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Computer-assisted flapless implant surgery in edentulous elderly patients: a 2-year follow up.

Identifieur interne : 000A13 ( PubMed/Curation ); précédent : 000A12; suivant : 000A14

Computer-assisted flapless implant surgery in edentulous elderly patients: a 2-year follow up.

Auteurs : Vincenzo Mirisola Di Torresanto ; Iva Milinkovic ; Ferruccio Torsello ; Luca Cordaro

Source :

RBID : pubmed:24634906

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English descriptors

Abstract

The rehabilitation of edentulous mandibles with implant-supported overdentures is a state-of-the-art contemporary implant treatment. Computer-assisted flapless surgery is associated with decreased chairside treatment time, as well as significant reduction in patient postoperative morbidity and discomfort. The aim of this study was to evaluate the protocol of computer-guided surgery in the treatment of edentulous mandibles with overdentures supported by four intraforaminal implants and retained by Locator® attachments in elderly patients, both from a clinician's and a patient's perspective, as well as to assess the stability of the results in a 2-year period.

DOI: 10.3290/j.qi.a31534
PubMed: 24634906

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pubmed:24634906

Le document en format XML

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<title xml:lang="en">Computer-assisted flapless implant surgery in edentulous elderly patients: a 2-year follow up.</title>
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<name sortKey="Di Torresanto, Vincenzo Mirisola" sort="Di Torresanto, Vincenzo Mirisola" uniqKey="Di Torresanto V" first="Vincenzo Mirisola" last="Di Torresanto">Vincenzo Mirisola Di Torresanto</name>
</author>
<author>
<name sortKey="Milinkovic, Iva" sort="Milinkovic, Iva" uniqKey="Milinkovic I" first="Iva" last="Milinkovic">Iva Milinkovic</name>
</author>
<author>
<name sortKey="Torsello, Ferruccio" sort="Torsello, Ferruccio" uniqKey="Torsello F" first="Ferruccio" last="Torsello">Ferruccio Torsello</name>
</author>
<author>
<name sortKey="Cordaro, Luca" sort="Cordaro, Luca" uniqKey="Cordaro L" first="Luca" last="Cordaro">Luca Cordaro</name>
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<title xml:lang="en">Computer-assisted flapless implant surgery in edentulous elderly patients: a 2-year follow up.</title>
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<name sortKey="Di Torresanto, Vincenzo Mirisola" sort="Di Torresanto, Vincenzo Mirisola" uniqKey="Di Torresanto V" first="Vincenzo Mirisola" last="Di Torresanto">Vincenzo Mirisola Di Torresanto</name>
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<name sortKey="Milinkovic, Iva" sort="Milinkovic, Iva" uniqKey="Milinkovic I" first="Iva" last="Milinkovic">Iva Milinkovic</name>
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<name sortKey="Torsello, Ferruccio" sort="Torsello, Ferruccio" uniqKey="Torsello F" first="Ferruccio" last="Torsello">Ferruccio Torsello</name>
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<name sortKey="Cordaro, Luca" sort="Cordaro, Luca" uniqKey="Cordaro L" first="Luca" last="Cordaro">Luca Cordaro</name>
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<title level="j">Quintessence international (Berlin, Germany : 1985)</title>
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<term>Aged</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Denture, Overlay</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Jaw, Edentulous (rehabilitation)</term>
<term>Male</term>
<term>Mandible</term>
<term>Prospective Studies</term>
<term>Surgery, Computer-Assisted</term>
<term>Treatment Outcome</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr">
<term>Chirurgie assistée par ordinateur</term>
<term>Femelle</term>
<term>Humains</term>
<term>Mandibule</term>
<term>Mâchoire édentée (rééducation et réadaptation)</term>
<term>Mâle</term>
<term>Overdenture</term>
<term>Prothèse dentaire implanto-portée</term>
<term>Résultat thérapeutique</term>
<term>Sujet âgé</term>
<term>Études de suivi</term>
<term>Études prospectives</term>
</keywords>
<keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en">
<term>Jaw, Edentulous</term>
</keywords>
<keywords scheme="MESH" qualifier="rééducation et réadaptation" xml:lang="fr">
<term>Mâchoire édentée</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Aged</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Denture, Overlay</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Male</term>
<term>Mandible</term>
<term>Prospective Studies</term>
<term>Surgery, Computer-Assisted</term>
<term>Treatment Outcome</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr">
<term>Chirurgie assistée par ordinateur</term>
<term>Femelle</term>
<term>Humains</term>
<term>Mandibule</term>
<term>Mâle</term>
<term>Overdenture</term>
<term>Prothèse dentaire implanto-portée</term>
<term>Résultat thérapeutique</term>
<term>Sujet âgé</term>
<term>Études de suivi</term>
<term>Études prospectives</term>
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<front>
<div type="abstract" xml:lang="en">The rehabilitation of edentulous mandibles with implant-supported overdentures is a state-of-the-art contemporary implant treatment. Computer-assisted flapless surgery is associated with decreased chairside treatment time, as well as significant reduction in patient postoperative morbidity and discomfort. The aim of this study was to evaluate the protocol of computer-guided surgery in the treatment of edentulous mandibles with overdentures supported by four intraforaminal implants and retained by Locator® attachments in elderly patients, both from a clinician's and a patient's perspective, as well as to assess the stability of the results in a 2-year period.</div>
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<PMID Version="1">24634906</PMID>
<DateCompleted>
<Year>2016</Year>
<Month>01</Month>
<Day>28</Day>
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<DateRevised>
<Year>2014</Year>
<Month>03</Month>
<Day>17</Day>
</DateRevised>
<Article PubModel="Print">
<Journal>
<ISSN IssnType="Electronic">1936-7163</ISSN>
<JournalIssue CitedMedium="Internet">
<Volume>45</Volume>
<Issue>5</Issue>
<PubDate>
<Year>2014</Year>
<Month>May</Month>
</PubDate>
</JournalIssue>
<Title>Quintessence international (Berlin, Germany : 1985)</Title>
<ISOAbbreviation>Quintessence Int</ISOAbbreviation>
</Journal>
<ArticleTitle>Computer-assisted flapless implant surgery in edentulous elderly patients: a 2-year follow up.</ArticleTitle>
<Pagination>
<MedlinePgn>419-29</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.3290/j.qi.a31534</ELocationID>
<Abstract>
<AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">The rehabilitation of edentulous mandibles with implant-supported overdentures is a state-of-the-art contemporary implant treatment. Computer-assisted flapless surgery is associated with decreased chairside treatment time, as well as significant reduction in patient postoperative morbidity and discomfort. The aim of this study was to evaluate the protocol of computer-guided surgery in the treatment of edentulous mandibles with overdentures supported by four intraforaminal implants and retained by Locator® attachments in elderly patients, both from a clinician's and a patient's perspective, as well as to assess the stability of the results in a 2-year period.</AbstractText>
<AbstractText Label="METHOD AND MATERIALS" NlmCategory="METHODS">15 patients presenting edentulous mandibles and discomfort while wearing conventional overdentures were enrolled in the study. Careful presurgical and computer-assisted 3D treatment planning was performed. Patients were treated with four intraforaminal implants using a computer-assisted flapless approach. All patients were prosthetically rehabilitated with overdentures. Clinical parameters such as peri-implant probing depth (PPD), Plaque Index (PI), and bleeding on probing (BOP) were evaluated. Patients' perceptions regarding the outcome were assessed on visual analog scales (VAS).</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Out of 15 patients consecutively included in the study, only 10 patients could be treated with the designed protocol. A total of 40 Camlog implants were placed. No implant was lost over a 2-year period. BOP was negative in 82% of sites; mean PPD was 2.34 mm; 8 of the 40 implants showed the absence of keratinized tissue on the lingual or the vestibular aspect. The VAS score of 9.9 demonstrated the satisfaction of the patients.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Within the limitations of this study, the data demonstrate that in a significant number of cases this protocol could not be used for anatomical or technical reasons. In the cases where it could be used, the computer-assisted protocol appeared suitable for treating elderly patients with mandibular edentulism and restoring them with an overdenture in a minimally invasive way. The possibility of placing implants outside the borders of the keratinized tissue is relevant.</AbstractText>
</Abstract>
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<LastName>di Torresanto</LastName>
<ForeName>Vincenzo Mirisola</ForeName>
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<MeshHeading>
<DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D019094" MajorTopicYN="Y">Dental Prosthesis, Implant-Supported</DescriptorName>
</MeshHeading>
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<DescriptorName UI="D003828" MajorTopicYN="Y">Denture, Overlay</DescriptorName>
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<DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName>
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<DescriptorName UI="D005500" MajorTopicYN="N">Follow-Up Studies</DescriptorName>
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<QualifierName UI="Q000534" MajorTopicYN="Y">rehabilitation</QualifierName>
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<DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName>
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<DescriptorName UI="D008334" MajorTopicYN="N">Mandible</DescriptorName>
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<DescriptorName UI="D011446" MajorTopicYN="N">Prospective Studies</DescriptorName>
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<DescriptorName UI="D025321" MajorTopicYN="Y">Surgery, Computer-Assisted</DescriptorName>
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<DescriptorName UI="D016896" MajorTopicYN="N">Treatment Outcome</DescriptorName>
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