University of Khartoum

Treatment Outcome and Satisfaction in Patients with Immediate Basal Implants

Treatment Outcome and Satisfaction in Patients with Immediate Basal Implants

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Title: Treatment Outcome and Satisfaction in Patients with Immediate Basal Implants
Author: AwadAlkreem, Fadia Alfateh HamedAlneel
Abstract: Background: Immediately loaded basal implant’s anchor into the basal/cortical bone makes it ideal to be used in cases of severely resorbed residual alveolar ridge (RRR) and maxillofacial defects such as marginal mandibulectomy. Several studies were conducted to evaluate the treatment outcome and patients’ satisfaction with conventional implant prostheses but few studies on basal implant supported prostheses were carried. The aim of the study was to evaluate the treatment outcome and patient’s satisfaction with and without marginal mandibulectomy following immediately loaded basal implants. Methods: This work was composed of 2 studies: study (1) Treatment outcome in patients with marginal mandibulectomy, and study (2); A/Treatment outcome and B/ Patient’s satisfaction in patients treated with immediately loaded basal implants as a regular restorative modality. Study (1): - Ninety-seven BCS® implants (IHDE system) inserted in 15 patients with marginal mandibulectomy. The patients were selected according to the inclusion criteria. Patients were evaluated after one week, 3 months, 6 months, 1 year and 1.5 years’ intervals using clinical, radigraphical parameters and patient’s satisfaction questionnaire. Study (2) A/ Treatment outcome: 174 implants inserted in 20 patients with severe residual alveolar ridge resorption were evaluated clinically and radiographically. B/ Patient’s satisfaction: 60 patients who had received basal implant treatment at the Implant Department at Khartoum Teaching Dental Hospital and had a history of previous prosthesis were interviewed using patient satisfaction’s questionnaire. Results: Result of study (1): The results of 18 months follow up showed 100% implant’s survival rate.XVI The peri-implant soft tissues evaluation revealed a non-significant increase in the plaque index, a significant decrease in the modified gingival index and the probable pocket depth. Calculus index was zero throughout the visits. The radiographic evaluation showed an increase in both bone implant contact and peri-implant bone level. None of the implants were mobile, lost, or fractured. The prostheses evaluation revealed some manageable complications. All patients were highly satisfied and would choose the same treatment modality again. Result of study (2): Part (A) The results showed through 18 months of follow up: 100% implant’s survival rate. The peri-implant soft tissues evaluation showed a significant increase in the plaque index, a significant decrease in both the modified gingival index and the probable pocket depth. Calculus index was zero. -The radiographic evaluation showed an increase bone implant contact and peri-implant bone level. -The prostheses evaluation revealed treatable complications. Part (B) The overall patient’s satisfaction, comfort, mastication, appearance and speech were significantly improved. Male patients showed more satisfaction than females. Patients in the 40-59 years’ age group showed the most satisfaction. Conclusion: After 18 months of follow up, basal dental implant supported prostheses (BCS ® design/ IHDE system) demonstrated a high clinical success rate of 100 % with a positive impact on patient’s comfort, mastication, appearance, speech and satisfaction
URI: http://khartoumspace.uofk.edu/123456789/27036


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