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[Late results of immediately loaded interforaminal implants]
Yvonne Hodel1, Thomas Lambrecht
1Klinik für zahnärtliche Chirurgie, -Radiologie, Mund- und Kieferheilkunde, Zentrum für Zahnmedizin der Universität Basel.
Summary
Immediately loaded implants in the mandible's interforaminal region show success rates comparable to delayed loading. This suggests the typical four-month healing period may not be necessary for dental implants.
Area of Science:
- Dentistry
- Oral Implantology
- Prosthodontics
Background:
- Edentulous mandibles often require dental implants for prosthetic rehabilitation.
- Immediate loading of dental implants is a technique aiming to reduce treatment time.
- The interforaminal region is a common site for implant placement in the mandible.
Purpose of the Study:
- To evaluate the long-term outcomes of immediately loaded implants in the interforaminal area of edentulous mandibles.
- To compare the success rate of immediate loading versus secondary loading in this specific patient group.
Main Methods:
- Retrospective study of patients receiving implant-supported overdentures.
- Inclusion of 44 patients with 176 ITI implants (4 per patient) in the interforaminal region.
- Immediate loading with a bar-retained overdenture, followed by 8-18 years of observation.
Main Results:
- A total of 23 patients with 89 implants were followed up.
- Three implants were lost, and five failed to meet success criteria.
- The success rate of immediately loaded implants was similar to that of secondarily loaded implants.
Conclusions:
- Immediate loading of implants in the interforaminal mandibular region yields success rates comparable to conventional secondary loading.
- The conventional four-month healing period may not be a prerequisite for successful osseointegration and function.