PMID: 16505797Mar 1, 2006Paper

Evaluation of 80 implants subjected to immediate loading in edentulous mandibles after two years of follow-up

Medicina oral, patología oral y cirugía bucal
José María Martínez-GonzálezAndrés Sánchez-Turrión

Abstract

An analysis is made of the clinical and radiological behavior of 80 implants with a new surface subjected to etching with a sulfuric and hydrofluoric acid solution followed by thermal treatment, and subjected to immediate loading in patients with lower overdentures. A prospective observational study was made of 20 patients with lower overdentures supported by four implants measuring 13 mm in length. All patients were included after the obtainment of informed consent, anamnesis, clinical examination and radiological study, with prior clinical elaboration of the lower dentures. Over two years of follow-up, no important plaque or tartar accumulation was observed (with Silness and Loe indexes of 0-1). Periodontal probing proved favorable, with no pocket depths of over 2 mm in any case. The radiological controls showed no implant failures during follow-up. No cervical bone loss was recorded in the first year in a large proportion of cases (65%), while reabsorption of the cervical half was observed in 10%, and of three-quarters of the cervical portion in the remaining 35%. Performance in the second year was compatible with the standard references--with losses of between 0.5-1.5 mm. Rehabilitation with lower overdentures should be reg...Continue Reading

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