One‐Year Prospective Evaluation of the Early Loading of Unsplinted Conical Brånemark Fixtures with Mandibular Overdentures Immediately following Surgery
Identifieur interne : 003B42 ( Istex/Checkpoint ); précédent : 003B41; suivant : 003B43One‐Year Prospective Evaluation of the Early Loading of Unsplinted Conical Brånemark Fixtures with Mandibular Overdentures Immediately following Surgery
Auteurs : Alan G. T. Payne [Nouvelle-Zélande] ; Andrew Tawse-Smith [Nouvelle-Zélande] ; Rohana Kumara [Nouvelle-Zélande] ; W. Murray Thomson [Nouvelle-Zélande]Source :
- Clinical Implant Dentistry and Related Research [ 1523-0899 ] ; 2001-01.
English descriptors
- KwdEn :
- Abutment, Abutment height, Anterior mandible, Ball abutments, Ball attachments, Bicortical anchorage, Bone quantity, Branemark, Brinemark, Brinemark implants, Clin, Clinical dentistry, Clinical implant dentistry, Conical, Conical fixtures, Dent, Dentistry, Denture, Early loading, Edentulous, Edentulous mandible, Edentulous patients, Fixture, Immediate loading, Imp1, Implant, Implant dentistry, Implant success, Keratinized mucosa, Lekholm, Mandible, Mandibular, Mandibular denture, Mandibular dentures, Mandibular implant overdentures, Mandibular overdentures, Marginal bone levels, Marginal bone loss, Matrix, Maxillofac, Mucosal, Oral maxillofac implants, Oral maxillofac surg, Osseointegrated, Osseointegrated implants, Osseointegration, Overdenture, Overdentures, Periotest, Periotest instrument, Periotest values, Postoperative, Postoperatively, Preliminary results, Primary stability, Progressive loading, Prospective evaluation, Prospective study, Prosthesis, Prosthet dent, Prosthodont, Prosthodontic, Prosthodontic treatment, Quintessence, Reference point, Relative attachment level, Respective matrices, Splinted, Study period, Surgical, Tissue conditioner, Titanium implants, Unsplinted, Unsplinted implants, Zarb.
- Teeft :
- Abutment, Abutment height, Anterior mandible, Ball abutments, Ball attachments, Bicortical anchorage, Bone quantity, Branemark, Brinemark, Brinemark implants, Clin, Clinical dentistry, Clinical implant dentistry, Conical, Conical fixtures, Dent, Dentistry, Denture, Early loading, Edentulous, Edentulous mandible, Edentulous patients, Fixture, Immediate loading, Imp1, Implant, Implant dentistry, Implant success, Keratinized mucosa, Lekholm, Mandible, Mandibular, Mandibular denture, Mandibular dentures, Mandibular implant overdentures, Mandibular overdentures, Marginal bone levels, Marginal bone loss, Matrix, Maxillofac, Mucosal, Oral maxillofac implants, Oral maxillofac surg, Osseointegrated, Osseointegrated implants, Osseointegration, Overdenture, Overdentures, Periotest, Periotest instrument, Periotest values, Postoperative, Postoperatively, Preliminary results, Primary stability, Progressive loading, Prospective evaluation, Prospective study, Prosthesis, Prosthet dent, Prosthodont, Prosthodontic, Prosthodontic treatment, Quintessence, Reference point, Relative attachment level, Respective matrices, Splinted, Study period, Surgical, Tissue conditioner, Titanium implants, Unsplinted, Unsplinted implants, Zarb.
Abstract
Background: Prospective evaluation of the early loading of unsplinted Branemark implants with mandibular over‐dentures opposing conventional dentures is not evident in the implant‐related literature. Purpose: To clinically evaluate progressive and early loading of 20 unsplinted conical Brånemark implants in edentulous mandibles with overdentures. Materials and Methods: Ten edentulous patients all had two conical Brånemark implants placed in the anterior mandible with mandatory primary stability with bicortical anchorage. Ball abutment connection was performed simultaneously. Previously constructed conventional mandibular dentures were temporarily relined with tissue conditioner postoperatively and worn with moderation for the first 2 weeks to allow progressive loading. Early loading of the implants followed after 2 weeks, with inclusion of the respective matrices in the mandibular dentures, using a definitive reline procedure. Results: All patients successfully functioned with their mandibular implant overdentures from 2 to 52 weeks postoperatively. Mean marginal bone loss was within established criteria for success:0.22 mm (SD = 0.48 mm) mesially and 0.30 mm (SD = 0.39 mm) distally on the conical implants. Mobility tests using the Periotest instrument became more negative, although not at statistically significant levels. Difficulties in the management of the peri‐implant mucosa between surgery and loading at 2 weeks were observed in 40% of the patients. Conclusions: These preliminary 1‐year results show that successful early loading of unsplinted conical Brånemark implants with mandibular overdentures is possible.
Url:
DOI: 10.1111/j.1708-8208.2001.tb00124.x
Affiliations:
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ISTEX:8BDA8F594C2B6434B89128CEDE536A3001728601Le document en format XML
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<term>Abutment height</term>
<term>Anterior mandible</term>
<term>Ball abutments</term>
<term>Ball attachments</term>
<term>Bicortical anchorage</term>
<term>Bone quantity</term>
<term>Branemark</term>
<term>Brinemark</term>
<term>Brinemark implants</term>
<term>Clin</term>
<term>Clinical dentistry</term>
<term>Clinical implant dentistry</term>
<term>Conical</term>
<term>Conical fixtures</term>
<term>Dent</term>
<term>Dentistry</term>
<term>Denture</term>
<term>Early loading</term>
<term>Edentulous</term>
<term>Edentulous mandible</term>
<term>Edentulous patients</term>
<term>Fixture</term>
<term>Immediate loading</term>
<term>Imp1</term>
<term>Implant</term>
<term>Implant dentistry</term>
<term>Implant success</term>
<term>Keratinized mucosa</term>
<term>Lekholm</term>
<term>Mandible</term>
<term>Mandibular</term>
<term>Mandibular denture</term>
<term>Mandibular dentures</term>
<term>Mandibular implant overdentures</term>
<term>Mandibular overdentures</term>
<term>Marginal bone levels</term>
<term>Marginal bone loss</term>
<term>Matrix</term>
<term>Maxillofac</term>
<term>Mucosal</term>
<term>Oral maxillofac implants</term>
<term>Oral maxillofac surg</term>
<term>Osseointegrated</term>
<term>Osseointegrated implants</term>
<term>Osseointegration</term>
<term>Overdenture</term>
<term>Overdentures</term>
<term>Periotest</term>
<term>Periotest instrument</term>
<term>Periotest values</term>
<term>Postoperative</term>
<term>Postoperatively</term>
<term>Preliminary results</term>
<term>Primary stability</term>
<term>Progressive loading</term>
<term>Prospective evaluation</term>
<term>Prospective study</term>
<term>Prosthesis</term>
<term>Prosthet dent</term>
<term>Prosthodont</term>
<term>Prosthodontic</term>
<term>Prosthodontic treatment</term>
<term>Quintessence</term>
<term>Reference point</term>
<term>Relative attachment level</term>
<term>Respective matrices</term>
<term>Splinted</term>
<term>Study period</term>
<term>Surgical</term>
<term>Tissue conditioner</term>
<term>Titanium implants</term>
<term>Unsplinted</term>
<term>Unsplinted implants</term>
<term>Zarb</term>
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<keywords scheme="Teeft" xml:lang="en"><term>Abutment</term>
<term>Abutment height</term>
<term>Anterior mandible</term>
<term>Ball abutments</term>
<term>Ball attachments</term>
<term>Bicortical anchorage</term>
<term>Bone quantity</term>
<term>Branemark</term>
<term>Brinemark</term>
<term>Brinemark implants</term>
<term>Clin</term>
<term>Clinical dentistry</term>
<term>Clinical implant dentistry</term>
<term>Conical</term>
<term>Conical fixtures</term>
<term>Dent</term>
<term>Dentistry</term>
<term>Denture</term>
<term>Early loading</term>
<term>Edentulous</term>
<term>Edentulous mandible</term>
<term>Edentulous patients</term>
<term>Fixture</term>
<term>Immediate loading</term>
<term>Imp1</term>
<term>Implant</term>
<term>Implant dentistry</term>
<term>Implant success</term>
<term>Keratinized mucosa</term>
<term>Lekholm</term>
<term>Mandible</term>
<term>Mandibular</term>
<term>Mandibular denture</term>
<term>Mandibular dentures</term>
<term>Mandibular implant overdentures</term>
<term>Mandibular overdentures</term>
<term>Marginal bone levels</term>
<term>Marginal bone loss</term>
<term>Matrix</term>
<term>Maxillofac</term>
<term>Mucosal</term>
<term>Oral maxillofac implants</term>
<term>Oral maxillofac surg</term>
<term>Osseointegrated</term>
<term>Osseointegrated implants</term>
<term>Osseointegration</term>
<term>Overdenture</term>
<term>Overdentures</term>
<term>Periotest</term>
<term>Periotest instrument</term>
<term>Periotest values</term>
<term>Postoperative</term>
<term>Postoperatively</term>
<term>Preliminary results</term>
<term>Primary stability</term>
<term>Progressive loading</term>
<term>Prospective evaluation</term>
<term>Prospective study</term>
<term>Prosthesis</term>
<term>Prosthet dent</term>
<term>Prosthodont</term>
<term>Prosthodontic</term>
<term>Prosthodontic treatment</term>
<term>Quintessence</term>
<term>Reference point</term>
<term>Relative attachment level</term>
<term>Respective matrices</term>
<term>Splinted</term>
<term>Study period</term>
<term>Surgical</term>
<term>Tissue conditioner</term>
<term>Titanium implants</term>
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<front><div type="abstract" xml:lang="en">Background: Prospective evaluation of the early loading of unsplinted Branemark implants with mandibular over‐dentures opposing conventional dentures is not evident in the implant‐related literature. Purpose: To clinically evaluate progressive and early loading of 20 unsplinted conical Brånemark implants in edentulous mandibles with overdentures. Materials and Methods: Ten edentulous patients all had two conical Brånemark implants placed in the anterior mandible with mandatory primary stability with bicortical anchorage. Ball abutment connection was performed simultaneously. Previously constructed conventional mandibular dentures were temporarily relined with tissue conditioner postoperatively and worn with moderation for the first 2 weeks to allow progressive loading. Early loading of the implants followed after 2 weeks, with inclusion of the respective matrices in the mandibular dentures, using a definitive reline procedure. Results: All patients successfully functioned with their mandibular implant overdentures from 2 to 52 weeks postoperatively. Mean marginal bone loss was within established criteria for success:0.22 mm (SD = 0.48 mm) mesially and 0.30 mm (SD = 0.39 mm) distally on the conical implants. Mobility tests using the Periotest instrument became more negative, although not at statistically significant levels. Difficulties in the management of the peri‐implant mucosa between surgery and loading at 2 weeks were observed in 40% of the patients. Conclusions: These preliminary 1‐year results show that successful early loading of unsplinted conical Brånemark implants with mandibular overdentures is possible.</div>
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