Implant Restoration of Edentulous Jaws with 3D Software Planning, Guided Surgery, Immediate Loading, and CAD-CAM Full Arch Frameworks
Identifieur interne : 002D68 ( Pmc/Curation ); précédent : 002D67; suivant : 002D69Implant Restoration of Edentulous Jaws with 3D Software Planning, Guided Surgery, Immediate Loading, and CAD-CAM Full Arch Frameworks
Auteurs : Silvio Mario Meloni [Italie] ; Giacomo De Riu [Italie] ; Milena Pisano [Italie] ; Francesco Maria Lolli [Italie] ; Alessandro Deledda [Italie] ; Guglielmo Campus [Italie] ; Antonio Tullio [Italie]Source :
- International Journal of Dentistry [ 1687-8728 ] ; 2013.
Abstract
Url:
DOI: 10.1155/2013/683423
PubMed: 23983690
PubMed Central: 3745845
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Implant Restoration of Edentulous Jaws with 3D Software Planning, Guided Surgery, Immediate Loading, and CAD-CAM Full Arch Frameworks</title><author><name sortKey="Meloni, Silvio Mario" sort="Meloni, Silvio Mario" uniqKey="Meloni S" first="Silvio Mario" last="Meloni">Silvio Mario Meloni</name><affiliation wicri:level="1"><nlm:aff id="I1">Maxillofacial Surgery Unit, University Hospital of Sassari, 07100 Sassari, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Maxillofacial Surgery Unit, University Hospital of Sassari, 07100 Sassari</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="I2">Dentistry Unit, University Hospital of Sassari, 07100 Sassari, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Dentistry Unit, University Hospital of Sassari, 07100 Sassari</wicri:regionArea></affiliation></author><author><name sortKey="De Riu, Giacomo" sort="De Riu, Giacomo" uniqKey="De Riu G" first="Giacomo" last="De Riu">Giacomo De Riu</name><affiliation wicri:level="1"><nlm:aff id="I1">Maxillofacial Surgery Unit, University Hospital of Sassari, 07100 Sassari, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Maxillofacial Surgery Unit, University Hospital of Sassari, 07100 Sassari</wicri:regionArea></affiliation></author><author><name sortKey="Pisano, Milena" sort="Pisano, Milena" uniqKey="Pisano M" first="Milena" last="Pisano">Milena Pisano</name><affiliation wicri:level="1"><nlm:aff id="I1">Maxillofacial Surgery Unit, University Hospital of Sassari, 07100 Sassari, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Maxillofacial Surgery Unit, University Hospital of Sassari, 07100 Sassari</wicri:regionArea></affiliation></author><author><name sortKey="Lolli, Francesco Maria" sort="Lolli, Francesco Maria" uniqKey="Lolli F" first="Francesco Maria" last="Lolli">Francesco Maria Lolli</name><affiliation wicri:level="1"><nlm:aff id="I2">Dentistry Unit, University Hospital of Sassari, 07100 Sassari, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Dentistry Unit, University Hospital of Sassari, 07100 Sassari</wicri:regionArea></affiliation></author><author><name sortKey="Deledda, Alessandro" sort="Deledda, Alessandro" uniqKey="Deledda A" first="Alessandro" last="Deledda">Alessandro Deledda</name><affiliation wicri:level="1"><nlm:aff id="I2">Dentistry Unit, University Hospital of Sassari, 07100 Sassari, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Dentistry Unit, University Hospital of Sassari, 07100 Sassari</wicri:regionArea></affiliation></author><author><name sortKey="Campus, Guglielmo" sort="Campus, Guglielmo" uniqKey="Campus G" first="Guglielmo" last="Campus">Guglielmo Campus</name><affiliation wicri:level="1"><nlm:aff id="I2">Dentistry Unit, University Hospital of Sassari, 07100 Sassari, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Dentistry Unit, University Hospital of Sassari, 07100 Sassari</wicri:regionArea></affiliation></author><author><name sortKey="Tullio, Antonio" sort="Tullio, Antonio" uniqKey="Tullio A" first="Antonio" last="Tullio">Antonio Tullio</name><affiliation wicri:level="1"><nlm:aff id="I1">Maxillofacial Surgery Unit, University Hospital of Sassari, 07100 Sassari, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Maxillofacial Surgery Unit, University Hospital of Sassari, 07100 Sassari</wicri:regionArea></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">23983690</idno><idno type="pmc">3745845</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3745845</idno><idno type="RBID">PMC:3745845</idno><idno type="doi">10.1155/2013/683423</idno><date when="2013">2013</date><idno type="wicri:Area/Pmc/Corpus">002D68</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">002D68</idno><idno type="wicri:Area/Pmc/Curation">002D68</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">002D68</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Implant Restoration of Edentulous Jaws with 3D Software Planning, Guided Surgery, Immediate Loading, and CAD-CAM Full Arch Frameworks</title><author><name sortKey="Meloni, Silvio Mario" sort="Meloni, Silvio Mario" uniqKey="Meloni S" first="Silvio Mario" last="Meloni">Silvio Mario Meloni</name><affiliation wicri:level="1"><nlm:aff id="I1">Maxillofacial Surgery Unit, University Hospital of Sassari, 07100 Sassari, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Maxillofacial Surgery Unit, University Hospital of Sassari, 07100 Sassari</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="I2">Dentistry Unit, University Hospital of Sassari, 07100 Sassari, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Dentistry Unit, University Hospital of Sassari, 07100 Sassari</wicri:regionArea></affiliation></author><author><name sortKey="De Riu, Giacomo" sort="De Riu, Giacomo" uniqKey="De Riu G" first="Giacomo" last="De Riu">Giacomo De Riu</name><affiliation wicri:level="1"><nlm:aff id="I1">Maxillofacial Surgery Unit, University Hospital of Sassari, 07100 Sassari, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Maxillofacial Surgery Unit, University Hospital of Sassari, 07100 Sassari</wicri:regionArea></affiliation></author><author><name sortKey="Pisano, Milena" sort="Pisano, Milena" uniqKey="Pisano M" first="Milena" last="Pisano">Milena Pisano</name><affiliation wicri:level="1"><nlm:aff id="I1">Maxillofacial Surgery Unit, University Hospital of Sassari, 07100 Sassari, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Maxillofacial Surgery Unit, University Hospital of Sassari, 07100 Sassari</wicri:regionArea></affiliation></author><author><name sortKey="Lolli, Francesco Maria" sort="Lolli, Francesco Maria" uniqKey="Lolli F" first="Francesco Maria" last="Lolli">Francesco Maria Lolli</name><affiliation wicri:level="1"><nlm:aff id="I2">Dentistry Unit, University Hospital of Sassari, 07100 Sassari, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Dentistry Unit, University Hospital of Sassari, 07100 Sassari</wicri:regionArea></affiliation></author><author><name sortKey="Deledda, Alessandro" sort="Deledda, Alessandro" uniqKey="Deledda A" first="Alessandro" last="Deledda">Alessandro Deledda</name><affiliation wicri:level="1"><nlm:aff id="I2">Dentistry Unit, University Hospital of Sassari, 07100 Sassari, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Dentistry Unit, University Hospital of Sassari, 07100 Sassari</wicri:regionArea></affiliation></author><author><name sortKey="Campus, Guglielmo" sort="Campus, Guglielmo" uniqKey="Campus G" first="Guglielmo" last="Campus">Guglielmo Campus</name><affiliation wicri:level="1"><nlm:aff id="I2">Dentistry Unit, University Hospital of Sassari, 07100 Sassari, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Dentistry Unit, University Hospital of Sassari, 07100 Sassari</wicri:regionArea></affiliation></author><author><name sortKey="Tullio, Antonio" sort="Tullio, Antonio" uniqKey="Tullio A" first="Antonio" last="Tullio">Antonio Tullio</name><affiliation wicri:level="1"><nlm:aff id="I1">Maxillofacial Surgery Unit, University Hospital of Sassari, 07100 Sassari, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Maxillofacial Surgery Unit, University Hospital of Sassari, 07100 Sassari</wicri:regionArea></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="2013">2013</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><italic>Purpose</italic>. The aim of this study was to analyze the clinical and radiographic outcomes of 23 edentulous jaws treated with 3D software planning, guided surgery, and immediate loading and restored with CAD-CAM full arch frameworks. <italic>Materials and Methods</italic>. This work was designed as a prospective case series clinical study. Twenty patients have been consecutively rehabilitated with an immediately loaded implant supported fixed full prosthesis. A total of 120 fixtures supporting 23 bridges were placed. 117 out of 120 implants were immediately loaded. Outcome measures were implants survival, radiographic marginal bone levels and remodeling, soft tissue parameters, and complications. <italic>Results</italic>. 114 of 117 implants reached a 30 months follow-up, and no patients dropped out from the study. The cumulative survival rate was 97.7%; after 30 months, mean marginal bone level was 1.25 ± 0.31 mm, mean marginal bone remodeling value was 1.08 ± 0.34, mean PPD value was 2.84 ± 0.55 mm, and mean BOP value was 4% ± 2.8%. Only minor prosthetic complications were recorded. <italic>Conclusion</italic>. Within the limitations of this study, it can be concluded that computer-guided surgery and immediate loading seem to represent a viable option for the immediate rehabilitations of completely edentulous jaws with fixed implant supported restorations. This trial is registered with Clinicaltrials.gov <ext-link ext-link-type="uri" xlink:href="http://clinicaltrials.gov/ct2/show/NCT01866696">NCT01866696</ext-link>.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Amorfini, L" uniqKey="Amorfini L">L Amorfini</name></author><author><name sortKey="Storelli, S" uniqKey="Storelli S">S Storelli</name></author><author><name sortKey="Romeo, E" uniqKey="Romeo E">E Romeo</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Meloni, Sm" uniqKey="Meloni S">SM 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="Cattina, G" uniqKey="Cattina G">G Cattina</name></author><author><name sortKey="Tullio, A" uniqKey="Tullio A">A Tullio</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Merli, M" 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<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">23983690</article-id><article-id pub-id-type="pmc">3745845</article-id><article-id pub-id-type="doi">10.1155/2013/683423</article-id><article-categories><subj-group subj-group-type="heading"><subject>Clinical Study</subject></subj-group></article-categories><title-group><article-title>Implant Restoration of Edentulous Jaws with 3D Software Planning, Guided Surgery, Immediate Loading, and CAD-CAM Full Arch Frameworks</article-title></title-group><contrib-group><contrib contrib-type="author"><contrib-id contrib-id-type="orcid" authenticated="false">http://orcid.org/0000-0002-3317-0124</contrib-id><name><surname>Meloni</surname><given-names>Silvio Mario</given-names></name><xref ref-type="aff" rid="I1"><sup>1</sup></xref><xref ref-type="aff" rid="I2"><sup>2</sup></xref><xref ref-type="corresp" rid="cor1">*</xref></contrib><contrib contrib-type="author"><name><surname>De Riu</surname><given-names>Giacomo</given-names></name><xref ref-type="aff" rid="I1"><sup>1</sup></xref></contrib><contrib contrib-type="author"><name><surname>Pisano</surname><given-names>Milena</given-names></name><xref ref-type="aff" rid="I1"><sup>1</sup></xref></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid" authenticated="false">http://orcid.org/0000-0002-7484-9053</contrib-id><name><surname>Lolli</surname><given-names>Francesco Maria</given-names></name><xref ref-type="aff" rid="I2"><sup>2</sup></xref></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid" authenticated="false">http://orcid.org/0000-0002-8528-9514</contrib-id><name><surname>Deledda</surname><given-names>Alessandro</given-names></name><xref ref-type="aff" rid="I2"><sup>2</sup></xref></contrib><contrib contrib-type="author"><name><surname>Campus</surname><given-names>Guglielmo</given-names></name><xref ref-type="aff" rid="I2"><sup>2</sup></xref></contrib><contrib contrib-type="author"><name><surname>Tullio</surname><given-names>Antonio</given-names></name><xref ref-type="aff" rid="I1"><sup>1</sup></xref></contrib></contrib-group><aff id="I1"><sup>1</sup>Maxillofacial Surgery Unit, University Hospital of Sassari, 07100 Sassari, Italy</aff><aff id="I2"><sup>2</sup>Dentistry Unit, University Hospital of Sassari, 07100 Sassari, Italy</aff><author-notes><corresp id="cor1">*Silvio Mario Meloni: <email>melonisilviomario@yahoo.it</email></corresp><fn fn-type="other"><p>Academic Editor: Dimitris N. Tatakis</p></fn></author-notes><pub-date pub-type="ppub"><year>2013</year></pub-date><pub-date pub-type="epub"><day>29</day><month>7</month><year>2013</year></pub-date><volume>2013</volume><elocation-id>683423</elocation-id><history><date date-type="received"><day>25</day><month>3</month><year>2013</year></date><date date-type="rev-recd"><day>2</day><month>6</month><year>2013</year></date><date date-type="accepted"><day>25</day><month>6</month><year>2013</year></date></history><permissions><copyright-statement>Copyright © 2013 Silvio Mario Meloni et al.</copyright-statement><copyright-year>2013</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>Purpose</italic>. The aim of this study was to analyze the clinical and radiographic outcomes of 23 edentulous jaws treated with 3D software planning, guided surgery, and immediate loading and restored with CAD-CAM full arch frameworks. <italic>Materials and Methods</italic>. This work was designed as a prospective case series clinical study. Twenty patients have been consecutively rehabilitated with an immediately loaded implant supported fixed full prosthesis. A total of 120 fixtures supporting 23 bridges were placed. 117 out of 120 implants were immediately loaded. Outcome measures were implants survival, radiographic marginal bone levels and remodeling, soft tissue parameters, and complications. <italic>Results</italic>. 114 of 117 implants reached a 30 months follow-up, and no patients dropped out from the study. The cumulative survival rate was 97.7%; after 30 months, mean marginal bone level was 1.25 ± 0.31 mm, mean marginal bone remodeling value was 1.08 ± 0.34, mean PPD value was 2.84 ± 0.55 mm, and mean BOP value was 4% ± 2.8%. Only minor prosthetic complications were recorded. <italic>Conclusion</italic>. Within the limitations of this study, it can be concluded that computer-guided surgery and immediate loading seem to represent a viable option for the immediate rehabilitations of completely edentulous jaws with fixed implant supported restorations. This trial is registered with Clinicaltrials.gov <ext-link ext-link-type="uri" xlink:href="http://clinicaltrials.gov/ct2/show/NCT01866696">NCT01866696</ext-link>.</p></abstract></article-meta></front><floats-group><fig id="fig1" orientation="portrait" position="float"><label>Figure 1</label><caption><p>Preoperative panoramic radiograph.</p></caption><graphic xlink:href="IJD2013-683423.001"></graphic></fig><fig id="fig2" orientation="portrait" position="float"><label>Figure 2</label><caption><p>Virtual implant planning. Occlusal view.</p></caption><graphic xlink:href="IJD2013-683423.002"></graphic></fig><fig id="fig3" orientation="portrait" position="float"><label>Figure 3</label><caption><p>Guided flapless implant insertion in healed sites and fresh extraction sockets.</p></caption><graphic xlink:href="IJD2013-683423.003"></graphic></fig><fig id="fig4" orientation="portrait" position="float"><label>Figure 4</label><caption><p>Immediate loading with screw-retained temporary prosthesis.</p></caption><graphic xlink:href="IJD2013-683423.004"></graphic></fig><fig id="fig5" orientation="portrait" position="float"><label>Figure 5</label><caption><p>Panoramic radiograph after immediate loading.</p></caption><graphic xlink:href="IJD2013-683423.005"></graphic></fig><fig id="fig6" orientation="portrait" position="float"><label>Figure 6</label><caption><p>Final restoration with zirconia ceramic screw-retained prosthesis.</p></caption><graphic xlink:href="IJD2013-683423.006"></graphic></fig><fig id="fig7" orientation="portrait" position="float"><label>Figure 7</label><caption><p>Panoramic radiograph 30 months after loading.</p></caption><graphic xlink:href="IJD2013-683423.007"></graphic></fig><table-wrap id="tab1" orientation="portrait" position="float"><label>Table 1</label><caption><p>Peri-implant mean marginal bone levels (<italic>n</italic>: number of 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">Mean marginal bone level</th><th align="center" rowspan="1" colspan="1"> </th></tr><tr><th align="left" rowspan="1" colspan="1">Implant installation</th><th align="center" rowspan="1" colspan="1">12 months </th><th align="center" rowspan="1" colspan="1">30 months</th></tr><tr><th align="left" rowspan="1" colspan="1"><italic>n</italic> = 117</th><th align="center" rowspan="1" colspan="1"><italic>n</italic> = 114</th><th align="center" rowspan="1" colspan="1"><italic>n</italic> = 114</th></tr></thead><tbody><tr><td align="left" rowspan="1" colspan="1">0.16 ± 0.10</td><td align="center" rowspan="1" colspan="1">1.01 ± 0.28</td><td align="center" rowspan="1" colspan="1">1.25 ± 0.31</td></tr></tbody></table><table-wrap-foot><fn><p>Values represent mean ± SD.</p></fn></table-wrap-foot></table-wrap><table-wrap id="tab2" orientation="portrait" position="float"><label>Table 2</label><caption><p>Peri-implant mean marginal bone remodeling (<italic>n</italic>: number of implants).</p></caption><table frame="hsides" rules="groups"><thead><tr><th align="left" colspan="2" rowspan="1">Mean marginal bone remodeling</th></tr><tr><th align="left" rowspan="1" colspan="1">12 months </th><th align="center" rowspan="1" colspan="1">30 months</th></tr><tr><th align="left" rowspan="1" colspan="1"><italic>n</italic> = 114</th><th align="center" rowspan="1" colspan="1"><italic>n</italic> = 114</th></tr></thead><tbody><tr><td align="left" rowspan="1" colspan="1">0.85 ± 0.30</td><td align="center" rowspan="1" colspan="1">1.08 ± 0.34</td></tr></tbody></table><table-wrap-foot><fn><p>Values represent mean ± SD.</p></fn></table-wrap-foot></table-wrap><table-wrap id="tab3" orientation="portrait" position="float"><label>Table 3</label><caption><p>Mean PPD values in mm (<italic>n</italic>: number of 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">Mean PPD</th><th align="center" rowspan="1" colspan="1"> </th></tr><tr><th align="left" rowspan="1" colspan="1">6 months</th><th align="center" rowspan="1" colspan="1">12 months</th><th align="center" rowspan="1" colspan="1">30 months</th></tr><tr><th align="left" rowspan="1" colspan="1"><italic>n</italic> = 114</th><th align="center" rowspan="1" colspan="1"><italic>n</italic> = 114</th><th align="center" rowspan="1" colspan="1"><italic>n</italic> = 114</th></tr></thead><tbody><tr><td align="left" rowspan="1" colspan="1">2.77 ± 0.57</td><td align="center" rowspan="1" colspan="1">2.78 ± 0.65</td><td align="center" rowspan="1" colspan="1">2.84 ± 0.56</td></tr></tbody></table><table-wrap-foot><fn><p>Values represent mean ± SD.</p></fn></table-wrap-foot></table-wrap><table-wrap id="tab4" orientation="portrait" position="float"><label>Table 4</label><caption><p>Mean BoP values in % (<italic>n</italic>: number of 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">Mean BOP values</th><th align="center" rowspan="1" colspan="1"> </th></tr><tr><th align="left" rowspan="1" colspan="1">6 months</th><th align="center" rowspan="1" colspan="1">12 months</th><th align="center" rowspan="1" colspan="1">30 months</th></tr><tr><th align="left" rowspan="1" colspan="1"><italic>n</italic> = 114</th><th align="center" rowspan="1" colspan="1"><italic>n</italic> = 114</th><th align="center" rowspan="1" colspan="1"><italic>n</italic> = 114</th></tr></thead><tbody><tr><td align="left" rowspan="1" colspan="1">7.0 ± 3%</td><td align="center" rowspan="1" colspan="1">6.4 ± 3.4%</td><td align="center" rowspan="1" colspan="1">4% ± 2.8%</td></tr></tbody></table><table-wrap-foot><fn><p>Values represent mean ± SD.</p></fn></table-wrap-foot></table-wrap></floats-group></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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