure or complication during the entire follow-up period. At the 1-year follow-up control, soft-tissue was stable in all patients and showed satesfactory aesthetic results. CONCLUSIONS: Within the limits of this study, complete-arch fixed reconstruction by means of guided surgery and immediate loading of implants placed in fresh extraction sockets appears to be a reliable and successful procedure. Further long-term prospective studies on a larger sample of patients are needed to confirm these positive outcomes.
Authors: Ghazwan Almahrous; Sandra David-Tchouda; Aboubacar Sissoko; Nathalie Rancon; Jean-Luc Bosson; Thomas Fortin Journal: Int J Environ Res Public Health Date: 2020-04-25 Impact factor: 3.390
Authors: Eugenio Velasco-Ortega; Alvaro Jiménez-Guerra; Ivan Ortiz-Garcia; Jesús Moreno-Muñoz; Enrique Núñez-Márquez; Daniel Cabanillas-Balsera; José López-López; Loreto Monsalve-Guil Journal: Int J Environ Res Public Health Date: 2021-04-13 Impact factor: 3.390
Authors: Simone Marconcini; Enrica Giammarinaro; Ugo Covani; Andrea Mascolo; Guerino Caso; Marco Del Corso Journal: BMC Oral Health Date: 2021-12-03 Impact factor: 2.757