Rehab Centers: All-on-Three Delayed Implant Loading Concept for the Completely Edentulous Maxilla and Mandible: A Retrospective 5-Year Follow-Up Study.

All-on-Three Delayed Implant Loading Concept for the Completely Edentulous Maxilla and Mandible: A Retrospective 5-Year Follow-up Study.

Filed under: Rehab Centers

Int J Oral Maxillofac Implants. 2012 Nov; 27(6): 1584-92
Oliva J, Oliva X, Oliva JD

Purpose: Full-arch implant rehabilitation with four implants has become an accepted modality of treatment for fixed restorations in totally edentulous mandibles or maxillas; however, there is little scientific evidence on the outcome for the same treatment with three implants. The purpose of this study was to evaluate a protocol for three implants (all-on-three) supporting a delayed loaded fixed prosthesis in the completely edentulous maxilla, mandible, or both. Materials and Methods: This retrospective clinical study included 17 patients with 72 implants to restore 24 fully edentulous arches. The implants were loaded 4 months after surgery with fixed zirconia prostheses. A 5-year follow-up was performed. Results: No implants were lost, giving a 100% success rate. The marginal bone loss was, on average, 0.53 mm (SD, 0.32 mm) for the internal connection implants and 0.84 mm (SD, 0.62 mm) for the external connection implants. Conclusions: Within the limits of this small group clinical study, the high survival rate of the all-on-three protocol with delayed loading may be a viable concept.
HubMed – rehab


Restoration of immediately loaded implants in a minimal number of appointments: a retrospective study of clinical effectiveness.

Filed under: Rehab Centers

Int J Oral Maxillofac Implants. 2012 Nov; 27(6): 1527-33
Ercoli C, Geminiani A, Lee H, Feng C, Poggio CE

Purpose: The purpose of this study was to assess the clinical effectiveness of an experimental technique versus the conventional method for the fabrication of implant-supported fixed complete dentures. Materials and Methods: Between January 2005 and June 2010, edentulous patients who had received rehabilitation by means of nonsegmented fixed implant-supported complete dentures were identified from the pool of individuals treated at Eastman Institute for Oral Health, University of Rochester. Data collection consisted of a chart review and recording of treatment variables in a customized database. Variables of interest included number of implants per patient, time of implant placement, number of appointments required to complete prosthesis fabrication, type of appointments, manufacturing process used for creation of the framework, and fit of the framework. The number of appointments for conventional and experimental protocols was evaluated for statistical significance using two-way analysis of variance. Presence or absence of clinically acceptable prosthesis fit with the two techniques was evaluated using the Fisher exact test and exact logistic regression analysis. Results: Forty-two patients (48 arches) were included. When the experimental technique was used, prosthesis fabrication and delivery required an average of 4 appointments, whereas the conventional technique required an average of 7.8 appointments to deliver the definitive prosthesis. The prostheses fabricated with the experimental technique showed clinically passive fit on the implants in 17 of 18 arches. The frameworks fabricated with the conventional technique achieved clinically passive fit in 18 of 30 arches. Conclusions: The experimental technique significantly reduced the number of appointments required to fabricate a nonsegmented fixed implant-supported prosthesis. Moreover, this experimental technique provided clinically acceptable fit of the prosthesis in a significantly greater number of cases compared to a conventional implant elastomeric impression technique.
HubMed – rehab


Smoking Prevention in School Students: Positive effects of a hospital-based intervention.

Filed under: Rehab Centers

Dtsch Arztebl Int. 2012 Nov; 109(44): 746-52
Stamm-Balderjahn S, Groneberg DA, Kusma B, Jagota A, Schönfeld N

Adolescents have smoked less in recent years, but 11.7% of 12-to-17-year-olds were still smokers in 2011. The prevalence of smoking has also remained high among 18-to-25-year-olds (36.8%). An intervention program called “Students in the Hospital” was developed in which the health aspects of smoking and its individual and societal consequences were presented in an interactive informational event. In this study, we determine the efficacy of the program.From September 2007 to July 2008, we performed an anonymous survey by questionnaire, with a quasi-experimental control-group design, two weeks before (t(1)) and six months after (t(2)) the intervention in a group of 760 participating school students in Berlin.40.8% of the participants were smokers, among whom 79% stated that they smoked water pipe. Significantly fewer students in the intervention group than in the control group began smoking in the six months after the intervention (p<0.001). The chance of remaining a non-smoker was four times as high in the intervention group (OR, 4.14; CI, 1.66-10.36). Girls benefited from the intervention more than boys (OR 2.56, CI 1.06-6.19). 16.1% of smokers in the intervention group and 17.6% in the control group gave up smoking (p>0.05).A clear primary preventive effect of the program was demonstrated, although it apparently did not induce persons who were already smokers to quit.
HubMed – rehab



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