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Alruhailie L, Zaidan A, Alasmari A, Raffa O. A Fully Guided Sequential Template Immediate Loading Protocol for Dual-Arch Implant Surgery. Clin Cosmet Investig Dent 2024; 16:167-177. [PMID: 38827119 PMCID: PMC11141767 DOI: 10.2147/ccide.s468780] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/11/2024] [Accepted: 05/21/2024] [Indexed: 06/04/2024] Open
Abstract
A method is described for designing, fabricating and implementing sequential template immediate loading protocols for dual arch implant therapy. A 41-year-old medically-free patient with terminal dentition was treated following stackable guide loading protocols for maxillary and mandibular arches. Implants were placed following extractions and immediately loaded with full arch fixed prostheses. Healing was uneventful and all implants integrated successfully. Special consideration was given to the design and clinical challenges when implementing stackable guide protocols for dual arch implant therapy.
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Affiliation(s)
- Lamia Alruhailie
- Department of Prosthodontics, King Abdulaziz Medical City, Jeddah, Saudi Arabia
| | - Aliyaa Zaidan
- Department of Periodontics, King Abdulaziz Medical City, Jeddah, Saudi Arabia
| | - Abeer Alasmari
- Department of Periodontics, King Abdulaziz Medical City, Jeddah, Saudi Arabia
| | - Ossama Raffa
- Department of Prosthodontics, King Abdulaziz Medical City, Jeddah, Saudi Arabia
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Marković A, Todorović A, Glišić M, Marković J, Ilić B, Janjić B, Mišić T, Trifković B, Vučić U, Šćepanović M, Dard MM. Immediate versus early loading of immediately placed bone-level tapered dental implants with hydrophilic surface in full arch maxillary rehabilitation: A pilot randomized clinical trial with 2-year follow-up. Clin Implant Dent Relat Res 2024. [PMID: 38693759 DOI: 10.1111/cid.13334] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/13/2023] [Revised: 02/21/2024] [Accepted: 04/12/2024] [Indexed: 05/03/2024]
Abstract
This study aimed to compare implant stabilities between the immediate and early loaded, immediately placed bone-level tapered dental implants in the maxilla and to evaluate marginal bone loss (MBL), oral health-related quality of life (OHRQoL), and patient satisfaction at a 2-year follow-up. A pilot, prospective, randomized, controlled clinical trial was conducted on 24 maxillary failing dentition patients. The bone-level tapered implants of 12 patients were immediately loaded with temporary restorations, while the other 12 patients did not receive any kind of temporization. Implant-supported screw-retained complete porcelain-fused-to-metal prostheses were delivered to all patients in the seventh postoperative week. The insertion torque values of implants assigned to the immediate and early loading groups were 33.0 ± 4.87 and 29.26 ± 8.31 Ncm, respectively. The dynamics of implant stability changes from implant placement up to a 2-year follow-up were similar for both groups (Penguin®, p = 0.268; Ostell®, p = 0.552), while the MBL was at submillimeter level. The cumulative implant survival rate was 91.80% for immediately loaded implants and 97.22% for early loaded implants, without significant difference (p = 0.162). The total score on the Oral Health Impact Profile questionnaire significantly decreased over time in both groups, indicating improvement in OHRQoL (p < 0.001), and the high level of patient satisfaction remained after 2 years of function regardless of a loading protocol. Both loading protocols, immediate and early, of six immediately placed bone-level tapered dental implants are an adequate treatment choice for fixed rehabilitation of the maxillary failing dentition.
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Affiliation(s)
- Aleksa Marković
- Implant Center, School of Dental Medicine, University of Belgrade, Belgrade, Serbia
| | - Ana Todorović
- Implant Center, School of Dental Medicine, University of Belgrade, Belgrade, Serbia
| | - Mirko Glišić
- Clinic of Prosthodontics, School of Dental Medicine, University of Belgrade, Belgrade, Serbia
| | - Jovana Marković
- Implant Center, School of Dental Medicine, University of Belgrade, Belgrade, Serbia
| | - Branislav Ilić
- Clinic of Oral surgery, School of Dental Medicine, University of Belgrade, Belgrade, Serbia
| | - Bojan Janjić
- Clinic of Oral surgery, School of Dental Medicine, University of Belgrade, Belgrade, Serbia
| | - Tijana Mišić
- Clinic of Oral surgery, School of Dental Medicine, University of Belgrade, Belgrade, Serbia
| | - Branka Trifković
- Implant Center, School of Dental Medicine, University of Belgrade, Belgrade, Serbia
| | - Uroš Vučić
- Clinic of Oral surgery, School of Dental Medicine, University of Belgrade, Belgrade, Serbia
| | - Miodrag Šćepanović
- Implant Center, School of Dental Medicine, University of Belgrade, Belgrade, Serbia
| | - Michel M Dard
- Columbia University, College of Dental Medicine, New York, New York, USA
- Institut Straumann, Basel, Switzerland
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Issa DR, Nassar M, Elamrousy W. Immediately placed implants using simvastatin and autogenous tooth graft combination in periodontally compromised sites: a randomized controlled clinical trial. Clin Oral Investig 2024; 28:210. [PMID: 38467945 DOI: 10.1007/s00784-024-05596-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/20/2023] [Accepted: 02/28/2024] [Indexed: 03/13/2024]
Abstract
OBJECTIVES The present study aimed to assess clinically and radiographically the usage of autogenous tooth bone graft (ATBG) combined with and without Simvastatin (SMV) around immediately placed dental implants in periodontally compromised sites. METHODS Thirty-nine patients required a single extraction of periodontally compromised tooth were divided into three groups (13 patients each). Group I received immediate implant placement (IIP) without grafting. Group II received IIP with ATBG filling the gap around IIP. Group III received SMV gel mixed with ATBG around IIP. Radiographic changes were reported at the baseline, 6-, and 12-months post-surgery. RESULTS All implants achieved the success criteria with no complications. At 6- and 12-months post-surgery, group III showed a statistically lower mean ridge width loss compared to Group I and Group II (P < .001). Group II revealed less reduction in the mean alveolar ridge width compared to group I (P < .001). Group III showed a statistically significantly less MBL loss than group I and group II (P < .001). All groups showed a statistically significant increase in BD gain compared to baseline (P < .001). Group III showed statistically significant high BD compared to group II (P < .001). Group II showed statistically significantly higher mean BD gain than that of group I (P < .001). CONCLUSION SMV combined with ATBG boosts the hard tissue parameters around dental implants over ATBG alone. Clinical trial registration was on August 1, 2021 (NCT04992416). CLINICAL RELEVANCE ATBG with SMV in periodontally compromised sites could improve implant osseointegration and promote favorable changes in peri-implant tissues.
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Affiliation(s)
- Dalia Rasheed Issa
- Department of Oral Medicine and Periodontology, Faculty of Oral and Dental Medicine, Kafrelsheikh University, Kafr El-sheikh, Egypt.
| | - Mohamed Nassar
- Department of Oral Medicine, Oral Diagnosis, and Radiology, Faculty of Dentistry, Tanta University, Tanta, Egypt
| | - Walid Elamrousy
- Department of Oral Medicine and Periodontology, Faculty of Oral and Dental Medicine, Kafrelsheikh University, Kafr El-sheikh, Egypt
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Todaro C, Cerri M, Rodriguez y Baena R, Lupi SM. Lower Jaw Full-Arch Restoration: A Completely Digital Approach to Immediate Load. Healthcare (Basel) 2024; 12:332. [PMID: 38338217 PMCID: PMC10855469 DOI: 10.3390/healthcare12030332] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/28/2023] [Revised: 01/08/2024] [Accepted: 01/24/2024] [Indexed: 02/12/2024] Open
Abstract
The digital transformation has revolutionized various sectors, including dentistry. Dentistry has emerged as a pioneer in embracing digital technologies, leading to advancements in surgical and prosthetic oral healthcare. Immediate loading for full-arch edentulous dental implants, once debated, is now widely accepted. This case report describes a 74-year-old patient with dental mobility and significant bone loss who was rehabilitated using a Toronto Bridge protocol on four dental implants with immediate loading. Digital planning, surgical guides, 3D printing, and precision techniques were employed. The surgery involved implant placement and prosthetic procedures. The patient reported minimal post-operative discomfort, and after four months, the definitive prosthesis was successfully placed. This case demonstrates the efficacy of immediate loading in complex dental scenarios with digital innovation, resulting in improved patient outcomes. The full digital workflow, including 3D printing and the use of modern materials, enhances the efficiency and predictability of oral rehabilitation, marking a transformative era in dental care. The integration of digital technology in all phases of treatment, from diagnosis to finalization, makes this approach safer, reliable, and efficient, thereby benefiting both patients and clinicians.
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Affiliation(s)
- Claudia Todaro
- School of Dentistry, Department of Clinical Surgical, Diagnostic and Pediatric Sciences, University of Pavia, 27100 Pavia, Italy; (R.R.y.B.); (S.M.L.)
| | - Michael Cerri
- Private Practice, 29011 Borgonovo Val Tidone, Italy;
| | - Ruggero Rodriguez y Baena
- School of Dentistry, Department of Clinical Surgical, Diagnostic and Pediatric Sciences, University of Pavia, 27100 Pavia, Italy; (R.R.y.B.); (S.M.L.)
| | - Saturnino Marco Lupi
- School of Dentistry, Department of Clinical Surgical, Diagnostic and Pediatric Sciences, University of Pavia, 27100 Pavia, Italy; (R.R.y.B.); (S.M.L.)
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Mishra SK, Bhasmey SR, Chowdhary R. Complete-arch implant-supported fixed dental prostheses fabricated with PEEK and PEKK framework: a systematic review. Evid Based Dent 2023; 24:193. [PMID: 37674039 DOI: 10.1038/s41432-023-00928-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/07/2023] [Accepted: 08/08/2023] [Indexed: 09/08/2023]
Abstract
PURPOSE To evaluate the performance of complete-arch implant-supported fixed dental prostheses (FDPs) fabricated with polyetheretherketone (PEEK) and polyetherketoneketone (PEKK) framework in clinical cases. MATERIALS AND METHODS This systematic review followed the guidelines of Preferred Reporting Items for Systematic Reviews and Meta-Analyses and was registered in the International Prospective Register of Systematic Reviews with the number CRD42023399494. The electronic database PubMed, Cochrane Library and EBSCOhost were assessed for clinical research and reports on complete-arch implant-supported FDPs fabricated with PEEK and PEKK framework. Human studies with a minimum follow-up of 1 year and published in an English language were the only ones included. RESULTS The initial database and hand search provided 564 articles. Finally, 12 articles published between 2018 and 2022 were included in this systematic review. The mean follow-up ranged from 1 year to 6 years. The included studies reported 119 (114 PEEK, 5 PEKK) complete-arch implant-supported FDPs during 1 year follow-up. The cumulative survival rate of prostheses with PEEK as a framework was 97.3%. Prostheses fractures and complications were found with both PEEK and PEKK frameworks. No implant failure reported with both PEEK and PEKK prostheses. CONCLUSION In short-term follow-up, the complete-arch implant-supported FDPs with PEEK as a framework showed a good survival rate and acceptable health of the supporting tissues. The PEEK framework had shown adhesion issues as the most common prosthetic complication. Limited data were available on PEKK as framework material, so further long-term clinical trials are required.
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Affiliation(s)
- Sunil Kumar Mishra
- Department of Prosthodontics, Rama Dental College Hospital and Research Centre, Kanpur, Uttar Pradesh, India.
| | - Srinivas Rao Bhasmey
- Department of Prosthodontics, Gitam Dental College, Visakhapatnam, Andhra Pradesh, India
| | - Ramesh Chowdhary
- Department of Prosthodontics, Sri Siddhartha Dental College and Hospital, Tumkur, Karnataka, India
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Velasco-Ortega E, Carretero-Barrado L, Moreno-Muñoz J, Ortiz-García I, Núñez-Márquez E, Rondón-Romero JL, López-López J, Jiménez-Guerra Á, Monsalve-Guil L. Immediate Loading of Implants with Fixed Rehabilitations in Geriatric Edentulous Patients; Biological Complications. J Clin Med 2023; 12:6548. [PMID: 37892686 PMCID: PMC10607342 DOI: 10.3390/jcm12206548] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/09/2023] [Revised: 10/10/2023] [Accepted: 10/10/2023] [Indexed: 10/29/2023] Open
Abstract
BACKGROUND This study aimed to report the outcomes of the immediate loading of implants with fixed rehabilitations in edentulous geriatric patients. METHODS Edentulous geriatric patients were diagnosed with an oral examination, radiographic evaluation, and intermaxillary relations and treated with fixed rehabilitation over several implants. After immediate surgery, the implants were immediately loaded with a fully fixed prosthesis. RESULTS Twenty-four patients (20 females and 4 males) were treated using a total 210 implants. All patients (100%) had a previous history of periodontitis. Eleven patients (45.8%) were smokers. Eleven patients (45.8%) suffered from chronic medical diseases (i.e., diabetes, cardiovascular diseases). The study's clinical follow-up period extended for three years, during which thirty-three fixed prostheses were installed over the implants in 24 patients. The average marginal bone loss measured was 1.33 ± 0.17 mm. The success rate of the implants and prosthodontics being placed in this study yielded 98.5% and 97%, respectively. One patient (4.2%) showed some kind of technical complications. Eleven patients (45.8%) showed mucositis, and 25 implants (11.9%) in 10 patients (41.7%) were associated with peri-implantitis. CONCLUSIONS This study shows that the treatment of edentulous geriatric patients by immediate loading of implants with fixed rehabilitations is a clinically successful protocol but with a high prevalence of peri-implant diseases.
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Affiliation(s)
- Eugenio Velasco-Ortega
- Faculty of Dentistry, University of Seville, 41004 Sevilla, Spain; (E.V.-O.); (L.C.-B.); (J.M.-M.); (I.O.-G.); (E.N.-M.); (J.L.R.-R.); (L.M.-G.)
| | - Laura Carretero-Barrado
- Faculty of Dentistry, University of Seville, 41004 Sevilla, Spain; (E.V.-O.); (L.C.-B.); (J.M.-M.); (I.O.-G.); (E.N.-M.); (J.L.R.-R.); (L.M.-G.)
| | - Jesús Moreno-Muñoz
- Faculty of Dentistry, University of Seville, 41004 Sevilla, Spain; (E.V.-O.); (L.C.-B.); (J.M.-M.); (I.O.-G.); (E.N.-M.); (J.L.R.-R.); (L.M.-G.)
| | - Ivan Ortiz-García
- Faculty of Dentistry, University of Seville, 41004 Sevilla, Spain; (E.V.-O.); (L.C.-B.); (J.M.-M.); (I.O.-G.); (E.N.-M.); (J.L.R.-R.); (L.M.-G.)
| | - Enrique Núñez-Márquez
- Faculty of Dentistry, University of Seville, 41004 Sevilla, Spain; (E.V.-O.); (L.C.-B.); (J.M.-M.); (I.O.-G.); (E.N.-M.); (J.L.R.-R.); (L.M.-G.)
| | - José Luis Rondón-Romero
- Faculty of Dentistry, University of Seville, 41004 Sevilla, Spain; (E.V.-O.); (L.C.-B.); (J.M.-M.); (I.O.-G.); (E.N.-M.); (J.L.R.-R.); (L.M.-G.)
| | - José López-López
- Faculty of Medicine and Health Sciences (Dentistry) & Dentistry Hospital, University of Barcelona, 08907 L’Hospitalet de Llobregat, Spain
| | - Álvaro Jiménez-Guerra
- Faculty of Dentistry, University of Seville, 41004 Sevilla, Spain; (E.V.-O.); (L.C.-B.); (J.M.-M.); (I.O.-G.); (E.N.-M.); (J.L.R.-R.); (L.M.-G.)
| | - Loreto Monsalve-Guil
- Faculty of Dentistry, University of Seville, 41004 Sevilla, Spain; (E.V.-O.); (L.C.-B.); (J.M.-M.); (I.O.-G.); (E.N.-M.); (J.L.R.-R.); (L.M.-G.)
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Dioguardi M, Spirito F, Quarta C, Sovereto D, Basile E, Ballini A, Caloro GA, Troiano G, Lo Muzio L, Mastrangelo F. Guided Dental Implant Surgery: Systematic Review. J Clin Med 2023; 12:jcm12041490. [PMID: 36836025 PMCID: PMC9967359 DOI: 10.3390/jcm12041490] [Citation(s) in RCA: 5] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/20/2022] [Revised: 01/05/2023] [Accepted: 02/11/2023] [Indexed: 02/15/2023] Open
Abstract
Among the common procedures in clinical practice in the field of dentistry is prosthetic rehabilitation through the insertion of dental implants. In order to obtain the best aesthetic and functional results, the oral surgeon who deals with implantology must be able to position the dental implants correctly; a crucial role is therefore played by the diagnostic and treatment planning phases, where attention must be paid to anatomical constraints and prosthetic constraints in the alveolar bone site. The parameters, such as bone quality, bone volume, and anatomical restrictions, can be processed and simulated using implant planning software. The simulation of the virtual positioning of the implant can lead to the construction of a three-dimensional model of the implant positioning guide, which can be used during the implant surgery. The aim of this systematic review is to evaluate survival rates, early and late failure rates, peri-implant bone remodeling, and possible implant-prosthetic complications related to implants placed using digitally designed surgical guides. This systematic review was written following the indications of PRISMA and envisaged the use of 3 databases: Scopus, PubMed, and Cochrane Library. Results: Only 9 of the 2001 records were included, including 2 retrospective studies and 7 prospective studies. Conclusion: On the basis of the studies selected in this review, it can be seen that the implant survival obtained with the use of guided implant surgery shows high percentages. Many recorded failures occurred early, due to a lack of osseointegration, and the variables that come into play in the survival of the implants are many.
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Affiliation(s)
- Mario Dioguardi
- Department of Clinical and Experimental Medicine, University of Foggia, Via Rovelli 50, 71122 Foggia, Italy
- Correspondence: (M.D.); (A.B.)
| | - Francesca Spirito
- Department of Clinical and Experimental Medicine, University of Foggia, Via Rovelli 50, 71122 Foggia, Italy
| | - Cristian Quarta
- Department of Clinical and Experimental Medicine, University of Foggia, Via Rovelli 50, 71122 Foggia, Italy
| | - Diego Sovereto
- Department of Clinical and Experimental Medicine, University of Foggia, Via Rovelli 50, 71122 Foggia, Italy
| | - Elisabetta Basile
- Department of Clinical and Experimental Medicine, University of Foggia, Via Rovelli 50, 71122 Foggia, Italy
| | - Andrea Ballini
- Department of Precision Medicine, University of Campania “Luigi Vanvitelli”, 80138 Naples, Italy
- Correspondence: (M.D.); (A.B.)
| | - Giorgia Apollonia Caloro
- Unità Operativa Nefrologia e Dialisi, Presidio Ospedaliero Scorrano, ASL (Azienda Sanitaria Locale) Lecce, Via Giuseppina Delli Ponti, 73020 Scorrano, Italy
| | - Giuseppe Troiano
- Department of Clinical and Experimental Medicine, University of Foggia, Via Rovelli 50, 71122 Foggia, Italy
| | - Lorenzo Lo Muzio
- Department of Clinical and Experimental Medicine, University of Foggia, Via Rovelli 50, 71122 Foggia, Italy
| | - Filiberto Mastrangelo
- Department of Clinical and Experimental Medicine, University of Foggia, Via Rovelli 50, 71122 Foggia, Italy
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Comparison between Restorative Materials for Pulpotomised Deciduous Molars: A Randomized Clinical Study. CHILDREN (BASEL, SWITZERLAND) 2023; 10:children10020284. [PMID: 36832414 PMCID: PMC9955046 DOI: 10.3390/children10020284] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 12/27/2022] [Revised: 01/14/2023] [Accepted: 01/29/2023] [Indexed: 02/04/2023]
Abstract
AIM To evaluate and compare the clinical outcomes of Cention-N (CN) and stainless steel crowns (SSCs) as restorations for pulpotomised primary molars, and to study clinical and radiographic outcomes of pulpotomies restored with these materials. METHODS The study was conducted on 60 pulpotomised molars with occlusoproximal caries. These were randomly divided into two groups and restored with either stainless steel crowns or Cention-N. Clinical performance of restorations and clinical and radiographic success of pulpotomy was examined at 6, 9 and 12 months. RESULTS The mean scores for marginal integrity deteriorated significantly at 6, 9 and 12 months in both groups but in comparison were insignificant. The mean for proximal contact deteriorated significantly for the Cention-N group, whereas the mean for gingival health deteriorated remarkably for the stainless steel crown group at successive evaluations. No tooth in either group showed secondary caries or discomfort on biting, except for one tooth in Cention-N group which presented with secondary caries. The clinical success rate for pulpotomised molars was 100% for both groups until nine months, although this had reduced by the end of 12 months. Radiographically, the success rate was 79.3% for Cention-N, while it was 86.6% for stainless steel crowns at 12 months. There was no significant difference in clinical and radiographic success between either group. CONCLUSION Cention-N and stainless steel crowns are comparable for marginal integrity. However, crowns maintain significantly better proximal contacts while Cention-N was notably better for gingival health of the restored tooth. Both materials do not show secondary caries and discomfort on biting and are comparable in clinical and radiographic success of pulpotomy at the end of one year.
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