Immediate/Early Loading of Zygomatic Implants: Clinical Experiences after 2 to 5 Years of Follow-up
ABSTRACT Background: Conventional prosthetic treatment of the edentulous and resorbed maxilla with zygomatic implants is a lengthy procedure. Today, immediate/early loading is a clinical reality and it is possible that such protocols could be used also for zygomatic implants. Purpose: The aim of the...
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| Veröffentlicht in: | Clinical implant dentistry and related research 2010-05, Vol.12 (s1), p.e77-e82 |
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| creator | Aparicio, Carlos Ouazzani, Wafaa Aparicio, Arnau Fortes, Vanessa Muela, Rosa Pascual, Andres Codesal, Maria Barluenga, Natalia Franch, Monica |
| description | ABSTRACT
Background: Conventional prosthetic treatment of the edentulous and resorbed maxilla with zygomatic implants is a lengthy procedure. Today, immediate/early loading is a clinical reality and it is possible that such protocols could be used also for zygomatic implants.
Purpose: The aim of the present study is to report on the clinical outcomes of immediate/early loading of zygomatic implants for prosthetic rehabilitation of edentulous and severely resorbed maxillary cases.
Materials and Methods: A total of 47 zygomatic and 129 regular implants were placed in 25 consecutive patients with total (N = 23) or partial (N = 2) edentulism in the maxilla. The patients had less than 4 mm of available bone height and width distal to the canine pillars. Straight and angulated abutments and impression copings were attached to the implants during surgery. Impressions and bite registrations were made and 19 patients received a bridge within 24 hours and six patients were rehabilitated within 5 days. Screw‐retained full arch restorations were used in 23 patients and cemented in 2 patients. The patients were instructed for a soft diet during 4 months. Follow‐up controls were performed at 1, 4, and 12 months and thereafter annually. All patients were followed for at least 2 years and up to 5 years in function.
Results: All zygomatic implants were stable during the follow‐up (cumulative survival rate 100%). One regular implant placed in the pterygoid plate failed after 52 months of loading (cumulative survival rate 99.2%). Apart from fracture of one abutment screw and of anterior teeth in five patients, no other complications were noted.
Conclusions: Within the limitations of the present study, it is concluded that immediate/early loading is a viable treatment modality for prosthetic rehabilitation of the severely resorbed maxilla using zygomatic and conventional implants. |
| doi_str_mv | 10.1111/j.1708-8208.2008.00134.x |
| format | Article |
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Background: Conventional prosthetic treatment of the edentulous and resorbed maxilla with zygomatic implants is a lengthy procedure. Today, immediate/early loading is a clinical reality and it is possible that such protocols could be used also for zygomatic implants.
Purpose: The aim of the present study is to report on the clinical outcomes of immediate/early loading of zygomatic implants for prosthetic rehabilitation of edentulous and severely resorbed maxillary cases.
Materials and Methods: A total of 47 zygomatic and 129 regular implants were placed in 25 consecutive patients with total (N = 23) or partial (N = 2) edentulism in the maxilla. The patients had less than 4 mm of available bone height and width distal to the canine pillars. Straight and angulated abutments and impression copings were attached to the implants during surgery. Impressions and bite registrations were made and 19 patients received a bridge within 24 hours and six patients were rehabilitated within 5 days. Screw‐retained full arch restorations were used in 23 patients and cemented in 2 patients. The patients were instructed for a soft diet during 4 months. Follow‐up controls were performed at 1, 4, and 12 months and thereafter annually. All patients were followed for at least 2 years and up to 5 years in function.
Results: All zygomatic implants were stable during the follow‐up (cumulative survival rate 100%). One regular implant placed in the pterygoid plate failed after 52 months of loading (cumulative survival rate 99.2%). Apart from fracture of one abutment screw and of anterior teeth in five patients, no other complications were noted.
Conclusions: Within the limitations of the present study, it is concluded that immediate/early loading is a viable treatment modality for prosthetic rehabilitation of the severely resorbed maxilla using zygomatic and conventional implants.</description><identifier>ISSN: 1523-0899</identifier><identifier>EISSN: 1708-8208</identifier><identifier>DOI: 10.1111/j.1708-8208.2008.00134.x</identifier><identifier>PMID: 19076177</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>Adult ; Aged ; Alveolar Bone Loss - rehabilitation ; Cementation ; clinical study ; Dental Implantation, Endosseous - methods ; Dental Implants ; Dental Prosthesis, Implant-Supported ; Dental Stress Analysis ; Dentistry ; Denture, Complete, Immediate ; Denture, Complete, Upper ; Denture, Partial, Immediate ; edentulous maxilla ; Female ; Follow-Up Studies ; Humans ; immediate loading ; Jaw, Edentulous - rehabilitation ; Life Tables ; Male ; Maxilla - surgery ; Middle Aged ; resorption ; Time Factors ; Zygoma - surgery ; zygomatic implants</subject><ispartof>Clinical implant dentistry and related research, 2010-05, Vol.12 (s1), p.e77-e82</ispartof><rights>2008, Copyright the Authors. Journal Compilation © 2010, Wiley Periodicals, Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3524-5b4d46533c9b8a351e6ee88bd43d95de70ff07852756addc326f92424bb66cd33</citedby><cites>FETCH-LOGICAL-c3524-5b4d46533c9b8a351e6ee88bd43d95de70ff07852756addc326f92424bb66cd33</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1708-8208.2008.00134.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1708-8208.2008.00134.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19076177$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Aparicio, Carlos</creatorcontrib><creatorcontrib>Ouazzani, Wafaa</creatorcontrib><creatorcontrib>Aparicio, Arnau</creatorcontrib><creatorcontrib>Fortes, Vanessa</creatorcontrib><creatorcontrib>Muela, Rosa</creatorcontrib><creatorcontrib>Pascual, Andres</creatorcontrib><creatorcontrib>Codesal, Maria</creatorcontrib><creatorcontrib>Barluenga, Natalia</creatorcontrib><creatorcontrib>Franch, Monica</creatorcontrib><title>Immediate/Early Loading of Zygomatic Implants: Clinical Experiences after 2 to 5 Years of Follow-up</title><title>Clinical implant dentistry and related research</title><addtitle>Clin Implant Dent Relat Res</addtitle><description>ABSTRACT
Background: Conventional prosthetic treatment of the edentulous and resorbed maxilla with zygomatic implants is a lengthy procedure. Today, immediate/early loading is a clinical reality and it is possible that such protocols could be used also for zygomatic implants.
Purpose: The aim of the present study is to report on the clinical outcomes of immediate/early loading of zygomatic implants for prosthetic rehabilitation of edentulous and severely resorbed maxillary cases.
Materials and Methods: A total of 47 zygomatic and 129 regular implants were placed in 25 consecutive patients with total (N = 23) or partial (N = 2) edentulism in the maxilla. The patients had less than 4 mm of available bone height and width distal to the canine pillars. Straight and angulated abutments and impression copings were attached to the implants during surgery. Impressions and bite registrations were made and 19 patients received a bridge within 24 hours and six patients were rehabilitated within 5 days. Screw‐retained full arch restorations were used in 23 patients and cemented in 2 patients. The patients were instructed for a soft diet during 4 months. Follow‐up controls were performed at 1, 4, and 12 months and thereafter annually. All patients were followed for at least 2 years and up to 5 years in function.
Results: All zygomatic implants were stable during the follow‐up (cumulative survival rate 100%). One regular implant placed in the pterygoid plate failed after 52 months of loading (cumulative survival rate 99.2%). Apart from fracture of one abutment screw and of anterior teeth in five patients, no other complications were noted.
Conclusions: Within the limitations of the present study, it is concluded that immediate/early loading is a viable treatment modality for prosthetic rehabilitation of the severely resorbed maxilla using zygomatic and conventional implants.</description><subject>Adult</subject><subject>Aged</subject><subject>Alveolar Bone Loss - rehabilitation</subject><subject>Cementation</subject><subject>clinical study</subject><subject>Dental Implantation, Endosseous - methods</subject><subject>Dental Implants</subject><subject>Dental Prosthesis, Implant-Supported</subject><subject>Dental Stress Analysis</subject><subject>Dentistry</subject><subject>Denture, Complete, Immediate</subject><subject>Denture, Complete, Upper</subject><subject>Denture, Partial, Immediate</subject><subject>edentulous maxilla</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>immediate loading</subject><subject>Jaw, Edentulous - rehabilitation</subject><subject>Life Tables</subject><subject>Male</subject><subject>Maxilla - surgery</subject><subject>Middle Aged</subject><subject>resorption</subject><subject>Time Factors</subject><subject>Zygoma - surgery</subject><subject>zygomatic implants</subject><issn>1523-0899</issn><issn>1708-8208</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkUtvEzEUhUcIREvhLyDvWE3qx_iF2KAkbYMikCoego3l8dypHGbiqT1Rk3-Pp4nKErywr-Tz3Xt1TlEggmckn8vNjEisSkWxmlGcL4wJq2b7Z8X508fzXHPKSqy0PitepbTBmBIiyMvijGgsBZHyvHCrvofG2xEulzZ2B7QOtvHbOxRa9OtwF3o7eodW_dDZ7Zjeo3nnt97ZDi33A0QPWwcJ2XaEiCgaA-LoJ9iYJvwqdF14KHfD6-JFa7sEb07vRfHtavl1flOuv1yv5h_XpWOcViWvq6YSnDGna2UZJyAAlKqbijWaNyBx22KpOJVc2KZxjIpW04pWdS2Eaxi7KN4d-w4x3O8gjab3yUGXV4ewS0ZWglKtiPq3kjGtKql0Vqqj0sWQUoTWDNH3Nh4MwWbKwmzMZLmZLDdTFuYxC7PP6NvTkF2dPf4LnszPgg9HwYPv4PDfjc18tchFxssj7tMI-yfcxt9GSCa5-fH52mC2WHy_ZZ_MLfsDjHOlaw</recordid><startdate>201005</startdate><enddate>201005</enddate><creator>Aparicio, Carlos</creator><creator>Ouazzani, Wafaa</creator><creator>Aparicio, Arnau</creator><creator>Fortes, Vanessa</creator><creator>Muela, Rosa</creator><creator>Pascual, Andres</creator><creator>Codesal, Maria</creator><creator>Barluenga, Natalia</creator><creator>Franch, Monica</creator><general>Blackwell Publishing Ltd</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>7QO</scope><scope>7QP</scope><scope>8FD</scope><scope>FR3</scope><scope>P64</scope></search><sort><creationdate>201005</creationdate><title>Immediate/Early Loading of Zygomatic Implants: Clinical Experiences after 2 to 5 Years of Follow-up</title><author>Aparicio, Carlos ; Ouazzani, Wafaa ; Aparicio, Arnau ; Fortes, Vanessa ; Muela, Rosa ; Pascual, Andres ; Codesal, Maria ; Barluenga, Natalia ; Franch, Monica</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3524-5b4d46533c9b8a351e6ee88bd43d95de70ff07852756addc326f92424bb66cd33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Alveolar Bone Loss - rehabilitation</topic><topic>Cementation</topic><topic>clinical study</topic><topic>Dental Implantation, Endosseous - methods</topic><topic>Dental Implants</topic><topic>Dental Prosthesis, Implant-Supported</topic><topic>Dental Stress Analysis</topic><topic>Dentistry</topic><topic>Denture, Complete, Immediate</topic><topic>Denture, Complete, Upper</topic><topic>Denture, Partial, Immediate</topic><topic>edentulous maxilla</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>immediate loading</topic><topic>Jaw, Edentulous - rehabilitation</topic><topic>Life Tables</topic><topic>Male</topic><topic>Maxilla - surgery</topic><topic>Middle Aged</topic><topic>resorption</topic><topic>Time Factors</topic><topic>Zygoma - surgery</topic><topic>zygomatic implants</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Aparicio, Carlos</creatorcontrib><creatorcontrib>Ouazzani, Wafaa</creatorcontrib><creatorcontrib>Aparicio, Arnau</creatorcontrib><creatorcontrib>Fortes, Vanessa</creatorcontrib><creatorcontrib>Muela, Rosa</creatorcontrib><creatorcontrib>Pascual, Andres</creatorcontrib><creatorcontrib>Codesal, Maria</creatorcontrib><creatorcontrib>Barluenga, Natalia</creatorcontrib><creatorcontrib>Franch, Monica</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>Biotechnology Research Abstracts</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>Biotechnology and BioEngineering Abstracts</collection><jtitle>Clinical implant dentistry and related research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Aparicio, Carlos</au><au>Ouazzani, Wafaa</au><au>Aparicio, Arnau</au><au>Fortes, Vanessa</au><au>Muela, Rosa</au><au>Pascual, Andres</au><au>Codesal, Maria</au><au>Barluenga, Natalia</au><au>Franch, Monica</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Immediate/Early Loading of Zygomatic Implants: Clinical Experiences after 2 to 5 Years of Follow-up</atitle><jtitle>Clinical implant dentistry and related research</jtitle><addtitle>Clin Implant Dent Relat Res</addtitle><date>2010-05</date><risdate>2010</risdate><volume>12</volume><issue>s1</issue><spage>e77</spage><epage>e82</epage><pages>e77-e82</pages><issn>1523-0899</issn><eissn>1708-8208</eissn><abstract>ABSTRACT
Background: Conventional prosthetic treatment of the edentulous and resorbed maxilla with zygomatic implants is a lengthy procedure. Today, immediate/early loading is a clinical reality and it is possible that such protocols could be used also for zygomatic implants.
Purpose: The aim of the present study is to report on the clinical outcomes of immediate/early loading of zygomatic implants for prosthetic rehabilitation of edentulous and severely resorbed maxillary cases.
Materials and Methods: A total of 47 zygomatic and 129 regular implants were placed in 25 consecutive patients with total (N = 23) or partial (N = 2) edentulism in the maxilla. The patients had less than 4 mm of available bone height and width distal to the canine pillars. Straight and angulated abutments and impression copings were attached to the implants during surgery. Impressions and bite registrations were made and 19 patients received a bridge within 24 hours and six patients were rehabilitated within 5 days. Screw‐retained full arch restorations were used in 23 patients and cemented in 2 patients. The patients were instructed for a soft diet during 4 months. Follow‐up controls were performed at 1, 4, and 12 months and thereafter annually. All patients were followed for at least 2 years and up to 5 years in function.
Results: All zygomatic implants were stable during the follow‐up (cumulative survival rate 100%). One regular implant placed in the pterygoid plate failed after 52 months of loading (cumulative survival rate 99.2%). Apart from fracture of one abutment screw and of anterior teeth in five patients, no other complications were noted.
Conclusions: Within the limitations of the present study, it is concluded that immediate/early loading is a viable treatment modality for prosthetic rehabilitation of the severely resorbed maxilla using zygomatic and conventional implants.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>19076177</pmid><doi>10.1111/j.1708-8208.2008.00134.x</doi><tpages>6</tpages></addata></record> |
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| source | MEDLINE; Access via Wiley Online Library |
| subjects | Adult Aged Alveolar Bone Loss - rehabilitation Cementation clinical study Dental Implantation, Endosseous - methods Dental Implants Dental Prosthesis, Implant-Supported Dental Stress Analysis Dentistry Denture, Complete, Immediate Denture, Complete, Upper Denture, Partial, Immediate edentulous maxilla Female Follow-Up Studies Humans immediate loading Jaw, Edentulous - rehabilitation Life Tables Male Maxilla - surgery Middle Aged resorption Time Factors Zygoma - surgery zygomatic implants |
| title | Immediate/Early Loading of Zygomatic Implants: Clinical Experiences after 2 to 5 Years of Follow-up |
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