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International Journal of Dentistry
Volume 2017, Article ID 2679085, 9 pages
https://doi.org/10.1155/2017/2679085
Clinical Study

The Ball Welding Bar: A New Solution for the Immediate Loading of Screw-Retained, Mandibular Fixed Full Arch Prostheses

1Private Practice, Castelfidardo, 60022 Ancona, Italy
2Fundacao Universitaria Vida Crista (FUNVIC), 12400-010 Pindamonhangaba, SP, Brazil

Correspondence should be addressed to Andrea Guida; rb.ude.civnuf@adiugaerdna.forp

Received 15 March 2017; Accepted 24 May 2017; Published 1 August 2017

Academic Editor: Eitan Mijiritsky

Copyright © 2017 Danilo Bacchiocchi and Andrea Guida. 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.

Abstract

Purpose. To present a new intraoral welding technique, which can be used to manufacture screw-retained, mandibular fixed full-arch prostheses. Methods. Over a 4-year period, all patients with complete mandibular edentulism or irreparably compromised mandibular dentition, who will restore the masticatory function with a fixed mandibular prosthesis, were considered for inclusion in this study. The “Ball Welding Bar” (BWB) technique is characterised by smooth prosthetic cylinders, interconnected by means of titanium bars which are adjustable in terms of distance from ball terminals and are inserted in the rotating rings of the cylinders. All the components are welded and self-posing. Results. Forty-two patients (18 males; 24 females; mean age years) were enrolled and 210 fixtures were inserted to support 42 mandibular screw-retained, fixed full-arch prostheses. After two years of loading, 2 fixtures were lost, for an implant survival rate of 97.7%. Five implants suffered from peri-implant mucositis and 3 implants for peri-implantitis. Three of the prostheses (3/42) required repair for fracture (7.1%): the prosthetic success was 92.9%. Conclusions. The BWB technique seems to represent a reliable technique for the fabrication of screw-retained mandibular fixed full-arch prostheses. This study was registered in the ISRCTN register with number ISRCTN71229338.