Implant‐Supporting Telescopic Maxillary Prostheses and Immediate Loading
Bibliographic record
Abstract
UNLABELLED: Immediate loading (IL) in the maxilla is a successful concept when implants are splinted together using a fixed restoration. This concept is associated with high number of implants or difficulties in the plaque control underneath the restoration, which may reduce the patient comfort and satisfaction and compromise the implant prognosis. OBJECTIVE: The aim of this study was to evaluate the long-term clinical outcome of implants placed in the maxilla using telescopic-retained removable prostheses under immediate functional loading protocol. MATERIAL AND METHODS: The present retrospective study included 117 implants with a progressive thread design placed in 26 patients (age 57.04 ± 8.87 years old) with clinical and radiographic evaluation for a period of at least 2 years. A total of 29 implants (24.79%) were placed in fresh extraction sockets. All implants were placed 1-3 mm subcrestally from the mid-facial crest of bone level. The implants were connected immediately after placement with conical prefabricated abutments (4- to 6-degree angle) using a final torque of 15 Ncm immediately after surgery. Secondary prefabricated copings with precise fit for the abutments were placed and the partial dentures were relined chair-side. The restorations were palate-free and were to remain in place without removal for 10 days to splint the implants together. RESULTS: After a loading period of 54.42 ± 15.68 months (min. 26 months/max. 87 months), the study showed 7 failures (5.98% failure rate), and 10 implants presented a crestal bone loss of more than 2 mm (8.55%). This represented a cumulative survival rate of 94.02% and a success rate for the evaluated implants of 85.47%. All patients were satisfied with the stability of their prostheses and no complications were reported. CONCLUSIONS: Telescopic implant-supported maxillary prostheses in conjunction with IL present an alternative prosthetic solution for the edentulous maxilla, providing long-term predictability and improving the patient comfort and clinical outcome.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.001 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.002 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".