Implant Restoration of Edentulous Jaws with 3D Software Planning, Guided Surgery, Immediate Loading, and CAD-CAM Full Arch Frameworks

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 seri...

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Main Authors: Silvio Mario Meloni, Giacomo De Riu, Milena Pisano, Francesco Maria Lolli, Alessandro Deledda, Guglielmo Campus, Antonio Tullio
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:International Journal of Dentistry
Online Access:http://dx.doi.org/10.1155/2013/683423
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author Silvio Mario Meloni
Giacomo De Riu
Milena Pisano
Francesco Maria Lolli
Alessandro Deledda
Guglielmo Campus
Antonio Tullio
author_facet Silvio Mario Meloni
Giacomo De Riu
Milena Pisano
Francesco Maria Lolli
Alessandro Deledda
Guglielmo Campus
Antonio Tullio
author_sort Silvio Mario Meloni
collection DOAJ
description 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  mm, mean marginal bone remodeling value was , mean PPD value was  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.
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institution Kabale University
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publishDate 2013-01-01
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spelling doaj-art-6e6f979efb5a47a89632ec335722cae72025-02-03T05:58:14ZengWileyInternational Journal of Dentistry1687-87281687-87362013-01-01201310.1155/2013/683423683423Implant Restoration of Edentulous Jaws with 3D Software Planning, Guided Surgery, Immediate Loading, and CAD-CAM Full Arch FrameworksSilvio Mario Meloni0Giacomo De Riu1Milena Pisano2Francesco Maria Lolli3Alessandro Deledda4Guglielmo Campus5Antonio Tullio6Maxillofacial Surgery Unit, University Hospital of Sassari, 07100 Sassari, ItalyMaxillofacial Surgery Unit, University Hospital of Sassari, 07100 Sassari, ItalyMaxillofacial Surgery Unit, University Hospital of Sassari, 07100 Sassari, ItalyDentistry Unit, University Hospital of Sassari, 07100 Sassari, ItalyDentistry Unit, University Hospital of Sassari, 07100 Sassari, ItalyDentistry Unit, University Hospital of Sassari, 07100 Sassari, ItalyMaxillofacial Surgery Unit, University Hospital of Sassari, 07100 Sassari, ItalyPurpose. 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  mm, mean marginal bone remodeling value was , mean PPD value was  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://dx.doi.org/10.1155/2013/683423
spellingShingle Silvio Mario Meloni
Giacomo De Riu
Milena Pisano
Francesco Maria Lolli
Alessandro Deledda
Guglielmo Campus
Antonio Tullio
Implant Restoration of Edentulous Jaws with 3D Software Planning, Guided Surgery, Immediate Loading, and CAD-CAM Full Arch Frameworks
International Journal of Dentistry
title Implant Restoration of Edentulous Jaws with 3D Software Planning, Guided Surgery, Immediate Loading, and CAD-CAM Full Arch Frameworks
title_full Implant Restoration of Edentulous Jaws with 3D Software Planning, Guided Surgery, Immediate Loading, and CAD-CAM Full Arch Frameworks
title_fullStr Implant Restoration of Edentulous Jaws with 3D Software Planning, Guided Surgery, Immediate Loading, and CAD-CAM Full Arch Frameworks
title_full_unstemmed Implant Restoration of Edentulous Jaws with 3D Software Planning, Guided Surgery, Immediate Loading, and CAD-CAM Full Arch Frameworks
title_short Implant Restoration of Edentulous Jaws with 3D Software Planning, Guided Surgery, Immediate Loading, and CAD-CAM Full Arch Frameworks
title_sort implant restoration of edentulous jaws with 3d software planning guided surgery immediate loading and cad cam full arch frameworks
url http://dx.doi.org/10.1155/2013/683423
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