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Immediate loading of 'All-on-4' maxillary prostheses using trans-sinus tilted implants without sinus bone grafting: a retrospective study reporting the 3-year outcome.

Identifieur interne : 000484 ( PubMed/Corpus ); précédent : 000483; suivant : 000485

Immediate loading of 'All-on-4' maxillary prostheses using trans-sinus tilted implants without sinus bone grafting: a retrospective study reporting the 3-year outcome.

Auteurs : Paulo Mal ; Miguel De Nobre ; Armando Lopes

Source :

RBID : pubmed:24179981

English descriptors

Abstract

To report the outcome of trans-sinus tilted implants for the rehabilitation of the complete edentulous atrophic maxilla using the All-on-4 concept with immediate loading.

PubMed: 24179981

Links to Exploration step

pubmed:24179981

Le document en format XML

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<title xml:lang="en">Immediate loading of 'All-on-4' maxillary prostheses using trans-sinus tilted implants without sinus bone grafting: a retrospective study reporting the 3-year outcome.</title>
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<name sortKey="Mal, Paulo" sort="Mal, Paulo" uniqKey="Mal P" first="Paulo" last="Mal">Paulo Mal</name>
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<author>
<name sortKey="Nobre, Miguel De" sort="Nobre, Miguel De" uniqKey="Nobre M" first="Miguel De" last="Nobre">Miguel De Nobre</name>
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<name sortKey="Lopes, Armando" sort="Lopes, Armando" uniqKey="Lopes A" first="Armando" last="Lopes">Armando Lopes</name>
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<title xml:lang="en">Immediate loading of 'All-on-4' maxillary prostheses using trans-sinus tilted implants without sinus bone grafting: a retrospective study reporting the 3-year outcome.</title>
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<name sortKey="Mal, Paulo" sort="Mal, Paulo" uniqKey="Mal P" first="Paulo" last="Mal">Paulo Mal</name>
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<author>
<name sortKey="Nobre, Miguel De" sort="Nobre, Miguel De" uniqKey="Nobre M" first="Miguel De" last="Nobre">Miguel De Nobre</name>
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<name sortKey="Lopes, Armando" sort="Lopes, Armando" uniqKey="Lopes A" first="Armando" last="Lopes">Armando Lopes</name>
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<series>
<title level="j">European journal of oral implantology</title>
<idno type="ISSN">1756-2406</idno>
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<date when="2013" type="published">2013</date>
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<term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Alveolar Bone Loss (rehabilitation)</term>
<term>Bone Transplantation</term>
<term>Dental Implants</term>
<term>Dental Prosthesis Design</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Denture, Complete, Upper</term>
<term>Female</term>
<term>Humans</term>
<term>Immediate Dental Implant Loading</term>
<term>Male</term>
<term>Maxillary Sinus (surgery)</term>
<term>Middle Aged</term>
<term>Retrospective Studies</term>
</keywords>
<keywords scheme="MESH" type="chemical" xml:lang="en">
<term>Dental Implants</term>
</keywords>
<keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en">
<term>Alveolar Bone Loss</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en">
<term>Maxillary Sinus</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Bone Transplantation</term>
<term>Dental Prosthesis Design</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Denture, Complete, Upper</term>
<term>Female</term>
<term>Humans</term>
<term>Immediate Dental Implant Loading</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Retrospective Studies</term>
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<front>
<div type="abstract" xml:lang="en">To report the outcome of trans-sinus tilted implants for the rehabilitation of the complete edentulous atrophic maxilla using the All-on-4 concept with immediate loading.</div>
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<Year>2014</Year>
<Month>01</Month>
<Day>02</Day>
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<DateRevised>
<Year>2013</Year>
<Month>11</Month>
<Day>01</Day>
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<ISSN IssnType="Print">1756-2406</ISSN>
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<Volume>6</Volume>
<Issue>3</Issue>
<PubDate>
<Year>2013</Year>
<Season>Autumn</Season>
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<Title>European journal of oral implantology</Title>
<ISOAbbreviation>Eur J Oral Implantol</ISOAbbreviation>
</Journal>
<ArticleTitle>Immediate loading of 'All-on-4' maxillary prostheses using trans-sinus tilted implants without sinus bone grafting: a retrospective study reporting the 3-year outcome.</ArticleTitle>
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<Abstract>
<AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">To report the outcome of trans-sinus tilted implants for the rehabilitation of the complete edentulous atrophic maxilla using the All-on-4 concept with immediate loading.</AbstractText>
<AbstractText Label="MATERIALS AND METHODS" NlmCategory="METHODS">This retrospective clinical study included 70 patients treated with 280 implants (Nobel Biocare), 83 of which were trans-sinus implants supporting 70 prostheses. The inclusion criteria were need of maxillary complete edentulous rehabilitation without enough bone height posterior to the canines to anchor the implants. The trans-sinus implant head was anchored on the bone available just posterior to the anterior sinus wall and inferior to the sinus floor. The trans-sinus implant body was inside the sinus, and its apex anchored in the bone between the anterior sinus wall and the nasal cortical. The nasal cortical was used, if necessary, to achieve a double bicortical anchorage. Implants were immediately loaded with cross-arch fixed prostheses. Follow-up examinations were performed after 10 days, 2, 4 and 6 months, and 1, 2 and 3 years. Radiographic evaluations were performed after 1 and 3 years of function. Outcome measures were success of the prostheses, success of the implants, complications, peri-implant marginal bone levels, and aesthetic and functional complaints. Survival was calculated at implant level and using the patient as the unit of analysis (first implant failure in any given patient) using life-table analysis.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Seven patients dropped out of the study. Three trans-sinus tilted implants were lost in 3 patients, giving a cumulative survival rate of 95.7% and 96.4% at patient and implant level, respectively. One conventional tilted implant was lost in 1 patient (one of the patients that lost a trans-sinus tilted implant), giving a cumulative survival rate of 98.1%. One straight implant was lost in one patient (a second patient that lost a trans-sinus implant), giving a cumulative survival rate of 98.6% and 99.3% at patient and implant level, respectively. The survival rate of prostheses was 100%. Sinusitis occurred in 2 patients (2.9%). The marginal bone resorption was on average (standard deviation) 0.96 mm (0.62 mm) and 1.14 mm (0.74 mm) for the trans-sinus tilted implants, 0.89 mm (0.54 mm) and 1.06 mm (0.71 mm) for the conventional tilted implants, and 0.62 mm (0.35 mm) and 1.15 mm (0.51 mm) for the straight implants after 1 and 3 years of follow-up, respectively.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">The high survival rate registered at patient and implant level indicates that the outcome of immediately loaded trans-sinus implants for the rehabilitation of edentulous atrophic maxillae to avoid sinus lift procedures is a viable treatment in the short and medium term. Future studies should focus on the long-term outcome of this rehabilitation modality.</AbstractText>
</Abstract>
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<LastName>Maló</LastName>
<ForeName>Paulo</ForeName>
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<ForeName>Miguel de</ForeName>
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<ForeName>Armando</ForeName>
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<Language>eng</Language>
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<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="D015921" MajorTopicYN="Y">Dental Implants</DescriptorName>
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<DescriptorName UI="D017267" MajorTopicYN="Y">Dental Prosthesis Design</DescriptorName>
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<DescriptorName UI="D019094" MajorTopicYN="Y">Dental Prosthesis, Implant-Supported</DescriptorName>
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<DescriptorName UI="D003827" MajorTopicYN="N">Denture, Complete, Upper</DescriptorName>
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<DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName>
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<DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
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<DescriptorName UI="D057893" MajorTopicYN="Y">Immediate Dental Implant Loading</DescriptorName>
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<DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName>
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<MeshHeading>
<DescriptorName UI="D008443" MajorTopicYN="N">Maxillary Sinus</DescriptorName>
<QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName>
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<DescriptorName UI="D012189" MajorTopicYN="N">Retrospective Studies</DescriptorName>
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