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. 2021 Apr 16;7(1):30.
doi: 10.1186/s40729-021-00312-3.

Clinical performance of narrow-diameter titanium-zirconium implants in immediately loaded fixed full-arch prostheses: a 2-year clinical study

Fatih Mehmet Coskunses  1 , Önjen Tak  2
Affiliations

Clinical performance of narrow-diameter titanium-zirconium implants in immediately loaded fixed full-arch prostheses: a 2-year clinical study

Fatih Mehmet Coskunses et al. Int J Implant Dent. .

Abstract

Objectives: The aim of this study was to evaluate the outcomes of immediate fixed full-arch prostheses supported by axial or tilted narrow-diameter Ti-Zr implants (3.3 mm) (Roxolid®, Institut Straumann® AG, Basel, Switzerland) (NDIs) in combination with standard-diameter implants up to 2 years' follow-up.

Materials and methods: The study was conducted at Kocaeli University Faculty of Dentistry from 2016 to 2018. 37 jaws of 28 patients with an average age of 52 years were rehabilitated with fixed full-arch prostheses supported by 179 implants. Cumulative survival rate (CSR), implant success, marginal bone loss (MBL), and prosthetic survival rate as well as complications were analyzed.

Results: Total CSR of 99.4% and 98.5% for all and narrow implants respectively have been observed at 2 years' follow-up. No prosthesis failures were observed, yielding a cumulative prosthetic survival rate of 100%. The NDIs achieved 0.63 mm MBL at 1 year and 1.02 mm at 2 years. The mean MBL at 1 year was 0.51 mm (mandible 0.63 mm/maxilla 0.41 mm) and 0.73 mm (mandible 0.90 mm/maxilla 0.43 mm) at 2 years. Both implant angulation and loading protocol did not influence the MBL.

Conclusions: The combination of narrow-diameter implants with standard-diameter implants in immediate fixed full-arch rehabilitation has a good prognosis to become a new standard of care for severely atrophic jaws.

Clinical relevance: The use of narrow-diameter implants in fixed full-arch rehabilitations in atrophic ridges would be a successful and predictable treatment approach.

Keywords: Fixed full-arch prostheses; Full edentulism; Immediate loading; Narrow-diameter implants.

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Conflict of interest statement

Dr. Fatih Coskunses and Dr. Onjen Tak declare that they have no competing interests.

Figures

Fig. 1
Fig. 1
Panoramic X-ray evaluation of patient
Fig. 2
Fig. 2
Clinical view of patient 1 in diagnosis and treatment planning stage
Fig 3
Fig 3
Insertion of implants, placement of SRA abutments in surgery
Fig. 4
Fig. 4
Panoramic X-ray after surgery
Fig. 5
Fig. 5
Provisional prosthesis in the same day with surgery
Fig. 6
Fig. 6
Definitive prosthesis of patient
Fig. 7
Fig. 7
Radiological follow-up of patient was performed with paralleling X-ray
See this image and copyright information in PMC

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References

    1. Asawa N, Bulbule N, Kakade D, Shah R. Angulated implants: an alternative to bone augmentation and sinus lift procedure: systematic review. J Clin Diagn Res. 2015;9(3):ZE10–ZE13. - PMC - PubMed
    1. Christopher CK. Implant rehabilitation in the edentulous jaw: the “All-on-4” immediate function concept. Australasian Dent Pract. 2012;2012:138–148.
    1. Agliardi E, Panigatti S, Clerico M, Villa C, Malo P. Immediate rehabilitation of the edentulous jaws with full fixed prostheses supported by four implants: interim results of a single cohort prospective study. Clin Oral Implants Res. 2010;21(5):459–465. doi: 10.1111/j.1600-0501.2009.01852.x. - DOI - PubMed
    1. Del Fabbro M, Bellini CM, Romeo D, Francetti L. Tilted implants for the rehabilitation of edentulous jaws: a systematic review. Clin Implant Dent Relat Res. 2012;14(4):612–621. doi: 10.1111/j.1708-8208.2010.00288.x. - DOI - PubMed
    1. Patzelt SB, Bahat O, Reynolds MA, Strub JR. The all-on-four treatment concept: a systematic review. Clin Implant Dent Relat Res. 2014;16(6):836–855. doi: 10.1111/cid.12068. - DOI - PubMed

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