Sleeping vs. loaded implants, long‐term observations via a retrospective analysis
Identifieur interne : 002075 ( Istex/Corpus ); précédent : 002074; suivant : 002076Sleeping vs. loaded implants, long‐term observations via a retrospective analysis
Auteurs : K. Marcelis ; M. Vercruyssen ; E. Nicu ; I. Naert ; M. QuirynenSource :
- Clinical Oral Implants Research [ 0905-7161 ] ; 2012-09.
English descriptors
- KwdEn :
- Abutment, Abutment connection, Albrektsson, Berglundh, Bone level changes, Bone loss, Bone reactions, Branemark, Branemark system, Clinical periodontology, Consensus report, Dental implants, Dentistry, Edentulous patients, Functional implants, Implant, Implant success, Implants research, International journal, Leuven, Lindhe, Marcelis, Marginal bone level, Marginal bone loss, Median, More apically, More bone loss, Naert, Occlusal, Occlusal load, Occlusal overload, Oral impl, Oral maxillofacial implants, Periodontology, Quirynen, Remodelling, Retrospective analysis, Static load, Steenberghe, Titanium implants, Zarb.
- Teeft :
- Abutment, Abutment connection, Albrektsson, Berglundh, Bone level changes, Bone loss, Bone reactions, Branemark, Branemark system, Clinical periodontology, Consensus report, Dental implants, Dentistry, Edentulous patients, Functional implants, Implant, Implant success, Implants research, International journal, Leuven, Lindhe, Marcelis, Marginal bone level, Marginal bone loss, Median, More apically, More bone loss, Naert, Occlusal, Occlusal load, Occlusal overload, Oral impl, Oral maxillofacial implants, Periodontology, Quirynen, Remodelling, Retrospective analysis, Static load, Steenberghe, Titanium implants, Zarb.
Abstract
Several theories have been presented to explain initial and secondary marginal bone loss around dental implants (e.g. microbial load, adverse loading, microbial leakage, compromised healing/adaptation of host‐implant interface).
Url:
DOI: 10.1111/j.1600-0501.2011.02263.x
Links to Exploration step
ISTEX:42D4FEDE6F38362CCBB1BEC90D88FF0B45FD7942Le document en format XML
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Quirynen</name><affiliation><mods:affiliation>Department of Periodontology, School of Dentistry, Oral Pathology & Maxillo‐Facial Surgery, Faculty of Medicine, Catholic University Leuven, Kapucijnenvoer 33, B‐3000, Leuven, Belgium</mods:affiliation></affiliation><affiliation><mods:affiliation>Corresponding author:Department of PeriodontologySchool of DentistryOral Pathology & Maxillo‐Facial SurgeryFaculty of MedicineCatholic University LeuvenKapucijnenvoer 33B‐3000 LeuvenBelgiumTel.: +32 16 33 24 83Fax: +32 16 33 24 07e‐mail:</mods:affiliation></affiliation><affiliation><mods:affiliation>E-mail: marc.quirynen@med.kuleuven.be</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">23</biblScope><biblScope 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journal</term><term>Leuven</term><term>Lindhe</term><term>Marcelis</term><term>Marginal bone level</term><term>Marginal bone loss</term><term>Median</term><term>More apically</term><term>More bone loss</term><term>Naert</term><term>Occlusal</term><term>Occlusal load</term><term>Occlusal overload</term><term>Oral impl</term><term>Oral maxillofacial implants</term><term>Periodontology</term><term>Quirynen</term><term>Remodelling</term><term>Retrospective analysis</term><term>Static load</term><term>Steenberghe</term><term>Titanium implants</term><term>Zarb</term></keywords><keywords scheme="Teeft" xml:lang="en"><term>Abutment</term><term>Abutment connection</term><term>Albrektsson</term><term>Berglundh</term><term>Bone level changes</term><term>Bone loss</term><term>Bone reactions</term><term>Branemark</term><term>Branemark system</term><term>Clinical periodontology</term><term>Consensus report</term><term>Dental implants</term><term>Dentistry</term><term>Edentulous patients</term><term>Functional implants</term><term>Implant</term><term>Implant success</term><term>Implants research</term><term>International journal</term><term>Leuven</term><term>Lindhe</term><term>Marcelis</term><term>Marginal bone level</term><term>Marginal bone loss</term><term>Median</term><term>More apically</term><term>More bone loss</term><term>Naert</term><term>Occlusal</term><term>Occlusal load</term><term>Occlusal overload</term><term>Oral impl</term><term>Oral maxillofacial implants</term><term>Periodontology</term><term>Quirynen</term><term>Remodelling</term><term>Retrospective analysis</term><term>Static load</term><term>Steenberghe</term><term>Titanium implants</term><term>Zarb</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract">Several theories have been presented to explain initial and secondary marginal bone loss around dental implants (e.g. microbial load, adverse loading, microbial leakage, compromised healing/adaptation of 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Marcelis</name><affiliations><json:string>Department of Periodontology, School of Dentistry, Oral Pathology & Maxillo‐Facial Surgery, Faculty of Medicine, Catholic University Leuven, Kapucijnenvoer 33, B‐3000, Leuven, Belgium</json:string></affiliations></json:item><json:item><name>M. Vercruyssen</name><affiliations><json:string>Department of Periodontology, School of Dentistry, Oral Pathology & Maxillo‐Facial Surgery, Faculty of Medicine, Catholic University Leuven, Kapucijnenvoer 33, B‐3000, Leuven, Belgium</json:string></affiliations></json:item><json:item><name>E. Nicu</name><affiliations><json:string>Department of Periodontology, School of Dentistry, Oral Pathology & Maxillo‐Facial Surgery, Faculty of Medicine, Catholic University Leuven, Kapucijnenvoer 33, B‐3000, Leuven, Belgium</json:string></affiliations></json:item><json:item><name>I. Naert</name><affiliations><json:string>Department of Prosthetic Dentistry, School of Dentistry, Oral Pathology & Maxillo‐Facial Surgery, Faculty of Medicine, Catholic University Leuven, Kapucijnenvoer 33, B‐3000, Leuven, Belgium</json:string></affiliations></json:item><json:item><name>M. 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(1969)</json:string><json:string>Miyata et al. 2000</json:string><json:string>Isidor 1996, 1997</json:string><json:string>Berglundh & Lindhe 1996</json:string><json:string>Marcelis et al</json:string><json:string>Lang & Berglundh 2011</json:string><json:string>Albrektsson & Zarb 1993</json:string><json:string>Chvartszaid et al. 2008</json:string><json:string>Teixeira et al. 1997</json:string><json:string>Karoussis et al. 2004</json:string><json:string>Albrektsson et al. (1986a, 1986b)</json:string><json:string>Lindhe & Meyle 2008</json:string><json:string>Kim et al. 2005</json:string><json:string>Persson et al. 1999</json:string><json:string>Danser et al. 1995, 1997</json:string><json:string>Albrektsson et al. 2009</json:string><json:string>Kozlovsky et al. 2007</json:string><json:string>Alsaadi et al. 2008</json:string><json:string>Gotfredsen et al. 2001a, 2001b, 2001c, 2002</json:string><json:string>Schou et al. 1992</json:string><json:string>Roos-Jansaker et al. 2006a, 2006b</json:string><json:string>Quirynen et al. 1994</json:string><json:string>Quirynen et al. 2007</json:string><json:string>Marinello et al. 1995</json:string><json:string>Albrektsson et al. 1986b</json:string><json:string>Adell et al. 1981</json:string><json:string>Albrektsson et al. 1994</json:string></ref_bibl><bibl></bibl></unitex></namedEntities><ark><json:string>ark:/67375/WNG-JB8NFRK8-Q</json:string></ark><categories><wos><json:string>1 - science</json:string><json:string>2 - 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QuirynenDepartment of PeriodontologySchool of DentistryOral Pathology & Maxillo‐Facial SurgeryFaculty of MedicineCatholic University LeuvenKapucijnenvoer 33B‐3000 LeuvenBelgiumTel.: +32 16 33 24 83Fax: +32 16 33 24 07e‐mail: marc.quirynen@med.kuleuven.be</affiliation></author><idno type="istex">42D4FEDE6F38362CCBB1BEC90D88FF0B45FD7942</idno><idno type="ark">ark:/67375/WNG-JB8NFRK8-Q</idno><idno type="DOI">10.1111/j.1600-0501.2011.02263.x</idno><idno type="unit">CLR2263</idno><idno type="toTypesetVersion">file:CLR.CLR2263.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.2012.23.issue-9</idno><idno type="product">CLR</idno><imprint><biblScope unit="vol">23</biblScope><biblScope unit="issue">9</biblScope><biblScope unit="page" from="1118">1118</biblScope><biblScope unit="page" to="1122">1122</biblScope><biblScope unit="page-count">5</biblScope><date type="published" when="2012-09"></date></imprint></monogr></biblStruct></sourceDesc></fileDesc><profileDesc><abstract style="main" xml:id="clr2263-abs-0001"><head>Abstract</head>
Objective
<p>Several theories have been presented to explain initial and secondary marginal bone loss around dental implants (e.g. microbial load, adverse loading, microbial leakage, compromised healing/adaptation of host‐implant interface).</p>
Material and methods
<p>This study compared the long‐term outcome (up to 12 years) of sleeping with loaded implants in the mandible via a split‐mouth concept. Fourteen patients with overdentures were enrolled (10 women, mean age at implant insertion: 56 years [range: 33–71]). They presented with 28 loaded (position 33/43) and 14 sleeping implants (mostly position 31/41). At several follow‐up visits, intra‐oral radiographs (long‐cone principle) were taken to observe marginal bone level changes.</p>
Results
<p>At each observation, compared with abutment connection, the submerged non‐loaded implants showed less bone loss (<hi rend="italic">P</hi>‐values: 1st year 0.007, 3 years 0.000, 5 years 0.002, 8 years 0.007, 12 years 0.000) than their neighbouring functional implants. This difference was primarily due to a more significant bone loss during the first year of loading (0.8 vs. 0.1 mm respectively), since afterwards, the bone level changes remained quite similar for both implant types.</p>
Conclusions
<p>Our data suggest that the first months of loading have a significant impact on the bone level (initial difference sleeping vs. loaded implants), followed by a more physiological bone level change afterwards. This initial difference might be explained by the adaptation of the surrounding bone to the loaded implant.</p></abstract><textClass><keywords><term xml:id="clr2263-kwd-0001">implants</term><term xml:id="clr2263-kwd-0002">loading</term><term xml:id="clr2263-kwd-0003">microbiology</term><term xml:id="clr2263-kwd-0004">overdentures</term><term xml:id="clr2263-kwd-0005">sleeping implants</term></keywords><keywords rend="articleCategory"><term>Short Communication</term></keywords><keywords rend="tocHeading1"><term>Short Communications</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/42D4FEDE6F38362CCBB1BEC90D88FF0B45FD7942/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 type="serialArticle" version="2.0" xml:id="clr2263" xml:lang="en"><header><publicationMeta level="product"><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></idGroup><titleGroup><title sort="CLINICAL ORAL IMPLANTS RESEARCH" type="main">Clinical Oral Implants Research</title><title type="short">Clin. Oral Impl. Res.</title></titleGroup></publicationMeta><publicationMeta level="part" position="09109"><doi origin="wiley">10.1111/clr.2012.23.issue-9</doi><copyright ownership="publisher">Copyright © 2012 John Wiley & Sons A/S</copyright><numberingGroup><numbering type="journalVolume" number="23">23</numbering><numbering type="journalIssue">9</numbering></numberingGroup><coverDate startDate="2012-09">September 2012</coverDate></publicationMeta><publicationMeta level="unit" position="160" status="forIssue" type="shortCommunication"><doi>10.1111/j.1600-0501.2011.02263.x</doi><idGroup><id type="unit" value="CLR2263"></id></idGroup><countGroup><count number="5" type="pageTotal"></count></countGroup><titleGroup><title type="articleCategory">Short Communication</title><title type="tocHeading1">Short Communications</title></titleGroup><copyright ownership="publisher">© 2011 John Wiley & Sons A/S</copyright><eventGroup><event date="2011-05-24" type="manuscriptAccepted"></event><event agent="SPS" date="2011-06-27" type="xmlCreated"></event><event type="publishedOnlineEarlyUnpaginated" date="2011-11-25"></event><event type="firstOnline" date="2011-11-25"></event><event type="publishedOnlineFinalForm" date="2012-08-15"></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:4.3.4 mode:FullText" date="2015-02-25"></event></eventGroup><numberingGroup><numbering type="pageFirst">1118</numbering><numbering type="pageLast">1122</numbering></numberingGroup><correspondenceTo><lineatedText><line>Corresponding author:</line> <line><i>M. Quirynen</i></line><line>Department of Periodontology</line><line>School of Dentistry</line><line>Oral Pathology & Maxillo‐Facial Surgery</line><line>Faculty of Medicine</line><line>Catholic University Leuven</line><line>Kapucijnenvoer 33</line><line>B‐3000 Leuven</line><line>Belgium</line><line>Tel.: +32 16 33 24 83</line><line>Fax: +32 16 33 24 07</line><line>e‐mail: <email>marc.quirynen@med.kuleuven.be</email></line></lineatedText></correspondenceTo><selfCitationGroup><citation type="self" xml:id="clr2263-cit-0048">Marcelis K, Vercruyssen M, Nicu E, Naert I, Quirynen M. Sleeping vs. loaded implants, long‐term observations via a retrospective analysis. <i>Clin. Oral Impl. Res.</i> <b>23</b>, 2012, 1118–1122</citation></selfCitationGroup><linkGroup><link type="toTypesetVersion" href="file:CLR.CLR2263.pdf"></link></linkGroup></publicationMeta><contentMeta><titleGroup><title type="main">Sleeping vs. loaded implants, long‐term observations via a retrospective analysis</title><title type="shortAuthors">Marcelis et al</title></titleGroup><creators><creator affiliationRef="#clr2263-aff-0001" creatorRole="author" xml:id="clr2263-cr-0001"><personName><givenNames>K.</givenNames> <familyName>Marcelis</familyName></personName></creator><creator affiliationRef="#clr2263-aff-0001" creatorRole="author" xml:id="clr2263-cr-0002"><personName><givenNames>M.</givenNames> <familyName>Vercruyssen</familyName></personName></creator><creator affiliationRef="#clr2263-aff-0001" creatorRole="author" xml:id="clr2263-cr-0003"><personName><givenNames>E.</givenNames> <familyName>Nicu</familyName></personName></creator><creator affiliationRef="#clr2263-aff-0002" creatorRole="author" xml:id="clr2263-cr-0004"><personName><givenNames>I.</givenNames> <familyName>Naert</familyName></personName></creator><creator affiliationRef="#clr2263-aff-0001" corresponding="yes" creatorRole="author" xml:id="clr2263-cr-0005"><personName><givenNames>M.</givenNames> <familyName>Quirynen</familyName></personName></creator></creators><affiliationGroup><affiliation countryCode="BE" type="organization" xml:id="clr2263-aff-0001"><orgDiv>Department of Periodontology</orgDiv> <orgName>School of Dentistry, Oral Pathology & Maxillo‐Facial Surgery</orgName> <orgName>Faculty of Medicine</orgName> <orgName>Catholic University Leuven</orgName> <address><street>Kapucijnenvoer 33</street> <postCode>B‐3000</postCode> <city>Leuven</city> <country>Belgium</country></address></affiliation><affiliation countryCode="BE" type="organization" xml:id="clr2263-aff-0002"><orgDiv>Department of Prosthetic Dentistry</orgDiv> <orgName>School of Dentistry, Oral Pathology & Maxillo‐Facial Surgery</orgName> <orgName>Faculty of Medicine</orgName> <orgName>Catholic University Leuven</orgName> <address><street>Kapucijnenvoer 33</street> <postCode>B‐3000</postCode> <city>Leuven</city> <country>Belgium</country></address></affiliation></affiliationGroup><keywordGroup type="author"><keyword xml:id="clr2263-kwd-0001">implants</keyword><keyword xml:id="clr2263-kwd-0002">loading</keyword><keyword xml:id="clr2263-kwd-0003">microbiology</keyword><keyword xml:id="clr2263-kwd-0004">overdentures</keyword><keyword xml:id="clr2263-kwd-0005">sleeping implants</keyword></keywordGroup><abstractGroup><abstract type="main" xml:id="clr2263-abs-0001"><title type="main">Abstract</title><section xml:id="clr2263-sec-0001"><title type="main">Objective</title><p>Several theories have been presented to explain initial and secondary marginal bone loss around dental implants (e.g. microbial load, adverse loading, microbial leakage, compromised healing/adaptation of host‐implant interface).</p></section><section xml:id="clr2263-sec-0002"><title type="main">Material and methods</title><p>This study compared the long‐term outcome (up to 12 years) of sleeping with loaded implants in the mandible via a split‐mouth concept. Fourteen patients with overdentures were enrolled (10 women, mean age at implant insertion: 56 years [range: 33–71]). They presented with 28 loaded (position 33/43) and 14 sleeping implants (mostly position 31/41). At several follow‐up visits, intra‐oral radiographs (long‐cone principle) were taken to observe marginal bone level changes.</p></section><section xml:id="clr2263-sec-0003"><title type="main">Results</title><p>At each observation, compared with abutment connection, the submerged non‐loaded implants showed less bone loss (<i>P</i>‐values: 1st year 0.007, 3 years 0.000, 5 years 0.002, 8 years 0.007, 12 years 0.000) than their neighbouring functional implants. This difference was primarily due to a more significant bone loss during the first year of loading (0.8 vs. 0.1 mm respectively), since afterwards, the bone level changes remained quite similar for both implant types.</p></section><section xml:id="clr2263-sec-0004"><title type="main">Conclusions</title><p>Our data suggest that the first months of loading have a significant impact on the bone level (initial difference sleeping vs. loaded implants), followed by a more physiological bone level change afterwards. This initial difference might be explained by the adaptation of the surrounding bone to the loaded implant.</p></section></abstract></abstractGroup></contentMeta></header></component></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>Sleeping vs. loaded implants, long‐term observations via a retrospective analysis</title></titleInfo><titleInfo type="alternative" contentType="CDATA" lang="en"><title>Sleeping vs. loaded implants, long‐term observations via a retrospective analysis</title></titleInfo><name type="personal"><namePart type="given">K.</namePart><namePart type="family">Marcelis</namePart><affiliation>Department of Periodontology, School of Dentistry, Oral Pathology & Maxillo‐Facial Surgery, Faculty of Medicine, Catholic University Leuven, Kapucijnenvoer 33, B‐3000, Leuven, Belgium</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">M.</namePart><namePart type="family">Vercruyssen</namePart><affiliation>Department of Periodontology, School of Dentistry, Oral Pathology & Maxillo‐Facial Surgery, Faculty of Medicine, Catholic University Leuven, Kapucijnenvoer 33, B‐3000, Leuven, Belgium</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">E.</namePart><namePart type="family">Nicu</namePart><affiliation>Department of Periodontology, School of Dentistry, Oral Pathology & Maxillo‐Facial Surgery, Faculty of Medicine, Catholic University Leuven, Kapucijnenvoer 33, B‐3000, Leuven, Belgium</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">I.</namePart><namePart type="family">Naert</namePart><affiliation>Department of Prosthetic Dentistry, School of Dentistry, Oral Pathology & Maxillo‐Facial Surgery, Faculty of Medicine, Catholic University Leuven, Kapucijnenvoer 33, B‐3000, Leuven, Belgium</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">M.</namePart><namePart type="family">Quirynen</namePart><affiliation>Department of Periodontology, School of Dentistry, Oral Pathology & Maxillo‐Facial Surgery, Faculty of Medicine, Catholic University Leuven, Kapucijnenvoer 33, B‐3000, Leuven, Belgium</affiliation><affiliation>Corresponding author:Department of PeriodontologySchool of DentistryOral Pathology & Maxillo‐Facial SurgeryFaculty of MedicineCatholic University LeuvenKapucijnenvoer 33B‐3000 LeuvenBelgiumTel.: +32 16 33 24 83Fax: +32 16 33 24 07e‐mail:</affiliation><affiliation>E-mail: marc.quirynen@med.kuleuven.be</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="brief-communication" displayLabel="shortCommunication" authority="ISTEX" authorityURI="https://content-type.data.istex.fr" valueURI="https://content-type.data.istex.fr/ark:/67375/XTP-S9SX2MFS-0">brief-communication</genre><originInfo><publisher>Blackwell Publishing Ltd</publisher><dateIssued encoding="w3cdtf">2012-09</dateIssued><dateCreated encoding="w3cdtf">2011-06-27</dateCreated><dateValid encoding="w3cdtf">2011-05-24</dateValid><edition>Marcelis K, Vercruyssen M, Nicu E, Naert I, Quirynen M. Sleeping vs. loaded implants, long‐term observations via a retrospective analysis. Clin. Oral Impl. Res. 23, 2012, 1118–1122</edition><copyrightDate encoding="w3cdtf">2012</copyrightDate></originInfo><language><languageTerm type="code" authority="rfc3066">en</languageTerm><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><abstract>Several theories have been presented to explain initial and secondary marginal bone loss around dental implants (e.g. microbial load, adverse loading, microbial leakage, compromised healing/adaptation of host‐implant interface).</abstract><abstract>This study compared the long‐term outcome (up to 12 years) of sleeping with loaded implants in the mandible via a split‐mouth concept. Fourteen patients with overdentures were enrolled (10 women, mean age at implant insertion: 56 years [range: 33–71]). They presented with 28 loaded (position 33/43) and 14 sleeping implants (mostly position 31/41). At several follow‐up visits, intra‐oral radiographs (long‐cone principle) were taken to observe marginal bone level changes.</abstract><abstract>At each observation, compared with abutment connection, the submerged non‐loaded implants showed less bone loss (P‐values: 1st year 0.007, 3 years 0.000, 5 years 0.002, 8 years 0.007, 12 years 0.000) than their neighbouring functional implants. This difference was primarily due to a more significant bone loss during the first year of loading (0.8 vs. 0.1 mm respectively), since afterwards, the bone level changes remained quite similar for both implant types.</abstract><abstract>Our data suggest that the first months of loading have a significant impact on the bone level (initial difference sleeping vs. loaded implants), followed by a more physiological bone level change afterwards. This initial difference might be explained by the adaptation of the surrounding bone to the loaded implant.</abstract><subject><genre>keywords</genre><topic>implants</topic><topic>loading</topic><topic>microbiology</topic><topic>overdentures</topic><topic>sleeping implants</topic></subject><relatedItem type="host"><titleInfo><title>Clinical Oral Implants Research</title></titleInfo><titleInfo type="abbreviated"><title>Clin. Oral Impl. 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