Clinical Study

Computer-Guided Implant Surgery in Fresh Extraction Sockets and Immediate Loading of a Full Arch Restoration: A 2-Year Follow-Up Study of 14 Consecutively Treated Patients

Table 2

Postsurgical maintenance protocol.

Maintenance protocol

Day of surgery (day 1)Panoramic and periapical radiographs, explanation of maintenance procedures to the patient, application of chlorhexidine gel after surgery, evaluation of occlusion, and instructions to avoid prosthesis overload.

Day 10Application of chlorhexidine gel, control of suppuration by finger pressure, removal of the sutures, evaluation of occlusion, instructions to avoid prosthesis overload, and evaluation for fracture or loosening of prosthetic components.

Month 1Application of chlorhexidine gel, control of suppuration by finger pressure, tightening of the guided abutments at 35 Ncm, evaluation of occlusion, instructions to avoid prosthesis overload, and evaluation for fracture or loosening of prosthetic components.

Month 4Panoramic and periapical radiographs, removal of prosthesis for cleaning and disinfecting, application of chlorhexidine gel, evaluation for inflammation/infection, evaluation of occlusion, instructions to avoid prosthesis overload, and evaluation for fracture or loosening of prosthetic components.

Month 6 or at definitive prosthesis placementPanoramic and periapical radiographs, oral hygiene procedures every 3 months without removal of the prosthesis, evaluation of occlusion, and evaluation for inflammation/infection.

Month 12 and afterPanoramic and periapical radiographs, oral hygiene procedures every 6 months without removal of the prosthesis, and evaluation of occlusion, evaluation for inflammation/infection.

Problem-related visitRemoval of prosthesis for disinfection and cleaning and for testing implants for infections and stability.