Microplastic pollution in perch (Perca fluviatilis, Linnaeus 1758) from Italian south-alpine lakes.

Microplastic particles (MPs) contamination of aquatic environments has raised a growing concern in recent decades because of their numerous potential toxicological effects. Although fish are among the most studied aquatic organisms, reports on MPs ingestion in freshwater environments are still scarce. Thus, there is still much to study to understand the uptake mechanisms, their potential accumulation among the food webs and their ecotoxicological effects. Here, MPs presence in the digestive system of one of the most widespread and commercially exploited freshwater fish, the perch (Perca fluviatilis, Linnaeus 1758), was investigated in four different south-alpine lakes, to assess the extent of ingestion and evaluate its relation to the body health condition. A total of 80 perch specimen have been sampled from the Italian lakes Como, Garda, Maggiore and Orta. Microplastic particles occurred in 86% of the analysed specimens, with average values ranging from 1.24 ± 1.04 MPs fish-1 in L. Como to 5.59 ± 2.61 MPs fish-1 in L. Garda. The isolated particles were mainly fragments, except in L. Como where films were more abundant. The most common polymers were polyethylene, polyethylene terephthalate, polyamide, and polycarbonate, although a high degree of degradation was found in 43% of synthetic particles, not allowing their recognition up to a single polymer. Despite the high number of ingested MPs, fish health (evaluated by means of Fulton's body condition and hepatosomatic index) was not affected. Instead, fullness index showed an inverse linear relationship with the number of ingested particles, which suggests that also in perch MPs presence could interfere with feeding activity, as already described for other taxa.

Immediate functional loading of single implants: a multicenter study with 4 years of follow-up.

Background. In the current scientific literature there are only few studies on the immediate functional loading of single implants. The aim of the present present study was to evaluate the 4-year survival rate, complication rate and peri-implant marginal bone loss (PIMBL) of immediately loaded single implants inserted in healed ridges and fresh post-extraction sites. Methods. Six centers were involved in this prospective study. The surgical and prosthetic protocol was defined in detail, before the start of recruiting patients. Recruitment of patients and performance of surgeries took place between February 2012 and February 2013. Criteria for inclusion were single-tooth gaps in healed ridges and fresh post-extraction sockets. All the fixtures (Anyridge®, Megagen Corporation, Gyeongbuk, South Korea) were functionally loaded immediately after insertion and followed for a period of 4 years. Outcome measures were implant survival, complications and PIMBL. Results. Forty-six patients (18‒73 years of age) were selected. In total, 57 fixtures were placed (10 in fresh post-extraction sockets). After 4 years of functional loading, only one fixture was lost; therefore, high survival rates (97.6% patient-based; 98.1% implant-based) were reported. In addition, a limited incidence of biologic (4.8% patient-based; 3.8% implant-based) and prosthetic (9.7% patient-based; 7.6% implant-based) complications was reported. The overall 4-year PIMBL amounted to 0.38±0.21 mm (healed ridges: 0.4±0.21 mm; fresh post-extraction sockets: 0.33±0.20 mm). Conclusion. Loading single implants immediately seems to be a highly successful treatment modality. However, long-term data are needed to confirm these positive outcomes.

Immediate Loading of Single Implants: A 2-Year Prospective Multicenter Study.

The aim of this prospective multicenter study was to evaluate the outcomes of single implants subjected to immediate functional loading. Inclusion criteria were single-tooth placement in postextraction sockets or fully healed sites, and sufficient bone height and width to place an implant of at least 3.5 × 10.0 mm. All implants were functionally loaded immediately after placement and followed for 2 years. Outcome measures were implant survival, complications, and peri-implant marginal bone loss (MBL). A total of 57 implants (38 maxilla, 19 mandible) were placed in 46 patients (23 men, 23 women, aged 18-73 years). Of these, 10 implants were placed in postextraction sockets. One implant failed, in a healed site, giving a patient-based overall 2-year survival rate of 97.6%. The incidence of biologic complications was 1.8%; prosthetic complications amounted to 7.5%. The peri-implant MBL was 0.37 ± 0.22 mm (healed sites: 0.4 mm ± 0.22; postextraction sockets: 0.3 mm ± 0.22). The immediate functional loading of single implants seems to represent a safe and successful procedure. Long-term follow-up studies on a larger sample of patients are needed to confirm these results.

Immediate functional loading of single implants: a 1-year interim report of a 5-year prospective multicentre study.

PURPOSE: The aim of this prospective multicentre study was to evaluate the clinical outcome of immediately loaded single implants. MATERIALS AND METHODS: Patients were recruited at six clinical centres. Inclusion criteria were singletooth replacement in fully healed sites or post-extraction sockets with adequate bone height and width, to place an implant of at least 3.5 mm in diameter and 10.0 mm in length. All implants (AnyRidge, MegaGen, Gyeongbuk, South Korea) were functionally loaded immediately after placement. After 3 months, final crowns were delivered. All implants were followed for 1 year. Outcome measures were: implant stability; complications; peri-implant marginal bone level changes; probing pocket depth. RESULTS: Fifty-seven implants (38 in the maxilla and 19 in the mandible) were placed in 46 patients (23 males, 23 females, aged between 18 to 73 years). Ten implants were placed in post-extraction sockets. Two patients (two implants) withdrew from the study and were classified as drop-outs. At the end of the study, only one implant was lost in a healed site. All the surviving implants were stable, giving an overall 1-year survival rate of 97.7% (patient-based). A few complications (one patient experienced swelling after surgery, two had loosened abutments and another patient had a ceramic crown fracture) were encountered. After 1 year of functional loading, the patients had lost an average of 0.32 mm (± 0.22) of peri-implant marginal bone; the mean probing pocket depth (PPD) was 2.16 mm (± 0.68). CONCLUSIONS: Within its limit (limited number of patients treated and self-evaluation of the outcomes), this study supports the concept that immediate functional loading of single dental implants can be a successful treatment procedure, with satisfactory clinical outcomes.