Immediate loading with fixed full-arch prostheses in the maxilla: Review of the literature
Identifieur interne : 000715 ( Main/Merge ); précédent : 000714; suivant : 000716Immediate loading with fixed full-arch prostheses in the maxilla: Review of the literature
Auteurs : David Pe Arrocha-Oltra ; Ugo Covani [Italie] ; Miguel Pe Arrocha-Diago [Espagne] ; Maria Pe Arrocha-Diago [Espagne]Source :
- Medicina Oral, Patología Oral y Cirugía Bucal [ 1698-4447 ] ; 2014.
Abstract
Objectives: To critically review the evidence-based literature on immediate loading of implants with fixed full-arch prostheses in the maxilla to determine 1) currently recommended performance criteria and 2) the outcomes that can be expected with this procedure. Study Desing: Studies from 2001 to 2011 on immediate loading with fixed full-arch maxillary prostheses were reviewed. Clinical series with at least 5 patients and 12 months of follow-up were included. Case reports, studies with missing data and repeatedly published studies were excluded. In each study the following was assessed: type of study, implant type, number of patients, number of implants, number of implants per patient, use of post-extraction implants, minimum implant length and diameter, type of prosthesis, time until loading, implant survival rate, prosthesis survival rate, marginal bone loss, complications andmean follow-up time. Criteria for patient selection, implant primary stability and bone regeneration were also studied. Results: Thirteen studies were included, reporting a total of 2484 immediately loaded implants in 365 patients. Currently accepted performance criteria regarding patient and implant selection, and surgical and prosthetic procedures were deduced from the reviewed articles. Implant survival rates went from 87.5% to 100%, prosthesis survival rates from 93.8% to 100% and radiographic marginal bone loss from 0.8 mm to 1.6 mm.No intraoperative complications and only minor prosthetic complications were reported. Conclusions: The literature on immediate loading with fixed full-arch prostheses in the maxilla shows that a successful outcome can be expected if adequate criteria are used to evaluate the patient, choose the implant and perform the surgical and prosthetic treatment. Lack of homogeneity within studies limits the relevance of the conclusions that can be drawn, and more controlled randomized studies are necessary to enable comparison between the immediate and the conventional loading procedures.
Url:
DOI: 10.4317/medoral.19664
PubMed: 24880445
PubMed Central: 4192577
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in the maxilla: Review of the literature</title><author><name sortKey="Pe Arrocha Oltra, David" sort="Pe Arrocha Oltra, David" uniqKey="Pe Arrocha Oltra D" first="David" last="Pe Arrocha-Oltra">David Pe Arrocha-Oltra</name><affiliation><nlm:aff id="A1">Master of Oral Surgery and Implantology. Department of Stomatology, Valencia University Medical and Dental School</nlm:aff><wicri:noCountry code="subfield">Valencia University Medical and Dental School</wicri:noCountry></affiliation></author><author><name sortKey="Covani, Ugo" sort="Covani, Ugo" uniqKey="Covani U" first="Ugo" last="Covani">Ugo Covani</name><affiliation wicri:level="4"><nlm:aff id="A2">Chairman, Department of Surgery, University of Pisa, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Chairman, Department of Surgery, University of Pisa</wicri:regionArea><placeName><settlement type="city">Pise</settlement><region type="region" nuts="2">Toscane</region></placeName><orgName type="university">Université de Pise</orgName></affiliation></author><author><name sortKey="Pe Arrocha Diago, Miguel" sort="Pe Arrocha Diago, Miguel" uniqKey="Pe Arrocha Diago M" first="Miguel" last="Pe Arrocha-Diago">Miguel Pe Arrocha-Diago</name><affiliation wicri:level="1"><nlm:aff id="A3">Chairman of Oral Surgery, Department of Stomatology, Valencia University Medical and Dental School, Spain</nlm:aff><country xml:lang="fr">Espagne</country><wicri:regionArea>Chairman of Oral Surgery, Department of Stomatology, Valencia University Medical and Dental School</wicri:regionArea><wicri:noRegion>Valencia University Medical and Dental School</wicri:noRegion></affiliation></author><author><name sortKey="Pe Arrocha Diago, Maria" sort="Pe Arrocha Diago, Maria" uniqKey="Pe Arrocha Diago M" first="Maria" last="Pe Arrocha-Diago">Maria Pe Arrocha-Diago</name><affiliation wicri:level="1"><nlm:aff id="A4">Full Professorof Oral Surgery, Department of Stomatology, Valencia University Medical and Dental School, Spain</nlm:aff><country xml:lang="fr">Espagne</country><wicri:regionArea>Full Professorof Oral Surgery, Department of Stomatology, Valencia University Medical and Dental School</wicri:regionArea><wicri:noRegion>Valencia University Medical and Dental School</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">24880445</idno><idno type="pmc">4192577</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4192577</idno><idno type="RBID">PMC:4192577</idno><idno type="doi">10.4317/medoral.19664</idno><date when="2014">2014</date><idno type="wicri:Area/Pmc/Corpus">000845</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000845</idno><idno type="wicri:Area/Pmc/Curation">000845</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000845</idno><idno type="wicri:Area/Pmc/Checkpoint">000282</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">000282</idno><idno type="wicri:Area/Ncbi/Merge">000D47</idno><idno type="wicri:Area/Ncbi/Curation">000D47</idno><idno type="wicri:Area/Ncbi/Checkpoint">000D47</idno><idno type="wicri:doubleKey">1698-4447:2014:Pe Arrocha Oltra D:immediate:loading:with</idno><idno type="wicri:Area/Main/Merge">000715</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Immediate loading with fixed full-arch prostheses
in the maxilla: Review of the literature</title><author><name sortKey="Pe Arrocha Oltra, David" sort="Pe Arrocha Oltra, David" uniqKey="Pe Arrocha Oltra D" first="David" last="Pe Arrocha-Oltra">David Pe Arrocha-Oltra</name><affiliation><nlm:aff id="A1">Master of Oral Surgery and Implantology. Department of Stomatology, Valencia University Medical and Dental School</nlm:aff><wicri:noCountry code="subfield">Valencia University Medical and Dental School</wicri:noCountry></affiliation></author><author><name sortKey="Covani, Ugo" sort="Covani, Ugo" uniqKey="Covani U" first="Ugo" last="Covani">Ugo Covani</name><affiliation wicri:level="4"><nlm:aff id="A2">Chairman, Department of Surgery, University of Pisa, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Chairman, Department of Surgery, University of Pisa</wicri:regionArea><placeName><settlement type="city">Pise</settlement><region type="region" nuts="2">Toscane</region></placeName><orgName type="university">Université de Pise</orgName></affiliation></author><author><name sortKey="Pe Arrocha Diago, Miguel" sort="Pe Arrocha Diago, Miguel" uniqKey="Pe Arrocha Diago M" first="Miguel" last="Pe Arrocha-Diago">Miguel Pe Arrocha-Diago</name><affiliation wicri:level="1"><nlm:aff id="A3">Chairman of Oral Surgery, Department of Stomatology, Valencia University Medical and Dental School, Spain</nlm:aff><country xml:lang="fr">Espagne</country><wicri:regionArea>Chairman of Oral Surgery, Department of Stomatology, Valencia University Medical and Dental School</wicri:regionArea><wicri:noRegion>Valencia University Medical and Dental School</wicri:noRegion></affiliation></author><author><name sortKey="Pe Arrocha Diago, Maria" sort="Pe Arrocha Diago, Maria" uniqKey="Pe Arrocha Diago M" first="Maria" last="Pe Arrocha-Diago">Maria Pe Arrocha-Diago</name><affiliation wicri:level="1"><nlm:aff id="A4">Full Professorof Oral Surgery, Department of Stomatology, Valencia University Medical and Dental School, Spain</nlm:aff><country xml:lang="fr">Espagne</country><wicri:regionArea>Full Professorof Oral Surgery, Department of Stomatology, Valencia University Medical and Dental School</wicri:regionArea><wicri:noRegion>Valencia University Medical and Dental School</wicri:noRegion></affiliation></author></analytic><series><title level="j">Medicina Oral, Patología Oral y Cirugía Bucal</title><idno type="ISSN">1698-4447</idno><idno type="eISSN">1698-6946</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>Objectives: To critically review the evidence-based literature on immediate loading of implants with fixed full-arch prostheses in the maxilla to determine 1) currently recommended performance criteria and 2) the outcomes that can be expected with this procedure.
Study Desing: Studies from 2001 to 2011 on immediate loading with fixed full-arch maxillary prostheses were reviewed. Clinical series with at least 5 patients and 12 months of follow-up were included. Case reports, studies with missing data and repeatedly published studies were excluded. In each study the following was assessed: type of study, implant type, number of patients, number of implants, number of implants per patient, use of post-extraction implants, minimum implant length and diameter, type of prosthesis, time until loading, implant survival rate, prosthesis survival rate, marginal bone loss, complications andmean follow-up time. Criteria for patient selection, implant primary stability and bone regeneration were also studied.
Results: Thirteen studies were included, reporting a total of 2484 immediately loaded implants in 365 patients. Currently accepted performance criteria regarding patient and implant selection, and surgical and prosthetic procedures were deduced from the reviewed articles. Implant survival rates went from 87.5% to 100%, prosthesis survival rates from 93.8% to 100% and radiographic marginal bone loss from 0.8 mm to 1.6 mm.No intraoperative complications and only minor prosthetic complications were reported.
Conclusions: The literature on immediate loading with fixed full-arch prostheses in the maxilla shows that a successful outcome can be expected if adequate criteria are used to evaluate the patient, choose the implant and perform the surgical and prosthetic treatment. Lack of homogeneity within studies limits the relevance of the conclusions that can be drawn, and more controlled randomized studies are necessary to enable comparison between the immediate and the conventional loading procedures.
</p><p><bold> Key words:</bold>Immediate loading, full-arch, dental implants, loading protocols.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Aparicio, C" uniqKey="Aparicio C">C Aparicio</name></author><author><name sortKey="Rangert, B" uniqKey="Rangert B">B Rangert</name></author><author><name sortKey="Sennerby, L" uniqKey="Sennerby L">L Sennerby</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Cochran, Dl" uniqKey="Cochran D">DL Cochran</name></author><author><name sortKey="Morton, D" uniqKey="Morton D">D Morton</name></author><author><name sortKey="Weber, Hp" uniqKey="Weber H">HP Weber</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Nkenke, E" uniqKey="Nkenke E">E Nkenke</name></author><author><name sortKey="Fenner, M" uniqKey="Fenner M">M Fenner</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Esposito, M" 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uniqKey="Gallucci G">GO Gallucci</name></author><author><name sortKey="Roccuzzo, M" uniqKey="Roccuzzo M">M Roccuzzo</name></author><author><name sortKey="Cordaro, L" uniqKey="Cordaro L">L Cordaro</name></author><author><name sortKey="Grutter, L" uniqKey="Grutter L">L Grutter</name></author></analytic></biblStruct></listBibl></div1></back></TEI></record>Pour manipuler ce document sous Unix (Dilib)
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