title: Implant Restoration of Edentulous Jaws with 3D Software Planning, Guided Surgery, Immediate Loading, and CAD-CAM Full Arch Frameworks.
abstract: Purpose. The aim of this study was to analyze the clinical and radiographic outcomes of 23 edentulous jaws treated with 3D software planning, guided surgery, and immediate loading and restored with CAD-CAM full arch frameworks. Materials and Methods. This work was designed as a prospective case series clinical study. Twenty patients have been consecutively rehabilitated with an immediately loaded implant supported fixed full prosthesis. A total of 120 fixtures supporting 23 bridges were placed. 117 out of 120 implants were immediately loaded. Outcome measures were implants survival, radiographic marginal bone levels and remodeling, soft tissue parameters, and complications. Results. 114 of 117 implants reached a 30 months follow-up, and no patients dropped out from the study. The cumulative survival rate was 97.7%; after 30 months, mean marginal bone level was 1.25 ± 0.31 mm, mean marginal bone remodeling value was 1.08 ± 0.34, mean PPD value was 2.84 ± 0.55 mm, and mean BOP value was 4% ± 2.8%. Only minor prosthetic complications were recorded. Conclusion. Within the limitations of this study, it can be concluded that computer-guided surgery and immediate loading seem to represent a viable option for the immediate rehabilitations of completely edentulous jaws with fixed implant supported restorations. This trial is registered with Clinicaltrials.gov NCT01866696.
authors: Maxillofacial Surgery Unit, University Hospital of Sassari, 07100 Sassari, Italy ; Dentistry Unit, University Hospital of Sassari, 07100 Sassari, Italy.
authors: Silvio Mario
authors: SM
authors: Meloni
authors: Giacomo
authors: G
authors: De Riu
authors: Milena
authors: M
authors: Pisano
authors: Francesco Maria
authors: FM
authors: Lolli
authors: Alessandro
authors: A
authors: Deledda
authors: Guglielmo
authors: G
authors: Campus
authors: Antonio
authors: A
authors: Tullio
references: Clin Implant Dent Relat Res. 2005;7 Suppl 1:S111-20
references: 16137096
references: J Craniofac Surg. 2010 Nov;21(6):1917-21
references: 21119455
references: Int J Oral Maxillofac Implants. 2002 Sep-Oct;17(5):663-70
references: 12381066
references: J Prosthet Dent. 2007 Jun;97(6 Suppl):S26-34
references: 17618930
references: Br J Oral Maxillofac Surg. 2012 Dec;50(8):726-31
references: 22240395
references: Scand J Plast Reconstr Surg Suppl. 1977;16:1-132
references: 356184
references: Eur J Oral Implantol. 2010 Autumn;3(3):245-51
references: 20847994
references: Int J Oral Maxillofac Implants. 2003 Jul-Aug;18(4):571-7
references: 12939011
references: Int J Oral Maxillofac Implants. 1997 Jul-Aug;12(4):495-503
references: 9274078
references: J Prosthet Dent. 2007 Jun;97(6):331-9
references: 17618915
references: Clin Implant Dent Relat Res. 2013 Oct;15(5):724-34
references: 22172094
references: J Oral Implantol. 2011 Mar;37 Spec No:106-13
references: 21495798
references: J Maxillofac Oral Surg. 2013 Sep;12(3):321-5
references: 24431860
references: Quintessence Int. 2009 Oct;40(9):773-81
references: 19862404
references: Int J Oral Maxillofac Implants. 1987 Summer;2(3):137-41
references: 3481354
references: Br J Oral Maxillofac Surg. 2012 Jan;50(1):30-5
references: 21194814
references: Int J Oral Maxillofac Implants. 2012 May-Jun;27(3):634-43
references: 22616058
references: J Oral Maxillofac Surg. 2009 Feb;67(2):394-401
references: 19138616
references: Eur J Oral Implantol. 2012 Winter;5(4):345-53
references: 23304688
references: Eur J Oral Implantol. 2008 Spring;1(1):61-9
references: 20467645
references: Radiol Clin North Am. 1993 Jan;31(1):163-80
references: 8419972
references: Int J Oral Maxillofac Implants. 1996 Nov-Dec;11(6):806-10
references: 8990645
references: J Oral Implantol. 2000;26(3):193-8
references: 11831320
references: Int J Oral Maxillofac Implants. 2005 Jan-Feb;20(1):92-8
references: 15747679