The efficacy of full-arch immediately restored implant-supported reconstructions in extraction and healed sites: a 36-month retrospective evaluation.
OBJECTIVE
Implants placed in fresh extraction sites and healed sites were restored simultaneously by cross-arch provisional fixed prostheses. Clinical and radiographic parameters were recorded for up to 36 months.


METHODS
Treatment with a full-arch implant prosthesis, either screw-retained or cemented, was assigned to 54 patients. A total of 676 implants were placed in either immediate extraction sites (n = 367) or in healed alveoli (n = 309), followed by placement of a one-piece provisional prosthesis. The definitive restoration was placed 3 to 6 months after implant placement. Clinical parameters were recorded and digital radiographs obtained at 6, 18, and 36 months. The chi-square test, t test, and analysis of variance with repeated measures were used for statistical analysis of the outcomes.


RESULTS
Osseointegration failed in 21 (3.1%) implants; 13 of these (62%) had been placed immediately after extraction. All occurred within 2 months of the surgical healing phase. Short (8-mm) and narrow (3.3-mm) implant configurations were significantly (P < .05) associated with failure. At 6, 18, and 36 months, average crestal bone resorption was 0.18 mm, 0.55 mm, and 0.79 mm for implants placed in fresh extraction sites and 0.31 mm, 0.78 mm, and 1.1 mm for implants placed in healed alveoli, respectively. These differences were statistically significant (P < .05 between sites at all examined periods). Crestal bone resorption also correlated to sites with simultaneous bone augmentation and implant placement.


CONCLUSIONS
Implants placed and restored immediately in a cross-arch mode, whether in extraction sites or in healed alveoli, can be clinically successful and maintainable.
Artzi
Zvi
Z
Department of Periodontology, The Maurice and Gabriela Goldschleger School of Dental Medicine, Tel Aviv University, Tel Aviv, Israel. Zviartzi@post.tau.ac.il
Kohen
Jerry
J
Carmeli
Guy
G
Karmon
Benny
B
Lor
Ariel
A
Ormianer
Zeev
Z
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D016301:Alveolar Bone Loss / Q000209:etiology; D000540:Alveolar Ridge Augmentation / Q000379:methods; D018786:Bone Substitutes / Q000627:therapeutic use; D000044:Dental Abutments; D015921:Dental Implants; D017267:Dental Prosthesis Design; D019094:Dental Prosthesis, Implant-Supported; D019232:Dental Restoration Failure; D003779:Denture Design; D003781:Denture Retention; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007575:Jaw, Edentulous / Q000534:rehabilitation / Q000601:surgery*; D008297:Male; D008567:Membranes, Artificial; D008875:Middle Aged; D016348:Osseointegration / Q000502:physiology; D019252:Radiography, Dental, Digital; D012189:Retrospective Studies; D014081:Tooth Extraction; D020390:Tooth Socket / Q000502:physiology / Q000601:surgery*; D016896:Treatment Outcome; D014945:Wound Healing / Q000502:physiology
D018786:Bone Substitutes; D015921:Dental Implants; D008567:Membranes, Artificial