title: Long-lasting osseointegration of immediately loaded, bar-connected TPS screws after 12 years of function: a histologic case report of a 95-year-old patient.
abstract: The present case report provides histologic findings on four titanium plasma-sprayed screw implants after 12 years of incorporation and functional load in a 95-year-old patient. At the time of implant placement, the four implants were immediately connected with a bar and functionally loaded with a bar-supported overdenture. The histologic analysis demonstrated excellent osseointegration in either cortical or cancellous bone for all implants. The histomorphometric analysis showed direct bone-implant contact of approximately 70% to 80% at the interface. Close to the implant surface, signs of ongoing bone remodeling activities were present. The present histologic case report confirms the validity of the applied treatment concept--to immediately load titanium implants with a titanium plasma-sprayed surface in the anterior region of the mandible--if a minimum of four implants can be inserted and if the four implants are splinted with a bar.
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D000539:Alveolar Process / Q000473:pathology / Q000502:physiology; D016723:Bone Remodeling; D020099:Coated Materials, Biocompatible; D003758:Dental Implantation, Endosseous / Q000379:methods*; D015921:Dental Implants; D017267:Dental Prosthesis Design; D017268:Dental Prosthesis Retention / Q000295:instrumentation; D019094:Dental Prosthesis, Implant-Supported; D003828:Denture, Overlay; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008334:Mandible / Q000601:surgery; D016348:Osseointegration; D016062:Porosity; D013499:Surface Properties; D014025:Titanium / Q000737:chemistry