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Published on: March 7, 2014
Immediate loading of tooth-implant-supported telescopic mandibular prostheses
George E Romanos1, Stephan May, Dittmar May
1University of Frankfurt, Department of Oral Surgery and Implant Dentistry, Frankfurt, Germany. georgios.romanos@stonybrook.edu
The International Journal of Oral & Maxillofacial Implants
|November 29, 2012
Summary
Dental implants combined with teeth offer stable, removable full-arch prostheses for partially edentulous patients. This immediate loading protocol shows a high success rate and patient satisfaction, providing a predictable long-term solution.
Area of Science:
- Dental Implantology
- Prosthodontics
- Oral Surgery
Background:
- Partially edentulous patients often experience instability with existing partial prostheses.
- Dental implants can serve as supplementary abutments to enhance prosthesis stability and patient comfort.
Purpose of the Study:
- To evaluate the long-term clinical outcomes of implants and natural teeth supporting telescopic abutment-retained removable full-arch prostheses.
- To assess the efficacy of an immediate functional loading protocol for these combined restorations.
Main Methods:
- A retrospective study involving 110 implants placed in 55 patients, immediately loaded with removable prostheses retained by implants and periodontally healthy teeth.
- Clinical and radiographic evaluations were performed after a minimum of 2 years of loading.
Main Results:
- A cumulative survival rate of 97.27% was observed over a mean follow-up of 61.58 months.
- Only three implant failures (2.73%) occurred, with a total failure rate of 8.18% over 5.13 years.
- All patients reported satisfaction with prosthesis stability, with no prosthetic or peri-implant issues.
Conclusions:
- Telescopic tooth-implant-supported mandibular restorations with immediate loading are a viable prosthetic solution.
- This approach offers a predictable long-term clinical outcome for partially edentulous patients.
