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

Eugenio Velasco-Ortega, Alvaro Jiménez-Guerra, Ivan Ortiz-Garcia, Jesús Moreno-Muñoz, Enrique Núñez-Márquez, Daniel Cabanillas-Balsera, José López-López and Loreto Monsalve-Guil
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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

IJERPH, 2021, vol. 18, issue 8, 1-10

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.

Keywords: guided implant surgery; immediate loading; edentulous mandible (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (2)

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