Immediate implants are a treatment method with a high percentage of success. Chen and coll. have examined the literature to compare the success percentages and the clinical results associated with immediate, early and deferred implants, finding that these percentages were similar in the analysed groups. Some of the advantages with respect to deferred implants are: the reduction of bone loss, the decrease of the treatment times and the absence of second operations. It was found that few studies evaluate patient satisfaction concerning the rehabilitative treatment of an edentulous arch. Moreover, there is no homogeneity in the method adopted to evaluate patient perception. Using VAS, Van Steenberghe and coll. evaluated patient satisfaction with the aesthetics, functionality, phonation and tactile sensation at a distance of 3 months from immediate loading. There was very high satisfaction as regards aesthetics, functionality and tactile sensation; instead, about half the patients expressed only moderate satisfaction as regards phonation. These authors also recorded the doctor’s opinion regarding aesthetics and functionality, classifying them as excellent, good, acceptable, unacceptable: 18 out of 24 found excellent functionality and 16 excellent aesthetics; only in one case was the prosthesis judged unacceptable from an aesthetic point of view, due to a marked deviation of the median line, and it was repeated.
The aim of this study was to present a case of oral rehabilitation with fixed prosthesis with complete maxillary and mandibular arch on post-extraction implants. Patient satisfaction with the temporary and final prosthesis, success and loss of marginal bone were evaluated 12 months after prosthetic loading.
Patient aged 56 with masticatory problems due to generalised advanced chronic periodontitis
