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Treatment of patients with extreme maxillary atrophy using sinus floor augmentation and implants: preliminary results

Identifieur interne : 002104 ( Istex/Corpus ); précédent : 002103; suivant : 002105

Treatment of patients with extreme maxillary atrophy using sinus floor augmentation and implants: preliminary results

Auteurs : G. Watzek ; R. Weber ; Th. Bernhart ; Ch. Ulm ; R. Haas

Source :

RBID : ISTEX:4381BFF222004CDB47F7ABD18A4617325A4FF58F

English descriptors

Abstract

Abstract: Twenty consecutive patients with extreme maxillary atrophy underwent bilateral sinus floor augmentation, either with autogenous bone from the iliac crest or with a combination of autogenous bone and hydroxyapatite. One patient was treated using autogenous bone from the chin region. After a period of three to eight months, three to four implants were placed in each posterior maxilla. Only 10 out of 155 inserted implants were located in the anterior non-augmented maxilla. During the observation period of one to six years, four implants (one of them located in the anterior maxilla) had to be removed prior to prosthetic treatment. Another three implants were lost during the follow up period. This corresponds to a Kaplan-Meier survival probability of 95.4% after 70 months. No statistically significant difference in implant success was observed between women and men (P=0.16). All prosthetic suprastructures are still in function despite these implant losses. Mean peri-implant bone resorption was 1.34 mm with no statistically significant difference between implants placed more mesially and those placed more distally in the augmented area, though a trend could be observed (P=0.058) for a more pronounced bone resorption around implants placed in the premolar region. When a mean mesial and distal bone resorption of >2 mm was considered in the calculation of the success prognosis, the survival probability dropped to 74.7% after 70 months.

Url:
DOI: 10.1016/S0901-5027(98)80031-3

Links to Exploration step

ISTEX:4381BFF222004CDB47F7ABD18A4617325A4FF58F

Le document en format XML

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<p>Abstract: Twenty consecutive patients with extreme maxillary atrophy underwent bilateral sinus floor augmentation, either with autogenous bone from the iliac crest or with a combination of autogenous bone and hydroxyapatite. One patient was treated using autogenous bone from the chin region. After a period of three to eight months, three to four implants were placed in each posterior maxilla. Only 10 out of 155 inserted implants were located in the anterior non-augmented maxilla. During the observation period of one to six years, four implants (one of them located in the anterior maxilla) had to be removed prior to prosthetic treatment. Another three implants were lost during the follow up period. This corresponds to a Kaplan-Meier survival probability of 95.4% after 70 months. No statistically significant difference in implant success was observed between women and men (P=0.16). All prosthetic suprastructures are still in function despite these implant losses. Mean peri-implant bone resorption was 1.34 mm with no statistically significant difference between implants placed more mesially and those placed more distally in the augmented area, though a trend could be observed (P=0.058) for a more pronounced bone resorption around implants placed in the premolar region. When a mean mesial and distal bone resorption of >2 mm was considered in the calculation of the success prognosis, the survival probability dropped to 74.7% after 70 months.</p>
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<head>Key words</head>
<item>
<term>maxillary atrophy</term>
</item>
<item>
<term>sinus floor elevation</term>
</item>
<item>
<term>endosteal implants</term>
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<jid>YIJOM</jid>
<aid>98800313</aid>
<ce:pii>S0901-5027(98)80031-3</ce:pii>
<ce:doi>10.1016/S0901-5027(98)80031-3</ce:doi>
<ce:copyright type="unknown" year="1998">Munksgaard International Publishers Ltd.</ce:copyright>
<ce:doctopics>
<ce:doctopic>
<ce:text>Trauma; oral surgery; implantology</ce:text>
</ce:doctopic>
</ce:doctopics>
</item-info>
<head>
<ce:title>Treatment of patients with extreme maxillary atrophy using sinus floor augmentation and implants: preliminary results</ce:title>
<ce:author-group>
<ce:author>
<ce:given-name>G.</ce:given-name>
<ce:surname>Watzek</ce:surname>
<ce:cross-ref refid="fn1">
<ce:sup>1</ce:sup>
</ce:cross-ref>
</ce:author>
<ce:author>
<ce:given-name>R.</ce:given-name>
<ce:surname>Weber</ce:surname>
</ce:author>
<ce:author>
<ce:given-name>Th.</ce:given-name>
<ce:surname>Bernhart</ce:surname>
</ce:author>
<ce:author>
<ce:given-name>Ch.</ce:given-name>
<ce:surname>Ulm</ce:surname>
</ce:author>
<ce:author>
<ce:given-name>R.</ce:given-name>
<ce:surname>Haas</ce:surname>
</ce:author>
<ce:affiliation id="aff1">
<ce:textfn>Department of Oral Surgery, University of Vienna, School of Dentistry, Vienna, Austria</ce:textfn>
</ce:affiliation>
<ce:footnote id="fn1">
<ce:label>1</ce:label>
<ce:note-para>
<ce:italic>Address</ce:italic>
: Georg Watzek, MD, DDS Department of Oral Surgery Dental School of the University of Vienna Waehringerstraße 25a A-1090 Vienna Austria Tel: +43 (1) 40181 2500 Fax: +43 (1) 40181 2807</ce:note-para>
</ce:footnote>
</ce:author-group>
<ce:date-accepted day="24" month="6" year="1998"></ce:date-accepted>
<ce:abstract id="ab1" class="author" xml:lang="en">
<ce:section-title>Abstract</ce:section-title>
<ce:abstract-sec>
<ce:simple-para>Twenty consecutive patients with extreme maxillary atrophy underwent bilateral sinus floor augmentation, either with autogenous bone from the iliac crest or with a combination of autogenous bone and hydroxyapatite. One patient was treated using autogenous bone from the chin region. After a period of three to eight months, three to four implants were placed in each posterior maxilla. Only 10 out of 155 inserted implants were located in the anterior non-augmented maxilla. During the observation period of one to six years, four implants (one of them located in the anterior maxilla) had to be removed prior to prosthetic treatment. Another three implants were lost during the follow up period. This corresponds to a Kaplan-Meier survival probability of 95.4% after 70 months. No statistically significant difference in implant success was observed between women and men (
<ce:italic>P</ce:italic>
=0.16). All prosthetic suprastructures are still in function despite these implant losses. Mean peri-implant bone resorption was 1.34 mm with no statistically significant difference between implants placed more mesially and those placed more distally in the augmented area, though a trend could be observed (
<ce:italic>P</ce:italic>
=0.058) for a more pronounced bone resorption around implants placed in the premolar region. When a mean mesial and distal bone resorption of >2 mm was considered in the calculation of the success prognosis, the survival probability dropped to 74.7% after 70 months.</ce:simple-para>
</ce:abstract-sec>
</ce:abstract>
<ce:keywords class="keyword" xml:lang="en">
<ce:section-title>Key words</ce:section-title>
<ce:keyword>
<ce:text>maxillary atrophy</ce:text>
</ce:keyword>
<ce:keyword>
<ce:text>sinus floor elevation</ce:text>
</ce:keyword>
<ce:keyword>
<ce:text>endosteal implants</ce:text>
</ce:keyword>
</ce:keywords>
</head>
<tail>
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<title>Treatment of patients with extreme maxillary atrophy using sinus floor augmentation and implants: preliminary results</title>
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<title>Treatment of patients with extreme maxillary atrophy using sinus floor augmentation and implants: preliminary results</title>
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<name type="personal">
<namePart type="given">G.</namePart>
<namePart type="family">Watzek</namePart>
<affiliation>Department of Oral Surgery, University of Vienna, School of Dentistry, Vienna, Austria</affiliation>
<description>Address: Georg Watzek, MD, DDS Department of Oral Surgery Dental School of the University of Vienna Waehringerstraße 25a A-1090 Vienna Austria Tel: +43 (1) 40181 2500 Fax: +43 (1) 40181 2807</description>
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<affiliation>Department of Oral Surgery, University of Vienna, School of Dentistry, Vienna, Austria</affiliation>
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<name type="personal">
<namePart type="given">Th.</namePart>
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<affiliation>Department of Oral Surgery, University of Vienna, School of Dentistry, Vienna, Austria</affiliation>
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<affiliation>Department of Oral Surgery, University of Vienna, School of Dentistry, Vienna, Austria</affiliation>
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<name type="personal">
<namePart type="given">R.</namePart>
<namePart type="family">Haas</namePart>
<affiliation>Department of Oral Surgery, University of Vienna, School of Dentistry, Vienna, Austria</affiliation>
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<abstract lang="en">Abstract: Twenty consecutive patients with extreme maxillary atrophy underwent bilateral sinus floor augmentation, either with autogenous bone from the iliac crest or with a combination of autogenous bone and hydroxyapatite. One patient was treated using autogenous bone from the chin region. After a period of three to eight months, three to four implants were placed in each posterior maxilla. Only 10 out of 155 inserted implants were located in the anterior non-augmented maxilla. During the observation period of one to six years, four implants (one of them located in the anterior maxilla) had to be removed prior to prosthetic treatment. Another three implants were lost during the follow up period. This corresponds to a Kaplan-Meier survival probability of 95.4% after 70 months. No statistically significant difference in implant success was observed between women and men (P=0.16). All prosthetic suprastructures are still in function despite these implant losses. Mean peri-implant bone resorption was 1.34 mm with no statistically significant difference between implants placed more mesially and those placed more distally in the augmented area, though a trend could be observed (P=0.058) for a more pronounced bone resorption around implants placed in the premolar region. When a mean mesial and distal bone resorption of >2 mm was considered in the calculation of the success prognosis, the survival probability dropped to 74.7% after 70 months.</abstract>
<subject>
<genre>article-category</genre>
<topic>Trauma; oral surgery; implantology</topic>
</subject>
<subject lang="en">
<genre>Key words</genre>
<topic>maxillary atrophy</topic>
<topic>sinus floor elevation</topic>
<topic>endosteal implants</topic>
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<dateIssued encoding="w3cdtf">199812</dateIssued>
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<identifier type="ISSN">0901-5027</identifier>
<identifier type="PII">S0901-5027(98)X8025-2</identifier>
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<date>199812</date>
<detail type="volume">
<number>27</number>
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<number>6</number>
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<accessCondition type="use and reproduction" contentType="copyright">©1998 Munksgaard International Publishers Ltd.</accessCondition>
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