Computer-Guided Implant Surgery in Fresh Extraction Sockets and Immediate Loading of a Full Arch Restoration: A 2-Year Follow-Up Study of 14 Consecutively Treated Patients
Identifieur interne : 005C34 ( Ncbi/Merge ); précédent : 005C33; suivant : 005C35Computer-Guided Implant Surgery in Fresh Extraction Sockets and Immediate Loading of a Full Arch Restoration: A 2-Year Follow-Up Study of 14 Consecutively Treated Patients
Auteurs : M. Daas [France] ; A. Assaf [Liban] ; K. Dada [France] ; J. Makzoumé [Liban]Source :
- International Journal of Dentistry [ 1687-8728 ] ; 2015.
Abstract
Url:
DOI: 10.1155/2015/824127
PubMed: 26064119
PubMed Central: 4443938
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Computer-Guided Implant Surgery in Fresh Extraction Sockets and Immediate Loading of a Full Arch Restoration: A 2-Year Follow-Up Study of 14 Consecutively Treated Patients</title><author><name sortKey="Daas, M" sort="Daas, M" uniqKey="Daas M" first="M." last="Daas">M. Daas</name><affiliation wicri:level="3"><nlm:aff id="I1">Department of Prosthodontics, René Descartes University, Paris, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>Department of Prosthodontics, René Descartes University, Paris</wicri:regionArea><placeName><region type="region">Île-de-France</region><region type="old region">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation><affiliation wicri:level="1"><nlm:aff id="I2">Private Practice, 62 Boulevard de la Tour Maubourg, 75007 Paris, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>Private Practice, 62 Boulevard de la Tour Maubourg, 75007 Paris</wicri:regionArea><wicri:noRegion>75007 Paris</wicri:noRegion><placeName><settlement type="city">Paris</settlement><region type="région" nuts="2">Île-de-France</region></placeName></affiliation></author><author><name sortKey="Assaf, A" sort="Assaf, A" uniqKey="Assaf A" first="A." last="Assaf">A. Assaf</name><affiliation wicri:level="1"><nlm:aff id="I3">Department of Prosthodontics, Beirut Arab University, Beirut, Lebanon</nlm:aff><country xml:lang="fr">Liban</country><wicri:regionArea>Department of Prosthodontics, Beirut Arab University, Beirut</wicri:regionArea><wicri:noRegion>Beirut</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="I4">Department of Prosthodontics, Lebanese University, Beirut, Lebanon</nlm:aff><country xml:lang="fr">Liban</country><wicri:regionArea>Department of Prosthodontics, Lebanese University, Beirut</wicri:regionArea><wicri:noRegion>Beirut</wicri:noRegion></affiliation></author><author><name sortKey="Dada, K" sort="Dada, K" uniqKey="Dada K" first="K." last="Dada">K. Dada</name><affiliation wicri:level="1"><nlm:aff id="I2">Private Practice, 62 Boulevard de la Tour Maubourg, 75007 Paris, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>Private Practice, 62 Boulevard de la Tour Maubourg, 75007 Paris</wicri:regionArea><wicri:noRegion>75007 Paris</wicri:noRegion><placeName><settlement type="city">Paris</settlement><region type="région" nuts="2">Île-de-France</region></placeName></affiliation><affiliation wicri:level="1"><nlm:aff id="I5">Former Clinical Associate, Louis Mournier Hospital, Colombes, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>Former Clinical Associate, Louis Mournier Hospital, Colombes</wicri:regionArea><wicri:noRegion>Colombes</wicri:noRegion><wicri:noRegion>Colombes</wicri:noRegion></affiliation></author><author><name sortKey="Makzoume, J" sort="Makzoume, J" uniqKey="Makzoume J" first="J." last="Makzoumé">J. Makzoumé</name><affiliation wicri:level="1"><nlm:aff id="I6">Department of Removable Prosthodontics, Saint-Joseph University, Beirut, Lebanon</nlm:aff><country xml:lang="fr">Liban</country><wicri:regionArea>Department of Removable Prosthodontics, Saint-Joseph University, Beirut</wicri:regionArea><wicri:noRegion>Beirut</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">26064119</idno><idno type="pmc">4443938</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4443938</idno><idno type="RBID">PMC:4443938</idno><idno type="doi">10.1155/2015/824127</idno><date when="2015">2015</date><idno type="wicri:Area/Pmc/Corpus">002D87</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">002D87</idno><idno type="wicri:Area/Pmc/Curation">002D87</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">002D87</idno><idno type="wicri:Area/Pmc/Checkpoint">000F24</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">000F24</idno><idno type="wicri:Area/Ncbi/Merge">005C34</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Computer-Guided Implant Surgery in Fresh Extraction Sockets and Immediate Loading of a Full Arch Restoration: A 2-Year Follow-Up Study of 14 Consecutively Treated Patients</title><author><name sortKey="Daas, M" sort="Daas, M" uniqKey="Daas M" first="M." last="Daas">M. Daas</name><affiliation wicri:level="3"><nlm:aff id="I1">Department of Prosthodontics, René Descartes University, Paris, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>Department of Prosthodontics, René Descartes University, Paris</wicri:regionArea><placeName><region type="region">Île-de-France</region><region type="old region">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation><affiliation wicri:level="1"><nlm:aff id="I2">Private Practice, 62 Boulevard de la Tour Maubourg, 75007 Paris, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>Private Practice, 62 Boulevard de la Tour Maubourg, 75007 Paris</wicri:regionArea><wicri:noRegion>75007 Paris</wicri:noRegion><placeName><settlement type="city">Paris</settlement><region type="région" nuts="2">Île-de-France</region></placeName></affiliation></author><author><name sortKey="Assaf, A" sort="Assaf, A" uniqKey="Assaf A" first="A." last="Assaf">A. Assaf</name><affiliation wicri:level="1"><nlm:aff id="I3">Department of Prosthodontics, Beirut Arab University, Beirut, Lebanon</nlm:aff><country xml:lang="fr">Liban</country><wicri:regionArea>Department of Prosthodontics, Beirut Arab University, Beirut</wicri:regionArea><wicri:noRegion>Beirut</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="I4">Department of Prosthodontics, Lebanese University, Beirut, Lebanon</nlm:aff><country xml:lang="fr">Liban</country><wicri:regionArea>Department of Prosthodontics, Lebanese University, Beirut</wicri:regionArea><wicri:noRegion>Beirut</wicri:noRegion></affiliation></author><author><name sortKey="Dada, K" sort="Dada, K" uniqKey="Dada K" first="K." last="Dada">K. Dada</name><affiliation wicri:level="1"><nlm:aff id="I2">Private Practice, 62 Boulevard de la Tour Maubourg, 75007 Paris, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>Private Practice, 62 Boulevard de la Tour Maubourg, 75007 Paris</wicri:regionArea><wicri:noRegion>75007 Paris</wicri:noRegion><placeName><settlement type="city">Paris</settlement><region type="région" nuts="2">Île-de-France</region></placeName></affiliation><affiliation wicri:level="1"><nlm:aff id="I5">Former Clinical Associate, Louis Mournier Hospital, Colombes, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>Former Clinical Associate, Louis Mournier Hospital, Colombes</wicri:regionArea><wicri:noRegion>Colombes</wicri:noRegion><wicri:noRegion>Colombes</wicri:noRegion></affiliation></author><author><name sortKey="Makzoume, J" sort="Makzoume, J" uniqKey="Makzoume J" first="J." last="Makzoumé">J. Makzoumé</name><affiliation wicri:level="1"><nlm:aff id="I6">Department of Removable Prosthodontics, Saint-Joseph University, Beirut, Lebanon</nlm:aff><country xml:lang="fr">Liban</country><wicri:regionArea>Department of Removable Prosthodontics, Saint-Joseph University, Beirut</wicri:regionArea><wicri:noRegion>Beirut</wicri:noRegion></affiliation></author></analytic><series><title level="j">International Journal of Dentistry</title><idno type="ISSN">1687-8728</idno><idno type="eISSN">1687-8736</idno><imprint><date when="2015">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><italic>Statement of Problem</italic>. Low scientific evidence is identified in the literature for combining implant placement in fresh extraction sockets with immediate function. Moreover, the few studies available on immediate implants in postextraction sites supporting immediate full-arch rehabilitation clearly lack comprehensive protocols. <italic>Purpose</italic>. The purpose of this study is to report outcomes of a comprehensive protocol using CAD-CAM technology for surgical planning and fabrication of a surgical template and to demonstrate that immediate function can be easily performed with immediate implants in postextraction sites supporting full-arch rehabilitation. <italic>Material and Methods</italic>. 14 subjects were consecutively rehabilitated (13 maxillae and 1 mandible) with 99 implants supporting full-arch fixed prostheses followed between 6 and 24 months (mean of 16 months). Outcome measures were prosthesis and implant success, biologic and prosthetic complications, pain, oedema evaluation, and radiographic marginal bone levels at surgery and then at 6, 12, 18, and 24 months. Data were analyzed with descriptive statistics. <italic>Results</italic>. The overall cumulative implant survival rate at mean follow-up time of 16 months was 97.97%. The average marginal bone loss was 0,9 mm. <italic>Conclusions</italic>. Within the limitations of this study, the results validate this treatment modality for full-arch rehabilitations with predictable outcomes and high survival rate after 2 years.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Br Nemark, P I" uniqKey="Br Nemark P">P. I. Brånemark</name></author><author><name sortKey="Hansson, B O" uniqKey="Hansson B">B. O. Hansson</name></author><author><name sortKey="Adell, R" uniqKey="Adell R">R. Adell</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Buser, D" uniqKey="Buser D">D. Buser</name></author><author><name sortKey="Weber, H P" uniqKey="Weber H">H. P. Weber</name></author><author><name sortKey="Bragger, U" uniqKey="Bragger U">U. Bragger</name></author><author><name sortKey="Balsiger, C" uniqKey="Balsiger C">C. Balsiger</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Szmukler Moncler, S" uniqKey="Szmukler Moncler S">S. Szmukler-Moncler</name></author><author><name sortKey="Salama, H" uniqKey="Salama H">H. Salama</name></author><author><name sortKey="Reingewirtz, Y" uniqKey="Reingewirtz Y">Y. Reingewirtz</name></author><author><name sortKey="Dubruille, J H" uniqKey="Dubruille J">J. H. Dubruille</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Schropp, L" uniqKey="Schropp L">L. Schropp</name></author><author><name sortKey="Wenzel, A" uniqKey="Wenzel A">A. Wenzel</name></author><author><name sortKey="Kostopoulos, L" uniqKey="Kostopoulos L">L. Kostopoulos</name></author><author><name sortKey="Karring, T" uniqKey="Karring T">T. Karring</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Anneroth, G" uniqKey="Anneroth G">G. Anneroth</name></author><author><name sortKey="Hedstrom, K G" uniqKey="Hedstrom K">K. G. Hedström</name></author><author><name sortKey="Kjellman, O" uniqKey="Kjellman O">O. Kjellman</name></author><author><name sortKey="Kondell, P" uniqKey="Kondell P">P.-Å. Köndell</name></author><author><name sortKey="Nordenram, A" uniqKey="Nordenram A">A. Nordenram</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Jo, Y H" uniqKey="Jo Y">Y. H. Jo</name></author><author><name sortKey="Hobo, P K" uniqKey="Hobo P">P. K. Hobo</name></author><author><name sortKey="Hobo, S" uniqKey="Hobo S">S. Hobo</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Balshi, T J" uniqKey="Balshi T">T. J. Balshi</name></author><author><name sortKey="Wolfinger, G J" uniqKey="Wolfinger G">G. J. Wolfinger</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Chaushu, G" uniqKey="Chaushu G">G. Chaushu</name></author><author><name sortKey="Chaushu, S" uniqKey="Chaushu S">S. Chaushu</name></author><author><name sortKey="Tzohar, A" uniqKey="Tzohar A">A. Tzohar</name></author><author><name sortKey="Dayan, D" uniqKey="Dayan D">D. Dayan</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Cooper, L F" uniqKey="Cooper L">L. F. Cooper</name></author><author><name sortKey="Rahman, A" uniqKey="Rahman A">A. Rahman</name></author><author><name sortKey="Moriarty, J" uniqKey="Moriarty J">J. Moriarty</name></author><author><name sortKey="Chaffee, N" uniqKey="Chaffee N">N. Chaffee</name></author><author><name sortKey="Sacco, D" uniqKey="Sacco D">D. Sacco</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Grunder, U" uniqKey="Grunder U">U. Grunder</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="De Sanctis, M" uniqKey="De Sanctis M">M. de Sanctis</name></author><author><name sortKey="Vignoletti, F" uniqKey="Vignoletti F">F. Vignoletti</name></author><author><name sortKey="Discepoli, N" uniqKey="Discepoli N">N. Discepoli</name></author><author><name sortKey="Zucchelli, G" uniqKey="Zucchelli G">G. Zucchelli</name></author><author><name sortKey="Sanz, M" uniqKey="Sanz M">M. Sanz</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Villa, R" uniqKey="Villa R">R. Villa</name></author><author><name sortKey="Rangert, B" uniqKey="Rangert B">B. Rangert</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Balshi, S F" uniqKey="Balshi S">S. F. Balshi</name></author><author><name sortKey="Wolfinger, G J" uniqKey="Wolfinger G">G. J. Wolfinger</name></author><author><name sortKey="Balshi, T J" uniqKey="Balshi T">T. J. Balshi</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Meloni, S M" uniqKey="Meloni S">S. M. Meloni</name></author><author><name sortKey="De Riu, G" uniqKey="De Riu G">G. de Riu</name></author><author><name sortKey="Pisano, M" uniqKey="Pisano M">M. Pisano</name></author><author><name sortKey="Tullio, A" uniqKey="Tullio A">A. Tullio</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Blus, C" uniqKey="Blus C">C. Blus</name></author><author><name sortKey="Szmukler Moncler, S" uniqKey="Szmukler Moncler S">S. Szmukler-Moncler</name></author><author><name sortKey="Khoury, P" uniqKey="Khoury P">P. Khoury</name></author><author><name sortKey="Orru, G" uniqKey="Orru G">G. Orrù</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Villa, R" uniqKey="Villa R">R. Villa</name></author><author><name sortKey="Rangert, B" uniqKey="Rangert B">B. Rangert</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Pe Arrocha Oltra, D" uniqKey="Pe Arrocha Oltra D">D. Peñarrocha-Oltra</name></author><author><name sortKey="Covani, U" uniqKey="Covani U">U. Covani</name></author><author><name sortKey="Pe Arrocha Diago, M" uniqKey="Pe Arrocha Diago M">M. Peñarrocha-Diago</name></author><author><name sortKey="Pe Arrocha Diago, M" uniqKey="Pe Arrocha Diago M">M. Peñarrocha-Diago</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Jacobs, R" uniqKey="Jacobs R">R. Jacobs</name></author><author><name sortKey="Adriansens, A" uniqKey="Adriansens A">A. Adriansens</name></author><author><name sortKey="Verstreken, K" uniqKey="Verstreken K">K. Verstreken</name></author><author><name sortKey="Suetens, P" uniqKey="Suetens P">P. Suetens</name></author><author><name sortKey="Van Steenberghe, D" uniqKey="Van Steenberghe D">D. van Steenberghe</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Szmukler Moncler, S" uniqKey="Szmukler Moncler S">S. Szmukler-Moncler</name></author><author><name sortKey="Salama, H" uniqKey="Salama H">H. Salama</name></author><author><name sortKey="Reingewirtz, Y" uniqKey="Reingewirtz Y">Y. Reingewirtz</name></author><author><name sortKey="Dubruille, J H" uniqKey="Dubruille J">J. H. Dubruille</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ozan, O" uniqKey="Ozan O">O. Ozan</name></author><author><name sortKey="Turkyilmaz, I" uniqKey="Turkyilmaz I">I. Turkyilmaz</name></author><author><name sortKey="Ersoy, A E" uniqKey="Ersoy A">A. E. Ersoy</name></author><author><name sortKey="Mcglumphy, E A" uniqKey="Mcglumphy E">E. A. McGlumphy</name></author><author><name sortKey="Rosenstiel, S F" uniqKey="Rosenstiel S">S. F. Rosenstiel</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Molly, L" uniqKey="Molly L">L. Molly</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Farre Pages, N" uniqKey="Farre Pages N">N. Farré-Pagès</name></author><author><name sortKey="Auge Castro, M L" uniqKey="Auge Castro M">M. L. Augé-Castro</name></author><author><name sortKey="Alaejos Algarra, F" uniqKey="Alaejos Algarra F">F. Alaejos-Algarra</name></author><author><name sortKey="Mareque Bueno, J" uniqKey="Mareque Bueno J">J. Mareque-Bueno</name></author><author><name sortKey="Ferres Padr, E" uniqKey="Ferres Padr E">E. Ferrés-Padró</name></author><author><name sortKey="Hernandez Alfaro, F" uniqKey="Hernandez Alfaro F">F. Hernández-Alfaro</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Yoon, H G" uniqKey="Yoon H">H. G. Yoon</name></author><author><name sortKey="Heo, S J" uniqKey="Heo S">S. J. Heo</name></author><author><name sortKey="Koak, J Y" uniqKey="Koak J">J. Y. Koak</name></author><author><name sortKey="Kim, S K" uniqKey="Kim S">S. K. Kim</name></author><author><name sortKey="Lee, S Y" uniqKey="Lee S">S. Y. Lee</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ganeles, J" uniqKey="Ganeles J">J. Ganeles</name></author><author><name sortKey="Wismeijer, D" uniqKey="Wismeijer D">D. Wismeijer</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Glauser, R" uniqKey="Glauser R">R. Glauser</name></author><author><name sortKey="Ruhstaller, P" uniqKey="Ruhstaller P">P. Ruhstaller</name></author><author><name sortKey="Windisch, S" uniqKey="Windisch S">S. Windisch</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Sanna, A M" uniqKey="Sanna A">A. M. Sanna</name></author><author><name sortKey="Molly, L" uniqKey="Molly L">L. Molly</name></author><author><name sortKey="Van Steenberghe, D" uniqKey="Van Steenberghe D">D. van Steenberghe</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Crespi, R" uniqKey="Crespi R">R. Crespi</name></author><author><name sortKey="Cappare, P" uniqKey="Cappare P">P. Capparè</name></author><author><name sortKey="Gherlone, E" uniqKey="Gherlone E">E. Gherlone</name></author><author><name sortKey="Romanes, G E" uniqKey="Romanes G">G. E. Romanes</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Gallucci, G O" uniqKey="Gallucci G">G. O. Gallucci</name></author><author><name sortKey="Morton, D" uniqKey="Morton D">D. Morton</name></author><author><name sortKey="Weber, H P" uniqKey="Weber H">H.-P. Weber</name></author></analytic></biblStruct></listBibl></div1></back></TEI><pmc article-type="research-article"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Int J Dent</journal-id><journal-id journal-id-type="iso-abbrev">Int J Dent</journal-id><journal-id journal-id-type="publisher-id">IJD</journal-id><journal-title-group><journal-title>International Journal of Dentistry</journal-title></journal-title-group><issn pub-type="ppub">1687-8728</issn><issn pub-type="epub">1687-8736</issn><publisher><publisher-name>Hindawi Publishing Corporation</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">26064119</article-id><article-id pub-id-type="pmc">4443938</article-id><article-id pub-id-type="doi">10.1155/2015/824127</article-id><article-categories><subj-group subj-group-type="heading"><subject>Clinical Study</subject></subj-group></article-categories><title-group><article-title>Computer-Guided Implant Surgery in Fresh Extraction Sockets and Immediate Loading of a Full Arch Restoration: A 2-Year Follow-Up Study of 14 Consecutively Treated Patients</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Daas</surname><given-names>M.</given-names></name><xref ref-type="aff" rid="I1"><sup>1</sup></xref><xref ref-type="aff" rid="I2"><sup>2</sup></xref></contrib><contrib contrib-type="author"><name><surname>Assaf</surname><given-names>A.</given-names></name><xref ref-type="aff" rid="I3"><sup>3</sup></xref><xref ref-type="aff" rid="I4"><sup>4</sup></xref><xref ref-type="corresp" rid="cor1"><sup>*</sup></xref></contrib><contrib contrib-type="author"><name><surname>Dada</surname><given-names>K.</given-names></name><xref ref-type="aff" rid="I2"><sup>2</sup></xref><xref ref-type="aff" rid="I5"><sup>5</sup></xref></contrib><contrib contrib-type="author"><name><surname>Makzoumé</surname><given-names>J.</given-names></name><xref ref-type="aff" rid="I6"><sup>6</sup></xref></contrib></contrib-group><aff id="I1"><sup>1</sup>Department of Prosthodontics, René Descartes University, Paris, France</aff><aff id="I2"><sup>2</sup>Private Practice, 62 Boulevard de la Tour Maubourg, 75007 Paris, France</aff><aff id="I3"><sup>3</sup>Department of Prosthodontics, Beirut Arab University, Beirut, Lebanon</aff><aff id="I4"><sup>4</sup>Department of Prosthodontics, Lebanese University, Beirut, Lebanon</aff><aff id="I5"><sup>5</sup>Former Clinical Associate, Louis Mournier Hospital, Colombes, France</aff><aff id="I6"><sup>6</sup>Department of Removable Prosthodontics, Saint-Joseph University, Beirut, Lebanon</aff><author-notes><corresp id="cor1">*A. Assaf: <email>dr.andre.assaf@gmail.com</email></corresp><fn fn-type="other"><p>Academic Editor: Andreas Stavropoulos</p></fn></author-notes><pub-date pub-type="ppub"><year>2015</year></pub-date><pub-date pub-type="epub"><day>12</day><month>5</month><year>2015</year></pub-date><volume>2015</volume><elocation-id>824127</elocation-id><history><date date-type="received"><day>30</day><month>12</month><year>2014</year></date><date date-type="rev-recd"><day>27</day><month>4</month><year>2015</year></date><date date-type="accepted"><day>27</day><month>4</month><year>2015</year></date></history><permissions><copyright-statement>Copyright © 2015 M. Daas et al.</copyright-statement><copyright-year>2015</copyright-year><license xlink:href="https://creativecommons.org/licenses/by/3.0/"><license-p>This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p></license></permissions><abstract><p><italic>Statement of Problem</italic>. Low scientific evidence is identified in the literature for combining implant placement in fresh extraction sockets with immediate function. Moreover, the few studies available on immediate implants in postextraction sites supporting immediate full-arch rehabilitation clearly lack comprehensive protocols. <italic>Purpose</italic>. The purpose of this study is to report outcomes of a comprehensive protocol using CAD-CAM technology for surgical planning and fabrication of a surgical template and to demonstrate that immediate function can be easily performed with immediate implants in postextraction sites supporting full-arch rehabilitation. <italic>Material and Methods</italic>. 14 subjects were consecutively rehabilitated (13 maxillae and 1 mandible) with 99 implants supporting full-arch fixed prostheses followed between 6 and 24 months (mean of 16 months). Outcome measures were prosthesis and implant success, biologic and prosthetic complications, pain, oedema evaluation, and radiographic marginal bone levels at surgery and then at 6, 12, 18, and 24 months. Data were analyzed with descriptive statistics. <italic>Results</italic>. The overall cumulative implant survival rate at mean follow-up time of 16 months was 97.97%. The average marginal bone loss was 0,9 mm. <italic>Conclusions</italic>. Within the limitations of this study, the results validate this treatment modality for full-arch rehabilitations with predictable outcomes and high survival rate after 2 years.</p></abstract></article-meta></front><floats-group><fig id="fig1" orientation="portrait" position="float"><label>Figure 1</label><caption><p>(a) Preoperative view demonstrating failing maxillary dentition. The treatment plan includes immediate implants in combination with CAD-CAM technology and their immediate loading with a prefabricated fixed prosthesis. (b) A radiographic template is realized according to the protocol for partially edentulous patient: verification windows to assess correct seating of radiographic template and radiopaque markers placed below gingival plane.</p></caption><graphic xlink:href="IJD2015-824127.001"></graphic></fig><fig id="fig2" orientation="portrait" position="float"><label>Figure 2</label><caption><p>((a) and (b)) Teeth are cut off from the master model according to the periodontal probing data. In this case, an additional osteotomy has been planned according to the prosthetic needs. (c) The radiographic template is repositioned on the master model and an additional set-up is done. This additional set-up is then polymerized. Observe that the location of the radiographic markers at this stage must remain the same.</p></caption><graphic xlink:href="IJD2015-824127.002"></graphic></fig><fig id="fig3" orientation="portrait" position="float"><label>Figure 3</label><caption><p>(a) Even if this template has never been worn by the patient, it can be merged to the patient CT data because of the radiographic markers. (b) Respect of the prosthetic project is easier with the computer-aided technology than in conventional hands-free procedure for immediate implants.</p></caption><graphic xlink:href="IJD2015-824127.003"></graphic></fig><fig id="fig4" orientation="portrait" position="float"><label>Figure 4</label><caption><p>(a) Implant replicas are combined with the surgical template to obtain a master model. (b) The full-arch rehabilitation is realized on this model before the surgical session.</p></caption><graphic xlink:href="IJD2015-824127.004"></graphic></fig><fig id="fig5" orientation="portrait" position="float"><label>Figure 5</label><caption><p>((a) and (b)) Extraction of the 6 remaining teeth. (c) Blanching of the mucosa in a homogeneous way proves the correct positioning of the conventional surgical guide. (d) The stereolithographic surgical guide can thus be correctly placed via a lab-made occlusal index (using the articulator) and then stabilized with 3 transfixation screws. (e) Eight implants have been inserted according to the NobelGuide procedure.</p></caption><graphic xlink:href="IJD2015-824127.005"></graphic></fig><fig id="fig6" orientation="portrait" position="float"><label>Figure 6</label><caption><p>(a) Insertion of the restoration, in this protocol and because of the flap, the correct seating of the prosthesis can be checked visually. (b) The flap is sutured after the correct insertion of the restoration. (c) Final intraoral view.</p></caption><graphic xlink:href="IJD2015-824127.006"></graphic></fig><fig id="fig7" orientation="portrait" position="float"><label>Figure 7</label><caption><p>Final prosthesis. (a) Fixed ceramic one-piece prosthesis (Procera Implant Bridge Zirconia, Nobel Biocare AB). (b) Final extra oral view.</p></caption><graphic xlink:href="IJD2015-824127.007"></graphic></fig><fig id="fig8" orientation="portrait" position="float"><label>Figure 8</label><caption><p>Radiographic examination: (A1), (A2), and (A3): postoperative radiographs. (B1), (B2), and (B3): at 6 months during the impression for the final restoration. (C1), (C2), (C3), and (C4): 18 months after the surgery.</p></caption><graphic xlink:href="IJD2015-824127.008"></graphic></fig><table-wrap id="tab1" orientation="portrait" position="float"><label>Table 1</label><caption><p>Quantitative data concerning size and number of the successful and failed implants used in 14 subjects.</p></caption><table frame="hsides" rules="groups"><thead><tr><th align="left" rowspan="1" colspan="1">Implant type</th><th align="center" rowspan="1" colspan="1">Length (mm)</th><th align="center" rowspan="1" colspan="1">Number</th><th align="center" rowspan="1" colspan="1">Failed</th></tr></thead><tbody><tr><td align="left" rowspan="1" colspan="1">NobelSpeedy NP</td><td align="center" rowspan="1" colspan="1">13</td><td align="center" rowspan="1" colspan="1">4</td><td align="center" rowspan="1" colspan="1">0</td></tr><tr><td align="center" colspan="4" rowspan="1"><hr></hr></td></tr><tr><td align="left" rowspan="3" colspan="1">NobelSpeedy RP</td><td align="center" rowspan="1" colspan="1">11.5</td><td align="center" rowspan="1" colspan="1">2</td><td align="center" rowspan="1" colspan="1">0</td></tr><tr><td align="center" rowspan="1" colspan="1">13</td><td align="center" rowspan="1" colspan="1">55</td><td align="center" rowspan="1" colspan="1">1</td></tr><tr><td align="center" rowspan="1" colspan="1">15</td><td align="center" rowspan="1" colspan="1">21</td><td align="center" rowspan="1" colspan="1">0</td></tr><tr><td align="center" colspan="4" rowspan="1"><hr></hr></td></tr><tr><td align="left" rowspan="4" colspan="1">NobelSpeedy WP</td><td align="center" rowspan="1" colspan="1">7</td><td align="center" rowspan="1" colspan="1">1</td><td align="center" rowspan="1" colspan="1">0</td></tr><tr><td align="center" rowspan="1" colspan="1">8.5</td><td align="center" rowspan="1" colspan="1">2</td><td align="center" rowspan="1" colspan="1">1</td></tr><tr><td align="center" rowspan="1" colspan="1">10</td><td align="center" rowspan="1" colspan="1">7</td><td align="center" rowspan="1" colspan="1">0</td></tr><tr><td align="center" rowspan="1" colspan="1">13</td><td align="center" rowspan="1" colspan="1">7</td><td align="center" rowspan="1" colspan="1">0</td></tr></tbody></table></table-wrap><table-wrap id="tab2" orientation="portrait" position="float"><label>Table 2</label><caption><p>Postsurgical maintenance protocol.</p></caption><table frame="hsides" rules="groups"><thead><tr><th align="center" colspan="2" rowspan="1">Maintenance protocol</th></tr></thead><tbody><tr><td align="left" rowspan="1" colspan="1">Day of surgery (day 1)</td><td align="left" rowspan="1" colspan="1">Panoramic and periapical radiographs, explanation of maintenance procedures to the patient, application of chlorhexidine gel after surgery, evaluation of occlusion, and instructions to avoid prosthesis overload.</td></tr><tr><td align="center" colspan="2" rowspan="1"><hr></hr></td></tr><tr><td align="left" rowspan="1" colspan="1">Day 10</td><td align="left" rowspan="1" colspan="1">Application of chlorhexidine gel, control of suppuration by finger pressure, removal of the sutures, evaluation of occlusion, instructions to avoid prosthesis overload, and evaluation for fracture or loosening of prosthetic components.</td></tr><tr><td align="center" colspan="2" rowspan="1"><hr></hr></td></tr><tr><td align="left" rowspan="1" colspan="1">Month 1</td><td align="left" rowspan="1" colspan="1">Application of chlorhexidine gel, control of suppuration by finger pressure, tightening of the guided abutments at 35 Ncm, evaluation of occlusion, instructions to avoid prosthesis overload, and evaluation for fracture or loosening of prosthetic components.</td></tr><tr><td align="center" colspan="2" rowspan="1"><hr></hr></td></tr><tr><td align="left" rowspan="1" colspan="1">Month 4</td><td align="left" rowspan="1" colspan="1">Panoramic and periapical radiographs, removal of prosthesis for cleaning and disinfecting, application of chlorhexidine gel, evaluation for inflammation/infection, evaluation of occlusion, instructions to avoid prosthesis overload, and evaluation for fracture or loosening of prosthetic components.</td></tr><tr><td align="center" colspan="2" rowspan="1"><hr></hr></td></tr><tr><td align="left" rowspan="1" colspan="1">Month 6 or at definitive prosthesis placement</td><td align="left" rowspan="1" colspan="1">Panoramic and periapical radiographs, oral hygiene procedures every 3 months without removal of the prosthesis, evaluation of occlusion, and evaluation for inflammation/infection.</td></tr><tr><td align="center" colspan="2" rowspan="1"><hr></hr></td></tr><tr><td align="left" rowspan="1" colspan="1">Month 12 and after</td><td align="left" rowspan="1" colspan="1">Panoramic and periapical radiographs, oral hygiene procedures every 6 months without removal of the prosthesis, and evaluation of occlusion, evaluation for inflammation/infection.</td></tr><tr><td align="center" colspan="2" rowspan="1"><hr></hr></td></tr><tr><td align="left" rowspan="1" colspan="1">Problem-related visit</td><td align="left" rowspan="1" colspan="1">Removal of prosthesis for disinfection and cleaning and for testing implants for infections and stability.</td></tr></tbody></table></table-wrap><table-wrap id="tab3" orientation="portrait" position="float"><label>Table 3</label><caption><p>Life table of cumulative survival rate for implants.</p></caption><table frame="hsides" rules="groups"><thead><tr><th align="left" rowspan="1" colspan="1"> </th><th align="center" rowspan="1" colspan="1">Number</th><th align="center" rowspan="1" colspan="1">Failures</th><th align="center" rowspan="1" colspan="1">Withdrawn</th><th align="center" rowspan="1" colspan="1">CSR %</th></tr></thead><tbody><tr><td align="left" rowspan="1" colspan="1">Placement to 6 months</td><td align="center" rowspan="1" colspan="1">99</td><td align="center" rowspan="1" colspan="1">2</td><td align="center" rowspan="1" colspan="1">0</td><td align="center" rowspan="1" colspan="1">97.97%</td></tr><tr><td align="left" rowspan="1" colspan="1">6 to 12 months</td><td align="center" rowspan="1" colspan="1">93</td><td align="center" rowspan="1" colspan="1">0</td><td align="center" rowspan="1" colspan="1">0</td><td align="center" rowspan="1" colspan="1">97.97%</td></tr><tr><td align="left" rowspan="1" colspan="1">1 to 2 years</td><td align="center" rowspan="1" colspan="1">66</td><td align="center" rowspan="1" colspan="1">0</td><td align="center" rowspan="1" colspan="1">0</td><td align="center" rowspan="1" colspan="1">97.97%</td></tr></tbody></table></table-wrap></floats-group></pmc><affiliations><list><country><li>France</li><li>Liban</li></country><region><li>Île-de-France</li></region><settlement><li>Paris</li></settlement></list><tree><country name="France"><region name="Île-de-France"><name sortKey="Daas, M" sort="Daas, M" uniqKey="Daas M" first="M." last="Daas">M. Daas</name></region><name sortKey="Daas, M" sort="Daas, M" uniqKey="Daas M" first="M." last="Daas">M. Daas</name><name sortKey="Dada, K" sort="Dada, K" uniqKey="Dada K" first="K." last="Dada">K. Dada</name><name sortKey="Dada, K" sort="Dada, K" uniqKey="Dada K" first="K." last="Dada">K. Dada</name></country><country name="Liban"><noRegion><name sortKey="Assaf, A" sort="Assaf, A" uniqKey="Assaf A" first="A." last="Assaf">A. Assaf</name></noRegion><name sortKey="Assaf, A" sort="Assaf, A" uniqKey="Assaf A" first="A." last="Assaf">A. Assaf</name><name sortKey="Makzoume, J" sort="Makzoume, J" uniqKey="Makzoume J" first="J." last="Makzoumé">J. Makzoumé</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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