Immediate functional loading of TiOblast dental implants in full‐arch edentulous maxillae: a 3‐year prospective study
Identifieur interne : 001A56 ( Istex/Corpus ); précédent : 001A55; suivant : 001A57Immediate functional loading of TiOblast dental implants in full‐arch edentulous maxillae: a 3‐year prospective study
Auteurs : Bruno Collaert ; Hugo De BruynSource :
- Clinical Oral Implants Research [ 0905-7161 ] ; 2008-12.
English descriptors
- KwdEn :
- Additional bone loss, Albrektsson zarb, Astra, Astra tech, Astra tech implants, Astra tech tioblast implants, Baseline, Blackwell munksgaard, Bone level, Bone loss, Bone quality, Bone quantity, Bone remodelling, Bruyn, Bruyn collaert, Case series, Clin, Clinical implant dentistry, Clinical report, Collaert, Contact level, Contact values, Cumulative percentage, Dental implants, Dentistry, Direct comparison, Drilling protocol, Early loading, Edentulous, Edentulous arches, Edentulous mandible, Edentulous mandibles, Edentulous maxilla, Edentulous maxillae, Functional loading, Good prognosis, Immediate function, Immediate loading, Impl, Implant, Implant design, Implant installation, Implant placement, Implants research, Impression copings, International journal, Journal compilation, Lekholm zarb, Loading, Loading conditions, Machined surface, Mandible, Manual torque, Marginal bone loss, Maxilla, Maxillofacial, Munksgaard, Nemark, Nemark implants, Occlusal, Oral impl, Oral maxillofacial implants, Osseotite implants, Patient level, Periodontal, Periodontal bone loss, Poor bone quality, Predictable treatment option, Present study, Prospective study, Prosthesis, Provisional bridge, Provisional prosthetic reconstruction, Provisional reconstruction, Provisional restoration, Provisional restorations, Radiographic bone loss, Ranks test, Reference point, Root length, Smoker, Smoking habits, Soft tissue healing, Steady state, Success criteria, Surgical, Survival rate, Tioblast, Total bone loss, Vanden bogaerde, Xture, Xture installation, Xture level, Xture survival, Xtures, Zarb.
- Teeft :
- Additional bone loss, Albrektsson zarb, Astra, Astra tech, Astra tech implants, Astra tech tioblast implants, Baseline, Blackwell munksgaard, Bone level, Bone loss, Bone quality, Bone quantity, Bone remodelling, Bruyn, Bruyn collaert, Case series, Clin, Clinical implant dentistry, Clinical report, Collaert, Contact level, Contact values, Cumulative percentage, Dental implants, Dentistry, Direct comparison, Drilling protocol, Early loading, Edentulous, Edentulous arches, Edentulous mandible, Edentulous mandibles, Edentulous maxilla, Edentulous maxillae, Functional loading, Good prognosis, Immediate function, Immediate loading, Impl, Implant, Implant design, Implant installation, Implant placement, Implants research, Impression copings, International journal, Journal compilation, Lekholm zarb, Loading, Loading conditions, Machined surface, Mandible, Manual torque, Marginal bone loss, Maxilla, Maxillofacial, Munksgaard, Nemark, Nemark implants, Occlusal, Oral impl, Oral maxillofacial implants, Osseotite implants, Patient level, Periodontal, Periodontal bone loss, Poor bone quality, Predictable treatment option, Present study, Prospective study, Prosthesis, Provisional bridge, Provisional prosthetic reconstruction, Provisional reconstruction, Provisional restoration, Provisional restorations, Radiographic bone loss, Ranks test, Reference point, Root length, Smoker, Smoking habits, Soft tissue healing, Steady state, Success criteria, Surgical, Survival rate, Tioblast, Total bone loss, Vanden bogaerde, Xture, Xture installation, Xture level, Xture survival, Xtures, Zarb.
Abstract
Introduction: Immediate functional loading of dental implants for full‐arch restoration is a patient‐friendly approach, shown to be feasible with a good long‐term prognosis in a completely edentulous mandible. For the complete restoration of the maxilla, acceptable long‐term clinical follow‐up is lacking or based on case reports rather than on prospective studies.
Url:
DOI: 10.1111/j.1600-0501.2008.01586.x
Links to Exploration step
ISTEX:365C6E8EAD73C3BF8FA4F03E8FA85A5794C403CCLe document en format XML
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Collaert</name><affiliation><mods:affiliation>Center for Periodontology and Implantology Leuven, Belgium</mods:affiliation></affiliation><affiliation><mods:affiliation>Department of Periodontology, School of Dentistry, Malmö University, Malmö, Sweden</mods:affiliation></affiliation></author><author><name sortKey="De Bruyn, Hugo" sort="De Bruyn, Hugo" uniqKey="De Bruyn H" first="Hugo" last="De Bruyn">Hugo De Bruyn</name><affiliation><mods:affiliation>Department of Periodontology, School of Dentistry, Malmö University, Malmö, Sweden</mods:affiliation></affiliation><affiliation><mods:affiliation>Department of Periodontology and Oral Implantology, Faculty of Medicine and Health Sciences, Dental School, University of Ghent, Ghent, Belgium</mods:affiliation></affiliation></author></analytic><monogr></monogr><series><title level="j" type="main">Clinical Oral Implants Research</title><title level="j" type="alt">CLINICAL ORAL IMPLANTS RESEARCH</title><idno type="ISSN">0905-7161</idno><idno type="eISSN">1600-0501</idno><imprint><biblScope unit="vol">19</biblScope><biblScope unit="issue">12</biblScope><biblScope unit="page" from="1254">1254</biblScope><biblScope unit="page" to="1260">1260</biblScope><biblScope unit="page-count">7</biblScope><publisher>Blackwell Publishing Ltd</publisher><pubPlace>Oxford, UK</pubPlace><date type="published" when="2008-12">2008-12</date></imprint><idno type="ISSN">0905-7161</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0905-7161</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Additional bone loss</term><term>Albrektsson zarb</term><term>Astra</term><term>Astra tech</term><term>Astra tech implants</term><term>Astra tech tioblast implants</term><term>Baseline</term><term>Blackwell munksgaard</term><term>Bone level</term><term>Bone loss</term><term>Bone quality</term><term>Bone quantity</term><term>Bone remodelling</term><term>Bruyn</term><term>Bruyn collaert</term><term>Case series</term><term>Clin</term><term>Clinical implant dentistry</term><term>Clinical report</term><term>Collaert</term><term>Contact level</term><term>Contact values</term><term>Cumulative percentage</term><term>Dental implants</term><term>Dentistry</term><term>Direct comparison</term><term>Drilling protocol</term><term>Early loading</term><term>Edentulous</term><term>Edentulous arches</term><term>Edentulous mandible</term><term>Edentulous mandibles</term><term>Edentulous maxilla</term><term>Edentulous maxillae</term><term>Functional loading</term><term>Good prognosis</term><term>Immediate function</term><term>Immediate loading</term><term>Impl</term><term>Implant</term><term>Implant design</term><term>Implant installation</term><term>Implant placement</term><term>Implants research</term><term>Impression copings</term><term>International journal</term><term>Journal compilation</term><term>Lekholm zarb</term><term>Loading</term><term>Loading conditions</term><term>Machined surface</term><term>Mandible</term><term>Manual torque</term><term>Marginal bone loss</term><term>Maxilla</term><term>Maxillofacial</term><term>Munksgaard</term><term>Nemark</term><term>Nemark implants</term><term>Occlusal</term><term>Oral impl</term><term>Oral maxillofacial implants</term><term>Osseotite implants</term><term>Patient level</term><term>Periodontal</term><term>Periodontal bone loss</term><term>Poor bone quality</term><term>Predictable treatment option</term><term>Present study</term><term>Prospective study</term><term>Prosthesis</term><term>Provisional bridge</term><term>Provisional prosthetic reconstruction</term><term>Provisional reconstruction</term><term>Provisional restoration</term><term>Provisional restorations</term><term>Radiographic bone loss</term><term>Ranks test</term><term>Reference point</term><term>Root length</term><term>Smoker</term><term>Smoking habits</term><term>Soft tissue healing</term><term>Steady state</term><term>Success criteria</term><term>Surgical</term><term>Survival rate</term><term>Tioblast</term><term>Total bone loss</term><term>Vanden bogaerde</term><term>Xture</term><term>Xture installation</term><term>Xture level</term><term>Xture survival</term><term>Xtures</term><term>Zarb</term></keywords><keywords scheme="Teeft" xml:lang="en"><term>Additional bone loss</term><term>Albrektsson zarb</term><term>Astra</term><term>Astra tech</term><term>Astra tech implants</term><term>Astra tech tioblast implants</term><term>Baseline</term><term>Blackwell munksgaard</term><term>Bone level</term><term>Bone loss</term><term>Bone quality</term><term>Bone quantity</term><term>Bone remodelling</term><term>Bruyn</term><term>Bruyn collaert</term><term>Case series</term><term>Clin</term><term>Clinical implant dentistry</term><term>Clinical report</term><term>Collaert</term><term>Contact level</term><term>Contact values</term><term>Cumulative percentage</term><term>Dental implants</term><term>Dentistry</term><term>Direct comparison</term><term>Drilling protocol</term><term>Early loading</term><term>Edentulous</term><term>Edentulous arches</term><term>Edentulous mandible</term><term>Edentulous mandibles</term><term>Edentulous maxilla</term><term>Edentulous maxillae</term><term>Functional loading</term><term>Good prognosis</term><term>Immediate function</term><term>Immediate loading</term><term>Impl</term><term>Implant</term><term>Implant design</term><term>Implant installation</term><term>Implant placement</term><term>Implants research</term><term>Impression copings</term><term>International journal</term><term>Journal compilation</term><term>Lekholm zarb</term><term>Loading</term><term>Loading conditions</term><term>Machined surface</term><term>Mandible</term><term>Manual torque</term><term>Marginal bone loss</term><term>Maxilla</term><term>Maxillofacial</term><term>Munksgaard</term><term>Nemark</term><term>Nemark implants</term><term>Occlusal</term><term>Oral impl</term><term>Oral maxillofacial implants</term><term>Osseotite implants</term><term>Patient level</term><term>Periodontal</term><term>Periodontal bone loss</term><term>Poor bone quality</term><term>Predictable treatment option</term><term>Present study</term><term>Prospective study</term><term>Prosthesis</term><term>Provisional bridge</term><term>Provisional prosthetic reconstruction</term><term>Provisional reconstruction</term><term>Provisional restoration</term><term>Provisional restorations</term><term>Radiographic bone loss</term><term>Ranks test</term><term>Reference point</term><term>Root length</term><term>Smoker</term><term>Smoking habits</term><term>Soft tissue healing</term><term>Steady state</term><term>Success criteria</term><term>Surgical</term><term>Survival rate</term><term>Tioblast</term><term>Total bone loss</term><term>Vanden bogaerde</term><term>Xture</term><term>Xture installation</term><term>Xture 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Belgium</json:string></affiliations></json:item></author><subject><json:item><lang><json:string>eng</json:string></lang><value>bone remodelling</value></json:item><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 function</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>one‐stage surgery</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>smoking</value></json:item></subject><articleId><json:string>CLR1586</json:string></articleId><arkIstex>ark:/67375/WNG-VDP3LZT1-L</arkIstex><language><json:string>eng</json:string></language><originalGenre><json:string>article</json:string></originalGenre><abstract>Introduction: Immediate functional loading of dental implants for full‐arch restoration is a patient‐friendly approach, shown to be feasible with a good long‐term prognosis in a completely edentulous mandible. For the complete restoration of the maxilla, acceptable long‐term clinical follow‐up is lacking or based on case reports rather than on prospective studies.</abstract><qualityIndicators><score>7.428</score><pdfWordCount>4816</pdfWordCount><pdfCharCount>31002</pdfCharCount><pdfVersion>1.3</pdfVersion><pdfPageCount>7</pdfPageCount><pdfPageSize>595.276 x 782.362 pts</pdfPageSize><refBibsNative>true</refBibsNative><abstractWordCount>51</abstractWordCount><abstractCharCount>366</abstractCharCount><keywordCount>6</keywordCount></qualityIndicators><title>Immediate functional loading of TiOblast dental implants in full‐arch edentulous maxillae: a 3‐year prospective study</title><pmid><json:string>19040440</json:string></pmid><genre><json:string>article</json:string></genre><host><title>Clinical Oral Implants Research</title><language><json:string>unknown</json:string></language><doi><json:string>10.1111/(ISSN)1600-0501</json:string></doi><issn><json:string>0905-7161</json:string></issn><eissn><json:string>1600-0501</json:string></eissn><publisherId><json:string>CLR</json:string></publisherId><volume>19</volume><issue>12</issue><pages><first>1254</first><last>1260</last><total>7</total></pages><genre><json:string>journal</json:string></genre></host><namedEntities><unitex><date><json:string>1992</json:string><json:string>1975</json:string><json:string>between April 2002 and January 2004</json:string><json:string>1255</json:string><json:string>2008</json:string></date><geogName></geogName><orgName><json:string>Belgium Bruno Collaert, Hugo De Bruyn, Department of Periodontology, School of Dentistry, Malmo</json:string><json:string>Belgium Tel</json:string><json:string>Sticktech Ltd</json:string><json:string>Bruno Collaert Center for Periodontology and Implantology Leuven Groenveldstraat</json:string><json:string>Ghent University</json:string><json:string>Sticktech</json:string><json:string>Department of Periodontology and Oral</json:string><json:string>Belgium Key</json:string><json:string>University of Ghent</json:string></orgName><orgName_funder></orgName_funder><orgName_provider></orgName_provider><persName><json:string>Hugo De Bruyn</json:string></persName><placeName><json:string>Germany</json:string><json:string>Ghent</json:string><json:string>Finland</json:string><json:string>Malmo</json:string><json:string>Helsinki</json:string><json:string>Turku</json:string><json:string>Amsterdam</json:string><json:string>Leuven</json:string><json:string>Hanau</json:string><json:string>Sweden</json:string><json:string>Netherlands</json:string></placeName><ref_url></ref_url><ref_bibl><json:string>Horiuchi et al. 2000</json:string><json:string>Astrand et al. 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(2005)</json:string><json:string>Tarnow et al. 1997</json:string><json:string>De Bruyn & Collaert 2002</json:string><json:string>De Bruyn et al. 2008</json:string></ref_bibl><bibl></bibl></unitex></namedEntities><ark><json:string>ark:/67375/WNG-VDP3LZT1-L</json:string></ark><categories><wos><json:string>1 - science</json:string><json:string>2 - engineering, biomedical</json:string><json:string>2 - dentistry, oral surgery & medicine</json:string></wos><scienceMetrix><json:string>1 - health sciences</json:string><json:string>2 - clinical medicine</json:string><json:string>3 - dentistry</json:string></scienceMetrix><scopus><json:string>1 - Health Sciences</json:string><json:string>2 - Dentistry</json:string><json:string>3 - Oral Surgery</json:string></scopus></categories><publicationDate>2008</publicationDate><copyrightDate>2008</copyrightDate><doi><json:string>10.1111/j.1600-0501.2008.01586.x</json:string></doi><id>365C6E8EAD73C3BF8FA4F03E8FA85A5794C403CC</id><score>1</score><fulltext><json:item><extension>pdf</extension><original>true</original><mimetype>application/pdf</mimetype><uri>https://api.istex.fr/document/365C6E8EAD73C3BF8FA4F03E8FA85A5794C403CC/fulltext/pdf</uri></json:item><json:item><extension>zip</extension><original>false</original><mimetype>application/zip</mimetype><uri>https://api.istex.fr/document/365C6E8EAD73C3BF8FA4F03E8FA85A5794C403CC/fulltext/zip</uri></json:item><istex:fulltextTEI uri="https://api.istex.fr/document/365C6E8EAD73C3BF8FA4F03E8FA85A5794C403CC/fulltext/tei"><teiHeader><fileDesc><titleStmt><title level="a" type="main">Immediate functional loading of TiOblast dental implants in full‐arch edentulous maxillae: a 3‐year prospective study</title></titleStmt><publicationStmt><authority>ISTEX</authority><publisher>Blackwell Publishing Ltd</publisher><pubPlace>Oxford, UK</pubPlace><availability><licence>© 2008 The Authors. Journal compilation © 2008 Blackwell Munksgaard</licence></availability><date type="published" when="2008-12"></date></publicationStmt><notesStmt><note type="content-type" subtype="article" source="article" scheme="https://content-type.data.istex.fr/ark:/67375/XTP-6N5SZHKN-D">article</note><note type="publication-type" subtype="journal" scheme="https://publication-type.data.istex.fr/ark:/67375/JMC-0GLKJH51-B">journal</note></notesStmt><sourceDesc><biblStruct type="article"><analytic><title level="a" type="main">Immediate functional loading of TiOblast dental implants in full‐arch edentulous maxillae: a 3‐year prospective study</title><title level="a" type="short">Immediate loading in edentulous maxilla</title><author xml:id="author-0000"><persName><forename type="first">Bruno</forename><surname>Collaert</surname></persName><affiliation>Center for Periodontology and Implantology Leuven, Belgium<address><country key="BE"></country></address></affiliation><affiliation>Department of Periodontology, School of Dentistry, Malmö University, Malmö, Sweden<address><country key="SE"></country></address></affiliation></author><author xml:id="author-0001"><persName><forename type="first">Hugo</forename><surname>De Bruyn</surname></persName><affiliation>Department of Periodontology, School of Dentistry, Malmö University, Malmö, Sweden<address><country key="SE"></country></address></affiliation><affiliation>Department of Periodontology and Oral Implantology, Faculty of Medicine and Health Sciences, Dental School, University of Ghent, Ghent, Belgium<address><country key="BE"></country></address></affiliation></author><idno type="istex">365C6E8EAD73C3BF8FA4F03E8FA85A5794C403CC</idno><idno type="ark">ark:/67375/WNG-VDP3LZT1-L</idno><idno type="DOI">10.1111/j.1600-0501.2008.01586.x</idno><idno type="unit">CLR1586</idno><idno type="supplier">1586</idno><idno type="toTypesetVersion">file:CLR.CLR1586.pdf</idno></analytic><monogr><title level="j" type="main">Clinical Oral Implants Research</title><title level="j" type="alt">CLINICAL ORAL IMPLANTS RESEARCH</title><idno type="pISSN">0905-7161</idno><idno type="eISSN">1600-0501</idno><idno type="book-DOI">10.1111/(ISSN)1600-0501</idno><idno type="book-part-DOI">10.1111/clr.2008.19.issue-12</idno><idno type="product">CLR</idno><idno type="publisherDivision">ST</idno><imprint><biblScope unit="vol">19</biblScope><biblScope unit="issue">12</biblScope><biblScope unit="page" from="1254">1254</biblScope><biblScope unit="page" to="1260">1260</biblScope><biblScope unit="page-count">7</biblScope><publisher>Blackwell Publishing Ltd</publisher><pubPlace>Oxford, UK</pubPlace><date type="published" when="2008-12"></date></imprint></monogr></biblStruct></sourceDesc></fileDesc><profileDesc><abstract xml:lang="en" style="main"><head>Abstract</head><p><hi rend="bold">Introduction: </hi> Immediate functional loading of dental implants for full‐arch restoration is a patient‐friendly approach, shown to be feasible with a good long‐term prognosis in a completely edentulous mandible. For the complete restoration of the maxilla, acceptable long‐term clinical follow‐up is lacking or based on case reports rather than on prospective studies.</p><p><hi rend="bold">Objectives: </hi> This prospective mono‐centre study reports the 3‐year outcome of immediately functionally loaded Astra Tech Dental implants in completely edentulous maxillae based on clinical survival and success based on radiographical assessment of bone level.</p><p><hi rend="bold">Material and methods: </hi> One hundred and ninety‐five Astra Tech TiOblast surface fixtures were installed in 25 consecutively treated patients (age range: 42–76 years), of whom eight were smokers, 12 had a confirmed history of periodontitis and six had poor bone quality normally deemed for delayed loading. Fixtures and abutments were inserted in a one‐stage procedure and functionally loaded within 24 h with a 10‐unit provisional glass‐fibre or metal‐reinforced screw‐retained restoration. After 6 months, each implant was checked for stability using a manual torque of 20 N cm and the provisional restoration was replaced by a 10–12‐unit screw‐retained metal–ceramic or metal–resin cantilever bridge. Bone level was assessed radiographically from the day of surgery up to 3 years and used to calculate mean bone loss at the patient level and individual implant success.</p><p><hi rend="bold">Results: </hi> No failures occurred in implants or prostheses, the total survival rate being 100%. Mean marginal bone loss was 0.58 mm (SD 0.58); 0.6 mm (SD 0.53); 0.63 (SD 0.61); and 0.72 (SD 0.63) after 6 and 12 months, and 2 and 3 years, respectively, yielding a 100% success at the patient level. Wilcoxon's signed ranks test showed only statistically significant bone loss between baseline and 6 months and a steady‐state condition during all other intervals. At the individual fixture level, 82% lost <1 mm marginal bone between baseline and 1 year. After 3 years, 86% have <1.5 mm total bone loss and can be considered a success. The fixtures expressing more bone loss were all inserted in smokers.</p><p><hi rend="bold">Conclusion: </hi> Immediate loading of a full‐arch maxillary bridgework on 7–9 Astra Tech TiOblast implants is a predictable treatment option with 100% fixture survival and stable bone‐to‐implant contact up to 3 years. The steady state in bone remodelling is indicative of a good long‐term prognosis in non‐smokers but smokers seem to be more prone to bone loss.</p></abstract><textClass><keywords xml:lang="en"><term xml:id="k1">bone remodelling</term><term xml:id="k2">dental implants</term><term xml:id="k3">edentulous maxilla</term><term xml:id="k4">immediate function</term><term xml:id="k5">one‐stage surgery</term><term xml:id="k6">smoking</term></keywords><keywords rend="tocHeading1"><term>Original Articles</term></keywords></textClass><langUsage><language ident="en"></language></langUsage></profileDesc></teiHeader></istex:fulltextTEI><json:item><extension>txt</extension><original>false</original><mimetype>text/plain</mimetype><uri>https://api.istex.fr/document/365C6E8EAD73C3BF8FA4F03E8FA85A5794C403CC/fulltext/txt</uri></json:item></fulltext><metadata><istex:metadataXml wicri:clean="Wiley, elements deleted: body"><istex:xmlDeclaration>version="1.0" encoding="UTF-8" standalone="yes"</istex:xmlDeclaration><istex:document><component version="2.0" type="serialArticle" xml:lang="en"><header><publicationMeta level="product"><publisherInfo><publisherName>Blackwell Publishing Ltd</publisherName><publisherLoc>Oxford, UK</publisherLoc></publisherInfo><doi origin="wiley" registered="yes">10.1111/(ISSN)1600-0501</doi><issn type="print">0905-7161</issn><issn type="electronic">1600-0501</issn><idGroup><id type="product" value="CLR"></id><id type="publisherDivision" value="ST"></id></idGroup><titleGroup><title type="main" sort="CLINICAL ORAL IMPLANTS RESEARCH">Clinical Oral Implants Research</title></titleGroup></publicationMeta><publicationMeta level="part" position="12012"><doi origin="wiley">10.1111/clr.2008.19.issue-12</doi><numberingGroup><numbering type="journalVolume" number="19">19</numbering><numbering type="journalIssue" number="12">12</numbering></numberingGroup><coverDate startDate="2008-12">December 2008</coverDate></publicationMeta><publicationMeta level="unit" type="article" position="6" status="forIssue"><doi origin="wiley">10.1111/j.1600-0501.2008.01586.x</doi><idGroup><id type="unit" value="CLR1586"></id><id type="supplier" value="1586"></id></idGroup><countGroup><count type="pageTotal" number="7"></count></countGroup><titleGroup><title type="tocHeading1">Original Articles</title></titleGroup><copyright>© 2008 The Authors. Journal compilation © 2008 Blackwell Munksgaard</copyright><eventGroup><event type="firstOnline" date="2008-11-11"></event><event type="publishedOnlineFinalForm" date="2008-11-11"></event><event type="xmlConverted" agent="Converter:BPG_TO_WML3G version:2.3.2 mode:FullText source:FullText result:FullText" date="2010-03-15"></event><event type="xmlConverted" agent="Converter:WILEY_ML3G_TO_WILEY_ML3GV2 version:4.0.1" date="2014-03-12"></event><event type="xmlConverted" agent="Converter:WML3G_To_WML3G version:4.1.7 mode:FullText,remove_FC" date="2014-10-16"></event></eventGroup><numberingGroup><numbering type="pageFirst" number="1254">1254</numbering><numbering type="pageLast" number="1260">1260</numbering></numberingGroup><correspondenceTo><b>Correspondence to:</b>
<i>Bruno Collaert</i>
Center for Periodontology and Implantology Leuven
Groenveldstraat 65
Leuven 3001
Belgium
Tel.: +32 16 222 990
e‐mail: <email normalForm="collaert@paro-implanto.be">collaert@paro‐implanto.be</email></correspondenceTo><linkGroup><link type="toTypesetVersion" href="file:CLR.CLR1586.pdf"></link></linkGroup></publicationMeta><contentMeta><unparsedEditorialHistory><b>Date:</b> Accepted 16 February 2008</unparsedEditorialHistory><countGroup><count type="figureTotal" number="5"></count><count type="tableTotal" number="2"></count><count type="formulaTotal" number="0"></count><count type="referenceTotal" number="32"></count><count type="wordTotal" number="6015"></count><count type="linksCrossRef" number="37"></count></countGroup><titleGroup><title type="main">Immediate functional loading of TiOblast dental implants in full‐arch edentulous maxillae: a 3‐year prospective study</title><title type="shortAuthors">Collaert & De Bruyn.</title><title type="short">Immediate loading in edentulous maxilla</title></titleGroup><creators><creator creatorRole="author" xml:id="cr1" affiliationRef="#a1 #a2"><personName><givenNames>Bruno</givenNames><familyName>Collaert</familyName></personName></creator><creator creatorRole="author" xml:id="cr2" affiliationRef="#a2 #a3"><personName><givenNames>Hugo</givenNames><familyName>De Bruyn</familyName></personName></creator></creators><affiliationGroup><affiliation xml:id="a1" countryCode="BE"><unparsedAffiliation>Center for Periodontology and Implantology Leuven, Belgium</unparsedAffiliation></affiliation><affiliation xml:id="a2" countryCode="SE"><unparsedAffiliation>Department of Periodontology, School of Dentistry, Malmö University, Malmö, Sweden</unparsedAffiliation></affiliation><affiliation xml:id="a3" countryCode="BE"><unparsedAffiliation>Department of Periodontology and Oral Implantology, Faculty of Medicine and Health Sciences, Dental School, University of Ghent, Ghent, Belgium</unparsedAffiliation></affiliation></affiliationGroup><keywordGroup xml:lang="en"><keyword xml:id="k1">bone remodelling</keyword><keyword xml:id="k2">dental implants</keyword><keyword xml:id="k3">edentulous maxilla</keyword><keyword xml:id="k4">immediate function</keyword><keyword xml:id="k5">one‐stage surgery</keyword><keyword xml:id="k6">smoking</keyword></keywordGroup><abstractGroup><abstract type="main" xml:lang="en"><title type="main">Abstract</title><p><b>Introduction: </b> Immediate functional loading of dental implants for full‐arch restoration is a patient‐friendly approach, shown to be feasible with a good long‐term prognosis in a completely edentulous mandible. For the complete restoration of the maxilla, acceptable long‐term clinical follow‐up is lacking or based on case reports rather than on prospective studies.</p><p><b>Objectives: </b> This prospective mono‐centre study reports the 3‐year outcome of immediately functionally loaded Astra Tech Dental implants in completely edentulous maxillae based on clinical survival and success based on radiographical assessment of bone level.</p><p><b>Material and methods: </b> One hundred and ninety‐five Astra Tech TiOblast surface fixtures were installed in 25 consecutively treated patients (age range: 42–76 years), of whom eight were smokers, 12 had a confirmed history of periodontitis and six had poor bone quality normally deemed for delayed loading. Fixtures and abutments were inserted in a one‐stage procedure and functionally loaded within 24 h with a 10‐unit provisional glass‐fibre or metal‐reinforced screw‐retained restoration. After 6 months, each implant was checked for stability using a manual torque of 20 N cm and the provisional restoration was replaced by a 10–12‐unit screw‐retained metal–ceramic or metal–resin cantilever bridge. Bone level was assessed radiographically from the day of surgery up to 3 years and used to calculate mean bone loss at the patient level and individual implant success.</p><p><b>Results: </b> No failures occurred in implants or prostheses, the total survival rate being 100%. Mean marginal bone loss was 0.58 mm (SD 0.58); 0.6 mm (SD 0.53); 0.63 (SD 0.61); and 0.72 (SD 0.63) after 6 and 12 months, and 2 and 3 years, respectively, yielding a 100% success at the patient level. Wilcoxon's signed ranks test showed only statistically significant bone loss between baseline and 6 months and a steady‐state condition during all other intervals. At the individual fixture level, 82% lost <1 mm marginal bone between baseline and 1 year. After 3 years, 86% have <1.5 mm total bone loss and can be considered a success. The fixtures expressing more bone loss were all inserted in smokers.</p><p><b>Conclusion: </b> Immediate loading of a full‐arch maxillary bridgework on 7–9 Astra Tech TiOblast implants is a predictable treatment option with 100% fixture survival and stable bone‐to‐implant contact up to 3 years. The steady state in bone remodelling is indicative of a good long‐term prognosis in non‐smokers but smokers seem to be more prone to bone loss.</p><!--
To cite this article:
Collaert B, De Bruyn H. Immediate functional loading of TiOblast dental implants in full-arch edentulous maxillae: a 3-year prospective study.
Clin. Oral Impl. Res. 19, 2008; 1254–1260
doi: 10.1111/j.1600-0501.2008.01586.x
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For the complete restoration of the maxilla, acceptable long‐term clinical follow‐up is lacking or based on case reports rather than on prospective studies.</abstract><abstract>Objectives: This prospective mono‐centre study reports the 3‐year outcome of immediately functionally loaded Astra Tech Dental implants in completely edentulous maxillae based on clinical survival and success based on radiographical assessment of bone level.</abstract><abstract>Material and methods: One hundred and ninety‐five Astra Tech TiOblast surface fixtures were installed in 25 consecutively treated patients (age range: 42–76 years), of whom eight were smokers, 12 had a confirmed history of periodontitis and six had poor bone quality normally deemed for delayed loading. Fixtures and abutments were inserted in a one‐stage procedure and functionally loaded within 24 h with a 10‐unit provisional glass‐fibre or metal‐reinforced screw‐retained restoration. After 6 months, each implant was checked for stability using a manual torque of 20 N cm and the provisional restoration was replaced by a 10–12‐unit screw‐retained metal–ceramic or metal–resin cantilever bridge. Bone level was assessed radiographically from the day of surgery up to 3 years and used to calculate mean bone loss at the patient level and individual implant success.</abstract><abstract>Results: No failures occurred in implants or prostheses, the total survival rate being 100%. Mean marginal bone loss was 0.58 mm (SD 0.58); 0.6 mm (SD 0.53); 0.63 (SD 0.61); and 0.72 (SD 0.63) after 6 and 12 months, and 2 and 3 years, respectively, yielding a 100% success at the patient level. Wilcoxon's signed ranks test showed only statistically significant bone loss between baseline and 6 months and a steady‐state condition during all other intervals. At the individual fixture level, 82% lost <1 mm marginal bone between baseline and 1 year. After 3 years, 86% have <1.5 mm total bone loss and can be considered a success. The fixtures expressing more bone loss were all inserted in smokers.</abstract><abstract>Conclusion: Immediate loading of a full‐arch maxillary bridgework on 7–9 Astra Tech TiOblast implants is a predictable treatment option with 100% fixture survival and stable bone‐to‐implant contact up to 3 years. 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