Clinical outcomes in the presence and absence of keratinized mucosa in mandibular guided implant surgeries: a pilot study with a proposal for the modification of the technique.
Identifieur interne : 000169 ( Ncbi/Merge ); précédent : 000168; suivant : 000170Clinical outcomes in the presence and absence of keratinized mucosa in mandibular guided implant surgeries: a pilot study with a proposal for the modification of the technique.
Auteurs : Paulo Mal [Portugal] ; Mauricio Rigolizzo ; Miguel De Nobre ; Armando Lopes ; Enrico AgliardiSource :
- Quintessence international (Berlin, Germany : 1985) [ 1936-7163 ] ; 2013.
Descripteurs français
- KwdFr :
- Adulte, Adulte d'âge moyen, Chirurgie assistée par ordinateur (), Chirurgie assistée par ordinateur (instrumentation), Complications postopératoires, Femelle, Gencive (anatomopathologie), Humains, Hémorragie gingivale (étiologie), Kératines, Lambeaux chirurgicaux (), Lâchage de suture (étiologie), Mandibule (), Mâchoire édentée (), Mâchoire édentée (rééducation et réadaptation), Mâle, Perte d'attache parodontale (étiologie), Planification des soins du patient, Plaque dentaire (étiologie), Pose d'implant dentaire endo-osseux (), Pose d'implant dentaire endo-osseux (instrumentation), Pose immédiate d'implant dentaire, Projets pilotes, Péri-implantite (étiologie), Résultat thérapeutique, Sujet âgé, Études cas-témoins, Études de suivi.
- MESH :
- anatomopathologie : Gencive.
- rééducation et réadaptation : Mâchoire édentée.
- étiologie : Chirurgie assistée par ordinateur, Hémorragie gingivale, Lâchage de suture, Perte d'attache parodontale, Plaque dentaire, Pose d'implant dentaire endo-osseux, Péri-implantite.
- Adulte, Adulte d'âge moyen, Chirurgie assistée par ordinateur, Complications postopératoires, Femelle, Humains, Kératines, Lambeaux chirurgicaux, Mandibule, Mâchoire édentée, Mâle, Planification des soins du patient, Pose d'implant dentaire endo-osseux, Pose immédiate d'implant dentaire, Projets pilotes, Résultat thérapeutique, Sujet âgé, Études cas-témoins, Études de suivi.
English descriptors
- KwdEn :
- Adult, Aged, Case-Control Studies, Dental Implantation, Endosseous (instrumentation), Dental Implantation, Endosseous (methods), Dental Plaque (etiology), Female, Follow-Up Studies, Gingiva (pathology), Gingival Hemorrhage (etiology), Humans, Immediate Dental Implant Loading, Jaw, Edentulous (rehabilitation), Jaw, Edentulous (surgery), Keratins, Male, Mandible (surgery), Middle Aged, Patient Care Planning, Peri-Implantitis (etiology), Periodontal Attachment Loss (etiology), Pilot Projects, Postoperative Complications, Surgery, Computer-Assisted (instrumentation), Surgery, Computer-Assisted (methods), Surgical Flaps (surgery), Surgical Wound Dehiscence (etiology), Treatment Outcome.
- MESH :
- chemical : Keratins.
- etiology : Dental Plaque, Gingival Hemorrhage, Peri-Implantitis, Periodontal Attachment Loss, Surgical Wound Dehiscence.
- instrumentation : Dental Implantation, Endosseous, Surgery, Computer-Assisted.
- methods : Dental Implantation, Endosseous, Surgery, Computer-Assisted.
- pathology : Gingiva.
- rehabilitation : Jaw, Edentulous.
- surgery : Jaw, Edentulous, Mandible, Surgical Flaps.
- Adult, Aged, Case-Control Studies, Female, Follow-Up Studies, Humans, Immediate Dental Implant Loading, Male, Middle Aged, Patient Care Planning, Pilot Projects, Postoperative Complications, Treatment Outcome.
Abstract
To test the hypothesis of the outcome of complete arch flapless guided implant surgery mandibular rehabilitations in the presence or absence of a residual band of keratinized mucosa (KM) < 6 mm wide in the vestibular-lingual aspect, with and without a modification of the surgical protocol.
DOI: 10.3290/j.qi.a28928
PubMed: 23444181
Links toward previous steps (curation, corpus...)
- to stream PubMed, to step Corpus: 000368
- to stream PubMed, to step Curation: 000368
- to stream PubMed, to step Checkpoint: 000368
Links to Exploration step
pubmed:23444181Le document en format XML
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<term>Aged</term>
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<term>Dental Implantation, Endosseous (instrumentation)</term>
<term>Dental Implantation, Endosseous (methods)</term>
<term>Dental Plaque (etiology)</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Gingiva (pathology)</term>
<term>Gingival Hemorrhage (etiology)</term>
<term>Humans</term>
<term>Immediate Dental Implant Loading</term>
<term>Jaw, Edentulous (rehabilitation)</term>
<term>Jaw, Edentulous (surgery)</term>
<term>Keratins</term>
<term>Male</term>
<term>Mandible (surgery)</term>
<term>Middle Aged</term>
<term>Patient Care Planning</term>
<term>Peri-Implantitis (etiology)</term>
<term>Periodontal Attachment Loss (etiology)</term>
<term>Pilot Projects</term>
<term>Postoperative Complications</term>
<term>Surgery, Computer-Assisted (instrumentation)</term>
<term>Surgery, Computer-Assisted (methods)</term>
<term>Surgical Flaps (surgery)</term>
<term>Surgical Wound Dehiscence (etiology)</term>
<term>Treatment Outcome</term>
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<keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Chirurgie assistée par ordinateur ()</term>
<term>Chirurgie assistée par ordinateur (instrumentation)</term>
<term>Complications postopératoires</term>
<term>Femelle</term>
<term>Gencive (anatomopathologie)</term>
<term>Humains</term>
<term>Hémorragie gingivale (étiologie)</term>
<term>Kératines</term>
<term>Lambeaux chirurgicaux ()</term>
<term>Lâchage de suture (étiologie)</term>
<term>Mandibule ()</term>
<term>Mâchoire édentée ()</term>
<term>Mâchoire édentée (rééducation et réadaptation)</term>
<term>Mâle</term>
<term>Perte d'attache parodontale (étiologie)</term>
<term>Planification des soins du patient</term>
<term>Plaque dentaire (étiologie)</term>
<term>Pose d'implant dentaire endo-osseux ()</term>
<term>Pose d'implant dentaire endo-osseux (instrumentation)</term>
<term>Pose immédiate d'implant dentaire</term>
<term>Projets pilotes</term>
<term>Péri-implantite (étiologie)</term>
<term>Résultat thérapeutique</term>
<term>Sujet âgé</term>
<term>Études cas-témoins</term>
<term>Études de suivi</term>
</keywords>
<keywords scheme="MESH" type="chemical" xml:lang="en"><term>Keratins</term>
</keywords>
<keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Gencive</term>
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<keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Dental Plaque</term>
<term>Gingival Hemorrhage</term>
<term>Peri-Implantitis</term>
<term>Periodontal Attachment Loss</term>
<term>Surgical Wound Dehiscence</term>
</keywords>
<keywords scheme="MESH" qualifier="instrumentation" xml:lang="en"><term>Dental Implantation, Endosseous</term>
<term>Surgery, Computer-Assisted</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Dental Implantation, Endosseous</term>
<term>Surgery, Computer-Assisted</term>
</keywords>
<keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Gingiva</term>
</keywords>
<keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en"><term>Jaw, Edentulous</term>
</keywords>
<keywords scheme="MESH" qualifier="rééducation et réadaptation" xml:lang="fr"><term>Mâchoire édentée</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Jaw, Edentulous</term>
<term>Mandible</term>
<term>Surgical Flaps</term>
</keywords>
<keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Chirurgie assistée par ordinateur</term>
<term>Hémorragie gingivale</term>
<term>Lâchage de suture</term>
<term>Perte d'attache parodontale</term>
<term>Plaque dentaire</term>
<term>Pose d'implant dentaire endo-osseux</term>
<term>Péri-implantite</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Adult</term>
<term>Aged</term>
<term>Case-Control Studies</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Immediate Dental Implant Loading</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Patient Care Planning</term>
<term>Pilot Projects</term>
<term>Postoperative Complications</term>
<term>Treatment Outcome</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr"><term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Chirurgie assistée par ordinateur</term>
<term>Complications postopératoires</term>
<term>Femelle</term>
<term>Humains</term>
<term>Kératines</term>
<term>Lambeaux chirurgicaux</term>
<term>Mandibule</term>
<term>Mâchoire édentée</term>
<term>Mâle</term>
<term>Planification des soins du patient</term>
<term>Pose d'implant dentaire endo-osseux</term>
<term>Pose immédiate d'implant dentaire</term>
<term>Projets pilotes</term>
<term>Résultat thérapeutique</term>
<term>Sujet âgé</term>
<term>Études cas-témoins</term>
<term>Études de suivi</term>
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<front><div type="abstract" xml:lang="en">To test the hypothesis of the outcome of complete arch flapless guided implant surgery mandibular rehabilitations in the presence or absence of a residual band of keratinized mucosa (KM) < 6 mm wide in the vestibular-lingual aspect, with and without a modification of the surgical protocol.</div>
</front>
</TEI>
<pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">23444181</PMID>
<DateCompleted><Year>2014</Year>
<Month>01</Month>
<Day>24</Day>
</DateCompleted>
<DateRevised><Year>2013</Year>
<Month>02</Month>
<Day>27</Day>
</DateRevised>
<Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1936-7163</ISSN>
<JournalIssue CitedMedium="Internet"><Volume>44</Volume>
<Issue>2</Issue>
<PubDate><Year>2013</Year>
<Month>Feb</Month>
</PubDate>
</JournalIssue>
<Title>Quintessence international (Berlin, Germany : 1985)</Title>
<ISOAbbreviation>Quintessence Int</ISOAbbreviation>
</Journal>
<ArticleTitle>Clinical outcomes in the presence and absence of keratinized mucosa in mandibular guided implant surgeries: a pilot study with a proposal for the modification of the technique.</ArticleTitle>
<Pagination><MedlinePgn>149-57</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.3290/j.qi.a28928</ELocationID>
<Abstract><AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">To test the hypothesis of the outcome of complete arch flapless guided implant surgery mandibular rehabilitations in the presence or absence of a residual band of keratinized mucosa (KM) < 6 mm wide in the vestibular-lingual aspect, with and without a modification of the surgical protocol.</AbstractText>
<AbstractText Label="METHOD AND MATERIALS" NlmCategory="METHODS">Thirty-nine patients were included in this study (12 men and 27 women), with a mean age of 62.5 years (range, 42 to 79 years), divided into 3 groups of 13 patients according to the status of residual band of KM: group 1, KM < 6 mm rehabilitated through a modified guided surgical protocol with flap opening to preserve KM; group 2, KM ≥ 6 mm; and group 3, KM < 6 mm; patients from both groups 2 and 3 were rehabilitated through flapless guided implant surgery without modification of the protocol. Group 2 and 3 patients were age- and sex-matched with group 1. Outcome measures were clinical attachment loss (CAL) ≥ 2 mm after 1 year (backward conditional regression), incidence of dehiscences, dental plaque, bleeding, and implant infections. The level of significance chosen was 5%.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Thirty-nine patients with 156 implants were followed for 1 year, and no dropouts occurred. Absence of a residual band of KM ≥ 6 mm in the vestibular-lingual aspect was significantly associated with CAL (odds ratio, 39.1; P = .036) and dehiscences (P = .003).</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Within the limitations of this study, the absence of a residual band of KM ≥ 6 mm wide in the vestibular-lingual aspect in patients rehabilitated in the complete edentulous mandible with flapless guided implant surgery may be associated with CAL and a higher incidence of dehiscences after 1 year of follow-up. This possible association needs to be confirmed in studies with stronger designs and longer follow-ups.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Maló</LastName>
<ForeName>Paulo</ForeName>
<Initials>P</Initials>
<AffiliationInfo><Affiliation>Department of Oral Surgery, Malo Clinic, Lisbon, Portugal. research@maloclinics.com</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Rigolizzo</LastName>
<ForeName>Mauricio</ForeName>
<Initials>M</Initials>
</Author>
<Author ValidYN="Y"><LastName>Nobre</LastName>
<ForeName>Miguel de</ForeName>
<Initials>Md</Initials>
</Author>
<Author ValidYN="Y"><LastName>Lopes</LastName>
<ForeName>Armando</ForeName>
<Initials>A</Initials>
</Author>
<Author ValidYN="Y"><LastName>Agliardi</LastName>
<ForeName>Enrico</ForeName>
<Initials>E</Initials>
</Author>
</AuthorList>
<Language>eng</Language>
<PublicationTypeList><PublicationType UI="D003160">Comparative Study</PublicationType>
<PublicationType UI="D016428">Journal Article</PublicationType>
</PublicationTypeList>
</Article>
<MedlineJournalInfo><Country>Germany</Country>
<MedlineTA>Quintessence Int</MedlineTA>
<NlmUniqueID>0342677</NlmUniqueID>
<ISSNLinking>0033-6572</ISSNLinking>
</MedlineJournalInfo>
<ChemicalList><Chemical><RegistryNumber>68238-35-7</RegistryNumber>
<NameOfSubstance UI="D007633">Keratins</NameOfSubstance>
</Chemical>
</ChemicalList>
<CitationSubset>D</CitationSubset>
<MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D016022" MajorTopicYN="N">Case-Control Studies</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D003758" MajorTopicYN="N">Dental Implantation, Endosseous</DescriptorName>
<QualifierName UI="Q000295" MajorTopicYN="N">instrumentation</QualifierName>
<QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D003773" MajorTopicYN="N">Dental Plaque</DescriptorName>
<QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D005500" MajorTopicYN="N">Follow-Up Studies</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D005881" MajorTopicYN="N">Gingiva</DescriptorName>
<QualifierName UI="Q000473" MajorTopicYN="Y">pathology</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D005884" MajorTopicYN="N">Gingival Hemorrhage</DescriptorName>
<QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D057893" MajorTopicYN="N">Immediate Dental Implant Loading</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D007575" MajorTopicYN="N">Jaw, Edentulous</DescriptorName>
<QualifierName UI="Q000534" MajorTopicYN="N">rehabilitation</QualifierName>
<QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D007633" MajorTopicYN="N">Keratins</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D008334" MajorTopicYN="N">Mandible</DescriptorName>
<QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D010347" MajorTopicYN="N">Patient Care Planning</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D057873" MajorTopicYN="N">Peri-Implantitis</DescriptorName>
<QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D017622" MajorTopicYN="N">Periodontal Attachment Loss</DescriptorName>
<QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D010865" MajorTopicYN="N">Pilot Projects</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D011183" MajorTopicYN="N">Postoperative Complications</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D025321" MajorTopicYN="N">Surgery, Computer-Assisted</DescriptorName>
<QualifierName UI="Q000295" MajorTopicYN="N">instrumentation</QualifierName>
<QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D013524" MajorTopicYN="N">Surgical Flaps</DescriptorName>
<QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D013529" MajorTopicYN="N">Surgical Wound Dehiscence</DescriptorName>
<QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D016896" MajorTopicYN="N">Treatment Outcome</DescriptorName>
</MeshHeading>
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<affiliations><list><country><li>Portugal</li>
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<tree><noCountry><name sortKey="Agliardi, Enrico" sort="Agliardi, Enrico" uniqKey="Agliardi E" first="Enrico" last="Agliardi">Enrico Agliardi</name>
<name sortKey="Lopes, Armando" sort="Lopes, Armando" uniqKey="Lopes A" first="Armando" last="Lopes">Armando Lopes</name>
<name sortKey="Nobre, Miguel De" sort="Nobre, Miguel De" uniqKey="Nobre M" first="Miguel De" last="Nobre">Miguel De Nobre</name>
<name sortKey="Rigolizzo, Mauricio" sort="Rigolizzo, Mauricio" uniqKey="Rigolizzo M" first="Mauricio" last="Rigolizzo">Mauricio Rigolizzo</name>
</noCountry>
<country name="Portugal"><noRegion><name sortKey="Mal, Paulo" sort="Mal, Paulo" uniqKey="Mal P" first="Paulo" last="Mal">Paulo Mal</name>
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