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Secondary stabilization of maxillary m-4 treatment with unstable implants for immediate function: biomechanical considerations and report of 10 cases after 1 year in function.

Identifieur interne : 000C78 ( PubMed/Checkpoint ); précédent : 000C77; suivant : 000C79

Secondary stabilization of maxillary m-4 treatment with unstable implants for immediate function: biomechanical considerations and report of 10 cases after 1 year in function.

Auteurs : Ole T. Jensen ; Mark W. Adams

Source :

RBID : pubmed:24683586

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English descriptors

Abstract

Primary stability of dental implants, particularly when they are placed into immediate function in the maxilla, has been thought to be required. An alternative to primary stability is secondary stabilization, which can be obtained by a four-implant distribution pattern using 30-degree angulations for all four implants in the so-called "M-4" treatment scheme in combination with cross-arch stabilization from a prosthesis. If successful, the use of these two measures brings into question whether or not primary stability is required for immediate function in the maxilla.

PubMed: 24683586


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pubmed:24683586

Le document en format XML

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<title xml:lang="en">Secondary stabilization of maxillary m-4 treatment with unstable implants for immediate function: biomechanical considerations and report of 10 cases after 1 year in function.</title>
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<title level="j">The International journal of oral & maxillofacial implants</title>
<idno type="eISSN">1942-4434</idno>
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<term>Adult</term>
<term>Aged</term>
<term>Dental Implants</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Female</term>
<term>Humans</term>
<term>Jaw, Edentulous (physiopathology)</term>
<term>Jaw, Edentulous (surgery)</term>
<term>Male</term>
<term>Maxilla (physiopathology)</term>
<term>Maxilla (surgery)</term>
<term>Middle Aged</term>
<term>Osseointegration</term>
<term>Torque</term>
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<keywords scheme="KwdFr" xml:lang="fr">
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Femelle</term>
<term>Humains</term>
<term>Implants dentaires</term>
<term>Maxillaire ()</term>
<term>Maxillaire (physiopathologie)</term>
<term>Moment de torsion</term>
<term>Mâchoire édentée ()</term>
<term>Mâchoire édentée (physiopathologie)</term>
<term>Mâle</term>
<term>Ostéo-intégration</term>
<term>Prothèse dentaire implanto-portée</term>
<term>Sujet âgé</term>
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<keywords scheme="MESH" type="chemical" xml:lang="en">
<term>Dental Implants</term>
</keywords>
<keywords scheme="MESH" qualifier="physiopathologie" xml:lang="fr">
<term>Maxillaire</term>
<term>Mâchoire édentée</term>
</keywords>
<keywords scheme="MESH" qualifier="physiopathology" xml:lang="en">
<term>Jaw, Edentulous</term>
<term>Maxilla</term>
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<keywords scheme="MESH" qualifier="surgery" xml:lang="en">
<term>Jaw, Edentulous</term>
<term>Maxilla</term>
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<term>Adult</term>
<term>Aged</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Osseointegration</term>
<term>Torque</term>
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<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Femelle</term>
<term>Humains</term>
<term>Implants dentaires</term>
<term>Maxillaire</term>
<term>Moment de torsion</term>
<term>Mâchoire édentée</term>
<term>Mâle</term>
<term>Ostéo-intégration</term>
<term>Prothèse dentaire implanto-portée</term>
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<div type="abstract" xml:lang="en">Primary stability of dental implants, particularly when they are placed into immediate function in the maxilla, has been thought to be required. An alternative to primary stability is secondary stabilization, which can be obtained by a four-implant distribution pattern using 30-degree angulations for all four implants in the so-called "M-4" treatment scheme in combination with cross-arch stabilization from a prosthesis. If successful, the use of these two measures brings into question whether or not primary stability is required for immediate function in the maxilla.</div>
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<ISSN IssnType="Electronic">1942-4434</ISSN>
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<Volume>29</Volume>
<Issue>2</Issue>
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<MedlineDate>2014 Mar-Apr</MedlineDate>
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<Title>The International journal of oral & maxillofacial implants</Title>
<ISOAbbreviation>Int J Oral Maxillofac Implants</ISOAbbreviation>
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<ArticleTitle>Secondary stabilization of maxillary m-4 treatment with unstable implants for immediate function: biomechanical considerations and report of 10 cases after 1 year in function.</ArticleTitle>
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<ELocationID EIdType="doi" ValidYN="Y">10.11607/jomi.te59</ELocationID>
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<AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">Primary stability of dental implants, particularly when they are placed into immediate function in the maxilla, has been thought to be required. An alternative to primary stability is secondary stabilization, which can be obtained by a four-implant distribution pattern using 30-degree angulations for all four implants in the so-called "M-4" treatment scheme in combination with cross-arch stabilization from a prosthesis. If successful, the use of these two measures brings into question whether or not primary stability is required for immediate function in the maxilla.</AbstractText>
<AbstractText Label="MATERIALS AND METHODS" NlmCategory="METHODS">Patients were treated with the M-4 implant scheme with immediate function, despite the instability of at least one of the four implants. Instability was defined as less than 15 Ncm of insertion torque and palpable mobility, and an average anteroposterior spread of 15 mm between each implant was sought. The patients were followed for 1 year.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Ten patients were treated with a total of 40 implants. Composite insertion torque of the four implants was less than 100 Ncm in half of the patients; the average anteroposterior spread was 15.6 mm. After 1 year, no implants had been lost, and bone levels around all implants were at or near operative levels. There were no failures of provisional or definitive prostheses.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">M-4 distribution of implants with an average of 15 mm of anteroposterior spread and cross-arch stabilization did not require that all four implants had high insertion torque; in fact, all mobile implants stabilized and osseointegrated under these conditions.</AbstractText>
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