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Immediate loading full-arch rehabilitation using transmucosal tissue-level implants with different variables
Francesco Pera1, Paolo Pesce2, Maria Menini2
1C.I.R. Dental School, Department of Surgical Sciences, University of Turin, Turin, Italy.
Minerva Dental and Oral Science
|May 17, 2023
Summary
Transmucosal tissue-level implants show a 100% survival rate in immediate loading full-arch restorations. This study found no significant differences in marginal bone loss (MBL) across various implant factors, suggesting their viability.
Area of Science:
- Dental Implantology
- Prosthodontics
- Oral Surgery
Background:
- Investigating transmucosal tissue-level implants for immediate loading full-arch restorations.
- Assessing the impact of various associated factors on implant outcomes.
Purpose of the Study:
- To evaluate the application and success of transmucosal tissue-level implants in immediate loading full-arch rehabilitation.
- To analyze the correlation between implant characteristics and marginal bone loss (MBL).
Main Methods:
- Recruited patients for full-arch rehabilitation using four transmucosal tissue-level implants.
- Collected data on implant diameters, lengths, jaw distribution, and angulated abutments.
- Evaluated survival rate, MBL, Plaque Index (PI), bleeding on probing (BoP), and probing depth (PD).
Main Results:
- Eighty implants were placed in 20 patients (11 maxilla, 9 mandible) with varying diameters (3.8mm, 4.25mm) and lengths (10-15mm).
- Forty implants used angulated abutments, while 40 were directly connected.
- Achieved a 100% implant survival rate at one year with an overall MBL of 1.19±0.30 mm, showing no statistically significant differences among subgroups.
Conclusions:
- Transmucosal tissue-level implants are a viable option for immediate loading full-arch rehabilitation.
- No significant impact of implant variables on outcomes was observed in this study.
- Further research with longer follow-up periods is recommended to validate these findings.

