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BioMed Research International
Volume 2018, Article ID 7352125, 7 pages
Clinical Study

Prefabricated Bar System for Immediate Loading in Edentulous Patients: A 5-Year Follow-Up Prospective Longitudinal Study

1Department of Dentistry, IRCCS San Raffaele Hospital and Dental School, Vita Salute University, Via Olgettina, No. 48, 20123 Milan, Italy
2San Rocco Clinical Institute, Via dei Sabbioni, No. 24, Ome, 25050 Brescia, Italy

Correspondence should be addressed to Gianpaolo Sannino; moc.liamg@oninnasoloapnaig

Received 27 September 2017; Accepted 31 January 2018; Published 27 February 2018

Academic Editor: Gasparini Giulio

Copyright © 2018 Enrico F. Gherlone et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Objectives. The aim of this clinical study was to evaluate a new type of prefabricated bar system, supported by axial and tilted implants at 5-year follow-up. Materials and Methods. Twenty-nine consecutive participants (19 females, 10 males) (mean age 61.4 years), edentulous in one or both jaws, with severe atrophy of the posterior regions, were treated according to the All-on-four® protocol with immediately loaded axial (64) and tilted (64) implants supporting complete-arch screw-retained prostheses (12 maxillary, 20 mandibular) featuring a prefabricated bar as framework. Follow-up visits were performed at 3, 6, 12, 24, 48, and 60 months after implant insertion. Radiographic assessments were made using panoramic radiographs obtained immediately after surgery and at each follow-up visit. Bone level measurements around the axial and tilted implants were compared by means of the Student’s -test. Results. One axial implant failed in the lower jaw and did not compromise prosthetic function. The 60-month overall implant survival rate was 100% for axially positioned implants and 98.44% for tilted implants. The implant survival rates were 100% in the maxilla and 98.75% in the mandible. None of the 32 fixed prostheses were lost during the observation period, representing a prosthetic survival rate of 100%. No statistically significant differences () in marginal bone loss between tilted and axial implants were detected in either jaw over time. Conclusions. The use of the evaluated prefabricated bar for immediately loaded implants placed according to the All-on-four concept may significantly reduce implant failures; however, more long-term prospective clinical trials are needed to affirm the effectiveness of the surgical-prosthetic protocol.