Immediate loading of implants in the aesthetic zone: comparison between two placement timings
Identifieur interne : 001421 ( Pmc/Checkpoint ); précédent : 001420; suivant : 001422Immediate loading of implants in the aesthetic zone: comparison between two placement timings
Auteurs : Fabrizio Carini ; Salvatore Longoni ; Valeria Pisapia ; Manuel Francesconi ; Vito Saggese ; Gianluca PorcaroSource :
- Annali di Stomatologia [ 1824-0852 ] ; 2014.
Abstract
Implant rehabilitation delivered in accordance with the traditional protocol has proven to be highly predictable and acceptable (
A total of 15 implant fixtures of which 8 at an interval of 4–8 weeks from extraction (type 2) and the remaining according to the immediate post-extraction technique (type 1) were positioned. All implants were prosthesized within 24 hours from the placement. Definitive crowns replaced provisional restorations after 20–24 weeks. After 4 and 12 months from implant insertion, the following parameters were assessed: X-ray image, pain, mobility or suppuration, soft tissue condition and aesthetic appearance.
Percentage of osseointegration was 93.75%, and 53.5% of the osseointegrated fixtures was type 2. No statistically significant difference between the mean ISQ values for implants of type 1 and 2 both in the post-operative period and after 12 months was evident, indicating that the timing of insertion did not affect the achievement of stability for the implant fixtures tested in our study. Immediate post-extraction implants showed a greater propensity for gingival recession and a peri-implant radiolucency greater than those placed at an interval of 4–8 weeks. The values obtained for the PES/WES and the subjective evaluation of the analyzed sample showed the considerable aesthetic value and the high level of satisfaction guaranteed by the implant technique illustrated.
Although well-designed, high quality, randomized clinical trials are still needed as well as the requirement to establish a common, complete, and reproducible index for the evaluation of aesthetic outcome, immediate/early placement and loading of a single TSA® Advance, Phibo® may be considered a valuable and predictable option in terms of implant success as well as hard and soft tissue stability.
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PubMed: 25678947
PubMed Central: 4308963
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Nevertheless, the application of immediate loading on post-extraction implants, especially for aesthetic zones, has now considerably increased (<xref rid="b2-15-26" ref-type="bibr">2</xref>). The aim of this work is to illustrate the immediate loading of implants placed in the aesthetic zone through tapered design fixtures with microgeometry of a high degree of porosity inserted at the same time or 4–8 weeks from dental avulsion (TSA® Advance, Phibo®).</p></sec><sec><title>Materials and methods</title><p>A total of 15 implant fixtures of which 8 at an interval of 4–8 weeks from extraction (type 2) and the remaining according to the immediate post-extraction technique (type 1) were positioned. All implants were prosthesized within 24 hours from the placement. Definitive crowns replaced provisional restorations after 20–24 weeks. After 4 and 12 months from implant insertion, the following parameters were assessed: X-ray image, pain, mobility or suppuration, soft tissue condition and aesthetic appearance.</p></sec><sec><title>Results</title><p>Percentage of osseointegration was 93.75%, and 53.5% of the osseointegrated fixtures was type 2. No statistically significant difference between the mean ISQ values for implants of type 1 and 2 both in the post-operative period and after 12 months was evident, indicating that the timing of insertion did not affect the achievement of stability for the implant fixtures tested in our study. Immediate post-extraction implants showed a greater propensity for gingival recession and a peri-implant radiolucency greater than those placed at an interval of 4–8 weeks. The values obtained for the PES/WES and the subjective evaluation of the analyzed sample showed the considerable aesthetic value and the high level of satisfaction guaranteed by the implant technique illustrated.</p></sec><sec><title>Conclusion</title><p>Although well-designed, high quality, randomized clinical trials are still needed as well as the requirement to establish a common, complete, and reproducible index for the evaluation of aesthetic outcome, immediate/early placement and loading of a single TSA® Advance, Phibo® may be considered a valuable and predictable option in terms of implant success as well as hard and soft tissue stability.</p></sec></div></front></TEI><pmc article-type="case-report"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Ann Stomatol (Roma)</journal-id><journal-id journal-id-type="iso-abbrev">Ann Stomatol (Roma)</journal-id><journal-id journal-id-type="publisher-id">Annali_Stomatologia</journal-id><journal-title-group><journal-title>Annali di Stomatologia</journal-title></journal-title-group><issn pub-type="ppub">1824-0852</issn><issn pub-type="epub">1971-1441</issn><publisher><publisher-name>CIC Edizioni Internationali</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">25678947</article-id><article-id pub-id-type="pmc">4308963</article-id><article-id pub-id-type="publisher-id">15-26</article-id><article-categories><subj-group subj-group-type="heading"><subject>Case Series</subject></subj-group></article-categories><title-group><article-title>Immediate loading of implants in the aesthetic zone: comparison between two placement timings</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Carini</surname><given-names>Fabrizio</given-names></name><degrees>MD, DDS</degrees></contrib><contrib contrib-type="author"><name><surname>Longoni</surname><given-names>Salvatore</given-names></name><degrees>MD, DMD, DDS</degrees></contrib><contrib contrib-type="author"><name><surname>Pisapia</surname><given-names>Valeria</given-names></name><degrees>DMD</degrees></contrib><contrib contrib-type="author"><name><surname>Francesconi</surname><given-names>Manuel</given-names></name><degrees>DMD, DDS</degrees></contrib><contrib contrib-type="author"><name><surname>Saggese</surname><given-names>Vito</given-names></name><degrees>DMD, DDS</degrees></contrib><contrib contrib-type="author"><name><surname>Porcaro</surname><given-names>Gianluca</given-names></name><degrees>DMD, DDS</degrees><xref ref-type="corresp" rid="c1-15-26"></xref></contrib><aff id="af1-15-26">Department of Surgery and Translational Medicine, University of Milan-Bicocca, Monza, Italy</aff></contrib-group><author-notes><corresp id="c1-15-26">Corresponding author: Gianluca Porcaro, School of Oral Surgery, University of Milan-Bicocca, via Pergolesi 33, 20900 Monza, Italy, E-mail: <email>gianluca.porcaro@unimib.it</email></corresp></author-notes><pub-date pub-type="collection"><season>Apr-Jun</season><year>2014</year></pub-date><pub-date pub-type="epub"><day>25</day><month>10</month><year>2014</year></pub-date><volume>5</volume><issue>No 2 Suppl to No 2</issue><fpage>15</fpage><lpage>26</lpage><permissions><copyright-statement>©2014 CIC Edizioni Internazionali, Rome, Italy</copyright-statement><copyright-year>2014</copyright-year></permissions><abstract><title>Summary</title><sec><title>Aim of the study</title><p>Implant rehabilitation delivered in accordance with the traditional protocol has proven to be highly predictable and acceptable (<xref rid="b1-15-26" ref-type="bibr">1</xref>). Nevertheless, the application of immediate loading on post-extraction implants, especially for aesthetic zones, has now considerably increased (<xref rid="b2-15-26" ref-type="bibr">2</xref>). The aim of this work is to illustrate the immediate loading of implants placed in the aesthetic zone through tapered design fixtures with microgeometry of a high degree of porosity inserted at the same time or 4–8 weeks from dental avulsion (TSA® Advance, Phibo®).</p></sec><sec><title>Materials and methods</title><p>A total of 15 implant fixtures of which 8 at an interval of 4–8 weeks from extraction (type 2) and the remaining according to the immediate post-extraction technique (type 1) were positioned. All implants were prosthesized within 24 hours from the placement. Definitive crowns replaced provisional restorations after 20–24 weeks. After 4 and 12 months from implant insertion, the following parameters were assessed: X-ray image, pain, mobility or suppuration, soft tissue condition and aesthetic appearance.</p></sec><sec><title>Results</title><p>Percentage of osseointegration was 93.75%, and 53.5% of the osseointegrated fixtures was type 2. No statistically significant difference between the mean ISQ values for implants of type 1 and 2 both in the post-operative period and after 12 months was evident, indicating that the timing of insertion did not affect the achievement of stability for the implant fixtures tested in our study. Immediate post-extraction implants showed a greater propensity for gingival recession and a peri-implant radiolucency greater than those placed at an interval of 4–8 weeks. The values obtained for the PES/WES and the subjective evaluation of the analyzed sample showed the considerable aesthetic value and the high level of satisfaction guaranteed by the implant technique illustrated.</p></sec><sec><title>Conclusion</title><p>Although well-designed, high quality, randomized clinical trials are still needed as well as the requirement to establish a common, complete, and reproducible index for the evaluation of aesthetic outcome, immediate/early placement and loading of a single TSA® Advance, Phibo® may be considered a valuable and predictable option in terms of implant success as well as hard and soft tissue stability.</p></sec></abstract><kwd-group><kwd>immediate post-extraction implant</kwd><kwd>early post-extraction implant</kwd><kwd>immediate loading</kwd><kwd>aesthetic outcome assessment</kwd><kwd>non-functional loading</kwd></kwd-group></article-meta></front></pmc><affiliations><list></list><tree><noCountry><name sortKey="Carini, Fabrizio" sort="Carini, Fabrizio" uniqKey="Carini F" first="Fabrizio" last="Carini">Fabrizio Carini</name><name sortKey="Francesconi, Manuel" sort="Francesconi, Manuel" uniqKey="Francesconi M" first="Manuel" last="Francesconi">Manuel Francesconi</name><name sortKey="Longoni, Salvatore" sort="Longoni, Salvatore" uniqKey="Longoni S" first="Salvatore" last="Longoni">Salvatore Longoni</name><name sortKey="Pisapia, Valeria" sort="Pisapia, Valeria" uniqKey="Pisapia V" first="Valeria" last="Pisapia">Valeria Pisapia</name><name sortKey="Porcaro, Gianluca" sort="Porcaro, Gianluca" uniqKey="Porcaro G" first="Gianluca" last="Porcaro">Gianluca Porcaro</name><name sortKey="Saggese, Vito" sort="Saggese, Vito" uniqKey="Saggese V" first="Vito" last="Saggese">Vito Saggese</name></noCountry></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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