An evaluation of objective and subjective parameters regarding immediate loading of 4 implants in the premaxilla
- Author
- Filip Martens, Stefan Vandeweghe (UGent) , Hilde Browaeys (UGent) and Hugo De Bruyn (UGent)
- Organization
- Abstract
- Background: Immediate loading of full-arch restorations is considered highly predictable and successful for the oral rehabilitation of fully edentulous patients. However, information on prosthetic quality and patient’s opinion on treatment outcome is scarce. The aims of this retrospective study were to describe patient-centered outcomes regarding quality and patient’s opinion of full arch bridges placed on Biomet3i dental implants (Palm Beach Gardens, Fl, USA); secondly differences in bone level were measured between nanotite and osseotite implants. Materials and methods: Patients with insufficient bone at the posterior part in the upper jaw were treated with an autogenous iliac crest bone graft to provide sufficient bone for implant placement. 4 implants were placed in the anterior part of the jaw and 2-4 implants were placed in the posterior part of the upper jaw after removal of previously placed micro screws. Osseotite and nanotite implants were used alternated. The four anterior implants were immediately loaded with a screw-retained acrylic provisional bridge while the posterior implants were left submerged during a 3-months healing period. After that, definitive bridgework was placed. Trainees or staff members performed the prosthetic treatment. All patients were treated in the last 4 years en were recalled for an independent quality evaluation and to score patient’s satisfaction. Implant survival, marginal bone level, measured from the abutment-implant interface, quality of implant and prosthetic treatment and patients’ opinion of the 4 anterior implants were assessed by means of validated check-lists and OHIP-14 questionnaire, which focused on satisfaction and well being. Results: 11/12 patients attended the recall examination, hence 44/48 implants were evaluated. No implants were lost during a mean follow-up of 36 months (29-44; SD 4,5). Mean marginal bone level was 2,43 mm (0,73-3,82; SD 0,72); mean probing pocket depth 3,40mm ( 2,0-5,0; SD 0,57). Plaque and bleeding were absent in 34,1% of the implants. Bone levels were not statistically different between nanotite and osseotite implants (2,36 vs. 2,50mm). For patients’ opinion see table 1. The mean satisfaction score was 77%. Conclusion: There can be concluded that there is no significant difference in clinical outcome between osseotite and nanotite implants. Implant and prosthetic failure rates are within acceptable limits after a mean functional loading of 3 years certainly given the fact that immediate loading was performed. The majority of patients had no problems with the prosthesis. None of the patients had frequent problems and all the patients would recommend the treatment to another patient.
- Keywords
- immediate loading, Dental implants, bone loss, patient satisfaction
Citation
Please use this url to cite or link to this publication: http://hdl.handle.net/1854/LU-4157334
- MLA
- Martens, Filip, et al. “An Evaluation of Objective and Subjective Parameters Regarding Immediate Loading of 4 Implants in the Premaxilla.” EuroPerio, Abstracts, 2012.
- APA
- Martens, F., Vandeweghe, S., Browaeys, H., & De Bruyn, H. (2012). An evaluation of objective and subjective parameters regarding immediate loading of 4 implants in the premaxilla. EuroPerio, Abstracts. Presented at the EuroPerio 7, Vienna, Austria.
- Chicago author-date
- Martens, Filip, Stefan Vandeweghe, Hilde Browaeys, and Hugo De Bruyn. 2012. “An Evaluation of Objective and Subjective Parameters Regarding Immediate Loading of 4 Implants in the Premaxilla.” In EuroPerio, Abstracts.
- Chicago author-date (all authors)
- Martens, Filip, Stefan Vandeweghe, Hilde Browaeys, and Hugo De Bruyn. 2012. “An Evaluation of Objective and Subjective Parameters Regarding Immediate Loading of 4 Implants in the Premaxilla.” In EuroPerio, Abstracts.
- Vancouver
- 1.Martens F, Vandeweghe S, Browaeys H, De Bruyn H. An evaluation of objective and subjective parameters regarding immediate loading of 4 implants in the premaxilla. In: EuroPerio, Abstracts. 2012.
- IEEE
- [1]F. Martens, S. Vandeweghe, H. Browaeys, and H. De Bruyn, “An evaluation of objective and subjective parameters regarding immediate loading of 4 implants in the premaxilla,” in EuroPerio, Abstracts, Vienna, Austria, 2012.
@inproceedings{4157334, abstract = {{Background: Immediate loading of full-arch restorations is considered highly predictable and successful for the oral rehabilitation of fully edentulous patients. However, information on prosthetic quality and patient’s opinion on treatment outcome is scarce. The aims of this retrospective study were to describe patient-centered outcomes regarding quality and patient’s opinion of full arch bridges placed on Biomet3i dental implants (Palm Beach Gardens, Fl, USA); secondly differences in bone level were measured between nanotite and osseotite implants. Materials and methods: Patients with insufficient bone at the posterior part in the upper jaw were treated with an autogenous iliac crest bone graft to provide sufficient bone for implant placement. 4 implants were placed in the anterior part of the jaw and 2-4 implants were placed in the posterior part of the upper jaw after removal of previously placed micro screws. Osseotite and nanotite implants were used alternated. The four anterior implants were immediately loaded with a screw-retained acrylic provisional bridge while the posterior implants were left submerged during a 3-months healing period. After that, definitive bridgework was placed. Trainees or staff members performed the prosthetic treatment. All patients were treated in the last 4 years en were recalled for an independent quality evaluation and to score patient’s satisfaction. Implant survival, marginal bone level, measured from the abutment-implant interface, quality of implant and prosthetic treatment and patients’ opinion of the 4 anterior implants were assessed by means of validated check-lists and OHIP-14 questionnaire, which focused on satisfaction and well being. Results: 11/12 patients attended the recall examination, hence 44/48 implants were evaluated. No implants were lost during a mean follow-up of 36 months (29-44; SD 4,5). Mean marginal bone level was 2,43 mm (0,73-3,82; SD 0,72); mean probing pocket depth 3,40mm ( 2,0-5,0; SD 0,57). Plaque and bleeding were absent in 34,1% of the implants. Bone levels were not statistically different between nanotite and osseotite implants (2,36 vs. 2,50mm). For patients’ opinion see table 1. The mean satisfaction score was 77%. Conclusion: There can be concluded that there is no significant difference in clinical outcome between osseotite and nanotite implants. Implant and prosthetic failure rates are within acceptable limits after a mean functional loading of 3 years certainly given the fact that immediate loading was performed. The majority of patients had no problems with the prosthesis. None of the patients had frequent problems and all the patients would recommend the treatment to another patient.}}, author = {{Martens, Filip and Vandeweghe, Stefan and Browaeys, Hilde and De Bruyn, Hugo}}, booktitle = {{EuroPerio, Abstracts}}, keywords = {{immediate loading,Dental implants,bone loss,patient satisfaction}}, language = {{eng}}, location = {{Vienna, Austria}}, title = {{An evaluation of objective and subjective parameters regarding immediate loading of 4 implants in the premaxilla}}, year = {{2012}}, }