Ongoing Crestal Bone Loss around Implants Subjected to Computer-Guided Flapless Surgery and Immediate Loading Using the All-on-4® Concept.
Identifieur interne : 000969 ( PubMed/Corpus ); précédent : 000968; suivant : 000970Ongoing Crestal Bone Loss around Implants Subjected to Computer-Guided Flapless Surgery and Immediate Loading Using the All-on-4® Concept.
Auteurs : Hilde Browaeys ; Melissa Dierens ; Christian Ruyffelaert ; Carine Matthijs ; Hugo De Bruyn ; Stefan VandewegheSource :
- Clinical implant dentistry and related research [ 1708-8208 ] ; 2015.
English descriptors
- KwdEn :
- MESH :
- chemical : Dental Implants.
- diagnostic imaging : Alveolar Bone Loss.
- epidemiology : Alveolar Bone Loss.
- statistics & numerical data : Immediate Dental Implant Loading.
- surgery : Jaw, Edentulous, Mandible, Maxilla.
- Adult, Aged, Female, Humans, Male, Middle Aged, Prospective Studies.
Abstract
The All-on-4(®) concept is widely applied for full-arch rehabilitations, using two tilted and two axially loaded implants in order to overcome anatomical constraints.
DOI: 10.1111/cid.12197
PubMed: 24397413
Links to Exploration step
pubmed:24397413Le document en format XML
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<author><name sortKey="Browaeys, Hilde" sort="Browaeys, Hilde" uniqKey="Browaeys H" first="Hilde" last="Browaeys">Hilde Browaeys</name>
<affiliation><nlm:affiliation>Department of Oral and Maxillofacial Surgery, Dental School, Faculty of Medicine and Health Sciences, University of Ghent, University Hospital Ghent, Ghent, Belgium.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Dierens, Melissa" sort="Dierens, Melissa" uniqKey="Dierens M" first="Melissa" last="Dierens">Melissa Dierens</name>
<affiliation><nlm:affiliation>Department of Periodontology and Oral Implantology, Dental School, Faculty of Medicine and Health Sciences, University of Ghent, University Hospital Ghent, Ghent, Belgium.</nlm:affiliation>
</affiliation>
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<author><name sortKey="Ruyffelaert, Christian" sort="Ruyffelaert, Christian" uniqKey="Ruyffelaert C" first="Christian" last="Ruyffelaert">Christian Ruyffelaert</name>
<affiliation><nlm:affiliation>Department of Periodontology and Oral Implantology, Dental School, Faculty of Medicine and Health Sciences, University of Ghent, University Hospital Ghent, Ghent, Belgium.</nlm:affiliation>
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<author><name sortKey="Matthijs, Carine" sort="Matthijs, Carine" uniqKey="Matthijs C" first="Carine" last="Matthijs">Carine Matthijs</name>
<affiliation><nlm:affiliation>Department of Periodontology and Oral Implantology, Dental School, Faculty of Medicine and Health Sciences, University of Ghent, University Hospital Ghent, Ghent, Belgium.</nlm:affiliation>
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<author><name sortKey="De Bruyn, Hugo" sort="De Bruyn, Hugo" uniqKey="De Bruyn H" first="Hugo" last="De Bruyn">Hugo De Bruyn</name>
<affiliation><nlm:affiliation>Department of Periodontology and Oral Implantology, Dental School, Faculty of Medicine and Health Sciences, University of Ghent, University Hospital Ghent, Ghent, Belgium.</nlm:affiliation>
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<author><name sortKey="Vandeweghe, Stefan" sort="Vandeweghe, Stefan" uniqKey="Vandeweghe S" first="Stefan" last="Vandeweghe">Stefan Vandeweghe</name>
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<sourceDesc><biblStruct><analytic><title xml:lang="en">Ongoing Crestal Bone Loss around Implants Subjected to Computer-Guided Flapless Surgery and Immediate Loading Using the All-on-4® Concept.</title>
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<author><name sortKey="Dierens, Melissa" sort="Dierens, Melissa" uniqKey="Dierens M" first="Melissa" last="Dierens">Melissa Dierens</name>
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<author><name sortKey="Ruyffelaert, Christian" sort="Ruyffelaert, Christian" uniqKey="Ruyffelaert C" first="Christian" last="Ruyffelaert">Christian Ruyffelaert</name>
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<author><name sortKey="Matthijs, Carine" sort="Matthijs, Carine" uniqKey="Matthijs C" first="Carine" last="Matthijs">Carine Matthijs</name>
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<author><name sortKey="De Bruyn, Hugo" sort="De Bruyn, Hugo" uniqKey="De Bruyn H" first="Hugo" last="De Bruyn">Hugo De Bruyn</name>
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<author><name sortKey="Vandeweghe, Stefan" sort="Vandeweghe, Stefan" uniqKey="Vandeweghe S" first="Stefan" last="Vandeweghe">Stefan Vandeweghe</name>
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<series><title level="j">Clinical implant dentistry and related research</title>
<idno type="eISSN">1708-8208</idno>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term>
<term>Aged</term>
<term>Alveolar Bone Loss (diagnostic imaging)</term>
<term>Alveolar Bone Loss (epidemiology)</term>
<term>Dental Implants</term>
<term>Female</term>
<term>Humans</term>
<term>Immediate Dental Implant Loading (statistics & numerical data)</term>
<term>Jaw, Edentulous (surgery)</term>
<term>Male</term>
<term>Mandible (surgery)</term>
<term>Maxilla (surgery)</term>
<term>Middle Aged</term>
<term>Prospective Studies</term>
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<keywords scheme="MESH" type="chemical" xml:lang="en"><term>Dental Implants</term>
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<keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en"><term>Alveolar Bone Loss</term>
</keywords>
<keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Alveolar Bone Loss</term>
</keywords>
<keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Immediate Dental Implant Loading</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Jaw, Edentulous</term>
<term>Mandible</term>
<term>Maxilla</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Adult</term>
<term>Aged</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Prospective Studies</term>
</keywords>
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<front><div type="abstract" xml:lang="en">The All-on-4(®) concept is widely applied for full-arch rehabilitations, using two tilted and two axially loaded implants in order to overcome anatomical constraints.</div>
</front>
</TEI>
<pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">24397413</PMID>
<DateCompleted><Year>2017</Year>
<Month>01</Month>
<Day>10</Day>
</DateCompleted>
<DateRevised><Year>2017</Year>
<Month>01</Month>
<Day>11</Day>
</DateRevised>
<Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1708-8208</ISSN>
<JournalIssue CitedMedium="Internet"><Volume>17</Volume>
<Issue>5</Issue>
<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>Ongoing Crestal Bone Loss around Implants Subjected to Computer-Guided Flapless Surgery and Immediate Loading Using the All-on-4® Concept.</ArticleTitle>
<Pagination><MedlinePgn>831-43</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1111/cid.12197</ELocationID>
<Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">The All-on-4(®) concept is widely applied for full-arch rehabilitations, using two tilted and two axially loaded implants in order to overcome anatomical constraints.</AbstractText>
<AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">The aim of this study was to assess the survival and individual success of implants immediately loaded with an All-on-4 full-arch screw-retained prosthetic bridge in fully edentulous mandibles or maxillae over up to 3 years.</AbstractText>
<AbstractText Label="MATERIALS AND METHODS" NlmCategory="METHODS">In total, 20 patients with atrophic jaws (9 maxillae, 11 mandibles) were treated with computer-guided flapless surgery and immediately provided with a provisional bridge. The final prosthesis was delivered after 6 months. In total, 80 TiUnite(™) Brånemark implants were placed. Radiographs were taken after surgery and 1 and 3 years later.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">A 3-year survival rate of 100% was seen for all implants, both in lower and in upper jaw. None of the temporary or definite prostheses were lost over the follow-up period of 3 years. After 1 year, the mean bone loss was 1.13 mm (SD 0.94; range -0.1 to 3.8), and after 3 years, it was 1.61 mm (SD 1.40; range 0 to 5). The mean bone loss between the 1-year and 3-year follow-ups was 0.48 mm (SD 0.66; range -1.2 to 3.6). This difference was statistically significant (p < .001), indicative of ongoing bone loss. Twenty-six percent of the implants had bone loss above 1.5 mm after 1 year, but after 3 years, 30% of the implants had already lost more than 1.9 mm.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">The implant and prosthetic survival was 100%, and patients benefited from the All-on-4 treatment. However, unacceptable ongoing bone loss was seen in 49.2% of the patients; this may be a warning sign for future problems and needs clinical attention. Overloading and surgery-related aspects need to be investigated as potential explanations.</AbstractText>
<CopyrightInformation>© 2014 Wiley Periodicals, Inc.</CopyrightInformation>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Browaeys</LastName>
<ForeName>Hilde</ForeName>
<Initials>H</Initials>
<AffiliationInfo><Affiliation>Department of Oral and Maxillofacial Surgery, Dental School, Faculty of Medicine and Health Sciences, University of Ghent, University Hospital Ghent, Ghent, Belgium.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Dierens</LastName>
<ForeName>Melissa</ForeName>
<Initials>M</Initials>
<AffiliationInfo><Affiliation>Department of Periodontology and Oral Implantology, Dental School, Faculty of Medicine and Health Sciences, University of Ghent, University Hospital Ghent, Ghent, Belgium.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Ruyffelaert</LastName>
<ForeName>Christian</ForeName>
<Initials>C</Initials>
<AffiliationInfo><Affiliation>Department of Periodontology and Oral Implantology, Dental School, Faculty of Medicine and Health Sciences, University of Ghent, University Hospital Ghent, Ghent, Belgium.</Affiliation>
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<Author ValidYN="Y"><LastName>Matthijs</LastName>
<ForeName>Carine</ForeName>
<Initials>C</Initials>
<AffiliationInfo><Affiliation>Department of Periodontology and Oral Implantology, Dental School, Faculty of Medicine and Health Sciences, University of Ghent, University Hospital Ghent, Ghent, Belgium.</Affiliation>
</AffiliationInfo>
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<Author ValidYN="Y"><LastName>De Bruyn</LastName>
<ForeName>Hugo</ForeName>
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<AffiliationInfo><Affiliation>Department of Periodontology and Oral Implantology, Dental School, Faculty of Medicine and Health Sciences, University of Ghent, University Hospital Ghent, Ghent, Belgium.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Department of Prosthodontics, School of Dentistry, Malmö University, Malmö, Sweden.</Affiliation>
</AffiliationInfo>
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<Author ValidYN="Y"><LastName>Vandeweghe</LastName>
<ForeName>Stefan</ForeName>
<Initials>S</Initials>
<AffiliationInfo><Affiliation>Department of Periodontology and Oral Implantology, Dental School, Faculty of Medicine and Health Sciences, University of Ghent, University Hospital Ghent, Ghent, Belgium.</Affiliation>
</AffiliationInfo>
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<Language>eng</Language>
<PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType>
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<ArticleDate DateType="Electronic"><Year>2014</Year>
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<MedlineJournalInfo><Country>United States</Country>
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<MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName>
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<MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName>
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<MeshHeading><DescriptorName UI="D016301" MajorTopicYN="N">Alveolar Bone Loss</DescriptorName>
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<MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
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<MeshHeading><DescriptorName UI="D057893" MajorTopicYN="Y">Immediate Dental Implant Loading</DescriptorName>
<QualifierName UI="Q000706" MajorTopicYN="N">statistics & numerical data</QualifierName>
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<MeshHeading><DescriptorName UI="D007575" MajorTopicYN="N">Jaw, Edentulous</DescriptorName>
<QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName>
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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="Y">surgery</QualifierName>
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<MeshHeading><DescriptorName UI="D008437" MajorTopicYN="N">Maxilla</DescriptorName>
<QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D011446" MajorTopicYN="N">Prospective Studies</DescriptorName>
</MeshHeading>
</MeshHeadingList>
<KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">All-on-4</Keyword>
<Keyword MajorTopicYN="N">bone level</Keyword>
<Keyword MajorTopicYN="N">bone remodeling</Keyword>
<Keyword MajorTopicYN="N">immediate loading</Keyword>
<Keyword MajorTopicYN="N">one-stage surgery</Keyword>
<Keyword MajorTopicYN="N">prosthetic complications</Keyword>
<Keyword MajorTopicYN="N">success</Keyword>
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