Year : 2023

Volume : Volume 14

Issue : Issue 4

Address for correspondence :
Dr. Ibsna Shamurailatpam
shamuraiibsna@gmail.com

Abstract

Background: This study was undertaken to evaluate the efficacy of tilted implants for restoring atrophied maxilla and mandible and its future prognosis. Materials and Methods: In this study, total 24 implants placement in atrophied edentulous maxilla and mandible was done. Each patient received a full arch bridge assessed up to 6th month. The implant stability was tested by reverse torque testing. Two anterior and two posterior implants were placed. Patient received both anterior implants in an axial position as per lateral incisors. The tilting or axial placement of the distal implants depended on the relation to the anatomic morphology of the supramental bone quantity. Radiological examination was done by cone beam computed tomography. Results: The data were analyzed and show that no significant difference was seen in mean intraoperative insertion torque when axial or tilted implants were placed in mandible. No significant difference was seen in mean intraoperative insertion torque when axial or tilted implants were placed in maxilla. No significant difference was seen in mean reverse torque at 6 months when axial or tilted implants were placed in maxilla. No significant difference was seen in the mean marginal bone loss at 6 months on mesial, buccal, distal, and lingual side when either axial or tilted implants were placed in maxilla. Conclusion: Authors concluded very significant outcomes. Within the limitation of the study, it was concluded that both axial and tilted implants placed in the atrophied edentulous/partially edentulous maxillary and mandibular arches exhibit similar levels of implant stability. The marginal bone loss seen with axial and tilted implants was found to be comparable, however, following a 6-month follow-up, the mean marginal bone loss on the distal side was shown to be considerably higher with tilted implants.