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Immediate occlusal loading of Osseotite implants in the lower edentulous jaw. A multicenter prospective study

This paper reports the results of a prospective multicenter clinical study on immediately fully occlusally loaded full-arch screw-retained prostheses with distal extensions (hybrid prostheses) supported by Osseotite implants inserted in edentulous lower jaws. Sixty-two patients were enrolled in four...

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Bibliographic Details
Published in:Clinical oral implants research 2004-06, Vol.15 (3), p.278-284
Main Authors: Testori, Tiziano, Meltzer, Alan, Del Fabbro, Massimo, Zuffetti, Francesco, Troiano, Miguel, Francetti, Luca, Weinstein, Roberto Lodovico
Format: Article
Language:English
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Summary:This paper reports the results of a prospective multicenter clinical study on immediately fully occlusally loaded full-arch screw-retained prostheses with distal extensions (hybrid prostheses) supported by Osseotite implants inserted in edentulous lower jaws. Sixty-two patients were enrolled in four clinical centers. Three hundred and twenty-five Osseotite implants were inserted and occlusally loaded according to an immediate loading protocol. The temporary prosthesis was delivered 4 h from surgery. The final prosthesis was delivered after 6 months. Marginal bone loss was monitored from periapical radiographs using a computerized technique. Two implants failed to integrate within 2 months of occlusal loading. A cumulative implant success rate of 99.4% was achieved for a period of 12-60 months postplacement (mean 28.6+/-14.1 (SD) months). Crestal bone loss around the immediately loaded implants was similar to that reported for standard delayed loading protocols. The results of this study suggest that the rehabilitation of the edentulous mandible by an immediate occlusally loaded hybrid prosthesis supported by five to six Osseotite implants represents a viable alternative treatment to classic delayed loading protocols.
ISSN:0905-7161
1600-0501
DOI:10.1111/j.1600-0501.2004.01013.x