All-on-4® Treatment Concept for the Rehabilitation of the Completely Edentulous Mandible: A 7-Year Clinical and 5-Year Radiographic Retrospective Case Series with Risk Assessment for Implant Failure and Marginal Bone Level.
Identifieur interne : 000679 ( PubMed/Corpus ); précédent : 000678; suivant : 000680All-on-4® Treatment Concept for the Rehabilitation of the Completely Edentulous Mandible: A 7-Year Clinical and 5-Year Radiographic Retrospective Case Series with Risk Assessment for Implant Failure and Marginal Bone Level.
Auteurs : Paulo Mal ; Miguel De Araújo Nobre ; Armando Lopes ; Ana Ferro ; Inês GravitoSource :
- Clinical implant dentistry and related research [ 1708-8208 ] ; 2015.
Abstract
Studies are needed to evaluate long-term outcomes of the All-on-4® treatment concept (Nobel Biocare AB) for rehabilitation of edentulous mandibles by assessing marginal bone levels and risk indicators for implant failure.
DOI: 10.1111/cid.12282
PubMed: 25536438
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">All-on-4® Treatment Concept for the Rehabilitation of the Completely Edentulous Mandible: A 7-Year Clinical and 5-Year Radiographic Retrospective Case Series with Risk Assessment for Implant Failure and Marginal Bone Level.</title><author><name sortKey="Mal, Paulo" sort="Mal, Paulo" uniqKey="Mal P" first="Paulo" last="Mal">Paulo Mal</name><affiliation><nlm:affiliation>Oral Surgery Department, Maló Clinic, Lisbon, Portugal.</nlm:affiliation></affiliation></author><author><name sortKey="De Araujo Nobre, Miguel" sort="De Araujo Nobre, Miguel" uniqKey="De Araujo Nobre M" first="Miguel" last="De Araújo Nobre">Miguel De Araújo Nobre</name><affiliation><nlm:affiliation>Research and Development Department, Maló Clinic, Lisbon, Portugal.</nlm:affiliation></affiliation></author><author><name sortKey="Lopes, Armando" sort="Lopes, Armando" uniqKey="Lopes A" first="Armando" last="Lopes">Armando Lopes</name><affiliation><nlm:affiliation>Oral Surgery Department, Maló Clinic, Lisbon, Portugal.</nlm:affiliation></affiliation></author><author><name sortKey="Ferro, Ana" sort="Ferro, Ana" uniqKey="Ferro A" first="Ana" last="Ferro">Ana Ferro</name><affiliation><nlm:affiliation>Oral Surgery Department, Maló Clinic, Lisbon, Portugal.</nlm:affiliation></affiliation></author><author><name sortKey="Gravito, Ines" sort="Gravito, Ines" uniqKey="Gravito I" first="Inês" last="Gravito">Inês Gravito</name><affiliation><nlm:affiliation>Oral Surgery Department, Maló Clinic, Lisbon, Portugal.</nlm:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2015">2015</date><idno type="RBID">pubmed:25536438</idno><idno type="pmid">25536438</idno><idno type="doi">10.1111/cid.12282</idno><idno type="wicri:Area/PubMed/Corpus">000679</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">000679</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">All-on-4® Treatment Concept for the Rehabilitation of the Completely Edentulous Mandible: A 7-Year Clinical and 5-Year Radiographic Retrospective Case Series with Risk Assessment for Implant Failure and Marginal Bone Level.</title><author><name sortKey="Mal, Paulo" sort="Mal, Paulo" uniqKey="Mal P" first="Paulo" last="Mal">Paulo Mal</name><affiliation><nlm:affiliation>Oral Surgery Department, Maló Clinic, Lisbon, Portugal.</nlm:affiliation></affiliation></author><author><name sortKey="De Araujo Nobre, Miguel" sort="De Araujo Nobre, Miguel" uniqKey="De Araujo Nobre M" first="Miguel" last="De Araújo Nobre">Miguel De Araújo Nobre</name><affiliation><nlm:affiliation>Research and Development Department, Maló Clinic, Lisbon, Portugal.</nlm:affiliation></affiliation></author><author><name sortKey="Lopes, Armando" sort="Lopes, Armando" uniqKey="Lopes A" first="Armando" last="Lopes">Armando Lopes</name><affiliation><nlm:affiliation>Oral Surgery Department, Maló Clinic, Lisbon, Portugal.</nlm:affiliation></affiliation></author><author><name sortKey="Ferro, Ana" sort="Ferro, Ana" uniqKey="Ferro A" first="Ana" last="Ferro">Ana Ferro</name><affiliation><nlm:affiliation>Oral Surgery Department, Maló Clinic, Lisbon, Portugal.</nlm:affiliation></affiliation></author><author><name sortKey="Gravito, Ines" sort="Gravito, Ines" uniqKey="Gravito I" first="Inês" last="Gravito">Inês Gravito</name><affiliation><nlm:affiliation>Oral Surgery Department, Maló Clinic, Lisbon, Portugal.</nlm:affiliation></affiliation></author></analytic><series><title level="j">Clinical implant dentistry and related research</title><idno type="eISSN">1708-8208</idno><imprint><date when="2015" type="published">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Studies are needed to evaluate long-term outcomes of the All-on-4® treatment concept (Nobel Biocare AB) for rehabilitation of edentulous mandibles by assessing marginal bone levels and risk indicators for implant failure.</div></front></TEI><pubmed><MedlineCitation Status="In-Process" Owner="NLM"><PMID Version="1">25536438</PMID><DateRevised><Year>2015</Year><Month>10</Month><Day>03</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1708-8208</ISSN><JournalIssue CitedMedium="Internet"><Volume>17 Suppl 2</Volume><PubDate><Year>2015</Year><Month>Oct</Month></PubDate></JournalIssue><Title>Clinical implant dentistry and related research</Title><ISOAbbreviation>Clin Implant Dent Relat Res</ISOAbbreviation></Journal><ArticleTitle>All-on-4® Treatment Concept for the Rehabilitation of the Completely Edentulous Mandible: A 7-Year Clinical and 5-Year Radiographic Retrospective Case Series with Risk Assessment for Implant Failure and Marginal Bone Level.</ArticleTitle><Pagination><MedlinePgn>e531-41</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1111/cid.12282</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Studies are needed to evaluate long-term outcomes of the All-on-4® treatment concept (Nobel Biocare AB) for rehabilitation of edentulous mandibles by assessing marginal bone levels and risk indicators for implant failure.</AbstractText><AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">To evaluate 7-year clinical outcomes and 5-year radiographic outcomes of the All-on-4 treatment concept.</AbstractText><AbstractText Label="MATERIALS AND METHODS" NlmCategory="METHODS">This retrospective case series included patients admitted for implant rehabilitations in the mandible, who were followed for 7 years clinically and 5 years radiographically. Primary outcome measures were cumulative prosthetic and implant survival using patient as the unit of analysis (Kaplan-Meier product limit estimator). Secondary outcome measure was marginal bone level (MBL) at 5 years. Variables associated with implant failure were analyzed using the Cox proportional hazards regression model to calculate hazard ratios (HRs) with 95% confidence intervals (CIs). Binary logistic regression was used to compute odds ratio (OR) with 95% CIs for variables associated with MBL ≥2.8 mm at 5 years.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">A total of 324 patients (194 women, 130 men, average age = 58.9 years) were rehabilitated with 1,296 implants supporting 324 full-arch fixed immediately loaded mandibular prostheses. Sixty-four patients (19.8%) were lost to follow-up. Prosthetic survival was 323/324 (99.7%), and 14 patients lost 18 implants, with an estimated cumulative survival rate of 95.4% at 7 years. Variables associated with implant failure were smoking (HR = 5.28; 95% CI: 1.33, 20.91]) and the learning curve effect (0.69 < HR < 0.33 for more experienced levels). Mean MBL at 5 years was 1.81 mm (95% CI: 1.70, 1.92), and smoking was associated with MBL ≥2.8 mm (OR = 2.4; 95% CI: 1.02, 5.62).</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">The high implant and prosthetic survival rates and excellent MBL outcome confirm the predictability and safety of the All-on-4 treatment concept over a longer term than previously reported.</AbstractText><CopyrightInformation>© 2014 Wiley Periodicals, Inc.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Maló</LastName><ForeName>Paulo</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>Oral Surgery Department, Maló Clinic, Lisbon, Portugal.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>de Araújo Nobre</LastName><ForeName>Miguel</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Research and Development Department, Maló Clinic, Lisbon, Portugal.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Lopes</LastName><ForeName>Armando</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Oral Surgery Department, Maló Clinic, Lisbon, Portugal.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Ferro</LastName><ForeName>Ana</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Oral Surgery Department, Maló Clinic, Lisbon, Portugal.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Gravito</LastName><ForeName>Inês</ForeName><Initials>I</Initials><AffiliationInfo><Affiliation>Oral Surgery Department, Maló Clinic, Lisbon, Portugal.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2014</Year><Month>12</Month><Day>23</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Clin Implant Dent Relat Res</MedlineTA><NlmUniqueID>100888977</NlmUniqueID><ISSNLinking>1523-0899</ISSNLinking></MedlineJournalInfo><CitationSubset>D</CitationSubset><CitationSubset>IM</CitationSubset><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">immediate function</Keyword><Keyword MajorTopicYN="N">long-term survival</Keyword><Keyword MajorTopicYN="N">tilted implants</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2014</Year><Month>12</Month><Day>24</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2014</Year><Month>12</Month><Day>24</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2014</Year><Month>12</Month><Day>24</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">25536438</ArticleId><ArticleId IdType="doi">10.1111/cid.12282</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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