Anuradha M, Babaji Harsha V, Hiremath Neel V, Usha V A, Kumar Arunoday, Nandkeoliar Tanya, Verma Sankalp
Department of Oral and Maxillofacial Surgery, College of Dental Sciences, Davangere, Karnataka, India.
Department of Conservative Dentistry, Endodontics, College of Dental Sciences, Davangere, Karnataka, India.
J Family Med Prim Care. 2020 Apr 30;9(4):2067-2070. doi: 10.4103/jfmpc.jfmpc_1149_19. eCollection 2020 Apr.
The aim of the present study was to evaluate clinically, radiographically, and functionally the outcomes of immediately loaded basal implants when placed in patients with compromised bone/alveolar ridges.
A total of 18 systemically healthy (9 male and 9 female) subjects with compromised bone with poor quantity or quality were included in the study. A total number of 57 implants was placed, out of which 26 implants were placed in maxilla and 31 implants in mandible. There were 6 patients in which single implants were placed and in rest of the 12 patients, multiple implants were placed, out of which full mouth rehabilitation was done in one patient. In 10 patients, implants were placed immediately in fresh extraction socket and in 7 patients, implants were placed in healed edentulous site. In all the patients, loading was done immediately within 72 h of implant placement. All patients were evaluated for primary and secondary stability, pain, periimplant bone levels using IOPA with grid and CBCT, bleeding, suppuration, sulcular bleeding index, prosthetic complications, and patient satisfaction at specified time intervals.
All the values obtained during the study were expressed in the form of mean, standard deviation, and standard error of the mean. The parameters were compared between groups using Paired -test for intragroup comparison at a similar time, i.e., baseline, 1 month, and 3 months. The data collected was comprehensively analyzed using SPSS software. All implants were successful, with no incidence of infection, nil mobility at the end of the study period of 6 months.
Thus, it can be concluded from the present study, that Basal implants can play a vital role in the rehabilitation of patients, where compromised quality and/or quantity of bone is present and additional augmentation procedures would be required for the placement of conventional root form implants.
本研究旨在从临床、影像学和功能方面评估即刻负载的基台种植体植入骨/牙槽嵴条件不佳患者后的效果。
本研究纳入了18名全身健康(9名男性和9名女性)、骨量或骨质量不佳的受试者。共植入57枚种植体,其中26枚植入上颌,31枚植入下颌。6名患者植入单颗种植体,其余12名患者植入多颗种植体,其中1名患者进行了全口修复。10名患者的种植体即刻植入新鲜拔牙窝,7名患者的种植体植入已愈合的无牙区。所有患者在种植体植入后72小时内即刻进行负载。在特定时间间隔对所有患者评估种植体的初期和二期稳定性、疼痛、使用带网格的牙片和锥形束CT(CBCT)评估种植体周围骨水平、出血、化脓、龈沟出血指数、修复并发症以及患者满意度。
研究期间获得的所有数值均以均值、标准差和均值标准误的形式表示。使用配对t检验在相似时间(即基线、1个月和3个月)对组内参数进行比较。使用SPSS软件对收集的数据进行综合分析。所有种植体均成功,在6个月的研究期结束时无感染发生,种植体无松动。
因此,从本研究可以得出结论,对于骨质量和/或骨量不佳、植入传统根形种植体需要额外骨增量手术的患者,基台种植体在其修复中可发挥重要作用。