INTEGRITY CONCEPT, A Clinical Study of Edentulous Patients Rehabilitated According to the “All on X” Immediate Function Protocol

Abstract

Purpose: is to evaluate the success of the application of a work protocol called ALL ON X - integrity concept in the resolution of cases with atrophic jaws, through the integrated application of numerous surgical and implantological techniques with the use of fixed supported rehabilitation protocols that allow the reduction of treatment times and costs for our patients. Materials/Methods: For the present study, 8 healthy patients with a diagnosis of partial and total edentulism of the maxillomandibular arches were selected, with a reverse planning protocol supported by post-extractive implants, w/ immediate or delayed loading, was applied where implant-supported fixed rehabilitations were used for their resolution. The effectiveness of planning, integration of surgical-prosthetic techniques, marginal bone loss, treatment times, osseointegration failure and prosthetic failure were recorded at 6 and 12 months of follow-up. Results: Sixty-two implants were placed in 08 patients (4 male and 4 female) and 12 fixed implant-supported full-arch rehabilitations were performed, 06 with immediate loading protocols and 02 with delayed loading protocols after 4 months. Patients considered that the integration of all protocols was very effective (100%), the application of the immediate loading protocol was very effective (100% in the 06 cases that were applied) and immediate provisionalization was effective (92%). Only 01 implant was lost (survival rate = 98%). At 6-month radiographic evaluation, the average peri-implant-crestal bone loss was 0.56 ± 0.12 mm for maxillary implants (n = 36), 0.59 ± 0.16 for mandibular implants (n = 25), and the average peri-implant crest bone loss at 12 months was 0.67 ± 0.11 mm for maxillary implants (n = 36) and 0.69 ± 0.16 for mandibular implants (n = 25). There were no episodes of unscrewing and one fracture of the provisional prosthesis. There were no paresthesias or prosthetic or surgical complications in definitive prostheses in the entire sample. Conclusions: To our knowledge, the report of this series of cases describes in detail the application of a work protocol that allows the application of: numerous surgical techniques, rehabilitation on dental implants, immediate loading protocols and reduction of treatment times in the rehabilitation of atrophic jaws.