Cic edizioni internazionali
Oral Implantology

IMPACT OF A RIGID ORAL HYGIENE MAINTENANCE PROGRAM ON PERI-IMPLANT TISSUE HEALTH: RETROSPECTIVE ANALYSIS OF A 3-YEAR CLINICAL AND RADIOLOGICAL FOLLOW-UP OF IMPLANTS SUPPORTING ALL-ON-4 FULL-ARCH RESTORATIONS

Original research, 169 - 176
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Abstract
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Objective. Good peri-implant tissue-health indicates that an implant is well-osseointegrated, the marginal bone levels are being maintained, and it maximizes the esthetic outcome of the restoration. This retrospective study investigated the impact of a rigid hygiene maintenance program and implant design on bone levels and peri-implant mucosa health.
Methods. The study included edentulous patients who received a full-arch implant-supported prosthesis and who reported for the 3-year follow-up. Here reported are clinical and radiological outcomes as well as patient satisfaction.
Results. 112 variable-thread tapered implants were placed in 28 patients according to the All-on-4 treatment concept. At 3 years, all implants were stable and the implant survival rate was 100%. The mean marginal bone level was -0.92±0.79
mm at baseline and -0.94±0.92 mm at the 3-year follow-up. All patients had healthy peri-implant mucosa with no signs of bleeding or visible inflammation. In addition, there were no signs of plaque on any of the prostheses. No adverse events
were reported during the study period.
Conclusion. Three years post-implant placement, there was no marginal bone loss and the soft tissue exhibited excellent health, suggesting that combining good oral hygiene maintenance with an implant geometry designed to positively impact bone response can demonstrate excellent clinical and radiological outcomes.

Vol. XI (No. 4) 2018 October-December

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