title: Prosthetic success with a maxillary immediate-loading protocol in the multiple-risk patient.
abstract: The application of immediate loading of implants in the edentulous maxilla in multiple-risk patients is presented. Five partially edentulous patients attended with failing prostheses supported by hopeless teeth. An immediate-loading protocol was proposed because the patients rejected provisionalization with a removable prosthesis. Multiple teeth were extracted, and 44 immediately loaded implants were placed, most of them (55.5% to 88.9%) in fresh extraction sites, to support a cross-arch prosthesis that was loaded 3 to 4 days after surgery. The overall implant failure rate was 13.4%; in healed sites it was 20% (2/10) and in fresh extraction sites it was 8.82% (3/34). Prosthetic success was 100%. The overall failure rate was higher than is usually seen with the standard delayed-loading approach. Nevertheless, this immediate-loading protocol was satisfactory for the patients and the practitioner because prosthetic success was maintained during the provisionalization phase.
authors.affiliation: Oral Rehabilitation Center, American Hospital of Paris, Neuilly sur Seine, France. m.davarpanah@wanadoo.fr
authors.forename: Mithridade
authors.initials: M
authors.lastname: Davarpanah
authors.forename: Mihaela
authors.initials: M
authors.lastname: Caraman
authors.forename: Boris
authors.initials: B
authors.lastname: Jakubowicz-Kohen
authors.forename: Myriam
authors.initials: M
authors.lastname: Kebir-Quelin
authors.forename: Serge
authors.initials: S
authors.lastname: Szmukler-Moncler
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002012:Bruxism / Q000150:complications; D003758:Dental Implantation, Endosseous / Q000379:methods*; D019094:Dental Prosthesis, Implant-Supported / Q000379:methods*; D019232:Dental Restoration Failure; D005260:Female; D006801:Humans; D007575:Jaw, Edentulous / Q000534:rehabilitation*; D008297:Male; D008437:Maxilla / Q000601:surgery; D008875:Middle Aged; D010510:Periodontal Diseases / Q000150:complications; D013997:Time Factors; D016896:Treatment Outcome; D016474:Weight-Bearing