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Immediate Functional Loading with Full-Arch Fixed Implant-Retained Rehabilitation in Periodontal Patients: Clinical Study

Author

Listed:
  • Eugenio Velasco-Ortega

    (Department of Comprehensive Dentistry for Adults and Gerodontology, Faculty of Dentistry, University of Seville, 41018 Seville, Spain)

  • Joao Luis Cracel-Lopes

    (Department of Comprehensive Dentistry for Adults and Gerodontology, Faculty of Dentistry, University of Seville, 41018 Seville, Spain)

  • Nuno Matos-Garrido

    (Department of Comprehensive Dentistry for Adults and Gerodontology, Faculty of Dentistry, University of Seville, 41018 Seville, Spain)

  • Alvaro Jiménez-Guerra

    (Department of Comprehensive Dentistry for Adults and Gerodontology, Faculty of Dentistry, University of Seville, 41018 Seville, Spain)

  • Ivan Ortiz-Garcia

    (Department of Comprehensive Dentistry for Adults and Gerodontology, Faculty of Dentistry, University of Seville, 41018 Seville, Spain)

  • Jesús Moreno-Muñoz

    (Department of Comprehensive Dentistry for Adults and Gerodontology, Faculty of Dentistry, University of Seville, 41018 Seville, Spain)

  • Enrique Núñez-Márquez

    (Department of Comprehensive Dentistry for Adults and Gerodontology, Faculty of Dentistry, University of Seville, 41018 Seville, Spain)

  • José Luis Rondón-Romero

    (Department of Comprehensive Dentistry for Adults and Gerodontology, Faculty of Dentistry, University of Seville, 41018 Seville, Spain)

  • José López-López

    (Department of Odontoestomatology (Dentistry), Service of the Medical-Surgical Area of Dentistry Hospital, University of Barcelona, 08907 L’Hospitalet de Llobregat, Spain)

  • Loreto Monsalve-Guil

    (Department of Comprehensive Dentistry for Adults and Gerodontology, Faculty of Dentistry, University of Seville, 41018 Seville, Spain)

Abstract

(1) Background. The immediate functional loading of implants is a clinical procedure used for treating periodontal edentulous patients. This clinical study aimed to evaluate the clinical outcomes of the immediate functional loading of implants with fully fixed rehabilitations in compromised periodontal patients. (2) Methods. Three hundred and five implants IPX screw implants were placed in 27 periodontal patients using an immediate functional loading protocol with fixed rehabilitations. All patients had a previous history of periodontitis, four patients (14.8%) were smokers and seven patients (25.9%) suffered from chronic medical conditions. (3) Results. Implant and prosthetic clinical findings were evaluated during a mean period of 41.3 ± 19.6 months. No implants were lost during the clinical follow-up. The cumulative survival rate for all implants was 100%. Regarding the prostheses designed, a total of 54 fixed prostheses were placed in the 27 patients immediately after the surgery. Forty-four hybrid fixed prostheses (81.5%) and 10 fixed rehabilitations (18.5%) were placed in the patients. The mean marginal bone loss was 1.51 ± 1.16 mm, ranging from 0 to 3.5 mm during the follow-up evaluation. Thirty-one implants (10.2%) in 10 patients (37%) were associated with peri-implantitis. Five patients (18.5%) showed some kind of technical complications (loss/fracture of the prosthetic screw, acrylic resin fracture, ceramic chipping). (4) Conclusions. The clinical outcomes of this study demonstrate that fixed rehabilitation by immediate functional loading of implants is considered a predictable procedure.

Suggested Citation

  • Eugenio Velasco-Ortega & Joao Luis Cracel-Lopes & Nuno Matos-Garrido & Alvaro Jiménez-Guerra & Ivan Ortiz-Garcia & Jesús Moreno-Muñoz & Enrique Núñez-Márquez & José Luis Rondón-Romero & José López-Lóp, 2022. "Immediate Functional Loading with Full-Arch Fixed Implant-Retained Rehabilitation in Periodontal Patients: Clinical Study," IJERPH, MDPI, vol. 19(20), pages 1-13, October.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:20:p:13162-:d:940771
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    References listed on IDEAS

    as
    1. Ignacio Gonzalez-Gonzalez & Hector deLlanos-Lanchares & Aritza Brizuela-Velasco & Jose-Antonio Alvarez-Riesgo & Santiago Llorente-Pendas & Mariano Herrero-Climent & Angel Alvarez-Arenal, 2020. "Complications of Fixed Full-Arch Implant-Supported Metal-Ceramic Prostheses," IJERPH, MDPI, vol. 17(12), pages 1-23, June.
    2. Eugenio Velasco-Ortega & Alvaro Jiménez-Guerra & Ivan Ortiz-Garcia & Jesús Moreno-Muñoz & Enrique Núñez-Márquez & Daniel Cabanillas-Balsera & José López-López & Loreto Monsalve-Guil, 2021. "Immediate Loading of Implants Placed by Guided Surgery in Geriatric Edentulous Mandible Patients," IJERPH, MDPI, vol. 18(8), pages 1-10, April.
    Full references (including those not matched with items on IDEAS)

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