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Immediate Loading of Implants Placed by Guided Surgery in Geriatric Edentulous Mandible Patients

Author

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  • Eugenio Velasco-Ortega

    (Comprehensive Dentistry for Adults and Gerodontology, Faculty of Dentistry, University of Seville, 41009 Sevilla, Spain)

  • Alvaro Jiménez-Guerra

    (Comprehensive Dentistry for Adults and Gerodontology, Faculty of Dentistry, University of Seville, 41009 Sevilla, Spain)

  • Ivan Ortiz-Garcia

    (Comprehensive Dentistry for Adults and Gerodontology, Faculty of Dentistry, University of Seville, 41009 Sevilla, Spain)

  • Jesús Moreno-Muñoz

    (Comprehensive Dentistry for Adults and Gerodontology, Faculty of Dentistry, University of Seville, 41009 Sevilla, Spain)

  • Enrique Núñez-Márquez

    (Comprehensive Dentistry for Adults and Gerodontology, Faculty of Dentistry, University of Seville, 41009 Sevilla, Spain)

  • Daniel Cabanillas-Balsera

    (Comprehensive Dentistry for Adults and Gerodontology, Faculty of Dentistry, University of Seville, 41009 Sevilla, Spain)

  • José López-López

    (Faculty of Dentistry, Service of the Medical-Surgical Area of Dentistry Hospital, University of Barcelona, Hospitalet de LLobregat, 080997 Barcelona, Spain)

  • Loreto Monsalve-Guil

    (Comprehensive Dentistry for Adults and Gerodontology, Faculty of Dentistry, University of Seville, 41009 Sevilla, Spain)

Abstract

The aim of this study was to show the clinical outcomes of the immediate loading of implants inserted by guided surgery in edentulous mandible patients. Edentulous mandible patients were diagnosed with oral examination, cone beam computerized tomography and diagnostic casts for intermaxillary relations and treated with 8–10 implants for rehabilitation with guided surgery and immediate loading. After flapless surgery, implants were loaded with an immediate acrylic temporary prosthesis. After a period of six months, a ceramic definitive full-arch prosthesis was placed. A total of 22 patients (12 females and 10 males) were treated with 198 implants. Eleven patients (50%) had a previous history of periodontitis. Six patients (27.3%) were smokers. The follow-up was 84.2 ± 4.9 months. Clinical outcomes showed a global success rate of 97.5% of implants. Five implants were lost during the healing phase with provisional prosthesis. Twenty-two fixed full-arch rehabilitations were placed in the patients over the 193 remaining implants. Mean marginal bone loss was 1.44 mm ± 0.45 mm. Six patients (27.3%) showed some kind of mechanical prosthodontic complication. Eighteen (9.3%) of the 193 remaining implants were associated with peri-implantitis. The antecedents of peri-implantitis are critical elements for the survival of the implants. The loss of implants was significant in patients who smoked up to 10 cigarettes, compared to non-smokers. Peri-implantitis is one of the key elements in the long-term follow-up of implants and it was more manifest in smoking patients, and in those with a history of peri-implantitis. Marginal bone loss was more significant in smokers. Full-arch rehabilitation is presented as a predictable alternative with minor fatigue problems that are easily solvable.

Suggested Citation

  • Eugenio Velasco-Ortega & Alvaro Jiménez-Guerra & Ivan Ortiz-Garcia & Jesús Moreno-Muñoz & Enrique Núñez-Márquez & Daniel Cabanillas-Balsera & José López-López & Loreto Monsalve-Guil, 2021. "Immediate Loading of Implants Placed by Guided Surgery in Geriatric Edentulous Mandible Patients," IJERPH, MDPI, vol. 18(8), pages 1-10, April.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:8:p:4125-:d:535565
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    References listed on IDEAS

    as
    1. Pietro Venezia & Ferruccio Torsello & Vincenzo Santomauro & Vittorio Dibello & Raffaele Cavalcanti, 2019. "Full Digital Workflow for the Treatment of an Edentulous Patient with Guided Surgery, Immediate Loading and 3D-Printed Hybrid Prosthesis: The BARI Technique 2.0. A Case Report," IJERPH, MDPI, vol. 16(24), pages 1-13, December.
    2. Luigi V. Stefanelli & George A. Mandelaris & Alessio Franchina & Nicola Pranno & Michele Pagliarulo & Francesca Cera & Fabio Maltese & Francesca De Angelis & Stefano Di Carlo, 2020. "Accuracy of Dynamic Navigation System Workflow for Implant Supported Full Arch Prosthesis: A Case Series," IJERPH, MDPI, vol. 17(14), pages 1-15, July.
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    Cited by:

    1. Eugenio Velasco-Ortega & Alvaro Jiménez-Guerra & Ivan Ortiz-Garcia & Nuno Matos Garrido & Jesús Moreno-Muñoz & Enrique Núñez-Márquez & José Luis Rondón-Romero & Daniel Cabanillas-Balsera & José López-, 2021. "Implant Treatment by Guided Surgery Supporting Overdentures in Edentulous Mandible Patients," IJERPH, MDPI, vol. 18(22), pages 1-11, November.
    2. Eugenio Velasco-Ortega & Joao Luis Cracel-Lopes & Nuno Matos-Garrido & Alvaro Jiménez-Guerra & Ivan Ortiz-Garcia & Jesús Moreno-Muñoz & Enrique Núñez-Márquez & José Luis Rondón-Romero & José López-Lóp, 2022. "Immediate Functional Loading with Full-Arch Fixed Implant-Retained Rehabilitation in Periodontal Patients: Clinical Study," IJERPH, MDPI, vol. 19(20), pages 1-13, October.

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