Immediate loading of post-extraction one-piece implants using atraumatic threaded bone expanders: Retrospective study 2001–2011

Riham Mostafa Eldibany , Joaquín García-Rodriguez
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Abstract

Objective

The aim of this study was to evaluate the predictability of immediate loading in conjunction with one-piece post-extraction implants in the mandible using atraumatic threaded bone expanders.

Material and methods

A total of 56 patients were enrolled in this retrospective study and received 448 implants in the mandible, each patient received 8 implants; 4 in the anterior mandible and 2 in each side in the posterior mandible. Atraumatic threaded bone expanders were used to prepare the osteotomy site before the insertion of one-piece post-extraction implants, followed by immediate loading. The definitive prostheses were delivered to patients after 3–4 months.

Results

A total of 9 implants were lost in 3 patients (2%) during the period of osseointegration indicating a survival and success rate of 98% in a study period of 1–10 years. No other implant failed after that nor have been any complication during the rest of the follow up period.

Conclusions

One-piece implants submitted to this technique have converted to a predictable procedure, it is success in the mandible in this study of 10 years was 98%. However, it is necessary to determine the cases that are indicated for this procedure, as well as the characteristics of the implant, which favour immediate implantation.

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使用无创伤螺纹骨扩张器的拔牙后一体式种植体即刻加载:回顾性研究2001-2011
目的:本研究的目的是评估使用无创伤螺纹骨扩张器在下颌骨即刻加载并结合一体式拔牙后种植体的可预测性。材料与方法本研究共纳入56例患者,在下颌骨植入448个种植体,每位患者植入8个种植体;4个在前下颌骨两侧各2个在后下颌骨。在插入一体式拔牙后种植体之前,使用无创伤螺纹骨扩张器准备截骨部位,然后立即加载。最终假体于3-4个月后交付患者。结果3例患者(2%)在骨整合期间共丢失9个种植体,生存率为98%,研究时间为1-10年。此后没有其他种植体失败,在其余随访期间也没有任何并发症。结论采用该技术的一件式种植体已转化为一种可预测的手术方法,在10年的研究中,下颌骨的成功率为98%。然而,有必要确定适合该手术的病例,以及植入物的特征,这有利于立即植入。
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