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A Retrospective Analysis on Marginal Bone Loss around Tilted and Axial Implants in Immediate-Loaded All-On-4 with a Long-Term Follow-Up Evaluation
| Content Provider | MDPI |
|---|---|
| Author | Tironi, Francesco Orlando, Francesco Azzola, Francesco Corbella, Stefano Francetti, Luca Angelo |
| Copyright Year | 2022 |
| Description | Objectives: The aim of this retrospective study is to assess whether axial and tilted implants supporting All-on-4 prosthesis show any differences in terms of survival rate, success rate and marginal bone loss (MBL) after a long-term follow-up (mean 9 years). Material and Methods: One hundred and fifty-six implants were included in this study, 78 of which were tilted (Group A) and 78 were axial (Group B). MBL was measured after a mean time of 9 years on periapical radiographs. Success and survival rate were assessed with the Misch criteria. The prevalence of peri-implantitis was calculated. Statistical analysis was conducted to assess comparisons between groups. A Kaplan–Meyer analysis was carried out for the survival rate. Results: A total of 156 implants were analyzed. After a 9-year mean time follow-up, the survival rate was 96.2% in group A and 98.7% in group B; and the success rate was 80.8% in group A and 74.4% in group B. The mean MBL was 1.2 mm (IQR 0.6–1.8) in group A and 1.4 mm (IQR 0.9–2.1) in group B. No statistically significant differences were shown between the two groups (p < 0.05). Peri-implantitis occurred in 15 implants and was equally distributed between the two groups. Conclusions: This study shows that axial and tilted implants have similar success rates, survival rates and MBL values after a long-time follow-up, assessing the biological reliability of the prosthesis they supported. Peri-implantitis occurred equally between the two groups. |
| Ending Page | 23 |
| Page Count | 9 |
| Starting Page | 15 |
| e-ISSN | 26731592 |
| DOI | 10.3390/prosthesis4010002 |
| Journal | Prosthesis |
| Issue Number | 1 |
| Volume Number | 4 |
| Language | English |
| Publisher | MDPI |
| Publisher Date | 2022-01-24 |
| Access Restriction | Open |
| Subject Keyword | Prosthesis Dentistry and Oral Surgery Implant Dentistry Immediate Load All-on-4 |
| Content Type | Text |
| Resource Type | Article |