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Immediate single implant restorations in mandibular molar extraction sockets: a controlled clinical trial

Identifieur interne : 000083 ( Istex/Corpus ); précédent : 000082; suivant : 000084

Immediate single implant restorations in mandibular molar extraction sockets: a controlled clinical trial

Auteurs : Momen A. Atieh ; Nabeel H. M. Alsabeeha ; Warwick J. Duncan ; Rohana K. De Silva ; Mary P. Cullinan ; Donald Schwass ; Alan G. T. Payne

Source :

RBID : ISTEX:018F0E487472C3B5396081F8E2F2B9F0B6BEA951

English descriptors

Abstract

In the replacement of missing teeth, a paradigm shift is currently observed with immediate implant placement and/or restoration, particularly in the aesthetic zone. In molar sites, however, anatomical, occlusal and biomechanical considerations remain deterrent factors influencing the outcome of this treatment paradigm. The aim of this report was to evaluate immediate placement and immediate restoration of strongly tapered wide‐diameter implant in fresh mandibular molar extraction sockets.

Url:
DOI: 10.1111/j.1600-0501.2011.02415.x

Links to Exploration step

ISTEX:018F0E487472C3B5396081F8E2F2B9F0B6BEA951

Le document en format XML

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<div type="abstract">In the replacement of missing teeth, a paradigm shift is currently observed with immediate implant placement and/or restoration, particularly in the aesthetic zone. In molar sites, however, anatomical, occlusal and biomechanical considerations remain deterrent factors influencing the outcome of this treatment paradigm. The aim of this report was to evaluate immediate placement and immediate restoration of strongly tapered wide‐diameter implant in fresh mandibular molar extraction sockets.</div>
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Background
<p>In the replacement of missing teeth, a paradigm shift is currently observed with immediate implant placement and/or restoration, particularly in the aesthetic zone. In molar sites, however, anatomical, occlusal and biomechanical considerations remain deterrent factors influencing the outcome of this treatment paradigm. The aim of this report was to evaluate immediate placement and immediate restoration of strongly tapered wide‐diameter implant in fresh mandibular molar extraction sockets.</p>
Methods
<p>Twenty‐four 8‐ or 9‐mm diameter implants were placed in either a fresh molar extraction socket or a healed site. All the implants received provisional crowns within 48 h. The provisional crowns were replaced with full ceramic crowns after 8 weeks of implant placement.</p>
Results
<p>The overall implant success rate after 1 year of service for the 24 implants in two treatment groups was 75%. Success rates were 83.3% and 66.7% for the delayed and immediate placement groups respectively, with no significant difference observed between the two groups (
<hi rend="italic"></hi>
=
<hi rend="italic"> </hi>
0.35). Implant stability measurements identified the immediately placed implants to be more stable immediately after surgery than delayed placed implants. In contrast, the delayed placed implants were more stable after 8 week healing time.</p>
Conclusions
<p>The rehabilitation of single missing mandibular molars by immediately placed and restored wide‐diameter implants was associated with a relatively high failure rate.</p>
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<orgDiv>Oral Implantology Research Group</orgDiv>
<orgName>Sir John Walsh Research Institute</orgName>
<orgName>School of Dentistry</orgName>
<orgName>University of Otago</orgName>
<address>
<city>Dunedin</city>
<country>New Zealand</country>
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<orgDiv>Ministry of Health</orgDiv>
<orgName>United Arab Emirates</orgName>
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<country>New Zealand</country>
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<keyword xml:id="clr2415-kwd-0001">bone level</keyword>
<keyword xml:id="clr2415-kwd-0002">immediate restoration</keyword>
<keyword xml:id="clr2415-kwd-0003">implant design</keyword>
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<keyword xml:id="clr2415-kwd-0005">platform switching</keyword>
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<p>In the replacement of missing teeth, a paradigm shift is currently observed with immediate implant placement and/or restoration, particularly in the aesthetic zone. In molar sites, however, anatomical, occlusal and biomechanical considerations remain deterrent factors influencing the outcome of this treatment paradigm. The aim of this report was to evaluate immediate placement and immediate restoration of strongly tapered wide‐diameter implant in fresh mandibular molar extraction sockets.</p>
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<p>Twenty‐four 8‐ or 9‐mm diameter implants were placed in either a fresh molar extraction socket or a healed site. All the implants received provisional crowns within 48 h. The provisional crowns were replaced with full ceramic crowns after 8 weeks of implant placement.</p>
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<p>The overall implant success rate after 1 year of service for the 24 implants in two treatment groups was 75%. Success rates were 83.3% and 66.7% for the delayed and immediate placement groups respectively, with no significant difference observed between the two groups (
<i></i>
=
<i> </i>
0.35). Implant stability measurements identified the immediately placed implants to be more stable immediately after surgery than delayed placed implants. In contrast, the delayed placed implants were more stable after 8 week healing time.</p>
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<p>The rehabilitation of single missing mandibular molars by immediately placed and restored wide‐diameter implants was associated with a relatively high failure rate.</p>
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<namePart type="family">Atieh</namePart>
<affiliation>Oral Implantology Research Group, Sir John Walsh Research Institute, School of Dentistry, University of Otago, Dunedin, New Zealand</affiliation>
<affiliation>Corresponding author:Sir John Walsh Research Institute, School of Dentistry, University of Otago, 310 Great King Street, Dunedin 9016, New ZealandTel.:+64 479 7036Fax:+64 479 0673e‐mail:</affiliation>
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<abstract>In the replacement of missing teeth, a paradigm shift is currently observed with immediate implant placement and/or restoration, particularly in the aesthetic zone. In molar sites, however, anatomical, occlusal and biomechanical considerations remain deterrent factors influencing the outcome of this treatment paradigm. The aim of this report was to evaluate immediate placement and immediate restoration of strongly tapered wide‐diameter implant in fresh mandibular molar extraction sockets.</abstract>
<abstract>Twenty‐four 8‐ or 9‐mm diameter implants were placed in either a fresh molar extraction socket or a healed site. All the implants received provisional crowns within 48 h. The provisional crowns were replaced with full ceramic crowns after 8 weeks of implant placement.</abstract>
<abstract>The overall implant success rate after 1 year of service for the 24 implants in two treatment groups was 75%. Success rates were 83.3% and 66.7% for the delayed and immediate placement groups respectively, with no significant difference observed between the two groups (P = 0.35). Implant stability measurements identified the immediately placed implants to be more stable immediately after surgery than delayed placed implants. In contrast, the delayed placed implants were more stable after 8 week healing time.</abstract>
<abstract>The rehabilitation of single missing mandibular molars by immediately placed and restored wide‐diameter implants was associated with a relatively high failure rate.</abstract>
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