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Implant loading protocols for edentulous patients with fixed prostheses: a systematic review and meta-analysis.

Identifieur interne : 000691 ( PubMed/Curation ); précédent : 000690; suivant : 000692

Implant loading protocols for edentulous patients with fixed prostheses: a systematic review and meta-analysis.

Auteurs : Panos Papaspyridakos ; Chun-Jung Chen ; Sung-Kiang Chuang ; Hans-Peter Weber

Source :

RBID : pubmed:24660202

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English descriptors

Abstract

To report on the effect of immediate implant loading with fixed prostheses compared to early and conventional loading on implant and prosthesis survival, failure, and complications.

PubMed: 24660202

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pubmed:24660202

Le document en format XML

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<title xml:lang="en">Implant loading protocols for edentulous patients with fixed prostheses: a systematic review and meta-analysis.</title>
<author>
<name sortKey="Papaspyridakos, Panos" sort="Papaspyridakos, Panos" uniqKey="Papaspyridakos P" first="Panos" last="Papaspyridakos">Panos Papaspyridakos</name>
</author>
<author>
<name sortKey="Chen, Chun Jung" sort="Chen, Chun Jung" uniqKey="Chen C" first="Chun-Jung" last="Chen">Chun-Jung Chen</name>
</author>
<author>
<name sortKey="Chuang, Sung Kiang" sort="Chuang, Sung Kiang" uniqKey="Chuang S" first="Sung-Kiang" last="Chuang">Sung-Kiang Chuang</name>
</author>
<author>
<name sortKey="Weber, Hans Peter" sort="Weber, Hans Peter" uniqKey="Weber H" first="Hans-Peter" last="Weber">Hans-Peter Weber</name>
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<title xml:lang="en">Implant loading protocols for edentulous patients with fixed prostheses: a systematic review and meta-analysis.</title>
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<name sortKey="Papaspyridakos, Panos" sort="Papaspyridakos, Panos" uniqKey="Papaspyridakos P" first="Panos" last="Papaspyridakos">Panos Papaspyridakos</name>
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<author>
<name sortKey="Chen, Chun Jung" sort="Chen, Chun Jung" uniqKey="Chen C" first="Chun-Jung" last="Chen">Chun-Jung Chen</name>
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<author>
<name sortKey="Chuang, Sung Kiang" sort="Chuang, Sung Kiang" uniqKey="Chuang S" first="Sung-Kiang" last="Chuang">Sung-Kiang Chuang</name>
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<name sortKey="Weber, Hans Peter" sort="Weber, Hans Peter" uniqKey="Weber H" first="Hans-Peter" last="Weber">Hans-Peter Weber</name>
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<series>
<title level="j">The International journal of oral & maxillofacial implants</title>
<idno type="eISSN">1942-4434</idno>
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<term>Dental Implantation, Endosseous (methods)</term>
<term>Dental Implantation, Endosseous (statistics & numerical data)</term>
<term>Dental Implants</term>
<term>Dental Prosthesis Design</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Dental Restoration Failure (statistics & numerical data)</term>
<term>Humans</term>
<term>Immediate Dental Implant Loading (methods)</term>
<term>Immediate Dental Implant Loading (statistics & numerical data)</term>
<term>Jaw, Edentulous (rehabilitation)</term>
<term>Jaw, Edentulous (surgery)</term>
<term>Mandible (surgery)</term>
<term>Maxilla (surgery)</term>
<term>Mouth, Edentulous (rehabilitation)</term>
<term>Prospective Studies</term>
<term>Randomized Controlled Trials as Topic</term>
<term>Retrospective Studies</term>
<term>Time Factors</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr">
<term>Bouche édentée (rééducation et réadaptation)</term>
<term>Conception de prothèse dentaire</term>
<term>Essais contrôlés randomisés comme sujet</term>
<term>Facteurs temps</term>
<term>Humains</term>
<term>Implants dentaires</term>
<term>Mandibule ()</term>
<term>Maxillaire ()</term>
<term>Mâchoire édentée ()</term>
<term>Mâchoire édentée (rééducation et réadaptation)</term>
<term>Pose d'implant dentaire endo-osseux ()</term>
<term>Pose immédiate d'implant dentaire ()</term>
<term>Prothèse dentaire implanto-portée</term>
<term>Échec de restauration dentaire ()</term>
<term>Études prospectives</term>
<term>Études rétrospectives</term>
</keywords>
<keywords scheme="MESH" type="chemical" xml:lang="en">
<term>Dental Implants</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en">
<term>Dental Implantation, Endosseous</term>
<term>Immediate Dental Implant Loading</term>
</keywords>
<keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en">
<term>Jaw, Edentulous</term>
<term>Mouth, Edentulous</term>
</keywords>
<keywords scheme="MESH" qualifier="rééducation et réadaptation" xml:lang="fr">
<term>Bouche édentée</term>
<term>Mâchoire édentée</term>
</keywords>
<keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en">
<term>Dental Implantation, Endosseous</term>
<term>Dental Restoration Failure</term>
<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>Dental Prosthesis Design</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Humans</term>
<term>Prospective Studies</term>
<term>Randomized Controlled Trials as Topic</term>
<term>Retrospective Studies</term>
<term>Time Factors</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr">
<term>Conception de prothèse dentaire</term>
<term>Essais contrôlés randomisés comme sujet</term>
<term>Facteurs temps</term>
<term>Humains</term>
<term>Implants dentaires</term>
<term>Mandibule</term>
<term>Maxillaire</term>
<term>Mâchoire édentée</term>
<term>Pose d'implant dentaire endo-osseux</term>
<term>Pose immédiate d'implant dentaire</term>
<term>Prothèse dentaire implanto-portée</term>
<term>Échec de restauration dentaire</term>
<term>Études prospectives</term>
<term>Études rétrospectives</term>
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<front>
<div type="abstract" xml:lang="en">To report on the effect of immediate implant loading with fixed prostheses compared to early and conventional loading on implant and prosthesis survival, failure, and complications.</div>
</front>
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<DateCompleted>
<Year>2014</Year>
<Month>06</Month>
<Day>06</Day>
</DateCompleted>
<DateRevised>
<Year>2014</Year>
<Month>03</Month>
<Day>24</Day>
</DateRevised>
<Article PubModel="Print">
<Journal>
<ISSN IssnType="Electronic">1942-4434</ISSN>
<JournalIssue CitedMedium="Internet">
<Volume>29 Suppl</Volume>
<PubDate>
<Year>2014</Year>
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</JournalIssue>
<Title>The International journal of oral & maxillofacial implants</Title>
<ISOAbbreviation>Int J Oral Maxillofac Implants</ISOAbbreviation>
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<ArticleTitle>Implant loading protocols for edentulous patients with fixed prostheses: a systematic review and meta-analysis.</ArticleTitle>
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<ELocationID EIdType="doi" ValidYN="Y">10.11607/jomi.2014suppl.g4.3</ELocationID>
<Abstract>
<AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">To report on the effect of immediate implant loading with fixed prostheses compared to early and conventional loading on implant and prosthesis survival, failure, and complications.</AbstractText>
<AbstractText Label="MATERIALS AND METHODS" NlmCategory="METHODS">An electronic and manual search was conducted to identify randomized controlled clinical trials (RCTs) as well as prospective and retrospective studies involving rough surface implants and implant fixed complete dental prostheses for edentulous patients.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">The 62 studies that fulfilled the inclusion criteria featured 4 RCTs, 2 prospective case-control studies, 34 prospective cohort studies, and 22 retrospective cohort studies. These studies yielded data from 2,695 patients (2,757 edentulous arches) with 13,653 implants. Studies were grouped according to the loading protocol applied; 45 studies reported on immediate loading, 8 on early loading, and 11 on conventional loading. For the immediate loading protocol with flap surgery, the implant and prosthesis survival rates ranged from 90.1% to 100% and 93.75% to 100%, respectively (range of follow-up, 1 to 10 years). When immediate loading was combined with guided flapless implant placement, the implant survival rates ranged from 90% to 99.4%. For the early loading protocol, the implant and prosthesis survival rates ranged from 94.74% to 100% and 93.75% to 100%, respectively (range of follow-up, 1 to 10 years). For the conventional loading protocol, the implant and prosthesis survival rates ranged from 94.95% to 100% and 87.5% to 100%, respectively (range of follow-up, 2 to 15 years). No difference was identified between maxilla and mandible.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">When selecting cases carefully and using dental implants with a rough surface, immediate loading with fixed prostheses in edentulous patients results in similar implant and prosthesis survival and failure rates as early and conventional loading. For immediate loading, most of the studies recommended a minimal insertion torque of 30 Ncm. The estimated 1-year implant survival was above 99% with all three loading protocols. Caution is necessary when interpreting these results, as there are many confounding factors that affect treatment outcomes with each of the loading protocols.</AbstractText>
</Abstract>
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<LastName>Papaspyridakos</LastName>
<ForeName>Panos</ForeName>
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<LastName>Chen</LastName>
<ForeName>Chun-Jung</ForeName>
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<LastName>Chuang</LastName>
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<ForeName>Hans-Peter</ForeName>
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<Language>eng</Language>
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<Country>United States</Country>
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<DescriptorName UI="D019094" MajorTopicYN="N">Dental Prosthesis, Implant-Supported</DescriptorName>
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<DescriptorName UI="D019232" MajorTopicYN="N">Dental Restoration Failure</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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<DescriptorName UI="D007575" MajorTopicYN="N">Jaw, Edentulous</DescriptorName>
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<DescriptorName UI="D013997" MajorTopicYN="N">Time Factors</DescriptorName>
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