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Implant-supporting telescopic maxillary prostheses and immediate loading.

Georgios E Romanos¹, Stephan May, Dittmar May

¹Department of Oral Surgery and Implant Dentistry, University of Frankfurt, Frankfurt, Germany; School of Dental Medicine, Stony Brook University, Stony Brook, NY, USA.

Clinical Implant Dentistry and Related Research

|September 25, 2012

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Immediate loading (IL) with telescopic prostheses in the maxilla offers a predictable solution for edentulous patients. This approach improves patient comfort and clinical outcomes, demonstrating high implant survival rates over the long term.

Area of Science:

Dental Implantology
Prosthodontics
Oral Surgery

Background:

Immediate loading (IL) in the maxilla is successful with fixed restorations but can present challenges with high implant numbers and plaque control.
These challenges may compromise patient comfort, satisfaction, and implant prognosis.

Purpose of the Study:

To evaluate the long-term clinical outcomes of maxillary implants placed using telescopic-retained removable prostheses under an immediate functional loading protocol.

Main Methods:

A retrospective study of 117 implants in 26 patients (mean age 57.04 years) with progressive thread design, evaluated clinically and radiographically for at least 2 years.
Implants were placed 1-3 mm subcrestally, connected with prefabricated abutments (15 Ncm torque), and splinted with palate-free removable prostheses for 10 days.

Keywords:

edentulous implant prosthesis telescopic

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Main Results:

After a mean loading period of 54.42 months, 7 failures (5.98%) and 10 cases of crestal bone loss >2 mm (8.55%) were observed.
The cumulative survival rate was 94.02%, and the success rate was 85.47%.
All patients reported satisfaction with prosthesis stability, and no complications were noted.

Conclusions:

Telescopic implant-supported maxillary prostheses combined with immediate loading provide a predictable long-term prosthetic solution for the edentulous maxilla.
This treatment modality enhances patient comfort and improves overall clinical outcomes.