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A Retrospective Analysis of Early and Immediately Loaded Osseotite Implants in Cross‐Arch Rehabilitations in Edentulous Maxillas and Mandibles Up to 7 Years

Identifieur interne : 002F15 ( Istex/Corpus ); précédent : 002F14; suivant : 002F16

A Retrospective Analysis of Early and Immediately Loaded Osseotite Implants in Cross‐Arch Rehabilitations in Edentulous Maxillas and Mandibles Up to 7 Years

Auteurs : Hilde Browaeys ; Joel Defrancq ; Melissa C. A. Dierens ; Resa Miremadi ; Stefan Vandeweghe ; Tommie Van De Velde ; Hugo De Bruyn

Source :

RBID : ISTEX:60123C29EFE42A0E9691AECE7D541B551E08FD31

English descriptors

Abstract

Background: Immediate loading of full‐arch restorations yields good results in selected cases, but long‐term follow‐up and the outcome in compromised bone are scarcely evaluated.

Url:
DOI: 10.1111/j.1708-8208.2011.00367.x

Links to Exploration step

ISTEX:60123C29EFE42A0E9691AECE7D541B551E08FD31

Le document en format XML

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<div type="abstract">Background: Immediate loading of full‐arch restorations yields good results in selected cases, but long‐term follow‐up and the outcome in compromised bone are scarcely evaluated.</div>
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Immediate loading of full‐arch restorations yields good results in selected cases, but long‐term follow‐up and the outcome in compromised bone are scarcely evaluated.</p>
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To evaluate immediately loaded Osseotite implants (Biomet 3i, Palm Beach, FL, USA) installed in healed or grafted bone, with regard to implant survival and peri‐implant bone loss up to 7 years in function.</p>
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Information was retrospectively retrieved from 83 patients' records with 749 Osseotite implants supporting immediately loaded semipermanent full‐arch acrylic restorations. Five hundred sixty‐eight (75.8%) implants were placed in healed bone and 181 (24.2%) in augmented bone, regenerated with sinus lifting and/or onlay/inlay grafts with/without biomaterials and membranes. Implant survival and success based on radiological peri‐implant bone loss were registered. Wilcoxon rank sum tests evaluated peri‐implant bone loss in compromised versus healed bone or between jaws or time intervals with
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Sixteen of 749 implants failed (2.1%), 11/343 in maxilla (3.2%) and 5/406 (1.2%) in mandible. After 7 years, the cumulative failure rate was 9%. Mean peri‐implant bone loss increased to 1.2 mm (SD 1.0) during the first 2 years but remained unchanged thereafter. Around implants in grafted bone, on average, 0.3 mm more bone loss was found.</p>
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<hi rend="bold">Conclusion:</hi>
The Osseotite implants offer a predictable long‐term outcome in terms of implant survival and stable peri‐implant bone under immediate loading even in grafted bone. However, the high incidence of technical repair because of fractures of the semipermanent provisionals requires attention because it may be negative from a cost‐benefit perspective. Implants in grafted bone show a tendency to a more pronounced initial bone remodeling without clinical consequence in the long term.</p>
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<unparsedAffiliation>prosthodontist, Department of Prosthodontics, School of Dentistry, Malmö University, Malmö, Sweden;</unparsedAffiliation>
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<affiliation xml:id="a6" countryCode="BE">
<unparsedAffiliation>assistant head of clinic, Department of Periodontology and Oral Implantology, Dental School, Faculty of Medicine and Health Sciences, University of Ghent, Ghent, Belgium;</unparsedAffiliation>
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<affiliation xml:id="a7" countryCode="BE">
<unparsedAffiliation>specialist in periodontics, Department of Periodontology and Oral Implantology, Dental School, Faculty of Medicine and Health Sciences, University of Ghent, Ghent, Belgium;</unparsedAffiliation>
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<unparsedAffiliation>professor and clinic head, and visiting professor, Department of Prosthodontics, School of Dentistry, Malmö University, Malmö, Sweden</unparsedAffiliation>
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<keyword xml:id="k1">bone remodeling</keyword>
<keyword xml:id="k2">dental implant</keyword>
<keyword xml:id="k3">grafting</keyword>
<keyword xml:id="k4">immediate loading</keyword>
<keyword xml:id="k5">implant survival</keyword>
<keyword xml:id="k6">one‐stage surgery</keyword>
<keyword xml:id="k7">Osseotite surface</keyword>
<keyword xml:id="k8">posterior hip graft</keyword>
<keyword xml:id="k9">prosthetic complications</keyword>
<keyword xml:id="k10">sinus lift</keyword>
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<title type="main">ABSTRACT</title>
<p>
<b>Background:</b>
Immediate loading of full‐arch restorations yields good results in selected cases, but long‐term follow‐up and the outcome in compromised bone are scarcely evaluated.</p>
<p>
<b>Purpose:</b>
To evaluate immediately loaded Osseotite implants (Biomet 3i, Palm Beach, FL, USA) installed in healed or grafted bone, with regard to implant survival and peri‐implant bone loss up to 7 years in function.</p>
<p>
<b>Materials and Methods:</b>
Information was retrospectively retrieved from 83 patients' records with 749 Osseotite implants supporting immediately loaded semipermanent full‐arch acrylic restorations. Five hundred sixty‐eight (75.8%) implants were placed in healed bone and 181 (24.2%) in augmented bone, regenerated with sinus lifting and/or onlay/inlay grafts with/without biomaterials and membranes. Implant survival and success based on radiological peri‐implant bone loss were registered. Wilcoxon rank sum tests evaluated peri‐implant bone loss in compromised versus healed bone or between jaws or time intervals with
<i>p</i>
 < .05 as statistically significant.</p>
<p>
<b>Results:</b>
Sixteen of 749 implants failed (2.1%), 11/343 in maxilla (3.2%) and 5/406 (1.2%) in mandible. After 7 years, the cumulative failure rate was 9%. Mean peri‐implant bone loss increased to 1.2 mm (SD 1.0) during the first 2 years but remained unchanged thereafter. Around implants in grafted bone, on average, 0.3 mm more bone loss was found.</p>
<p>
<b>Conclusion:</b>
The Osseotite implants offer a predictable long‐term outcome in terms of implant survival and stable peri‐implant bone under immediate loading even in grafted bone. However, the high incidence of technical repair because of fractures of the semipermanent provisionals requires attention because it may be negative from a cost‐benefit perspective. Implants in grafted bone show a tendency to a more pronounced initial bone remodeling without clinical consequence in the long term.</p>
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<title>A Retrospective Analysis of Early and Immediately Loaded Osseotite Implants in Cross‐Arch Rehabilitations in Edentulous Maxillas and Mandibles Up to 7 Years</title>
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<title>Osseotite Implants in Fully Edentulous Jaws</title>
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<title>A Retrospective Analysis of Early and Immediately Loaded Osseotite Implants in Cross‐Arch Rehabilitations in Edentulous Maxillas and Mandibles Up to 7 Years</title>
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<name type="personal">
<namePart type="given">Hilde</namePart>
<namePart type="family">Browaeys</namePart>
<namePart type="termsOfAddress">MD, DDS</namePart>
<affiliation>Maxillofacial surgeon, PhD student, and clinic head, Department of Oral and Maxillofacial Surgery, Dental School, Faculty of Medicine and Health Sciences, University of Ghent, University Hospital Ghent, Ghent, Belgium;</affiliation>
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<affiliation>maxillofacial surgeon, Department of Oral and Maxillofacial Surgery, Eeuwfeestkliniek of Antwerp, Antwerp, Belgium;</affiliation>
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<namePart type="given">Melissa C.A.</namePart>
<namePart type="family">Dierens</namePart>
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<affiliation>specialist in periodontics and PhD student, Department of Periodontology and Oral Implantology, Dental School, Faculty of Medicine and Health Sciences, University of Ghent, Ghent, Belgium;</affiliation>
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<namePart type="given">Resa</namePart>
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<affiliation>specialist in periodontics and PhD student, Department of Periodontology and Oral Implantology, Dental School, Faculty of Medicine and Health Sciences, University of Ghent, Ghent, Belgium;</affiliation>
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<affiliation>postdoctoral researcher, Department of Periodontology and Oral Implantology, Dental School, Faculty of Medicine and Health Sciences, University of Ghent, Ghent, Belgium;</affiliation>
<affiliation>prosthodontist, Department of Prosthodontics, School of Dentistry, Malmö University, Malmö, Sweden;</affiliation>
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<affiliation>specialist in periodontics, Department of Periodontology and Oral Implantology, Dental School, Faculty of Medicine and Health Sciences, University of Ghent, Ghent, Belgium;</affiliation>
<affiliation>professor and clinic head, and visiting professor, Department of Prosthodontics, School of Dentistry, Malmö University, Malmö, Sweden</affiliation>
<affiliation>E-mail: hugo.debruyn@Ugent.be</affiliation>
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<abstract>Background: Immediate loading of full‐arch restorations yields good results in selected cases, but long‐term follow‐up and the outcome in compromised bone are scarcely evaluated.</abstract>
<abstract>Purpose: To evaluate immediately loaded Osseotite implants (Biomet 3i, Palm Beach, FL, USA) installed in healed or grafted bone, with regard to implant survival and peri‐implant bone loss up to 7 years in function.</abstract>
<abstract>Materials and Methods: Information was retrospectively retrieved from 83 patients' records with 749 Osseotite implants supporting immediately loaded semipermanent full‐arch acrylic restorations. Five hundred sixty‐eight (75.8%) implants were placed in healed bone and 181 (24.2%) in augmented bone, regenerated with sinus lifting and/or onlay/inlay grafts with/without biomaterials and membranes. Implant survival and success based on radiological peri‐implant bone loss were registered. Wilcoxon rank sum tests evaluated peri‐implant bone loss in compromised versus healed bone or between jaws or time intervals with p < .05 as statistically significant.</abstract>
<abstract>Results: Sixteen of 749 implants failed (2.1%), 11/343 in maxilla (3.2%) and 5/406 (1.2%) in mandible. After 7 years, the cumulative failure rate was 9%. Mean peri‐implant bone loss increased to 1.2 mm (SD 1.0) during the first 2 years but remained unchanged thereafter. Around implants in grafted bone, on average, 0.3 mm more bone loss was found.</abstract>
<abstract>Conclusion: The Osseotite implants offer a predictable long‐term outcome in terms of implant survival and stable peri‐implant bone under immediate loading even in grafted bone. However, the high incidence of technical repair because of fractures of the semipermanent provisionals requires attention because it may be negative from a cost‐benefit perspective. Implants in grafted bone show a tendency to a more pronounced initial bone remodeling without clinical consequence in the long term.</abstract>
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<topic>bone remodeling</topic>
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<topic>grafting</topic>
<topic>immediate loading</topic>
<topic>implant survival</topic>
<topic>one‐stage surgery</topic>
<topic>Osseotite surface</topic>
<topic>posterior hip graft</topic>
<topic>prosthetic complications</topic>
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<identifier type="ISSN">1523-0899</identifier>
<identifier type="eISSN">1708-8208</identifier>
<identifier type="DOI">10.1111/(ISSN)1708-8208</identifier>
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<date>2013</date>
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<accessCondition type="use and reproduction" contentType="copyright">Copyright © 2013 Wiley Periodicals, Inc.© 2011 Wiley Periodicals, Inc.</accessCondition>
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