Jaw Reconstruction With Grafted Autologous Bone: Early Insertion of Osseointegrated Implants and Early Prosthetic Loading
Purpose
The aim of the present pilot study was to evaluate the behavior of grafted iliac bone placed in atrophic alveolar ridges, when osseointegrated implants were inserted early (2 months after grafting) and when prosthetic loading was anticipated (2 months after fixture insertion).
Patients and Methods
Dental panoramic x-rays and computed tomography (CT) scans were carried out before the grafting procedure, after implant placement, and after prosthetic loading (after 30 months).
Results
Grafted bone tissue showed a resorption of about 21.8%. Clinical evaluation of implant therapy following Melloning and Triplett criteria showed 91% success considering the total number of implants inserted.
Conclusion
The follow-up at 6, 12, and 30 months after fixed prostheses placement showed that early implant insertion and early prosthetic loading can lead to better results than those obtained from standard protocols.
⁎Professor, Department of Oral Surgery, University of Verona, Verona, Italy.
†Doctor, Department of Prosthetic Dentistry, University of La Sapienza, Rome, Italy.
‡Professor, Department of Periodontology, University La Bicocca, Milan, Italy.
§Professor, Department of Oral Surgery, University of Chieti-Pescara, Chieti, Italy.
‖Professor, Department of Prosthetic Dentistry, University of La Sapienza, Rome, Italy.
Address correspondence and reprint requests to Dr Scarano: Via dei Frentani, 98/B, 66100 Chieti, Italy
ABSTRACT