Lai Hong-Chang, Zhang Zhi-Yong, Zhuang Long-Fei, Wang Feng, Liu Xin, Pu Yi-Ping
Department of Oral and Maxillofacial Implantology, Shanghai Ninth People's Hospital, Shanghai Jiaotong University, Shanghai, China.
Clin Oral Implants Res. 2008 Nov;19(11):1129-34. doi: 10.1111/j.1600-0501.2008.01563.x.
To evaluate the predictability of the early-loaded sand-blasted, large-grit and acid-etched (SLA) implants supporting maxillary-fixed full-arch prostheses.
Ninety-one ITI SLA implants were placed in 12 edentulous maxillae. The impressions were taken at 4 weeks post-surgery. The abutments were tightened and the final fixed prostheses were cemented at 6 weeks after implant placement. Resonance frequency analysis (RFA) was conducted on the day of the surgery, at 4 and 6 weeks post-surgery. Panoramic radiographs were taken immediately after surgery, at 4 weeks post-surgery, immediately after prostheses attachment (baseline) and at the yearly follow-ups.
The survival rate of implants was 98.90%. The success rate of prostheses was 100% during the follow-ups. The radiographic result showed no radiolucency around the implants and the marginal bone level revealed no significant resorption compared with the baseline. The marginal bone level remained coronally beyond the first thread. The RFA results revealed Implant Stability Quotient (ISQ) values of 63.44+/-4.32, 57.14+/-4.25 and 66.43+/-3.78 for the three time points.
The findings of this study indicated that early loading of ITI implants supporting maxillary fixed full-arch prostheses should be predictable.
评估早期负载的喷砂、大颗粒酸蚀(SLA)种植体支持上颌固定全牙弓修复体的可预测性。
将91颗ITI SLA种植体植入12例无牙上颌。术后4周取印模。在种植体植入后6周拧紧基台并粘结最终的固定修复体。在手术当天、术后4周和6周进行共振频率分析(RFA)。术后立即、术后4周、修复体粘结后即刻(基线)以及每年随访时拍摄全景X线片。
种植体的存活率为98.90%。随访期间修复体的成功率为100%。影像学结果显示种植体周围无透射区,与基线相比,边缘骨水平无明显吸收。边缘骨水平仍位于第一螺纹冠方。三个时间点的RFA结果显示种植体稳定性商数(ISQ)值分别为63.44±4.32、57.14±4.25和66.43±3.78。
本研究结果表明,早期负载ITI种植体支持上颌固定全牙弓修复体应具有可预测性。