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Sensitivity and Specificity of Stability Criteria for Immediately Loaded Splinted Maxillary Implants.

Identifieur interne : 000912 ( PubMed/Curation ); précédent : 000911; suivant : 000913

Sensitivity and Specificity of Stability Criteria for Immediately Loaded Splinted Maxillary Implants.

Auteurs : Stefan Wentaschek [Allemagne] ; Herbert Scheller [Allemagne] ; Irene Schmidtmann [Allemagne] ; Sinsa Hartmann [Allemagne] ; Michael Weyhrauch [Allemagne] ; Gernot Weibrich [Allemagne] ; Karl Martin Lehmann [Allemagne]

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RBID : pubmed:25536516

Abstract

To assess the suitability of dental implants for immediate loading, primary stability is usually evaluated intraoperatively.

DOI: 10.1111/cid.12283
PubMed: 25536516

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pubmed:25536516

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<title xml:lang="en">Sensitivity and Specificity of Stability Criteria for Immediately Loaded Splinted Maxillary Implants.</title>
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<name sortKey="Wentaschek, Stefan" sort="Wentaschek, Stefan" uniqKey="Wentaschek S" first="Stefan" last="Wentaschek">Stefan Wentaschek</name>
<affiliation wicri:level="1">
<nlm:affiliation>Department of Prosthetic Dentistry, University Medical Center, Johannes Gutenberg University Mainz, Mainz, Germany.</nlm:affiliation>
<country xml:lang="fr">Allemagne</country>
<wicri:regionArea>Department of Prosthetic Dentistry, University Medical Center, Johannes Gutenberg University Mainz, Mainz</wicri:regionArea>
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<name sortKey="Scheller, Herbert" sort="Scheller, Herbert" uniqKey="Scheller H" first="Herbert" last="Scheller">Herbert Scheller</name>
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<nlm:affiliation>Department of Prosthetic Dentistry, University Medical Center, Johannes Gutenberg University Mainz, Mainz, Germany.</nlm:affiliation>
<country xml:lang="fr">Allemagne</country>
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<name sortKey="Schmidtmann, Irene" sort="Schmidtmann, Irene" uniqKey="Schmidtmann I" first="Irene" last="Schmidtmann">Irene Schmidtmann</name>
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<nlm:affiliation>Institute for Medical Biostatistics, Epidemiology and Informatics, University Medical Center, Johannes Gutenberg University Mainz, Mainz, Germany.</nlm:affiliation>
<country xml:lang="fr">Allemagne</country>
<wicri:regionArea>Institute for Medical Biostatistics, Epidemiology and Informatics, University Medical Center, Johannes Gutenberg University Mainz, Mainz</wicri:regionArea>
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<name sortKey="Hartmann, Sinsa" sort="Hartmann, Sinsa" uniqKey="Hartmann S" first="Sinsa" last="Hartmann">Sinsa Hartmann</name>
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<nlm:affiliation>Department of Prosthetic Dentistry, University Medical Center, Johannes Gutenberg University Mainz, Mainz, Germany.</nlm:affiliation>
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<name sortKey="Weibrich, Gernot" sort="Weibrich, Gernot" uniqKey="Weibrich G" first="Gernot" last="Weibrich">Gernot Weibrich</name>
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<name sortKey="Lehmann, Karl Martin" sort="Lehmann, Karl Martin" uniqKey="Lehmann K" first="Karl Martin" last="Lehmann">Karl Martin Lehmann</name>
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<title xml:lang="en">Sensitivity and Specificity of Stability Criteria for Immediately Loaded Splinted Maxillary Implants.</title>
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<name sortKey="Wentaschek, Stefan" sort="Wentaschek, Stefan" uniqKey="Wentaschek S" first="Stefan" last="Wentaschek">Stefan Wentaschek</name>
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<nlm:affiliation>Department of Prosthetic Dentistry, University Medical Center, Johannes Gutenberg University Mainz, Mainz, Germany.</nlm:affiliation>
<country xml:lang="fr">Allemagne</country>
<wicri:regionArea>Department of Prosthetic Dentistry, University Medical Center, Johannes Gutenberg University Mainz, Mainz</wicri:regionArea>
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<name sortKey="Scheller, Herbert" sort="Scheller, Herbert" uniqKey="Scheller H" first="Herbert" last="Scheller">Herbert Scheller</name>
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<nlm:affiliation>Department of Prosthetic Dentistry, University Medical Center, Johannes Gutenberg University Mainz, Mainz, Germany.</nlm:affiliation>
<country xml:lang="fr">Allemagne</country>
<wicri:regionArea>Department of Prosthetic Dentistry, University Medical Center, Johannes Gutenberg University Mainz, Mainz</wicri:regionArea>
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<name sortKey="Schmidtmann, Irene" sort="Schmidtmann, Irene" uniqKey="Schmidtmann I" first="Irene" last="Schmidtmann">Irene Schmidtmann</name>
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<nlm:affiliation>Institute for Medical Biostatistics, Epidemiology and Informatics, University Medical Center, Johannes Gutenberg University Mainz, Mainz, Germany.</nlm:affiliation>
<country xml:lang="fr">Allemagne</country>
<wicri:regionArea>Institute for Medical Biostatistics, Epidemiology and Informatics, University Medical Center, Johannes Gutenberg University Mainz, Mainz</wicri:regionArea>
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<name sortKey="Hartmann, Sinsa" sort="Hartmann, Sinsa" uniqKey="Hartmann S" first="Sinsa" last="Hartmann">Sinsa Hartmann</name>
<affiliation wicri:level="1">
<nlm:affiliation>Department of Prosthetic Dentistry, University Medical Center, Johannes Gutenberg University Mainz, Mainz, Germany.</nlm:affiliation>
<country xml:lang="fr">Allemagne</country>
<wicri:regionArea>Department of Prosthetic Dentistry, University Medical Center, Johannes Gutenberg University Mainz, Mainz</wicri:regionArea>
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<name sortKey="Weyhrauch, Michael" sort="Weyhrauch, Michael" uniqKey="Weyhrauch M" first="Michael" last="Weyhrauch">Michael Weyhrauch</name>
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<nlm:affiliation>Department of Prosthetic Dentistry, University Medical Center, Johannes Gutenberg University Mainz, Mainz, Germany.</nlm:affiliation>
<country xml:lang="fr">Allemagne</country>
<wicri:regionArea>Department of Prosthetic Dentistry, University Medical Center, Johannes Gutenberg University Mainz, Mainz</wicri:regionArea>
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<name sortKey="Weibrich, Gernot" sort="Weibrich, Gernot" uniqKey="Weibrich G" first="Gernot" last="Weibrich">Gernot Weibrich</name>
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<nlm:affiliation>Department of Prosthetic Dentistry, University Medical Center, Johannes Gutenberg University Mainz, Mainz, Germany.</nlm:affiliation>
<country xml:lang="fr">Allemagne</country>
<wicri:regionArea>Department of Prosthetic Dentistry, University Medical Center, Johannes Gutenberg University Mainz, Mainz</wicri:regionArea>
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<name sortKey="Lehmann, Karl Martin" sort="Lehmann, Karl Martin" uniqKey="Lehmann K" first="Karl Martin" last="Lehmann">Karl Martin Lehmann</name>
<affiliation wicri:level="1">
<nlm:affiliation>Department of Prosthetic Dentistry, University Medical Center, Johannes Gutenberg University Mainz, Mainz, Germany.</nlm:affiliation>
<country xml:lang="fr">Allemagne</country>
<wicri:regionArea>Department of Prosthetic Dentistry, University Medical Center, Johannes Gutenberg University Mainz, Mainz</wicri:regionArea>
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<title level="j">Clinical implant dentistry and related research</title>
<idno type="eISSN">1708-8208</idno>
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<div type="abstract" xml:lang="en">To assess the suitability of dental implants for immediate loading, primary stability is usually evaluated intraoperatively.</div>
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<DateRevised>
<Year>2015</Year>
<Month>10</Month>
<Day>03</Day>
</DateRevised>
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<Journal>
<ISSN IssnType="Electronic">1708-8208</ISSN>
<JournalIssue CitedMedium="Internet">
<Volume>17 Suppl 2</Volume>
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<Year>2015</Year>
<Month>Oct</Month>
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<Title>Clinical implant dentistry and related research</Title>
<ISOAbbreviation>Clin Implant Dent Relat Res</ISOAbbreviation>
</Journal>
<ArticleTitle>Sensitivity and Specificity of Stability Criteria for Immediately Loaded Splinted Maxillary Implants.</ArticleTitle>
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<MedlinePgn>e542-9</MedlinePgn>
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<ELocationID EIdType="doi" ValidYN="Y">10.1111/cid.12283</ELocationID>
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<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">To assess the suitability of dental implants for immediate loading, primary stability is usually evaluated intraoperatively.</AbstractText>
<AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">This retrospective study aimed to assess the suitability of three stability parameters - namely, insertion torque (IT), implant stability quotient (ISQ; measured by resonance frequency analysis), and Periotest (PT) values - as potential predictors for the risk of nonosseointegration of immediately loaded splinted implants. The stability parameters were routinely collected under immediate loading.</AbstractText>
<AbstractText Label="MATERIALS AND METHODS" NlmCategory="METHODS">Nineteen patients with 11 edentulous and 8 partially edentulous maxillae were treated with 105 dental implants, which were immediately loaded using temporary fixed dentures. The IT results, PT values, and ISQ results were recorded. Receiver operating characteristic analysis was performed to assess the quality of each parameter as a diagnostic test.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">After a 3-month observation period, 11 implants in four patients were not osseointegrated. The IT and ISQ (IT 25.0 ± 12.5 Ncm and 8.4 ± 2.3 Ncm; PT -1.5 ± 3.0 and +2.7 ± 3.0; and ISQ 62.6 ± 6.7 and 54.7 ± 6.2) differed significantly between the osseointegrated and failed implants (p < .005). The IT showed the greatest specificity at a sensitivity of 1 and the greatest area under the curve (AUC; 0.929), followed by the PT value (AUC = 0.836) and ISQ (AUC = 0.811).</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Among the intraoperative parameters analyzed, IT showed the highest specificity at a high sensitivity of 1. Therefore, the IT can be considered the most valid prognostic factor for osseointegration of immediately loaded splinted dental implants.</AbstractText>
<CopyrightInformation>© 2014 Wiley Periodicals, Inc.</CopyrightInformation>
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<Affiliation>Department of Prosthetic Dentistry, University Medical Center, Johannes Gutenberg University Mainz, Mainz, Germany.</Affiliation>
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<Affiliation>Department of Prosthetic Dentistry, University Medical Center, Johannes Gutenberg University Mainz, Mainz, Germany.</Affiliation>
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<ForeName>Gernot</ForeName>
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<Affiliation>Department of Prosthetic Dentistry, University Medical Center, Johannes Gutenberg University Mainz, Mainz, Germany.</Affiliation>
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<Affiliation>Department of Prosthetic Dentistry, University Medical Center, Johannes Gutenberg University Mainz, Mainz, Germany.</Affiliation>
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<Country>United States</Country>
<MedlineTA>Clin Implant Dent Relat Res</MedlineTA>
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<ISSNLinking>1523-0899</ISSNLinking>
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<CitationSubset>D</CitationSubset>
<CitationSubset>IM</CitationSubset>
<KeywordList Owner="NOTNLM">
<Keyword MajorTopicYN="N">immediate loading</Keyword>
<Keyword MajorTopicYN="N">implant</Keyword>
<Keyword MajorTopicYN="N">maxilla</Keyword>
<Keyword MajorTopicYN="N">sensitivity</Keyword>
<Keyword MajorTopicYN="N">specificity</Keyword>
<Keyword MajorTopicYN="N">stability criteria</Keyword>
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