Immediate Small-Diameter Implants as Abutments for an Overdenture in the Edentulous Atrophic Mandible: Report of Immersion Endoscopic Bone in vivo , and Histologic Bone-Implant Evaluation After 6 Months of Function
SUMMARY: The aim of this report was to endoscopically evaluate bone quality in vivo in the immediate installation of temporary small-diameter implants, and again after 6 months of function, through an attachments system for overdenture, in the atrophic mandible of a patient. We also histologically e...
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| Lenguaje: | English |
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Sociedad Chilena de Anatomía
2019
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oai:scielo:S0717-950220190002004522019-09-11Immediate Small-Diameter Implants as Abutments for an Overdenture in the Edentulous Atrophic Mandible: Report of Immersion Endoscopic Bone in vivo , and Histologic Bone-Implant Evaluation After 6 Months of FunctionBeltrán,VíctorLillo,RicardoWeber,BenjamínValdivia-Gandur,IvánManzanares-Céspedes,María CristinaEngelke,Wilfried Overdentures Osseointegration Small-diameter implants Edentulous Endoscopy SUMMARY: The aim of this report was to endoscopically evaluate bone quality in vivo in the immediate installation of temporary small-diameter implants, and again after 6 months of function, through an attachments system for overdenture, in the atrophic mandible of a patient. We also histologically evaluated bone-implant interaction in these temporary small-diameter implants, once the success of the osseointegration of the submerged implants was guaranteed. A patient received a total of 6 implants in the atrophic mandible, two of which were immediately loaded with a provisional prosthesis, and four were left to heal in a submerged way. Further, an immersion endoscopic evaluation was performed during bone drilling, and this showed a compact bone structure with limited vascularization and predominantly cortical structure.This immediate loading protocol involving an overdenture retained by two small-diameter implants of 2.9 mm in the atrophic mandible proved to be successful after 6 months of loading. Clinical and histologic osseointegration was consistently achieved for both of the retrieved immediately loaded implants. This modality allows the patient to be restored with a stable, functional, and aesthetic prosthesis during the osseointegration period of submerged implants and soft-tissue healing, before the removal of the provisional implants. The histological evaluation of bone-implant contact found that the space between the implant threads closer to the surface was filled with woven bone and lamellar bone, but the tissue in contact with the cervical portion of the implants was compatible with cortical bone organization. Also, the newly formed bone has a regular cell distribution and characteristics of advanced maturation after 6 months of function in the atrophic mandible. Anchored overdentures in 2 to 4 small-diameter implants (2.9 mm) for edentulous patients with severe atrophy of the mandible with cortical bone would be a minimally invasive alternative.info:eu-repo/semantics/openAccessSociedad Chilena de AnatomíaInternational Journal of Morphology v.37 n.2 20192019-06-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0717-95022019000200452en10.4067/S0717-95022019000200452 |
| institution |
Scielo Chile |
| collection |
Scielo Chile |
| language |
English |
| topic |
Overdentures Osseointegration Small-diameter implants Edentulous Endoscopy |
| spellingShingle |
Overdentures Osseointegration Small-diameter implants Edentulous Endoscopy Beltrán,Víctor Lillo,Ricardo Weber,Benjamín Valdivia-Gandur,Iván Manzanares-Céspedes,María Cristina Engelke,Wilfried Immediate Small-Diameter Implants as Abutments for an Overdenture in the Edentulous Atrophic Mandible: Report of Immersion Endoscopic Bone in vivo , and Histologic Bone-Implant Evaluation After 6 Months of Function |
| description |
SUMMARY: The aim of this report was to endoscopically evaluate bone quality in vivo in the immediate installation of temporary small-diameter implants, and again after 6 months of function, through an attachments system for overdenture, in the atrophic mandible of a patient. We also histologically evaluated bone-implant interaction in these temporary small-diameter implants, once the success of the osseointegration of the submerged implants was guaranteed. A patient received a total of 6 implants in the atrophic mandible, two of which were immediately loaded with a provisional prosthesis, and four were left to heal in a submerged way. Further, an immersion endoscopic evaluation was performed during bone drilling, and this showed a compact bone structure with limited vascularization and predominantly cortical structure.This immediate loading protocol involving an overdenture retained by two small-diameter implants of 2.9 mm in the atrophic mandible proved to be successful after 6 months of loading. Clinical and histologic osseointegration was consistently achieved for both of the retrieved immediately loaded implants. This modality allows the patient to be restored with a stable, functional, and aesthetic prosthesis during the osseointegration period of submerged implants and soft-tissue healing, before the removal of the provisional implants. The histological evaluation of bone-implant contact found that the space between the implant threads closer to the surface was filled with woven bone and lamellar bone, but the tissue in contact with the cervical portion of the implants was compatible with cortical bone organization. Also, the newly formed bone has a regular cell distribution and characteristics of advanced maturation after 6 months of function in the atrophic mandible. Anchored overdentures in 2 to 4 small-diameter implants (2.9 mm) for edentulous patients with severe atrophy of the mandible with cortical bone would be a minimally invasive alternative. |
| author |
Beltrán,Víctor Lillo,Ricardo Weber,Benjamín Valdivia-Gandur,Iván Manzanares-Céspedes,María Cristina Engelke,Wilfried |
| author_facet |
Beltrán,Víctor Lillo,Ricardo Weber,Benjamín Valdivia-Gandur,Iván Manzanares-Céspedes,María Cristina Engelke,Wilfried |
| author_sort |
Beltrán,Víctor |
| title |
Immediate Small-Diameter Implants as Abutments for an Overdenture in the Edentulous Atrophic Mandible: Report of Immersion Endoscopic Bone in vivo , and Histologic Bone-Implant Evaluation After 6 Months of Function |
| title_short |
Immediate Small-Diameter Implants as Abutments for an Overdenture in the Edentulous Atrophic Mandible: Report of Immersion Endoscopic Bone in vivo , and Histologic Bone-Implant Evaluation After 6 Months of Function |
| title_full |
Immediate Small-Diameter Implants as Abutments for an Overdenture in the Edentulous Atrophic Mandible: Report of Immersion Endoscopic Bone in vivo , and Histologic Bone-Implant Evaluation After 6 Months of Function |
| title_fullStr |
Immediate Small-Diameter Implants as Abutments for an Overdenture in the Edentulous Atrophic Mandible: Report of Immersion Endoscopic Bone in vivo , and Histologic Bone-Implant Evaluation After 6 Months of Function |
| title_full_unstemmed |
Immediate Small-Diameter Implants as Abutments for an Overdenture in the Edentulous Atrophic Mandible: Report of Immersion Endoscopic Bone in vivo , and Histologic Bone-Implant Evaluation After 6 Months of Function |
| title_sort |
immediate small-diameter implants as abutments for an overdenture in the edentulous atrophic mandible: report of immersion endoscopic bone in vivo , and histologic bone-implant evaluation after 6 months of function |
| publisher |
Sociedad Chilena de Anatomía |
| publishDate |
2019 |
| url |
http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0717-95022019000200452 |
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