Retrospective clinical follow-up of implants placed in edentulous jaws after computer-guided surgery and immediate loading, in geriatric patients.

IF 1.8 3区 医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE
L Monsalve-Guil, E Velasco-Ortega, I Ortiz-Garcia, N Matos-Garrido, J Moreno-Muñoz, E Núñez-Márquez, J-L Rondón-Romero, J López-López, Á Jiménez-Guerra
{"title":"Retrospective clinical follow-up of implants placed in edentulous jaws after computer-guided surgery and immediate loading, in geriatric patients.","authors":"L Monsalve-Guil, E Velasco-Ortega, I Ortiz-Garcia, N Matos-Garrido, J Moreno-Muñoz, E Núñez-Márquez, J-L Rondón-Romero, J López-López, Á Jiménez-Guerra","doi":"10.4317/medoral.26837","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Although there are many works analyzing the clinical behavior of immediate loading of implants inserted by guided surgery, the literature referring specifically to elderly patients is scarce. The aim of this investigation is to present the clinical outcomes of immediate loading of implants inserted by guided surgery in geriatric patients with edentulous maxilla.</p><p><strong>Material and methods: </strong>The clinical data of 20 elderly patients with edentulous jaws are analyzed retrospectively. All were diagnosed with cone beam computed tomography, oral examination, and articulator-mounted models to analyze the intermaxillary relationship. They were treated with 4 to 10 implants by flapless guided surgery with immediate loading. After surgery, the implants were loaded with a temporary acrylic prosthesis and six months later, a definitive full-arch ceramic prosthesis was placed.</p><p><strong>Results: </strong>Twenty patients with an average age of 68.8 years (11 males and 9 females) underwent treatment with a total of 139 implants. Among them, 15 patients (75%) had a history of periodontitis. Ten patients (50%) smoked. Thirteen patients (65%) report a history oof systemic disease. The mean follow-up was 53.1 ± 21.4 months. The clinical outcomes indicated a 100% success rate for the implants. Twenty full-arch fixed maxillary rehabilitations were performed, with an average marginal bone loss of 1.37 mm (S.D. 0.53 mm.) Marginal bone loss was significantly greater for patients with a longer period of clinical follow-up. Peri-implantitis is reported in 17 implants (12.2%) in 8 patients (40%). Four patients (20%) showed some kind of mechanical prosthodontic complications.</p><p><strong>Conclusions: </strong>The present work indicates that treatment with implant-supported fixed full-arch prostheses, in geriatric patients with edentulous jaws and through guided surgery and immediate loading, this implant protocol seems to be a successful.</p>","PeriodicalId":49016,"journal":{"name":"Medicina Oral Patologia Oral Y Cirugia Bucal","volume":"30 1","pages":"e76-e85"},"PeriodicalIF":1.8000,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11801670/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Medicina Oral Patologia Oral Y Cirugia Bucal","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.4317/medoral.26837","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"DENTISTRY, ORAL SURGERY & MEDICINE","Score":null,"Total":0}
引用次数: 0

Abstract

Background: Although there are many works analyzing the clinical behavior of immediate loading of implants inserted by guided surgery, the literature referring specifically to elderly patients is scarce. The aim of this investigation is to present the clinical outcomes of immediate loading of implants inserted by guided surgery in geriatric patients with edentulous maxilla.

Material and methods: The clinical data of 20 elderly patients with edentulous jaws are analyzed retrospectively. All were diagnosed with cone beam computed tomography, oral examination, and articulator-mounted models to analyze the intermaxillary relationship. They were treated with 4 to 10 implants by flapless guided surgery with immediate loading. After surgery, the implants were loaded with a temporary acrylic prosthesis and six months later, a definitive full-arch ceramic prosthesis was placed.

Results: Twenty patients with an average age of 68.8 years (11 males and 9 females) underwent treatment with a total of 139 implants. Among them, 15 patients (75%) had a history of periodontitis. Ten patients (50%) smoked. Thirteen patients (65%) report a history oof systemic disease. The mean follow-up was 53.1 ± 21.4 months. The clinical outcomes indicated a 100% success rate for the implants. Twenty full-arch fixed maxillary rehabilitations were performed, with an average marginal bone loss of 1.37 mm (S.D. 0.53 mm.) Marginal bone loss was significantly greater for patients with a longer period of clinical follow-up. Peri-implantitis is reported in 17 implants (12.2%) in 8 patients (40%). Four patients (20%) showed some kind of mechanical prosthodontic complications.

Conclusions: The present work indicates that treatment with implant-supported fixed full-arch prostheses, in geriatric patients with edentulous jaws and through guided surgery and immediate loading, this implant protocol seems to be a successful.

老年患者在计算机引导手术和即刻加载后无牙颌植入物的回顾性临床随访。
背景:虽然有很多研究分析了引导手术置入种植体即刻载荷的临床行为,但专门针对老年患者的文献很少。本研究的目的是介绍在老年无牙上颌患者的指导下即刻植入种植体的临床结果。材料与方法:回顾性分析20例老年无牙颌患者的临床资料。所有患者均通过锥形束计算机断层扫描,口腔检查和关节器安装模型来分析上颌间关系。在无皮瓣引导下即刻装填4 ~ 10个种植体。手术后,植入物装载临时丙烯酸假体,六个月后,放置最终的全弓陶瓷假体。结果:20例患者(男11例,女9例)平均年龄68.8岁,共种植体139颗。其中有牙周炎病史15例(75%)。10例患者(50%)吸烟。13例患者(65%)报告有全身性疾病史。平均随访时间为53.1±21.4个月。临床结果显示种植体的成功率为100%。20例进行全弓固定上颌康复,平均边缘骨丢失1.37 mm(标准差0.53 mm),临床随访时间越长,边缘骨丢失明显越大。8例患者(40%)17例种植体(12.2%)发生种植体周围炎。4例(20%)出现机械修复并发症。结论:目前的工作表明,种植体支持的固定全弓假体治疗老年无牙颌患者,通过引导手术和立即加载,这种种植体方案似乎是成功的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
Medicina Oral Patologia Oral Y Cirugia Bucal
Medicina Oral Patologia Oral Y Cirugia Bucal DENTISTRY, ORAL SURGERY & MEDICINE-
CiteScore
4.60
自引率
0.00%
发文量
52
审稿时长
3-8 weeks
期刊介绍: 1. Oral Medicine and Pathology: Clinicopathological as well as medical or surgical management aspects of diseases affecting oral mucosa, salivary glands, maxillary bones, as well as orofacial neurological disorders, and systemic conditions with an impact on the oral cavity. 2. Oral Surgery: Surgical management aspects of diseases affecting oral mucosa, salivary glands, maxillary bones, teeth, implants, oral surgical procedures. Surgical management of diseases affecting head and neck areas. 3. Medically compromised patients in Dentistry: Articles discussing medical problems in Odontology will also be included, with a special focus on the clinico-odontological management of medically compromised patients, and considerations regarding high-risk or disabled patients. 4. Implantology 5. Periodontology
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信