The immediate rehabilitation by means of a ready‐made final fixed prosthesis in the edentulous mandible: a 1‐year follow‐up study on 50 consecutive patients
Identifieur interne : 003138 ( Istex/Checkpoint ); précédent : 003137; suivant : 003139The immediate rehabilitation by means of a ready‐made final fixed prosthesis in the edentulous mandible: a 1‐year follow‐up study on 50 consecutive patients
Auteurs : D. Van Steenberghe ; L. Molly ; R. Jacobs [Belgique] ; B. Vandekerckhove ; M. Quirynen ; I. Naert [Belgique]Source :
- Clinical Oral Implants Research [ 0905-7161 ] ; 2004-06.
English descriptors
- KwdEn :
- Bone level, Bone loss, Bone quality, Bone quantity grade, Bonferroni correction, Catholic university, Clinical implant dentistry, Consecutive patients, Cumulative failure rate, Cumulative survival rate, Dental technician, Dentistry, Dependent samples, Edentulous, Edentulous mandible, Endosseous implants, Failure rate, Failure risk, Immediate loading, Immediate rehabilitation, Implant, Implant failure, Implant installation, Implant placement, Implants research, Individual implants, Initial bone level, International journal, Jacobs, Lekholm zarb, Leuven, Machined implant system, Mandible, Marginal bone height, Marginal bone level, Marginal bone loss, Nemark, Nemark novums, Nemark novums system, Observation period, Occlusal, Occlusal forces, Oral impl, Oral implants, Oral maxillofacial implants, Oral pathology, Osseointegrated implants, Osseointegration, Other patients, Panoramic radiograph, Periodontology, Preliminary results, Present study, Primary stability, Prosthesis, Prosthetic, Prosthetic dentistry, Prosthetic phase, Quantity distribution, Quirynen, Radiograph, Silicone lamel, Steenberghe, Survival rate, Symphyseal, Symphyseal area, Time points, Twostage approach, University hospital, Xtures.
- Teeft :
- Bone level, Bone loss, Bone quality, Bone quantity grade, Bonferroni correction, Catholic university, Clinical implant dentistry, Consecutive patients, Cumulative failure rate, Cumulative survival rate, Dental technician, Dentistry, Dependent samples, Edentulous, Edentulous mandible, Endosseous implants, Failure rate, Failure risk, Immediate loading, Immediate rehabilitation, Implant, Implant failure, Implant installation, Implant placement, Implants research, Individual implants, Initial bone level, International journal, Jacobs, Lekholm zarb, Leuven, Machined implant system, Mandible, Marginal bone height, Marginal bone level, Marginal bone loss, Nemark, Nemark novums, Nemark novums system, Observation period, Occlusal, Occlusal forces, Oral impl, Oral implants, Oral maxillofacial implants, Oral pathology, Osseointegrated implants, Osseointegration, Other patients, Panoramic radiograph, Periodontology, Preliminary results, Present study, Primary stability, Prosthesis, Prosthetic, Prosthetic dentistry, Prosthetic phase, Quantity distribution, Quirynen, Radiograph, Silicone lamel, Steenberghe, Survival rate, Symphyseal, Symphyseal area, Time points, Twostage approach, University hospital, Xtures.
Abstract
Abstract: Although a two‐stage procedure with symphyseal oral implants can lead to a long‐term (15 years) 99% cumulative survival rate, a one‐stage approach with immediate loading via prefabricated elements seems to offer a short‐term acceptable outcome with significantly lower costs. A series of 50 consecutive patients, not eliminated for any systemic or smoking condition, received at the department of periodontology three implants in the symphyseal area, connected by a very rigid horse shoe‐shaped titanium bar. A final screw retained prosthetic framework was placed on top of it at the department of prosthetic dentistry within 2 days after surgery (44) or after a delay, due to purely external factors, of up to 10 days (6). Forty‐five patients were followed for 1 year. In one patient, all three implants failed and another four patients were lost to follow‐up. The cumulative failure rates for implants and prostheses at 1 year were, respectively, 7.3% and 5%. The mean marginal bone loss at 1 year was 1.08 mm (SD: 1.62; range −5.68 to +2.55). This study shows that stable marginal bone levels can be maintained around immediately loaded implants in the lower jaw in an average patient population for at least 1 year. The survival rate is, however, lower than for a staged approach.
Url:
DOI: 10.1111/j.1600-0501.2004.01069.x
Affiliations:
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Bone level</term>
<term>Bone loss</term>
<term>Bone quality</term>
<term>Bone quantity grade</term>
<term>Bonferroni correction</term>
<term>Catholic university</term>
<term>Clinical implant dentistry</term>
<term>Consecutive patients</term>
<term>Cumulative failure rate</term>
<term>Cumulative survival rate</term>
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<term>Edentulous</term>
<term>Edentulous mandible</term>
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<term>Failure rate</term>
<term>Failure risk</term>
<term>Immediate loading</term>
<term>Immediate rehabilitation</term>
<term>Implant</term>
<term>Implant failure</term>
<term>Implant installation</term>
<term>Implant placement</term>
<term>Implants research</term>
<term>Individual implants</term>
<term>Initial bone level</term>
<term>International journal</term>
<term>Jacobs</term>
<term>Lekholm zarb</term>
<term>Leuven</term>
<term>Machined implant system</term>
<term>Mandible</term>
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<term>Marginal bone level</term>
<term>Marginal bone loss</term>
<term>Nemark</term>
<term>Nemark novums</term>
<term>Nemark novums system</term>
<term>Observation period</term>
<term>Occlusal</term>
<term>Occlusal forces</term>
<term>Oral impl</term>
<term>Oral implants</term>
<term>Oral maxillofacial implants</term>
<term>Oral pathology</term>
<term>Osseointegrated implants</term>
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<term>Other patients</term>
<term>Panoramic radiograph</term>
<term>Periodontology</term>
<term>Preliminary results</term>
<term>Present study</term>
<term>Primary stability</term>
<term>Prosthesis</term>
<term>Prosthetic</term>
<term>Prosthetic dentistry</term>
<term>Prosthetic phase</term>
<term>Quantity distribution</term>
<term>Quirynen</term>
<term>Radiograph</term>
<term>Silicone lamel</term>
<term>Steenberghe</term>
<term>Survival rate</term>
<term>Symphyseal</term>
<term>Symphyseal area</term>
<term>Time points</term>
<term>Twostage approach</term>
<term>University hospital</term>
<term>Xtures</term>
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<term>Bone loss</term>
<term>Bone quality</term>
<term>Bone quantity grade</term>
<term>Bonferroni correction</term>
<term>Catholic university</term>
<term>Clinical implant dentistry</term>
<term>Consecutive patients</term>
<term>Cumulative failure rate</term>
<term>Cumulative survival rate</term>
<term>Dental technician</term>
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<term>Dependent samples</term>
<term>Edentulous</term>
<term>Edentulous mandible</term>
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<term>Failure rate</term>
<term>Failure risk</term>
<term>Immediate loading</term>
<term>Immediate rehabilitation</term>
<term>Implant</term>
<term>Implant failure</term>
<term>Implant installation</term>
<term>Implant placement</term>
<term>Implants research</term>
<term>Individual implants</term>
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<term>International journal</term>
<term>Jacobs</term>
<term>Lekholm zarb</term>
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<term>Marginal bone level</term>
<term>Marginal bone loss</term>
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<term>Nemark novums</term>
<term>Nemark novums system</term>
<term>Observation period</term>
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<term>Occlusal forces</term>
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<term>Oral implants</term>
<term>Oral maxillofacial implants</term>
<term>Oral pathology</term>
<term>Osseointegrated implants</term>
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<term>Other patients</term>
<term>Panoramic radiograph</term>
<term>Periodontology</term>
<term>Preliminary results</term>
<term>Present study</term>
<term>Primary stability</term>
<term>Prosthesis</term>
<term>Prosthetic</term>
<term>Prosthetic dentistry</term>
<term>Prosthetic phase</term>
<term>Quantity distribution</term>
<term>Quirynen</term>
<term>Radiograph</term>
<term>Silicone lamel</term>
<term>Steenberghe</term>
<term>Survival rate</term>
<term>Symphyseal</term>
<term>Symphyseal area</term>
<term>Time points</term>
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<front><div type="abstract">Abstract: Although a two‐stage procedure with symphyseal oral implants can lead to a long‐term (15 years) 99% cumulative survival rate, a one‐stage approach with immediate loading via prefabricated elements seems to offer a short‐term acceptable outcome with significantly lower costs. A series of 50 consecutive patients, not eliminated for any systemic or smoking condition, received at the department of periodontology three implants in the symphyseal area, connected by a very rigid horse shoe‐shaped titanium bar. A final screw retained prosthetic framework was placed on top of it at the department of prosthetic dentistry within 2 days after surgery (44) or after a delay, due to purely external factors, of up to 10 days (6). Forty‐five patients were followed for 1 year. In one patient, all three implants failed and another four patients were lost to follow‐up. The cumulative failure rates for implants and prostheses at 1 year were, respectively, 7.3% and 5%. The mean marginal bone loss at 1 year was 1.08 mm (SD: 1.62; range −5.68 to +2.55). This study shows that stable marginal bone levels can be maintained around immediately loaded implants in the lower jaw in an average patient population for at least 1 year. The survival rate is, however, lower than for a staged approach.</div>
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<name sortKey="Van Steenberghe, D" sort="Van Steenberghe, D" uniqKey="Van Steenberghe D" first="D." last="Van Steenberghe">D. Van Steenberghe</name>
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