Article (Scientific journals)
One tooth-One time (1T1T), immediate loading of posterior single implants with the final crown: Two-year results of a case series.
LAMBERT, France; Eldafrawy, Maher; BEKAERT, Sandrine et al.
2020In International Journal of Oral Implantology: Implantologist, 13 (4), p. 369-383
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Keywords :
Immediate loading; digital workflow; intra-oral scanner (IOS); dental implant; polymer-infiltrated ceramic network (PICN); CAD/CAM
Abstract :
[en] AIMS: The aim of this study was to evaluate the two-year outcomes of the One Tooth-One Time (1T1T) completely digital workflow, allowing the immediate loading of a single implant in the posterior region with a final CAD-CAM crown made of a polymer-infiltrated ceramic network (PICN). MATERIALS AND METHODS: A series of 10 implants were placed, and an intra-oral scan was taken after the surgery. A final screw-retained PICN crown was manufactured chair-side and placed the same day in full occlusion. Marginal peri-implant bone changes and soft-tissue health were evaluated, as well as restoration performance using World Dental Federation criteria and Pink and White Esthetic Scores. Patient-related outcome measures (PROMs) and time consumption data were collected. RESULTS: After two years, the implant survival rate was 100%. The debonding of one crown from its Titanium Base led to a 90% prosthodontic survival rate and the remaining crowns were all considered successful. The mean marginal peri-implant bone changes yielded 0.87 (SD: 0.96) and 0.55 (SD: 0.53) mm after one and two years, respectively. Mild or no inflammation of peri-implant soft tissue was observed in most implants. The overall treatment time reached 175 min and PROMs displayed high patient satisfaction. CONCLUSIONS: This study constitutes the first report considering immediate loading of a single implant in the posterior region with a final crown in occlusion. In this case-series, the two-year outcomes of the 1T1T protocol seem rather promising and fulfil patient expectations. However, those preliminary results need to be confirmed by randomized control trials and patient selection is probably a key factor in this procedure success.
Research center :
d‐BRU - Dental Biomaterials Research Unit - ULiège [BE]
Disciplines :
Dentistry & oral medicine
Author, co-author :
LAMBERT, France ;  Centre Hospitalier Universitaire de Liège - CHU > Département de dentisterie > Service parodontologie, chir. bucco-dentaire et implantaire
Eldafrawy, Maher ;  Université de Liège - ULiège > d-BRU
BEKAERT, Sandrine ;  Centre Hospitalier Universitaire de Liège - CHU > Département de dentisterie > Service prothèse fixée
MAINJOT, Amélie  ;  Centre Hospitalier Universitaire de Liège - CHU > Département de dentisterie > Service prothèse fixée
Language :
English
Title :
One tooth-One time (1T1T), immediate loading of posterior single implants with the final crown: Two-year results of a case series.
Publication date :
2020
Journal title :
International Journal of Oral Implantology: Implantologist
ISSN :
1048-1842
Publisher :
Lippincott Williams & Wilkins, United States
Volume :
13
Issue :
4
Pages :
369-383
Peer reviewed :
Peer Reviewed verified by ORBi
Available on ORBi :
since 04 May 2020

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