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Current Issue - Volume 38, Issue 5, 2018

Journal Impact Factor: 1.249




Featured Article

Immediate Postextraction Screw-Retained Partial and Full-Arch Rehabilitation: A 3-Year Follow-up Retrospective Clinical Study
Roberto Villa, MD, DDS/Gabriele Villa, DDS/Massimo Del Fabbro, MSc, PhD

This issue’s featured article is “Immediate Postextraction Screw-Retained Partial and Full-Arch Rehabilitation: A 3-Year Follow-up Retrospective Clinical Study” presented by R. Villa, G. Villa, and M. Del Fabbro. The aim of this study was to document the performance of immediate restorations of postextraction implants supporting a partial or full-arch restoration. Prosthetically guided definitive abutments were connected at surgery and never disconnected. Anorganic bovine bone grafting was done to preserve the buccal bone and the ridge contour.

This manuscript presents a timely topic addressing immediate loading, the use of a single definitive abutment, and the maintenance of ridge contour as opposed to ridge reduction to facilitate a larger prosthesis.

Patients received a screw-retained provisional prosthesis within 24 hours of surgery and a final screw-retained prosthesis within 1 year. A total of 70 patients received 153 implants in fresh extraction sockets. The mean follow-up was 38.0 ± 3.0 months (range 36 to 51 months). One implant failed at the 3-year follow-up. Implant survival was 99.3%. Marginal bone level change averaged –0.68 ± 1.2 mm at the last radiographic control. Immediate placement and restoration of implants designed for high primary stability with a definitive abutment placed at surgery and final screw-retained prosthesis with no artificial gingiva is a viable procedure with excellent medium-term outcomes.

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