Abstract
BackgroundThis study aims to show the long-time stability of straight and tilted implants loaded immediately with a provisional resin bridge followed by a definitive prosthodontic rehabilitation in edentulous jaws despite difficult hygiene conditions postoperatively.ResultsThis study included the participation of 23 patients and the restoration of 170 dental implants in 32 edentulous jaws. Patient data was analyzed from the start of treatment with a minimum follow-up period of 6 years in order to determine long-term implant success rates. However, the age of patients at time of surgery significantly affected the BOP to the detriment of younger patients (median 62 years old).ConclusionAlthough there was a higher risk of implant failure due to general disease, all the implants in this study survived successfully. As a replacement for a complete dental arch, the reduced number of implants in combination with the avoidance of augmentations reduces treatment costs. The immediate fixed prosthetic restoration of edentulous jaws thus represents a reliable therapeutic alternative to a two- to three-stage procedure. Optimized aftercare including professional teeth cleaning (PTC) (at least twice a year) can minimize the anamnestic effect of smoking, diabetes mellitus, and osteoporosis on BOP and possible bone loss.
Highlights
Being threatened by complete edentulism has a negative impact on patients’ quality of life
Case selection This single-center retrospective cohort study was conducted from April to October 2017
Special attention was paid to possible risk factors such as nicotine abuse, osteoporosis, and diabetes mellitus
Summary
Being threatened by complete edentulism has a negative impact on patients’ quality of life. Offering an implantsupported dental rehabilitation can improve the patients’ phonetic and masticatory function and quality of life [1]. The number of implants for fixed prosthodontic restoration of edentulous jaws is a discussion point among experts. Modern concepts allow a reduced number of implants, patients normally undergo 2–3 surgical treatments until the permanent prosthetic restoration is finalized. Possible therapies are limited because of bone atrophy, rejection of big bone grafts, high treatment costs, and long treatment duration. The. This study aims to show the long-time stability of straight and tilted implants loaded immediately with a provisional resin bridge followed by a definitive prosthodontic rehabilitation in edentulous jaws despite difficult hygiene conditions postoperatively
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