Implant Treatment by Guided Surgery Supporting Overdentures in Edentulous Mandible Patients

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-López and Loreto Monsalve-Guil
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Eugenio Velasco-Ortega: Department of Stomatology, Faculty of Dentistry, University of Seville, C/Avicena s/n, 421009 Seville, Spain
Alvaro Jiménez-Guerra: Department of Stomatology, Faculty of Dentistry, University of Seville, C/Avicena s/n, 421009 Seville, Spain
Ivan Ortiz-Garcia: Department of Stomatology, Faculty of Dentistry, University of Seville, C/Avicena s/n, 421009 Seville, Spain
Nuno Matos Garrido: Department of Stomatology, Faculty of Dentistry, University of Seville, C/Avicena s/n, 421009 Seville, Spain
Jesús Moreno-Muñoz: Department of Stomatology, Faculty of Dentistry, University of Seville, C/Avicena s/n, 421009 Seville, Spain
Enrique Núñez-Márquez: Department of Stomatology, Faculty of Dentistry, University of Seville, C/Avicena s/n, 421009 Seville, Spain
José Luis Rondón-Romero: Department of Stomatology, Faculty of Dentistry, University of Seville, C/Avicena s/n, 421009 Seville, Spain
Daniel Cabanillas-Balsera: Department of Stomatology, Faculty of Dentistry, University of Seville, C/Avicena s/n, 421009 Seville, Spain
José López-López: Department of Odontostomatoly, Faculty of Medicine and Health Sciences (Dentistry), University of Barcelona, C/ Feixa LLarga s/n, 08907 Hospitalet de LLobregat, Spain
Loreto Monsalve-Guil: Department of Stomatology, Faculty of Dentistry, University of Seville, C/Avicena s/n, 421009 Seville, Spain

IJERPH, 2021, vol. 18, issue 22, 1-11

Abstract: Introduction: This study aimed to show the clinical outcomes of implants inserted by guided surgery supporting mandibular overdentures in edentulous patients. Patients and methods: Mandibular edentulous patients were diagnosed with an oral examination, cone-beam computerized tomography, and diagnostic casts for intermaxillary relations and treated with overdentures over two implants by guided surgery. After flapless surgery, implants were early loaded with an overdenture at 6 weeks. Results and discussion: Fourteen patients (nine females and five males) were treated with 28 implants. Four patients (28.6%) had a previous history of periodontitis. Five patients (35.7%) were smokers. Nine patients (64.3%) suffered from systemic diseases (i.e., diabetes, cardiovascular diseases). The clinical follow-up of the study was 44.7 ± 31.4 months. Clinical outcomes showed a global success of 100% of implants. Fourteen overdentures were placed in the patients over the implants. Mean marginal bone loss was 1.25 mm ± 0.95 mm. Four patients (28.6%) showed some kind of mechanical prosthodontic complications. Six implants (21.4%) were associated with peri-implantitis. Conclusions: This study indicates that treatment of mandibular edentulous patients with overdentures by guided surgery and early loading of implants placed appears to be a successful implant protocol.

Keywords: guided implant surgery; overdenture; early loading; edentulous mandible (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
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