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Immediate versus conventional loading of post-extraction implants in the edentulous jaws.

Identifieur interne : 000277 ( PubMed/Corpus ); précédent : 000276; suivant : 000278

Immediate versus conventional loading of post-extraction implants in the edentulous jaws.

Auteurs : Tiziano Testori ; Francesco Zuffetti ; Matteo Capelli ; Fabio Galli ; Roberto L. Weinstein ; Massimo Del Fabbro

Source :

RBID : pubmed:23506353

English descriptors

Abstract

This retrospective study deals with the issue of how to realize the transition from a failing dentition to an implant-supported prosthesis. The main aim was to assess the reliability of immediate implant and immediate loading (IL) protocols in the edentulous jaws. A further aim was to investigate the role of patient-related, implant-related, and surgery-related secondary variables in the occurrence of implant failure.

DOI: 10.1111/cid.12055
PubMed: 23506353

Links to Exploration step

pubmed:23506353

Le document en format XML

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<title xml:lang="en">Immediate versus conventional loading of post-extraction implants in the edentulous jaws.</title>
<author>
<name sortKey="Testori, Tiziano" sort="Testori, Tiziano" uniqKey="Testori T" first="Tiziano" last="Testori">Tiziano Testori</name>
<affiliation>
<nlm:affiliation>Department of Biomedical, Surgical and Dental Sciences, Dental Clinic (Chairman: Prof. R.L. Weinstein), IRCCS Galeazzi Institute, University of Milan, Milan, Italy.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Zuffetti, Francesco" sort="Zuffetti, Francesco" uniqKey="Zuffetti F" first="Francesco" last="Zuffetti">Francesco Zuffetti</name>
</author>
<author>
<name sortKey="Capelli, Matteo" sort="Capelli, Matteo" uniqKey="Capelli M" first="Matteo" last="Capelli">Matteo Capelli</name>
</author>
<author>
<name sortKey="Galli, Fabio" sort="Galli, Fabio" uniqKey="Galli F" first="Fabio" last="Galli">Fabio Galli</name>
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<author>
<name sortKey="Weinstein, Roberto L" sort="Weinstein, Roberto L" uniqKey="Weinstein R" first="Roberto L" last="Weinstein">Roberto L. Weinstein</name>
</author>
<author>
<name sortKey="Del Fabbro, Massimo" sort="Del Fabbro, Massimo" uniqKey="Del Fabbro M" first="Massimo" last="Del Fabbro">Massimo Del Fabbro</name>
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<title xml:lang="en">Immediate versus conventional loading of post-extraction implants in the edentulous jaws.</title>
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<nlm:affiliation>Department of Biomedical, Surgical and Dental Sciences, Dental Clinic (Chairman: Prof. R.L. Weinstein), IRCCS Galeazzi Institute, University of Milan, Milan, Italy.</nlm:affiliation>
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<name sortKey="Zuffetti, Francesco" sort="Zuffetti, Francesco" uniqKey="Zuffetti F" first="Francesco" last="Zuffetti">Francesco Zuffetti</name>
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<name sortKey="Capelli, Matteo" sort="Capelli, Matteo" uniqKey="Capelli M" first="Matteo" last="Capelli">Matteo Capelli</name>
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<name sortKey="Galli, Fabio" sort="Galli, Fabio" uniqKey="Galli F" first="Fabio" last="Galli">Fabio Galli</name>
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<name sortKey="Weinstein, Roberto L" sort="Weinstein, Roberto L" uniqKey="Weinstein R" first="Roberto L" last="Weinstein">Roberto L. Weinstein</name>
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<name sortKey="Del Fabbro, Massimo" sort="Del Fabbro, Massimo" uniqKey="Del Fabbro M" first="Massimo" last="Del Fabbro">Massimo Del Fabbro</name>
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<title level="j">Clinical implant dentistry and related research</title>
<idno type="eISSN">1708-8208</idno>
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<term>Adult</term>
<term>Age Factors</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Alveolar Bone Loss (classification)</term>
<term>Bone Density (physiology)</term>
<term>Cementation (methods)</term>
<term>Cohort Studies</term>
<term>Dental Implantation, Endosseous (methods)</term>
<term>Dental Implants</term>
<term>Dental Prosthesis Design</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Dental Restoration Failure</term>
<term>Denture Retention</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Immediate Dental Implant Loading (methods)</term>
<term>Jaw, Edentulous (rehabilitation)</term>
<term>Jaw, Edentulous (surgery)</term>
<term>Male</term>
<term>Mandible (surgery)</term>
<term>Maxilla (surgery)</term>
<term>Middle Aged</term>
<term>Retrospective Studies</term>
<term>Survival Analysis</term>
<term>Tooth Extraction (methods)</term>
<term>Tooth Socket (surgery)</term>
<term>Treatment Outcome</term>
</keywords>
<keywords scheme="MESH" type="chemical" xml:lang="en">
<term>Dental Implants</term>
</keywords>
<keywords scheme="MESH" qualifier="classification" xml:lang="en">
<term>Alveolar Bone Loss</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en">
<term>Cementation</term>
<term>Dental Implantation, Endosseous</term>
<term>Immediate Dental Implant Loading</term>
<term>Tooth Extraction</term>
</keywords>
<keywords scheme="MESH" qualifier="physiology" xml:lang="en">
<term>Bone Density</term>
</keywords>
<keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en">
<term>Jaw, Edentulous</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en">
<term>Jaw, Edentulous</term>
<term>Mandible</term>
<term>Maxilla</term>
<term>Tooth Socket</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Adult</term>
<term>Age Factors</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Cohort Studies</term>
<term>Dental Prosthesis Design</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Dental Restoration Failure</term>
<term>Denture Retention</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Retrospective Studies</term>
<term>Survival Analysis</term>
<term>Treatment Outcome</term>
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<front>
<div type="abstract" xml:lang="en">This retrospective study deals with the issue of how to realize the transition from a failing dentition to an implant-supported prosthesis. The main aim was to assess the reliability of immediate implant and immediate loading (IL) protocols in the edentulous jaws. A further aim was to investigate the role of patient-related, implant-related, and surgery-related secondary variables in the occurrence of implant failure.</div>
</front>
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<pubmed>
<MedlineCitation Status="MEDLINE" Owner="NLM">
<PMID Version="1">23506353</PMID>
<DateCompleted>
<Year>2016</Year>
<Month>12</Month>
<Day>13</Day>
</DateCompleted>
<DateRevised>
<Year>2016</Year>
<Month>12</Month>
<Day>30</Day>
</DateRevised>
<Article PubModel="Print-Electronic">
<Journal>
<ISSN IssnType="Electronic">1708-8208</ISSN>
<JournalIssue CitedMedium="Internet">
<Volume>16</Volume>
<Issue>6</Issue>
<PubDate>
<Year>2014</Year>
<Month>Dec</Month>
</PubDate>
</JournalIssue>
<Title>Clinical implant dentistry and related research</Title>
<ISOAbbreviation>Clin Implant Dent Relat Res</ISOAbbreviation>
</Journal>
<ArticleTitle>Immediate versus conventional loading of post-extraction implants in the edentulous jaws.</ArticleTitle>
<Pagination>
<MedlinePgn>926-35</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1111/cid.12055</ELocationID>
<Abstract>
<AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">This retrospective study deals with the issue of how to realize the transition from a failing dentition to an implant-supported prosthesis. The main aim was to assess the reliability of immediate implant and immediate loading (IL) protocols in the edentulous jaws. A further aim was to investigate the role of patient-related, implant-related, and surgery-related secondary variables in the occurrence of implant failure.</AbstractText>
<AbstractText Label="MATERIALS AND METHODS" NlmCategory="METHODS">Patients with at least a 4-year post-loading follow-up undergoing the transition from a failing dentition to an implant-supported prosthesis were retrospectively investigated. Primary variables of implant failure were immediate placement and IL. Secondary variables were categorized as demographic, anatomic, site, and prosthetically related. Cumulative survival rates (CSRs) were compared using the Kaplan-Meier survival estimate method. Predictors of failure were included in a multivariate Cox regression model to evaluate the simultaneous effects of multiple covariates and control for correlated observation. Crestal bone loss was also measured at the delayed and the immediately loaded implants.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Five hundred nineteen implants rehabilitating 91 jaws in 80 patients were followed. The Kaplan-Meier survival estimate method showed that immediate implant and IL decreased the CSR significantly in the maxilla but not in the mandible. Some secondary variables were found to affect the CSR: maxillary location, age over 70 years, prostheses supported by only immediate implants or a majority of them, temporary cementation, implant diameter, and length. Crestal bone loss was not significantly related to the outcomes.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">The present data may provide clinical recommendations to the practitioner treating the transitional patient. In the mandible, the use of immediate implants and IL does not increase the failure rate. In the maxilla however, combining immediate placement and IL may significantly increase the failure rate.</AbstractText>
<CopyrightInformation>© 2013 Wiley Periodicals, Inc.</CopyrightInformation>
</Abstract>
<AuthorList CompleteYN="Y">
<Author ValidYN="Y">
<LastName>Testori</LastName>
<ForeName>Tiziano</ForeName>
<Initials>T</Initials>
<AffiliationInfo>
<Affiliation>Department of Biomedical, Surgical and Dental Sciences, Dental Clinic (Chairman: Prof. R.L. Weinstein), IRCCS Galeazzi Institute, University of Milan, Milan, Italy.</Affiliation>
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<LastName>Zuffetti</LastName>
<ForeName>Francesco</ForeName>
<Initials>F</Initials>
</Author>
<Author ValidYN="Y">
<LastName>Capelli</LastName>
<ForeName>Matteo</ForeName>
<Initials>M</Initials>
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<LastName>Galli</LastName>
<ForeName>Fabio</ForeName>
<Initials>F</Initials>
</Author>
<Author ValidYN="Y">
<LastName>Weinstein</LastName>
<ForeName>Roberto L</ForeName>
<Initials>RL</Initials>
</Author>
<Author ValidYN="Y">
<LastName>Del Fabbro</LastName>
<ForeName>Massimo</ForeName>
<Initials>M</Initials>
</Author>
</AuthorList>
<Language>eng</Language>
<PublicationTypeList>
<PublicationType UI="D016428">Journal Article</PublicationType>
</PublicationTypeList>
<ArticleDate DateType="Electronic">
<Year>2013</Year>
<Month>03</Month>
<Day>18</Day>
</ArticleDate>
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<Country>United States</Country>
<MedlineTA>Clin Implant Dent Relat Res</MedlineTA>
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<ISSNLinking>1523-0899</ISSNLinking>
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<RegistryNumber>0</RegistryNumber>
<NameOfSubstance UI="D015921">Dental Implants</NameOfSubstance>
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<CitationSubset>IM</CitationSubset>
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<MeshHeading>
<DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName>
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<DescriptorName UI="D000369" MajorTopicYN="N">Aged, 80 and over</DescriptorName>
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<DescriptorName UI="D016301" MajorTopicYN="N">Alveolar Bone Loss</DescriptorName>
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<DescriptorName UI="D002484" MajorTopicYN="N">Cementation</DescriptorName>
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<DescriptorName UI="D015331" MajorTopicYN="N">Cohort Studies</DescriptorName>
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<DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
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<DescriptorName UI="D057893" MajorTopicYN="N">Immediate Dental Implant Loading</DescriptorName>
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<MeshHeading>
<DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName>
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<MeshHeading>
<DescriptorName UI="D008334" MajorTopicYN="N">Mandible</DescriptorName>
<QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D008437" MajorTopicYN="N">Maxilla</DescriptorName>
<QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName>
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<DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName>
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<DescriptorName UI="D020390" MajorTopicYN="N">Tooth Socket</DescriptorName>
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</MeshHeadingList>
<KeywordList Owner="NOTNLM">
<Keyword MajorTopicYN="N">clinical study</Keyword>
<Keyword MajorTopicYN="N">delayed implant</Keyword>
<Keyword MajorTopicYN="N">immediate implant</Keyword>
<Keyword MajorTopicYN="N">immediate loading</Keyword>
<Keyword MajorTopicYN="N">post-extraction site</Keyword>
<Keyword MajorTopicYN="N">retrospective</Keyword>
</KeywordList>
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