title: Evaluation of 80 implants subjected to immediate loading in edentulous mandibles after two years of follow-up.
abstract: OBJECTIVE
  An analysis is made of the clinical and radiological behavior of 80 implants with a new surface subjected to etching with a sulfuric and hydrofluoric acid solution followed by thermal treatment, and subjected to immediate loading in patients with lower overdentures.
  
  
  METHODS
  A prospective observational study was made of 20 patients with lower overdentures supported by four implants measuring 13 mm in length. All patients were included after the obtainment of informed consent, anamnesis, clinical examination and radiological study, with prior clinical elaboration of the lower dentures.
  
  
  RESULTS
  Over two years of follow-up, no important plaque or tartar accumulation was observed (with Silness and Loe indexes of 0-1). Periodontal probing proved favorable, with no pocket depths of over 2 mm in any case. The radiological controls showed no implant failures during follow-up. No cervical bone loss was recorded in the first year in a large proportion of cases (65%), while reabsorption of the cervical half was observed in 10%, and of three-quarters of the cervical portion in the remaining 35%. Performance in the second year was compatible with the standard references--with losses of between 0.5-1.5 mm.
  
  
  CONCLUSIONS
  Rehabilitation with lower overdentures should be regarded as a priority indication, and implantological treatment substitution by conventional and/or early resting periods should be considered.
authors.affiliation: Madrid Complutense University Dental School, Madrid, Spain. jmargo@odon.ucm.es
authors.forename: Jose María
authors.initials: JM
authors.lastname: Martínez-González
authors.forename: Cristina
authors.initials: C
authors.lastname: Barona-Dorado
authors.forename: Jorge
authors.initials: J
authors.lastname: Cano-Sánchez
authors.forename: Fernando
authors.initials: F
authors.lastname: Fernández-Cáliz
authors.forename: Andrés
authors.initials: A
authors.lastname: Sánchez-Turrión
mesh_terms: D000134:Acid Etching, Dental; D000368:Aged; D015921:Dental Implants; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007575:Jaw, Edentulous / Q000601:surgery*; D008297:Male; D008334:Mandible; D008875:Middle Aged; D011446:Prospective Studies; D013997:Time Factors
chemical_list: D015921:Dental Implants