Immediate Functional Loading with Full-Arch Fixed Implant-Retained Rehabilitation in Periodontal Patients: Clinical Study

Abstract

(1) Background. The immediate functional loading of implants is a clinical procedure used for treating periodontal edentulous patients. This clinical study aimed to evaluate the clinical outcomes of the immediate functional loading of implants with fully fixed rehabilitations in compromised periodontal patients. (2) Methods. Three hundred and five implants IPX screw implants were placed in 27 periodontal patients using an immediate functional loading protocol with fixed rehabilitations. All patients had a previous history of periodontitis, four patients (14.8%) were smokers and seven patients (25.9%) suffered from chronic medical conditions. (3) Results. Implant and prosthetic clinical findings were evaluated during a mean period of 41.3 ± 19.6 months. No implants were lost during the clinical follow-up. The cumulative survival rate for all implants was 100%. Regarding the prostheses designed, a total of 54 fixed prostheses were placed in the 27 patients immediately after the surgery. Forty-four hybrid fixed prostheses (81.5%) and 10 fixed rehabilitations (18.5%) were placed in the patients. The mean marginal bone loss was 1.51 ± 1.16 mm, ranging from 0 to 3.5 mm during the follow-up evaluation. Thirty-one implants (10.2%) in 10 patients (37%) were associated with peri-implantitis. Five patients (18.5%) showed some kind of technical complications (loss/fracture of the prosthetic screw, acrylic resin fracture, ceramic chipping). (4) Conclusions. The clinical outcomes of this study demonstrate that fixed rehabilitation by immediate functional loading of implants is considered a predictable procedure.

Guided Dental Implant Surgery: Systematic Review

“…The number of implants lost was 5, and the post-operative complications involved 10 patients with peri-implantitis and 6 with mechanical prosthodontic complications [ 5 ]. Furthermore, these data are partially confirmed by a subsequent study conducted by the same research group on a smaller number of patients and the implants with prosthetic overdentures positioned, reporting a 100% survival rate after an average follow-up period of 44 months [ 6 , 7 , 8 , 9 ].…”

Full-Mouth Rehabilitation Using Combined Multiunit Abutment and Screw-Retained T-Base Abutment System: A Case Report with 24-Month Follow-up

“…In recent years, full-arch implant-supported rehabilitation has attracted considerable interest because it can restore oral function and enhance the quality of life of patients with extensive tooth loss [2]. In this study, a multiunit implant-supported prostheses system (all-in-six) and a screw-retained T-base abutment were successfully combined to provide stability and ensure retention and aesthetic outcomes for the patient.…”

“…implant-supported rehabilitation has attracted considerable interest in recent years because it restores oral function and improves the quality of life of patients with severe tooth loss [2,3]. A combination of a multiunit abutment system and a screw-retained T-base abutment is usually preferred in delayed loading protocols because it ensures stability, retention, and aesthetic outcomes for arch restoration and results in minimal hard tissue morbidity [4,5].…”

A Fully Guided Sequential Template Immediate Loading Protocol for Dual-Arch Implant Surgery

“…[1][2][3][4][5] Success rates for immediately loaded full-arch implant prosthetics have been shown to be similar to those of conventional loading protocols. [1][2][3][4]6 Immediate loading is commonly described as a procedure in which implants are connected to a prosthesis that occludes with the opposing arch within 1 week after implant installation. 3,4,[7][8][9] The number of implants needed to support a full-arch immediately loaded prosthesis has also been studied, with the general consensus being that a range of 4-6 implants for both maxillary and mandibular arches seem optimal.…”

“…[7][8][9][10] Ideally, these implants should be well distributed in the arch, providing maximum anteroposterior spread while avoiding anatomical limitations. 2,[5][6][7]10 Computer-guided implant surgery has several advantages over traditional approaches, particularly when loading protocols are used. 11,12 Guided surgery can enhance control over treatment outcomes by ensuring more predictable implant placement with fewer errors, thereby shortening treatment time and reducing patient morbidity.…”