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使用All-on-4/All-on-6方案对植入拔牙窝和愈合牙槽嵴的种植体支持的即刻负重固定全牙弓修复体进行的临床和影像学评估:两年随访。

A clinical and radiographic evaluation of immediately loaded fixed full-arch prosthesis supported by implants placed in extraction sockets and healed ridges using All-on-4/All-on-6 protocol: A 2-year follow-up.

作者信息

Sethi Nitin, Agarwal Princy, Gupt Parikshit

机构信息

Department of Prosthodontics, Crown and Bridge and Implantology, Himachal Institute of Dental Sciences, Paonta Sahib, Himachal Pradesh, India.

出版信息

J Indian Prosthodont Soc. 2025 Apr 1;25(2):125-131. doi: 10.4103/jips.jips_238_24. Epub 2025 Apr 11.

Abstract

AIM

The aim of this study was to evaluate immediately loaded implants, both clinically and radiographically, in extraction sites (IPIL) and healed sites (HSIL), rehabilitated using All-on-4/All-on-6 protocol, over a time span of 2 years.

SETTING AND DESIGN

The study proceeded under following phases of patient selection, placement of implants followed by immediate loading and then statistically analyzing the collected data.

MATERIALS AND METHODS

A total of 15 patients were evaluated, in 2 years, for study purpose. Among 87 immediately loaded implants, 44 were IPIL and 43 were HSIL. The bone level was measured using Implant abutment junction as reference point, at 0, 6, 12, 18 and 24 months. Bone loss was calculated as difference of mean.

STATISTICALLY ANALYSIS

The collected data was statistically analyzed using independent t-test (P < 0.05).

RESULTS

The average bone loss for 2 years was 1.39 mm and 1.17 mm, in IPIL and HSIL group respectively with 100% implant survival rate and no statistical difference (P < 0.05).

CONCLUSION

Full arch prostheses can be successfully delivered by immediate loading of implants regardless of placement (healed or extraction sites).

摘要

目的

本研究旨在通过全口4颗/全口6颗种植方案,在2年的时间跨度内,对拔牙位点即刻种植(IPIL)和愈合位点即刻种植(HSIL)的即刻负重种植体进行临床和影像学评估。

设置与设计

本研究按照患者选择、种植体植入、即刻负重以及对收集的数据进行统计分析等阶段进行。

材料与方法

为研究目的,在2年内共评估了15例患者。在87颗即刻负重种植体中,44颗为IPIL,43颗为HSIL。以种植体基台连接处为参考点,在0、6、12、18和24个月时测量骨水平。骨吸收量按平均值之差计算。

统计分析

使用独立样本t检验(P < 0.05)对收集的数据进行统计分析。

结果

IPIL组和HSIL组2年的平均骨吸收量分别为1.39 mm和1.17 mm,种植体存留率均为100%,且无统计学差异(P < 0.05)。

结论

无论种植体植入位点是愈合位点还是拔牙位点,通过即刻负重都能成功完成全牙弓修复。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ae95/12057833/7792573d87a3/JIPS-25-125-g001.jpg

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