Jean-Louis Zadikian1, Jelena Stojanovic1, M. Richard Perez1, Léa Zadikian1, Clémence Zadikian1, Richard Trushkowsky2*
1Dental Surgeon and Implantologist, Afopi Campus, France
2Department of Cariology and Comprehensive Care, New York University, College of Dentistry, New York, USA
Purpose: The aim of this retrospective cases series was to present results of post extraction immediate implantation and immediate loading at maxilla, mandible and full-mouth with follow-up from 1 to 8 years and to report on survival rate and prosthetic success of a total of 1042 implants.Material and
Methods: This study included 122 patients requiring full-arch maxilla, mandible or full-mouth prosthetic rehabilitation between June 2006 and September 2012. After the extraction of hopeless teeth, each patient received in one unique surgical session 6 to 10 implants per arch, and immediate provisional screw-retained acrylic resin prosthesis. After 4 months at mandible and 6 months at maxilla (6 months for full-mouth), the provisional screw-retained prosthesis was removed, and all fixtures were checked for stability. Then all patients received their final screwretained or cemented prosthesis (produced using CAD-CAM system) with 12 to 14 teeth (for one arch). There was 28% of screw-retained prosthesis and 72% of cemented prosthesis.Results: The Cumulative Survival Rate (CSR) reached 98% at the maxilla, 100% at the mandible and 98% when the two arches had implants placed and restored in one unique session. Implant in nondistal positions had lower risk of failure than those in distal position (HR=0.35, 95% CI: 0.13-0.90). The rate of prosthetic success remained high during the course of the follow up analysis: 100% at each end-point for the 3 options (maxilla, mandible, and full-mouth) under analysis.Conclusion: Combining immediate placement of dental implants after extractions and immediate loading of complete restorations at the maxilla, the mandible or both is a reliable alternative to more conservative approaches.
Dental implant; Edentulous mandible; Edentulous maxilla; Full arch prosthesis
Zadikian J-L, Stojanovic J, Perez MR, Zadikian L, Zadikian C, Trushkowsky R. Immediate Placement of Dental Implants after Extractions and Immediate Loading of Complete Restorations of the Maxilla, Mandible and Full-Mouth: A Retrospective Consecutive Case Series on 122 Patients and 1042 Implants with up to 8 Year Follow Up Period. Clin Surg. 2017; 2: 1846.