RAK College of Dental Sciences, RAK Medical and Health Sciences University, Ras Al Khaimah, United Arab Emirates; Department of Oral Rehabilitation, Faculty of Dentistry, University of Khartoum, Khartoum, Sudan Phone: +00971508094225, e-mail:
Chair of the Department of Preventive and Restorative Dentistry, University of Sharjah/Faculty of Dental Medicine, Sharjah, United Arab Emirates.
J Contemp Dent Pract. 2022 Oct 1;23(10):971-978. doi: 10.5005/jp-journals-10024-3416.
The aim of this prospective study is to evaluate the treatment outcomes and patient satisfaction following the use of fixed immediately loaded corticobasal implant-supported prostheses.
One hundred and seventy-four corticobasal implants (basal cortical screw, BCS implant design) were inserted in 20 consecutive patients with compromised ridge support. Implant survival and success were assessed using the James-Misch implant health quality scale and the Albrektsson criteria for implant success. The peri-implant health was evaluated at 1 week and 3, 6, 9, 12, and 18 months postoperatively. Moreover, the radiographic and prosthetic parameters and patient satisfaction were assessed.
The implants showed optimum implant health and a 100% survival rate with none (0%) of the implants failing, mobile, lost, or fractured. Using Wilcoxon signed-rank test, significant decreases in both the modified gingival indexes and the probable pocket depth (PPD) and slight significant increases in the plaque index (PI) at 3, 9, 12, and 18 months and a nonsignificant increase at 6-month follow-up were reported with a range of 0-1. The calculus index (CI) was zero at all follow-up visits. Radiographic evaluations revealed increases in the bone-to-implant contact. Evaluation of the prostheses showed some treatable complications, and all the patients were satisfied.
The use of corticobasal implant-supported prosthesis meets the patient's demand for an immediate, fixed treatment modality, with high survival and success rates, optimum peri-implant soft tissue health, and high reported satisfaction.
Corticobasal implants can improve the patient's esthetic, phonetic, mastication, and quality of life with the advantage of eliminating the need of bone grafting procedures.
本前瞻性研究旨在评估使用固定即刻负载皮质基底植入物支持的修复体后的治疗效果和患者满意度。
20 名牙槽嵴骨量不足的患者共植入 174 枚皮质基底植入物（基底皮质螺钉，BCS 植入物设计）。使用 James-Misch 种植体健康质量评分和 Albrektsson 种植体成功标准评估种植体的存活率和成功率。术后 1 周和 3、6、9、12、18 个月评估种植体周围健康情况。此外，评估了影像学和修复体参数以及患者满意度。
植入物表现出最佳的种植体健康状况，存活率为 100%，无（0%）种植体失败、松动、丢失或折断。使用 Wilcoxon 符号秩检验，在 3、9、12 和 18 个月时，改良龈指数和可能的袋深（PPD）显著降低，菌斑指数（PI）略有显著增加，而在 6 个月时无显著增加，范围为 0-1。在所有随访中，牙石指数（CI）均为 0。影像学评估显示骨-种植体接触增加。对修复体的评估显示存在一些可治疗的并发症，但所有患者均满意。
皮质基底植入物支持的修复体满足了患者对即刻、固定治疗方式的需求，具有高存活率和成功率、最佳的种植体周围软组织健康状况和高报告满意度。
皮质基底植入物可以改善患者的美观、语音、咀嚼和生活质量，同时避免了骨移植手术的需要。
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