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Early implant loading in the atrophic posterior maxilla: 1-stage lateral versus crestal sinus lift and 8 mm hydroxyapatite-coated implants. A 5-year randomised controlled trial.

Identifieur interne : 000527 ( PubMed/Curation ); précédent : 000526; suivant : 000528

Early implant loading in the atrophic posterior maxilla: 1-stage lateral versus crestal sinus lift and 8 mm hydroxyapatite-coated implants. A 5-year randomised controlled trial.

Auteurs : Gioacchino Cannizzaro [Italie] ; Pietro Felice ; Armando Francesco Minciarelli ; Michele Leone ; Paolo Viola ; Marco Esposito

Source :

RBID : pubmed:23513199

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English descriptors

Abstract

To evaluate the efficacy of long implants (10-16 mm) inserted in maxillary sinuses augmented according to a lateral approach versus short (8 mm) implants placed in crestally augmented sinuses, early loaded after 45 days.

PubMed: 23513199

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pubmed:23513199

Le document en format XML

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<title xml:lang="en">Early implant loading in the atrophic posterior maxilla: 1-stage lateral versus crestal sinus lift and 8 mm hydroxyapatite-coated implants. A 5-year randomised controlled trial.</title>
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<name sortKey="Cannizzaro, Gioacchino" sort="Cannizzaro, Gioacchino" uniqKey="Cannizzaro G" first="Gioacchino" last="Cannizzaro">Gioacchino Cannizzaro</name>
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<nlm:affiliation>Department of Periodontology and Implantology, University of Bologna, Bologna, Italy.</nlm:affiliation>
<country xml:lang="fr">Italie</country>
<wicri:regionArea>Department of Periodontology and Implantology, University of Bologna, Bologna</wicri:regionArea>
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<name sortKey="Felice, Pietro" sort="Felice, Pietro" uniqKey="Felice P" first="Pietro" last="Felice">Pietro Felice</name>
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<name sortKey="Minciarelli, Armando Francesco" sort="Minciarelli, Armando Francesco" uniqKey="Minciarelli A" first="Armando Francesco" last="Minciarelli">Armando Francesco Minciarelli</name>
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<name sortKey="Leone, Michele" sort="Leone, Michele" uniqKey="Leone M" first="Michele" last="Leone">Michele Leone</name>
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<name sortKey="Viola, Paolo" sort="Viola, Paolo" uniqKey="Viola P" first="Paolo" last="Viola">Paolo Viola</name>
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<name sortKey="Esposito, Marco" sort="Esposito, Marco" uniqKey="Esposito M" first="Marco" last="Esposito">Marco Esposito</name>
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<title xml:lang="en">Early implant loading in the atrophic posterior maxilla: 1-stage lateral versus crestal sinus lift and 8 mm hydroxyapatite-coated implants. A 5-year randomised controlled trial.</title>
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<nlm:affiliation>Department of Periodontology and Implantology, University of Bologna, Bologna, Italy.</nlm:affiliation>
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<name sortKey="Felice, Pietro" sort="Felice, Pietro" uniqKey="Felice P" first="Pietro" last="Felice">Pietro Felice</name>
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<name sortKey="Minciarelli, Armando Francesco" sort="Minciarelli, Armando Francesco" uniqKey="Minciarelli A" first="Armando Francesco" last="Minciarelli">Armando Francesco Minciarelli</name>
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<name sortKey="Leone, Michele" sort="Leone, Michele" uniqKey="Leone M" first="Michele" last="Leone">Michele Leone</name>
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<title level="j">European journal of oral implantology</title>
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<term>Adult</term>
<term>Aged</term>
<term>Alveolar Process (diagnostic imaging)</term>
<term>Bone Substitutes</term>
<term>Coated Materials, Biocompatible</term>
<term>Dental Implants (adverse effects)</term>
<term>Dental Prosthesis Design</term>
<term>Dental Restoration Failure</term>
<term>Durapatite</term>
<term>Female</term>
<term>Humans</term>
<term>Immediate Dental Implant Loading</term>
<term>Male</term>
<term>Maxilla (surgery)</term>
<term>Maxillary Sinusitis (etiology)</term>
<term>Middle Aged</term>
<term>Minerals</term>
<term>Osseointegration</term>
<term>Periodontal Abscess (etiology)</term>
<term>Radiography</term>
<term>Sinus Floor Augmentation (methods)</term>
<term>Young Adult</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr">
<term>Abcès parodontal (étiologie)</term>
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Conception de prothèse dentaire</term>
<term>Durapatite</term>
<term>Femelle</term>
<term>Humains</term>
<term>Implants dentaires (effets indésirables)</term>
<term>Jeune adulte</term>
<term>Matériaux revêtus, biocompatibles</term>
<term>Maxillaire ()</term>
<term>Minéraux</term>
<term>Mâle</term>
<term>Ostéo-intégration</term>
<term>Pose immédiate d'implant dentaire</term>
<term>Processus alvéolaire (imagerie diagnostique)</term>
<term>Radiographie</term>
<term>Rehaussement du plancher du sinus ()</term>
<term>Sinusite maxillaire (étiologie)</term>
<term>Substituts osseux</term>
<term>Sujet âgé</term>
<term>Échec de restauration dentaire</term>
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<term>Dental Implants</term>
</keywords>
<keywords scheme="MESH" type="chemical" xml:lang="en">
<term>Bone Substitutes</term>
<term>Coated Materials, Biocompatible</term>
<term>Durapatite</term>
<term>Minerals</term>
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<term>Alveolar Process</term>
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<keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr">
<term>Implants dentaires</term>
</keywords>
<keywords scheme="MESH" qualifier="etiology" xml:lang="en">
<term>Maxillary Sinusitis</term>
<term>Periodontal Abscess</term>
</keywords>
<keywords scheme="MESH" qualifier="imagerie diagnostique" xml:lang="fr">
<term>Processus alvéolaire</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en">
<term>Sinus Floor Augmentation</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en">
<term>Maxilla</term>
</keywords>
<keywords scheme="MESH" qualifier="étiologie" xml:lang="fr">
<term>Abcès parodontal</term>
<term>Sinusite maxillaire</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Adult</term>
<term>Aged</term>
<term>Dental Prosthesis Design</term>
<term>Dental Restoration Failure</term>
<term>Female</term>
<term>Humans</term>
<term>Immediate Dental Implant Loading</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Osseointegration</term>
<term>Radiography</term>
<term>Young Adult</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr">
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Conception de prothèse dentaire</term>
<term>Durapatite</term>
<term>Femelle</term>
<term>Humains</term>
<term>Jeune adulte</term>
<term>Matériaux revêtus, biocompatibles</term>
<term>Maxillaire</term>
<term>Minéraux</term>
<term>Mâle</term>
<term>Ostéo-intégration</term>
<term>Pose immédiate d'implant dentaire</term>
<term>Radiographie</term>
<term>Rehaussement du plancher du sinus</term>
<term>Substituts osseux</term>
<term>Sujet âgé</term>
<term>Échec de restauration dentaire</term>
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<front>
<div type="abstract" xml:lang="en">To evaluate the efficacy of long implants (10-16 mm) inserted in maxillary sinuses augmented according to a lateral approach versus short (8 mm) implants placed in crestally augmented sinuses, early loaded after 45 days.</div>
</front>
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<PMID Version="1">23513199</PMID>
<DateCompleted>
<Year>2013</Year>
<Month>07</Month>
<Day>25</Day>
</DateCompleted>
<DateRevised>
<Year>2016</Year>
<Month>11</Month>
<Day>25</Day>
</DateRevised>
<Article PubModel="Print">
<Journal>
<ISSN IssnType="Print">1756-2406</ISSN>
<JournalIssue CitedMedium="Print">
<Volume>6</Volume>
<Issue>1</Issue>
<PubDate>
<Year>2013</Year>
<Season>Spring</Season>
</PubDate>
</JournalIssue>
<Title>European journal of oral implantology</Title>
<ISOAbbreviation>Eur J Oral Implantol</ISOAbbreviation>
</Journal>
<ArticleTitle>Early implant loading in the atrophic posterior maxilla: 1-stage lateral versus crestal sinus lift and 8 mm hydroxyapatite-coated implants. A 5-year randomised controlled trial.</ArticleTitle>
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<MedlinePgn>13-25</MedlinePgn>
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<Abstract>
<AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">To evaluate the efficacy of long implants (10-16 mm) inserted in maxillary sinuses augmented according to a lateral approach versus short (8 mm) implants placed in crestally augmented sinuses, early loaded after 45 days.</AbstractText>
<AbstractText Label="MATERIALS AND METHODS" NlmCategory="METHODS">Forty partially or fully edentulous patients having 3 to 6 mm of residual crestal height and at least 4 mm in thickness below the maxillary sinuses were randomised according to a parallel group design to receive either one to three 10 to 16 mm-long hydroxyapatite-coated implants (20 patients) after lateral sinus lifting with 50% an organic bovine (Bio-Oss) and 50% autogenous bone, or 8 mm implants (20 patients) after crestal sinus lifting with autogenous bone. Implants were submerged and left healing for 45 days before loading the implants. Within 1 week after abutment connection, implants were loaded with screw-retained full acrylic provisional prostheses. Definitive metal-ceramic prostheses were provisionally cemented 45 days after abutment connection. Outcome measures were prosthesis and implant failures, any complications, and radiographic periimplant marginal bone level changes. In addition, the stability of individual implants was assessed with Osstell and Periotest at abutment connection (baseline), and at 1 and 5 years after loading by blinded outcome assessors. All patients were followed up to 5 years after loading.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">One patient dropped out (death) from the longer implant group. One implant failed in the short implant group versus 5 implants in 3 patients of the longer implant group. The difference was not statistically significant. Four complications occurred in 4 patients of the short implant group versus 8 complications in 7 patients of the long implant group, the difference being not statistically significantly different. However, the 2 major postoperative complications occurred in the longer implant group: 1 abscess, and 1 sinusitis that led to the complete failure of the treatment in 2 patients (4 implants lost). A total of 0.72 mm of peri-implant marginal bone was lost after 5 years at long implants and 0.41 mm at short implants, the difference between the two groups was statistically significant (P = 0.028). Osstell values increased and Periotest decreased over time and there were no differences between groups at any time points.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">In atrophic maxillary sinuses with a residual bone height of 3 to 6 mm, 8 mm short implants placed in a simultaneously crestally lifted sinus might be a preferable choice than a 1-stage lateral sinus lift for placing longer implants since they appear to be associated with less morbidity. If these implants are placed with an insertion torque >35 Ncm and are joined together under the same prosthesis, they can be early loaded at 6 weeks.</AbstractText>
</Abstract>
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<LastName>Cannizzaro</LastName>
<ForeName>Gioacchino</ForeName>
<Initials>G</Initials>
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<Affiliation>Department of Periodontology and Implantology, University of Bologna, Bologna, Italy.</Affiliation>
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<LastName>Felice</LastName>
<ForeName>Pietro</ForeName>
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<LastName>Minciarelli</LastName>
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<LastName>Leone</LastName>
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<Language>eng</Language>
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<PublicationType UI="D003160">Comparative Study</PublicationType>
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<Country>England</Country>
<MedlineTA>Eur J Oral Implantol</MedlineTA>
<NlmUniqueID>101473719</NlmUniqueID>
<ISSNLinking>1756-2406</ISSNLinking>
</MedlineJournalInfo>
<ChemicalList>
<Chemical>
<RegistryNumber>0</RegistryNumber>
<NameOfSubstance UI="C077540">Bio-Oss</NameOfSubstance>
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<Chemical>
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<NameOfSubstance UI="D018786">Bone Substitutes</NameOfSubstance>
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<Chemical>
<RegistryNumber>91D9GV0Z28</RegistryNumber>
<NameOfSubstance UI="D017886">Durapatite</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="D018786" MajorTopicYN="N">Bone Substitutes</DescriptorName>
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<DescriptorName UI="D015921" MajorTopicYN="Y">Dental Implants</DescriptorName>
<QualifierName UI="Q000009" MajorTopicYN="N">adverse effects</QualifierName>
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<DescriptorName UI="D017886" MajorTopicYN="Y">Durapatite</DescriptorName>
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<DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName>
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<MeshHeading>
<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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<QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName>
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<DescriptorName UI="D015523" MajorTopicYN="N">Maxillary Sinusitis</DescriptorName>
<QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName>
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<DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName>
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<DescriptorName UI="D008903" MajorTopicYN="N">Minerals</DescriptorName>
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<MeshHeading>
<DescriptorName UI="D016348" MajorTopicYN="N">Osseointegration</DescriptorName>
</MeshHeading>
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<DescriptorName UI="D010508" MajorTopicYN="N">Periodontal Abscess</DescriptorName>
<QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName>
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<DescriptorName UI="D011859" MajorTopicYN="N">Radiography</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D059546" MajorTopicYN="N">Sinus Floor Augmentation</DescriptorName>
<QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName>
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<MeshHeading>
<DescriptorName UI="D055815" MajorTopicYN="N">Young Adult</DescriptorName>
</MeshHeading>
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