Inchingolo F, Ballini A, Cagiano R, Inchingolo A D, Serafini M, De Benedittis M, Cortelazzi R, Tatullo M, Marrelli M, Inchingolo A M, Vermesan D, Del Corso M, Malcangi G, Diteodoro S, Mura S A, Cantore S, Cortelazzi A, Paduanelli G, Resta G, Muollo F, Cirulli N, Pettini F, Farronato D, De Vito D, Caprio M, Haragus H, Dipalma G
Departments of Interdisciplinary Medicine, University "Aldo Moro", Bari, Italy.
Departments of Basic Medical Sciences, Neurosciences and Sense organs, University "Aldo Moro", Bari, Italy.
Clin Ter. 2015;166(3):e146-52. doi: 10.7417/CT.2015.1845.
Dental implants have today deeply changed the dental field. In fact, after almost 50 years, the permanent placement of a titanium screw with an attached tooth have, step by step, changed the society's standard toward a permanently replacement of missed or severely damaged teeth. In fact, the host of benefits born from dental implants have affected both patients and dental professionals. The aim of the present study is to report the outcomes of an implant therapy protocol supporting fixed prostheses implanted soon after extractions and loaded with flapless guided surgery by a 3D software planning.
37 patients, requiring rehabilitation of booth dental arches with a one-to-one technique, were enrolled in a follow-up study plan which established clinical and radiological examinations on the day after surgery, seven months and one year later. Platelet Rich Plasma (PRP), in combination with autogenous bone, organic bone material and organic bone substitutes, was used before implant-prosthetic rehabilitation with an its prompt loading just before the implant insertion phase.
Definitive restorations were delivered at 6-12 months after surgical procedure. One year after loading there were no dropouts and no failure of the definitive prosthesis. Furthermore, the feedback from patients resulted positive.
Patients resulted satisfied both aesthetically and functionally regarding these types of prosthetic reconstructions made at the time.
如今,牙种植体已深刻改变了牙科领域。事实上,经过近50年的发展,带有附着牙的钛螺钉的永久植入已逐步改变了社会对于永久替代缺失或严重受损牙齿的标准。实际上,牙种植体带来的诸多益处已影响到患者和牙科专业人员。本研究的目的是报告一种种植治疗方案的结果,该方案支持在拔牙后不久植入的固定修复体,并通过三维软件规划进行无瓣引导手术加载。
37例需要采用一对一技术修复双侧牙弓的患者纳入一项随访研究计划,该计划规定在术后第1天、7个月和1年后进行临床和影像学检查。在种植修复前,将富血小板血浆(PRP)与自体骨、有机骨材料和有机骨替代物联合使用,并在种植体植入阶段前立即进行即刻加载。
在手术6 - 12个月后进行最终修复。加载1年后,无患者退出,最终修复体无失败情况。此外,患者反馈良好。
患者对当时进行的这类修复重建在美学和功能方面均感到满意。