Immediate Fixed Rehabilitation of the Edentulous Maxilla: A Prospective Clinical and Radiological Study after 3 Years of Loading
Identifieur interne : 001652 ( Istex/Corpus ); précédent : 001651; suivant : 001653Immediate Fixed Rehabilitation of the Edentulous Maxilla: A Prospective Clinical and Radiological Study after 3 Years of Loading
Auteurs : Enrico L. Agliardi ; Alessandro Pozzi ; Christian F. J. Stappert ; Riccardo Benzi ; Davide Romeo ; Enrico GherloneSource :
- Clinical Implant Dentistry and Related Research [ 1523-0899 ] ; 2014-04.
Abstract
The aim of this study was to prospectively evaluate the clinical and radiographic outcomes of immediate full‐arch fixed maxillary prosthesis supported by two axial and four tilted implants after 3 years of loading.
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DOI: 10.1111/j.1708-8208.2012.00482.x
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Agliardi</name><affiliation><mods:affiliation>Advanced Oral Surgery Unit, Department of Dentistry, Vita Salute University, San Raffaele Hospital, Milan, Italy</mods:affiliation></affiliation><affiliation><mods:affiliation>E-mail: e.agliardi@studioagliardi.it</mods:affiliation></affiliation></author><author><name sortKey="Pozzi, Alessandro" sort="Pozzi, Alessandro" uniqKey="Pozzi A" first="Alessandro" last="Pozzi">Alessandro Pozzi</name><affiliation><mods:affiliation>Department of Oral Rehabilitation, University of Rome Tor Vergata, Rome, Italy</mods:affiliation></affiliation></author><author><name sortKey="Stappert, Christian F J" sort="Stappert, Christian F J" uniqKey="Stappert C" first="Christian F. J." last="Stappert">Christian F. J. Stappert</name><affiliation><mods:affiliation>Department of Periodontics, University of Maryland School of Dentistry, Baltimore, MD, USA</mods:affiliation></affiliation><affiliation><mods:affiliation>Department of Prosthodontics, Albert Ludwig University of Freiburg, Freiburg, Germany</mods:affiliation></affiliation></author><author><name sortKey="Benzi, Riccardo" sort="Benzi, Riccardo" uniqKey="Benzi R" first="Riccardo" last="Benzi">Riccardo Benzi</name><affiliation><mods:affiliation>Vigevano, Italy</mods:affiliation></affiliation></author><author><name sortKey="Romeo, Davide" sort="Romeo, Davide" uniqKey="Romeo D" first="Davide" last="Romeo">Davide Romeo</name><affiliation><mods:affiliation>Milano, Italy</mods:affiliation></affiliation></author><author><name sortKey="Gherlone, Enrico" sort="Gherlone, Enrico" uniqKey="Gherlone E" first="Enrico" last="Gherlone">Enrico Gherlone</name><affiliation><mods:affiliation>Department of Dentistry, Vita Salute University, San Raffaele Hospital, Milan, Italy</mods:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">ISTEX</idno><idno type="RBID">ISTEX:2DF3BB1076103191CDA35B8B7BF1551930CF00A0</idno><date when="2014" year="2014">2014</date><idno type="doi">10.1111/j.1708-8208.2012.00482.x</idno><idno type="url">https://api.istex.fr/document/2DF3BB1076103191CDA35B8B7BF1551930CF00A0/fulltext/pdf</idno><idno type="wicri:Area/Istex/Corpus">001652</idno><idno type="wicri:explorRef" wicri:stream="Istex" wicri:step="Corpus" wicri:corpus="ISTEX">001652</idno></publicationStmt><sourceDesc><biblStruct><analytic><title level="a" type="main">Immediate Fixed Rehabilitation of the Edentulous Maxilla: A Prospective Clinical and Radiological Study after 3 Years of Loading</title><author><name sortKey="Agliardi, Enrico L" sort="Agliardi, Enrico L" uniqKey="Agliardi E" first="Enrico L." last="Agliardi">Enrico L. Agliardi</name><affiliation><mods:affiliation>Advanced Oral Surgery Unit, Department of Dentistry, Vita Salute University, San Raffaele Hospital, Milan, Italy</mods:affiliation></affiliation><affiliation><mods:affiliation>E-mail: e.agliardi@studioagliardi.it</mods:affiliation></affiliation></author><author><name sortKey="Pozzi, Alessandro" sort="Pozzi, Alessandro" uniqKey="Pozzi A" first="Alessandro" last="Pozzi">Alessandro Pozzi</name><affiliation><mods:affiliation>Department of Oral Rehabilitation, University of Rome Tor Vergata, Rome, Italy</mods:affiliation></affiliation></author><author><name sortKey="Stappert, Christian F J" sort="Stappert, Christian F J" uniqKey="Stappert C" first="Christian F. J." last="Stappert">Christian F. J. Stappert</name><affiliation><mods:affiliation>Department of Periodontics, University of Maryland School of Dentistry, Baltimore, MD, USA</mods:affiliation></affiliation><affiliation><mods:affiliation>Department of Prosthodontics, Albert Ludwig University of Freiburg, Freiburg, Germany</mods:affiliation></affiliation></author><author><name sortKey="Benzi, Riccardo" sort="Benzi, Riccardo" uniqKey="Benzi R" first="Riccardo" last="Benzi">Riccardo Benzi</name><affiliation><mods:affiliation>Vigevano, Italy</mods:affiliation></affiliation></author><author><name sortKey="Romeo, Davide" sort="Romeo, Davide" uniqKey="Romeo D" first="Davide" last="Romeo">Davide Romeo</name><affiliation><mods:affiliation>Milano, Italy</mods:affiliation></affiliation></author><author><name sortKey="Gherlone, Enrico" sort="Gherlone, Enrico" uniqKey="Gherlone E" first="Enrico" last="Gherlone">Enrico Gherlone</name><affiliation><mods:affiliation>Department of Dentistry, Vita Salute University, San Raffaele Hospital, Milan, Italy</mods:affiliation></affiliation></author></analytic><monogr></monogr><series><title level="j" type="main">Clinical Implant Dentistry and Related Research</title><title level="j" type="alt">CLINICAL IMPLANT DENTISTRY AND RELATED RESEARCH</title><idno type="ISSN">1523-0899</idno><idno type="eISSN">1708-8208</idno><imprint><biblScope unit="vol">16</biblScope><biblScope unit="issue">2</biblScope><biblScope unit="page" from="292">292</biblScope><biblScope unit="page" to="302">302</biblScope><biblScope unit="page-count">11</biblScope><date type="published" when="2014-04">2014-04</date></imprint><idno type="ISSN">1523-0899</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">1523-0899</idno></seriesStmt></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract">The aim of this study was to prospectively evaluate the clinical and radiographic outcomes of immediate full‐arch fixed maxillary prosthesis supported by two axial and four tilted implants after 3 years of loading.</div></front></TEI><istex><corpusName>wiley</corpusName><author><json:item><name>Enrico L. Agliardi MD, DDS</name><affiliations><json:string>Advanced Oral Surgery Unit, Department of Dentistry, Vita Salute University, San Raffaele Hospital, Milan, Italy</json:string><json:string>E-mail: e.agliardi@studioagliardi.it</json:string></affiliations></json:item><json:item><name>Alessandro Pozzi DDS, PhD</name><affiliations><json:string>Department of Oral Rehabilitation, University of Rome Tor Vergata, Rome, Italy</json:string></affiliations></json:item><json:item><name>Christian F. J. Stappert DDS, MS, PhD</name><affiliations><json:string>Department of Periodontics, University of Maryland School of Dentistry, Baltimore, MD, USA</json:string><json:string>Department of Prosthodontics, Albert Ludwig University of Freiburg, Freiburg, Germany</json:string></affiliations></json:item><json:item><name>Riccardo Benzi MD, DDS</name><affiliations><json:string>Vigevano, Italy</json:string></affiliations></json:item><json:item><name>Davide Romeo DDS, PhD</name><affiliations><json:string>Milano, Italy</json:string></affiliations></json:item><json:item><name>Enrico Gherlone MD, DMD</name><affiliations><json:string>Department of Dentistry, Vita Salute University, San Raffaele Hospital, Milan, Italy</json:string></affiliations></json:item></author><subject><json:item><lang><json:string>eng</json:string></lang><value>dental implants</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>edentulous maxilla</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>immediate loading</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>tilted implant</value></json:item></subject><articleId><json:string>CID482</json:string></articleId><arkIstex>ark:/67375/WNG-TZWSNWC9-R</arkIstex><language><json:string>eng</json:string></language><originalGenre><json:string>article</json:string></originalGenre><abstract>The aim of this study was to prospectively evaluate the clinical and radiographic outcomes of immediate full‐arch fixed maxillary prosthesis supported by two axial and four tilted implants after 3 years of 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Radiological Study after 3 Years of Loading</title><title level="a" type="short">Immediate Fixed Maxillary Implant Rehabilitations</title><author xml:id="author-0000" role="corresp"><persName><forename type="first">Enrico L.</forename><surname>Agliardi</surname><roleName type="degree">MD, DDS</roleName></persName><affiliation><orgName>Advanced Oral Surgery Unit, Department of Dentistry</orgName><orgName>Vita Salute University, San Raffaele Hospital</orgName><address><settlement type="city">Milan</settlement><country key="IT">Italy</country></address></affiliation><affiliation>Reprint requests: Dr. Enrico L. Agliardi, Department of Dentistry, Vita Salute University, San Raffaele Hospital, Via Olgettina n°48, 20123 Milano, Italy; e‐mail: e.agliardi@studioagliardi.it</affiliation></author><author xml:id="author-0001"><persName><forename type="first">Alessandro</forename><surname>Pozzi</surname><roleName type="degree">DDS, PhD</roleName></persName><affiliation><orgName>Department of Oral Rehabilitation</orgName><orgName>University of Rome Tor Vergata</orgName><address><settlement type="city">Rome</settlement><country key="IT">Italy</country></address></affiliation></author><author xml:id="author-0002"><persName><forename type="first">Christian F. J.</forename><surname>Stappert</surname><roleName type="degree">DDS, MS, PhD</roleName></persName><affiliation><orgName>Department of Periodontics</orgName><orgName>University of Maryland School of Dentistry</orgName><address><settlement type="city">Baltimore</settlement><region>MD</region><country key="US">USA</country></address></affiliation><affiliation><orgName>Department of Prosthodontics</orgName><orgName>Albert Ludwig University of Freiburg</orgName><address><settlement type="city">Freiburg</settlement><country key="DE">Germany</country></address></affiliation></author><author xml:id="author-0003"><persName><forename type="first">Riccardo</forename><surname>Benzi</surname><roleName type="degree">MD, DDS</roleName></persName><affiliation><address><settlement type="city">Vigevano</settlement><country key="IT">Italy</country></address></affiliation></author><author xml:id="author-0004"><persName><forename type="first">Davide</forename><surname>Romeo</surname><roleName type="degree">DDS, PhD</roleName></persName><affiliation><address><settlement type="city">Milano</settlement><country key="IT">Italy</country></address></affiliation></author><author xml:id="author-0005"><persName><forename type="first">Enrico</forename><surname>Gherlone</surname><roleName type="degree">MD, DMD</roleName></persName><affiliation><orgName>Department of Dentistry</orgName><orgName>Vita Salute University, San Raffaele Hospital</orgName><address><settlement type="city">Milan</settlement><country key="IT">Italy</country></address></affiliation></author><idno type="istex">2DF3BB1076103191CDA35B8B7BF1551930CF00A0</idno><idno type="ark">ark:/67375/WNG-TZWSNWC9-R</idno><idno type="DOI">10.1111/j.1708-8208.2012.00482.x</idno><idno type="unit">CID482</idno><idno type="toTypesetVersion">file://CID.CID482.pdf</idno></analytic><monogr><title level="j" type="main">Clinical Implant Dentistry and Related Research</title><title level="j" type="alt">CLINICAL IMPLANT DENTISTRY AND RELATED RESEARCH</title><idno type="pISSN">1523-0899</idno><idno type="eISSN">1708-8208</idno><idno type="book-DOI">10.1111/(ISSN)1708-8208</idno><idno type="book-part-DOI">10.1111/cid.2014.16.issue-2</idno><idno type="product">CID</idno><imprint><biblScope unit="vol">16</biblScope><biblScope unit="issue">2</biblScope><biblScope unit="page" from="292">292</biblScope><biblScope unit="page" to="302">302</biblScope><biblScope unit="page-count">11</biblScope><date type="published" when="2014-04"></date></imprint></monogr></biblStruct></sourceDesc></fileDesc><profileDesc><abstract style="main"><head>Abstract</head>
Purpose
<p>The aim of this study was to prospectively evaluate the clinical and radiographic outcomes of immediate full‐arch fixed maxillary prosthesis supported by two axial and four tilted implants after 3 years of loading.</p>
Materials and Methods
<p>Thirty‐two patients with atrophic maxilla were consecutively enrolled and treated. Each patient received a fixed full‐arch maxillary rehabilitation supported by four tilted implants that engaged the posterior and the anterior sinus walls and two axial anterior implants. A total of 192 implants (30 <hi rend="fc">B</hi>rånemark <hi rend="fc">S</hi>ystem <hi rend="fc">MK IV</hi> and 162 <hi rend="fc">N</hi>obel<hi rend="fc">S</hi>peedy <hi rend="fc">G</hi>roovy, <hi rend="fc">N</hi>obel <hi rend="fc">B</hi>iocare <hi rend="fc">AB</hi>, <hi rend="fc">G</hi>öteborg, <hi rend="fc">S</hi>weden) were inserted and immediately loaded. The definitive restorations were placed 6 months later, and follow‐up visits were scheduled every 6 months. During follow‐ups, marginal bone loss (<hi rend="fc">MBL</hi>), plaque and bleeding scores, and patient's satisfaction were recorded.</p>
Results
<p>All patients reached at least 3‐year follow‐up examination (range 36–78, average 55.53 months). Two tilted implants failed before delivering the definitive restoration, resulting in a cumulative survival rate of 98.96%. All final prostheses were stable and functional, resulting in a cumulative survival and success rate of 100%. At the 3‐year follow‐up there was no significant difference in <hi rend="fc">MBL</hi> between axial (1.55 ± 0.31 mm) and tilted implants (1.46 ± 0.19 mm) (<hi rend="italic"><hi rend="fc">p</hi></hi> = .05). Plaque and bleeding scores decreased over time, while patient's satisfaction in both aesthetics and function increased.</p>
Conclusions
<p>Implants placement with this configuration could be considered a predictable and cost‐ and time‐effective alternative approach for the immediate restoration of the edentulous maxilla, avoiding bone grafting procedures, even with a medium‐term follow‐up.</p></abstract><textClass><keywords><term xml:id="cid482-kwd-0001">dental implants</term><term xml:id="cid482-kwd-0002">edentulous maxilla</term><term xml:id="cid482-kwd-0003">immediate loading</term><term xml:id="cid482-kwd-0004">tilted implant</term></keywords><keywords rend="tocHeading1"><term>ARTICLES</term></keywords><keywords rend="articleCategory"><term>ARTICLE</term></keywords></textClass><langUsage><language ident="en"></language></langUsage></profileDesc></teiHeader></istex:fulltextTEI></fulltext><metadata><istex:metadataXml wicri:clean="Wiley, elements deleted: body" wicri:toSee="Element #text"><istex:xmlDeclaration>version="1.0" encoding="UTF-8" standalone="yes"</istex:xmlDeclaration><istex:document><component type="serialArticle" version="2.0" xml:id="cid482" xml:lang="en"><header><publicationMeta level="product"><doi origin="wiley">10.1111/(ISSN)1708-8208</doi><issn type="print">1523-0899</issn><issn type="electronic">1708-8208</issn><idGroup><id type="product" value="CID"></id></idGroup><titleGroup><title sort="CLINICAL IMPLANT DENTISTRY AND RELATED RESEARCH" type="main">Clinical Implant Dentistry and Related Research</title><title type="short">Clinical Implant Dentistry and Related Research</title></titleGroup></publicationMeta><publicationMeta level="part" position="04102"><doi>10.1111/cid.2014.16.issue-2</doi><copyright ownership="publisher">Copyright © 2014 Wiley Periodicals, Inc.</copyright><numberingGroup><numbering number="16" type="journalVolume">16</numbering><numbering type="journalIssue">2</numbering></numberingGroup><coverDate startDate="2014-04">April 2014</coverDate></publicationMeta><publicationMeta level="unit" position="160" status="forIssue" type="article"><doi>10.1111/j.1708-8208.2012.00482.x</doi><idGroup><id type="unit" value="CID482"></id></idGroup><countGroup><count number="11" type="pageTotal"></count></countGroup><titleGroup><title type="tocHeading1">ARTICLES</title><title type="articleCategory">ARTICLE</title></titleGroup><copyright ownership="publisher">© 2012 Wiley Periodicals, Inc.</copyright><eventGroup><event agent="bestset" date="2012-07-11" type="xmlCreated"></event><event type="publishedOnlineEarlyUnpaginated" date="2012-08-09"></event><event type="firstOnline" date="2012-08-09"></event><event type="publishedOnlineFinalForm" date="2014-04-25"></event><event type="xmlConverted" agent="Converter:WML3G_To_WML3G version:4.6.4 mode:FullText" date="2015-10-08"></event></eventGroup><numberingGroup><numbering type="pageFirst">292</numbering><numbering type="pageLast">302</numbering></numberingGroup><correspondenceTo>Reprint requests: Dr. Enrico L. Agliardi, Department of Dentistry, Vita Salute University, San Raffaele Hospital, Via Olgettina n°48, 20123 Milano, Italy; e‐mail: <email>e.agliardi@studioagliardi.it</email></correspondenceTo><linkGroup><link type="toTypesetVersion" href="file://CID.CID482.pdf"></link></linkGroup></publicationMeta><contentMeta><titleGroup><title type="short">Immediate Fixed Maxillary Implant Rehabilitations</title><title type="main">Immediate Fixed Rehabilitation of the Edentulous Maxilla: A Prospective Clinical and Radiological Study after 3 Years of Loading</title></titleGroup><creators><creator affiliationRef="#cid482-aff-0001" corresponding="yes" creatorRole="author" xml:id="cid482-cr-0001"><personName><givenNames>Enrico L.</givenNames><familyName>Agliardi</familyName><degrees>MD, DDS</degrees></personName><jobTitle>Head</jobTitle></creator><creator affiliationRef="#cid482-aff-0002" creatorRole="author" xml:id="cid482-cr-0002"><personName><givenNames>Alessandro</givenNames><familyName>Pozzi</familyName><degrees>DDS, PhD</degrees></personName><jobTitle>assistant professor and researcher</jobTitle></creator><creator affiliationRef="#cid482-aff-0003 #cid482-aff-0004" creatorRole="author" xml:id="cid482-cr-0003"><personName><givenNames>Christian F. J.</givenNames><familyName>Stappert</familyName><degrees>DDS, MS, PhD</degrees></personName><jobTitle>professor and director of Implant Periodontal Prosthodontics</jobTitle><jobTitle>associate professor</jobTitle></creator><creator affiliationRef="#cid482-aff-0005" creatorRole="author" xml:id="cid482-cr-0004"><personName><givenNames>Riccardo</givenNames><familyName>Benzi</familyName><degrees>MD, DDS</degrees></personName><jobTitle>private practice</jobTitle></creator><creator affiliationRef="#cid482-aff-0006" creatorRole="author" xml:id="cid482-cr-0005"><personName><givenNames>Davide</givenNames><familyName>Romeo</familyName><degrees>DDS, PhD</degrees></personName><jobTitle>private practice</jobTitle></creator><creator affiliationRef="#cid482-aff-0007" creatorRole="author" xml:id="cid482-cr-0006"><personName><givenNames>Enrico</givenNames><familyName>Gherlone</familyName><degrees>MD, DMD</degrees></personName><jobTitle>professor and chairman</jobTitle></creator></creators><affiliationGroup><affiliation countryCode="IT" xml:id="cid482-aff-0001"><orgDiv>Advanced Oral Surgery Unit, Department of Dentistry</orgDiv><orgName>Vita Salute University, San Raffaele Hospital</orgName><address><city>Milan</city><country>Italy</country></address></affiliation><affiliation countryCode="IT" xml:id="cid482-aff-0002"><orgDiv>Department of Oral Rehabilitation</orgDiv><orgName>University of Rome Tor Vergata</orgName><address><city>Rome</city><country>Italy</country></address></affiliation><affiliation countryCode="US" xml:id="cid482-aff-0003"><orgDiv>Department of Periodontics</orgDiv><orgName>University of Maryland School of Dentistry</orgName><address><city>Baltimore</city><countryPart>MD</countryPart><country>USA</country></address></affiliation><affiliation countryCode="DE" xml:id="cid482-aff-0004"><orgDiv>Department of Prosthodontics</orgDiv><orgName>Albert Ludwig University of Freiburg</orgName><address><city>Freiburg</city><country>Germany</country></address></affiliation><affiliation countryCode="IT" xml:id="cid482-aff-0005"><address><city>Vigevano</city><country>Italy</country></address></affiliation><affiliation countryCode="IT" xml:id="cid482-aff-0006"><address><city>Milano</city><country>Italy</country></address></affiliation><affiliation countryCode="IT" xml:id="cid482-aff-0007"><orgDiv>Department of Dentistry</orgDiv><orgName>Vita Salute University, San Raffaele Hospital</orgName><address><city>Milan</city><country>Italy</country></address></affiliation></affiliationGroup><keywordGroup type="author"><keyword xml:id="cid482-kwd-0001">dental implants</keyword><keyword xml:id="cid482-kwd-0002">edentulous maxilla</keyword><keyword xml:id="cid482-kwd-0003">immediate loading</keyword><keyword xml:id="cid482-kwd-0004">tilted implant</keyword></keywordGroup><abstractGroup><abstract type="main"><title type="main">Abstract</title><section xml:id="cid482-sec-0001"><title type="main">Purpose</title><p>The aim of this study was to prospectively evaluate the clinical and radiographic outcomes of immediate full‐arch fixed maxillary prosthesis supported by two axial and four tilted implants after 3 years of loading.</p></section><section xml:id="cid482-sec-0002"><title type="main">Materials and Methods</title><p>Thirty‐two patients with atrophic maxilla were consecutively enrolled and treated. Each patient received a fixed full‐arch maxillary rehabilitation supported by four tilted implants that engaged the posterior and the anterior sinus walls and two axial anterior implants. A total of 192 implants (30 <fc>B</fc>rånemark <fc>S</fc>ystem <fc>MK IV</fc> and 162 <fc>N</fc>obel<fc>S</fc>peedy <fc>G</fc>roovy, <fc>N</fc>obel <fc>B</fc>iocare <fc>AB</fc>, <fc>G</fc>öteborg, <fc>S</fc>weden) were inserted and immediately loaded. The definitive restorations were placed 6 months later, and follow‐up visits were scheduled every 6 months. During follow‐ups, marginal bone loss (<fc>MBL</fc>), plaque and bleeding scores, and patient's satisfaction were recorded.</p></section><section xml:id="cid482-sec-0003"><title type="main">Results</title><p>All patients reached at least 3‐year follow‐up examination (range 36–78, average 55.53 months). Two tilted implants failed before delivering the definitive restoration, resulting in a cumulative survival rate of 98.96%. All final prostheses were stable and functional, resulting in a cumulative survival and success rate of 100%. At the 3‐year follow‐up there was no significant difference in <fc>MBL</fc> between axial (1.55 ± 0.31 mm) and tilted implants (1.46 ± 0.19 mm) (<i><fc>p</fc></i> = .05). Plaque and bleeding scores decreased over time, while patient's satisfaction in both aesthetics and function increased.</p></section><section xml:id="cid482-sec-0004"><title type="main">Conclusions</title><p>Implants placement with this configuration could be considered a predictable and cost‐ and time‐effective alternative approach for the immediate restoration of the edentulous maxilla, avoiding bone grafting procedures, even with a medium‐term follow‐up.</p></section></abstract></abstractGroup></contentMeta></header> </component></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>Immediate Fixed Rehabilitation of the Edentulous Maxilla: A Prospective Clinical and Radiological Study after 3 Years of Loading</title></titleInfo><titleInfo type="abbreviated" lang="en"><title>Immediate Fixed Maxillary Implant Rehabilitations</title></titleInfo><titleInfo type="alternative" contentType="CDATA" lang="en"><title>Immediate Fixed Rehabilitation of the Edentulous Maxilla: A Prospective Clinical and Radiological Study after 3 Years of Loading</title></titleInfo><name type="personal"><namePart type="given">Enrico L.</namePart><namePart type="family">Agliardi</namePart><namePart type="termsOfAddress">MD, DDS</namePart><affiliation>Advanced Oral Surgery Unit, Department of Dentistry, Vita Salute University, San Raffaele Hospital, Milan, Italy</affiliation><affiliation>E-mail: e.agliardi@studioagliardi.it</affiliation><role><roleTerm type="text">author</roleTerm></role><description>Head</description></name><name type="personal"><namePart type="given">Alessandro</namePart><namePart type="family">Pozzi</namePart><namePart type="termsOfAddress">DDS, PhD</namePart><affiliation>Department of Oral Rehabilitation, University of Rome Tor Vergata, Rome, Italy</affiliation><role><roleTerm type="text">author</roleTerm></role><description>assistant professor and researcher</description></name><name type="personal"><namePart type="given">Christian F. J.</namePart><namePart type="family">Stappert</namePart><namePart type="termsOfAddress">DDS, MS, PhD</namePart><affiliation>Department of Periodontics, University of Maryland School of Dentistry, Baltimore, MD, USA</affiliation><affiliation>Department of Prosthodontics, Albert Ludwig University of Freiburg, Freiburg, Germany</affiliation><role><roleTerm type="text">author</roleTerm></role><description>professor and director of Implant Periodontal Prosthodonticsassociate professor</description></name><name type="personal"><namePart type="given">Riccardo</namePart><namePart type="family">Benzi</namePart><namePart type="termsOfAddress">MD, DDS</namePart><affiliation>Vigevano, Italy</affiliation><role><roleTerm type="text">author</roleTerm></role><description>private practice</description></name><name type="personal"><namePart type="given">Davide</namePart><namePart type="family">Romeo</namePart><namePart type="termsOfAddress">DDS, PhD</namePart><affiliation>Milano, Italy</affiliation><role><roleTerm type="text">author</roleTerm></role><description>private practice</description></name><name type="personal"><namePart type="given">Enrico</namePart><namePart type="family">Gherlone</namePart><namePart type="termsOfAddress">MD, DMD</namePart><affiliation>Department of Dentistry, Vita Salute University, San Raffaele Hospital, Milan, Italy</affiliation><role><roleTerm type="text">author</roleTerm></role><description>professor and chairman</description></name><typeOfResource>text</typeOfResource><genre type="article" displayLabel="article" authority="ISTEX" authorityURI="https://content-type.data.istex.fr" valueURI="https://content-type.data.istex.fr/ark:/67375/XTP-6N5SZHKN-D">article</genre><originInfo><publisher>Blackwell Publishing Ltd</publisher><dateIssued encoding="w3cdtf">2014-04</dateIssued><dateCreated encoding="w3cdtf">2012-07-11</dateCreated><copyrightDate encoding="w3cdtf">2014</copyrightDate></originInfo><language><languageTerm type="code" authority="rfc3066">en</languageTerm><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><abstract>The aim of this study was to prospectively evaluate the clinical and radiographic outcomes of immediate full‐arch fixed maxillary prosthesis supported by two axial and four tilted implants after 3 years of loading.</abstract><abstract>Thirty‐two patients with atrophic maxilla were consecutively enrolled and treated. Each patient received a fixed full‐arch maxillary rehabilitation supported by four tilted implants that engaged the posterior and the anterior sinus walls and two axial anterior implants. A total of 192 implants (30 Brånemark System MK IV and 162 NobelSpeedy Groovy, Nobel Biocare AB, Göteborg, Sweden) were inserted and immediately loaded. The definitive restorations were placed 6 months later, and follow‐up visits were scheduled every 6 months. During follow‐ups, marginal bone loss (MBL), plaque and bleeding scores, and patient's satisfaction were recorded.</abstract><abstract>All patients reached at least 3‐year follow‐up examination (range 36–78, average 55.53 months). Two tilted implants failed before delivering the definitive restoration, resulting in a cumulative survival rate of 98.96%. All final prostheses were stable and functional, resulting in a cumulative survival and success rate of 100%. At the 3‐year follow‐up there was no significant difference in MBL between axial (1.55 ± 0.31 mm) and tilted implants (1.46 ± 0.19 mm) (p = .05). Plaque and bleeding scores decreased over time, while patient's satisfaction in both aesthetics and function increased.</abstract><abstract>Implants placement with this configuration could be considered a predictable and cost‐ and time‐effective alternative approach for the immediate restoration of the edentulous maxilla, avoiding bone grafting procedures, even with a medium‐term follow‐up.</abstract><subject><genre>keywords</genre><topic>dental implants</topic><topic>edentulous maxilla</topic><topic>immediate loading</topic><topic>tilted implant</topic></subject><relatedItem type="host"><titleInfo><title>Clinical Implant Dentistry and Related Research</title></titleInfo><titleInfo type="abbreviated"><title>Clinical Implant Dentistry and Related Research</title></titleInfo><genre type="journal" authority="ISTEX" authorityURI="https://publication-type.data.istex.fr" valueURI="https://publication-type.data.istex.fr/ark:/67375/JMC-0GLKJH51-B">journal</genre><subject><genre>article-category</genre><topic>ARTICLE</topic></subject><identifier type="ISSN">1523-0899</identifier><identifier type="eISSN">1708-8208</identifier><identifier type="DOI">10.1111/(ISSN)1708-8208</identifier><identifier type="PublisherID">CID</identifier><part><date>2014</date><detail type="volume"><caption>vol.</caption><number>16</number></detail><detail type="issue"><caption>no.</caption><number>2</number></detail><extent unit="pages"><start>292</start><end>302</end><total>11</total></extent></part></relatedItem><identifier type="istex">2DF3BB1076103191CDA35B8B7BF1551930CF00A0</identifier><identifier type="ark">ark:/67375/WNG-TZWSNWC9-R</identifier><identifier type="DOI">10.1111/j.1708-8208.2012.00482.x</identifier><identifier type="ArticleID">CID482</identifier><accessCondition type="use and reproduction" contentType="copyright">Copyright © 2014 Wiley Periodicals, Inc.© 2012 Wiley Periodicals, Inc.</accessCondition><recordInfo><recordContentSource authority="ISTEX" authorityURI="https://loaded-corpus.data.istex.fr" valueURI="https://loaded-corpus.data.istex.fr/ark:/67375/XBH-L0C46X92-X">wiley</recordContentSource></recordInfo></mods><json:item><extension>json</extension><original>false</original><mimetype>application/json</mimetype><uri>https://api.istex.fr/document/2DF3BB1076103191CDA35B8B7BF1551930CF00A0/metadata/json</uri></json:item></metadata><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
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