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Implant restoration of edentulous jaws with 3D software planning, guided surgery, immediate loading, and CAD-CAM full arch frameworks

Meloni, Silvio Mario and De Riu, Giacomo and Pisano, Milena and Lolli, Francesco Maria and Deledda, Alessandro and Campus, Guglielmo Giuseppe and Tullio, Antonio (2013) Implant restoration of edentulous jaws with 3D software planning, guided surgery, immediate loading, and CAD-CAM full arch frameworks. International Journal of Dentistry, Vol. 2013 , Article 683423. eISSN 1687-8736. Article.

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DOI: 10.1155/2013/683423

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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 [http://clinicaltrials.gov/ct2/show/NCT01866696].

Item Type:Article
ID Code:9665
Status:Published
Refereed:Yes
Uncontrolled Keywords:Edentulous jaws, 3D software planning, guided surgery, CAD-CAM
Subjects:Area 06 - Scienze mediche > MED/28 Malattie odontostomatologiche
Area 06 - Scienze mediche > MED/29 Chirurgia maxillofacciale
Divisions:001 Università di Sassari > 01-a Nuovi Dipartimenti dal 2012 > Scienze Chirurgiche, Microchirurgiche e Mediche
002 Altri enti e centri di ricerca del Nord Sardegna > AOU -Azienda Ospedaliero Universitaria, Sassari
Publisher:Hindawi Publishing Corporation
eISSN:1687-8736
Copyright Holders:© 2013 Silvio Mario Meloni et al.
Deposited On:07 Mar 2014 10:26

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