Immediately loaded full-arch provisional implant restorations using CAD/CAM and guided placement: maxillary and mandibular case reports

Allum, Simon

doi:10.1038/sj.bdj.2008.252

Cited by 16 publications

(15 citation statements)

References 9 publications

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Section: Final Restorations Inserted Immediately In Placementioning

confidence: 99%

“…In the majority of studies, the usual recommendation is the fabrication of an interim prosthesis until its replacement by the definitive restoration once the osseointegration process is complete. 19,32,33,58,73,83,91,96,100,[102][103][104][105][106] There are two primary systems for providing a definitive restoration at the immediate placement stage. The Branemark Novum (Nobel Biocare, Zurich, Switzerland) introduced in 1999 provided an edentulous patient with a full fixed implant-supported mandibular prosthesis on the same day.…”

Section: Final Restorations Inserted Immediately In Placementioning

confidence: 99%

“…There is a growing interest in minimally invasive implant therapy restored with a definitive fixed restoration directly. The CAD/CAM system "teeth in an hour" 36,57,[102][103][104][112][113][114] was introduced to fabricate the surgical guide and prosthesis prior to the surgical procedure.…”

Section: Final Restorations Inserted Immediately In Placementioning

confidence: 99%

“…The Nobel Biocare-Procera protocol 36,57,[102][103][104][112][113][114] was designed for immediate loading using a CAD/CAM fixed prosthesis milled from a block of Ti or zirconia. It necessitates a 3D virtual reproduction of the patient's jaws, occlusal bite, and actual dentures, which are reproduced from data entered on a Procera CT scan program.…”

Section: Final Restorations Inserted Immediately In Placementioning

confidence: 99%

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Prosthetic Requirements for Immediate Implant Loading: A Review

Ghoul

Chidiac

2012

Journal of Prosthodontics

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Immediate loading seems to be a relatively safe procedure. From the prosthodontic point of view, there are specific guidelines to follow. They are: implants should be splinted with a metallic bar and acrylic interim prostheses until full osseointegration occurs. To have a successful outcome, screw-retained interim prostheses are recommended. CAD/CAM systems can improve the placement of implants with minimum risk. Regarding occlusion, there is a disagreement on when and how to provide occlusal contacts, but all authors agree on keeping centric contacts only. Finally, concerning the number of implants required for an immediate overdenture, no conclusive evidence could be found.

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Section: Final Restorations Inserted Immediately In Placementioning

confidence: 99%

Section: Final Restorations Inserted Immediately In Placementioning

confidence: 99%

Section: Final Restorations Inserted Immediately In Placementioning

confidence: 99%

Section: Final Restorations Inserted Immediately In Placementioning

confidence: 99%

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Prosthetic Requirements for Immediate Implant Loading: A Review

Ghoul

Chidiac

2012

Journal of Prosthodontics

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“…However, in most clinical studies in the literature, fullarch restorations are represented by Toronto Bridges, also known as "all-on-four" and "all-on-six" dentures, i.e., hybrid fixed prostheses characterized by the presence of a bar connecting the implants and, more importantly, artificial gum (either in porcelain or in resin, depending by the restorative treatment chosen) [22][23][24][25]. There is no doubt that even in this context, guided implant surgery offers advantages, such as more precise implant placement, especially with respect to the screw holes, and the availability to pre-fabricate a milled provisional for same-(or next-) day delivery [14-16, 20, 22-25].…”

Section: Introductionmentioning

confidence: 99%

Complete-arch fixed reconstruction by means of guided surgery and immediate loading: a retrospective clinical study on 12 patients with 1 year of follow-up

et al. 2020

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Background: Guided implant surgery is considered as a safe and minimally invasive flapless procedure. However, flapless guided surgery, implant placement in post-extraction sockets and immediate loading of complete-arch fixed reconstructions without artificial gum are still not throughly evaluated. The aim of the present retrospective clinical study was to document the survival and success of complete-arch fixed reconstructions without artificial gum, obtained by means of guided surgery and immediate loading of implants placed also in fresh extraction sockets. Methods: A total of 12 patients (5 males and 7 females, with a mean age of 50.0 ± 13.8) were enrolled in this study. Implant planning was performed with a guided surgery system (RealGuide®, 3Diemme, Como, Italy), from which 3D-printed surgical templates were fabricated. All implants (Esthetic Line-EL®, C-Tech, Bologna, Italy) were placed through the guides and immediately loaded by means of a temporary fixed full-arch restoration without any artificial gum; the outcome measures were implant stability at placement, implant survival, complications, prosthetic success, soft-tissue stability, and patient satisfaction. Results: One hundred ten implants (65 of them post-extractive) were placed flapless through a guided surgery procedure and then immediately loaded by means of provisional fixed full arches. Successful implant stability at placement was achieved in all cases. After a provisionalization period of 6 months, 72 fixed prosthetic restorations were delivered. Only 2 implants failed to osseointegrate and had to be removed, in one patient, giving a 1-year implant survival rate of 98.2% (108/110 surviving implants); 8/12 prostheses did not undergo any failure or complication during the entire follow-up period. At the 1-year follow-up control, soft-tissue was stable in all patients and showed satesfactory aesthetic results. Conclusions: Within the limits of this study, complete-arch fixed reconstruction by means of guided surgery and immediate loading of implants placed in fresh extraction sockets appears to be a reliable and successful procedure. Further long-term prospective studies on a larger sample of patients are needed to confirm these positive outcomes.

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Surgery of the Edentulous and Partially Edentulous Maxilla

Block¹

2011

Color Atlas of Dental Implant Surgery

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Immediately loaded full-arch provisional implant restorations using CAD/CAM and guided placement: maxillary and mandibular case reports

Cited by 16 publications

References 9 publications

Prosthetic Requirements for Immediate Implant Loading: A Review

Prosthetic Requirements for Immediate Implant Loading: A Review

Complete-arch fixed reconstruction by means of guided surgery and immediate loading: a retrospective clinical study on 12 patients with 1 year of follow-up

Surgery of the Edentulous and Partially Edentulous Maxilla

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