Edentulous Jaws
Conditions
Keywords
Computer assisted implant surgery,, Immediate loading,, CAD/CAM
Brief summary
Purpose: The aim of this study was to analyze the clinical and radiographic outcomes of 23 edentulous jaws treated with 3D software planning, guided surgery, immediate loading and restored with Cad-Cam Zirconia and titanium full arch frameworks. Material & methods: This study was designed as a prospective clinical trial. Twenty patients have been consecutively rehabilitated with an immediately loaded implant supported fixed full prosthesis. A total of 120 fixtures supporting 23 bridges (8 mandible, 15 maxilla) were placed , 22 of which in fresh post extraction sockets. All the implants were inserted with an insertion torque of 35/45 Ncm. 117 out of 120 implants were immediately loaded the other 3 were delayed loaded. Outcome measures were implants survival, radiographic marginal bone-levels and bone remodeling, soft tissue parameters and complications.
Interventions
For all cases, the following surgical and prosthetic protocol was followed.: * Clinical examination * Radiological examination * Guided oral implants insertion * Immediate Prosthetic loading * Follow-up
Sponsors
Study design
Eligibility
Inclusion criteria
were: -edentulous patients or patients with hopeless teeth in need to be restored with full arches prosthesis
Exclusion criteria
were: * presence of systemic diseases (i.e. haematologic disease, uncontrolled diabetes, serious coagulopathies and diseases of the immune system) * irradiation to the head or neck region within 12 months before surgery * presence severe bruxism or clenching habits * pregnancy * poor oral hygiene * poor motivation to return for scheduled follow-up visit
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| implants survival | 0-30 months |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| peri-implant bone | 12-30 months | marginal bone remodeling and marginal bone level |
Other
| Measure | Time frame |
|---|---|
| peri-implant mucosal response | 12-30 months |
| prosthetic success | 0-30 months |
| biological and prosthetic complication | 12-30 months |
Countries
Italy