EdenteV2, Istex, Corpus, bibRecord, 003769

Immediate implant placement with transmucosal healing in areas of aesthetic priority: A multicentre randomized‐controlled clinical trial I. Surgical outcomes

Identifieur interne : 003769 ( Istex/Corpus ); précédent : 003768; suivant : 003770

Immediate implant placement with transmucosal healing in areas of aesthetic priority: A multicentre randomized‐controlled clinical trial I. Surgical outcomes

Auteurs : Niklaus P. Lang ; Maurizio S. Tonetti ; Jean E. Suvan ; Jean Pierre Bernard ; Daniele Botticelli ; Ioannis Fourmousis ; Marlene Hallund ; Ronald Jung ; Lars Laurell ; Giovanni E. Salvi ; David Shafer ; Hans-Peter Weber

Source :

Clinical Oral Implants Research [ 0905-7161 ] ; 2007-04.

RBID : ISTEX:709020DE9F7FD552066E51EE6EB506A55D6EFC3E

English descriptors

Abstract

Objectives: To compare the clinical outcomes of standard, cylindrical, screw‐shaped to novel tapered, transmucosal (Straumann Dental®) implants immediately placed into extraction sockets.

Url:

https://api.istex.fr/document/709020DE9F7FD552066E51EE6EB506A55D6EFC3E/fulltext/pdf

DOI: 10.1111/j.1600-0501.2006.01371.x

Links to Exploration step

ISTEX:709020DE9F7FD552066E51EE6EB506A55D6EFC3E

Le document en format XML

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<author><name sortKey="Tonetti, Maurizio S" sort="Tonetti, Maurizio S" uniqKey="Tonetti M" first="Maurizio S." last="Tonetti">Maurizio S. Tonetti</name>
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<affiliation><mods:affiliation>University of Connecticut Health Centre, Connecticut, USA</mods:affiliation>
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<term>Adjacent tooth</term>
<term>Aesthetic outcomes</term>
<term>Aesthetic priority</term>
<term>Alveolar crest</term>
<term>Augmentation</term>
<term>Blackwell munksgaard</term>
<term>Bone augmentation</term>
<term>Bone regeneration</term>
<term>Buccal</term>
<term>Buccal aspect</term>
<term>Buccal bone plate</term>
<term>Centre</term>
<term>Clear preference</term>
<term>Clin</term>
<term>Clinical outcomes</term>
<term>Clinical periodontology</term>
<term>Clinical trial</term>
<term>Closure</term>
<term>Connecticut health centre</term>
<term>Coronal extension</term>
<term>Daily activities</term>
<term>Daniele botticelli</term>
<term>David shafer</term>
<term>Defect</term>
<term>Dehiscence</term>
<term>Demographic data</term>
<term>Dental implants</term>
<term>Dental medicine</term>
<term>Early exit</term>
<term>Equivalent outcomes</term>
<term>European research group</term>
<term>Evaluation questionnaire</term>
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<term>Experimental study</term>
<term>Extraction</term>
<term>Extraction socket</term>
<term>Extraction sockets</term>
<term>Fmbs</term>
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<term>Geometric discrepancy</term>
<term>Gotegorgs universitet salgrenska akademien</term>
<term>Harvard school</term>
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<term>Implant</term>
<term>Implant design</term>
<term>Implant designs</term>
<term>Implant installation</term>
<term>Implant placement</term>
<term>Implant shoulder</term>
<term>Implant stability</term>
<term>Implant system</term>
<term>Implants research</term>
<term>Incision</term>
<term>Interdental</term>
<term>Interdental space</term>
<term>Interdental tissue</term>
<term>International journal</term>
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<term>Interproximal space</term>
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<term>Munksgaard</term>
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<term>Oral impl</term>
<term>Oral maxillofacial implants</term>
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<term>Papilla preservation</term>
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<term>Patient complaints</term>
<term>Patient entry</term>
<term>Periodontal</term>
<term>Periodontal probe</term>
<term>Periodontology</term>
<term>Present study</term>
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<term>Primary implant stability</term>
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<term>Professional tooth cleaning</term>
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<term>Residual defects</term>
<term>Resonance frequency analysis</term>
<term>Restorative dentistry</term>
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<term>Universita bern</term>
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<term>Alveolar crest</term>
<term>Augmentation</term>
<term>Blackwell munksgaard</term>
<term>Bone augmentation</term>
<term>Bone regeneration</term>
<term>Buccal</term>
<term>Buccal aspect</term>
<term>Buccal bone plate</term>
<term>Centre</term>
<term>Clear preference</term>
<term>Clin</term>
<term>Clinical outcomes</term>
<term>Clinical periodontology</term>
<term>Clinical trial</term>
<term>Closure</term>
<term>Connecticut health centre</term>
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<term>Daily activities</term>
<term>Daniele botticelli</term>
<term>David shafer</term>
<term>Defect</term>
<term>Dehiscence</term>
<term>Demographic data</term>
<term>Dental implants</term>
<term>Dental medicine</term>
<term>Early exit</term>
<term>Equivalent outcomes</term>
<term>European research group</term>
<term>Evaluation questionnaire</term>
<term>Experimental site</term>
<term>Experimental study</term>
<term>Extraction</term>
<term>Extraction socket</term>
<term>Extraction sockets</term>
<term>Fmbs</term>
<term>Fmps</term>
<term>Geometric discrepancy</term>
<term>Gotegorgs universitet salgrenska akademien</term>
<term>Harvard school</term>
<term>Health sciences</term>
<term>Immediate extraction sockets</term>
<term>Immediate implant placement</term>
<term>Immediate implants</term>
<term>Immediate placement</term>
<term>Immediate transmucosal implants</term>
<term>Impl</term>
<term>Implant</term>
<term>Implant design</term>
<term>Implant designs</term>
<term>Implant installation</term>
<term>Implant placement</term>
<term>Implant shoulder</term>
<term>Implant stability</term>
<term>Implant system</term>
<term>Implants research</term>
<term>Incision</term>
<term>Interdental</term>
<term>Interdental space</term>
<term>Interdental tissue</term>
<term>International journal</term>
<term>Interproximal</term>
<term>Interproximal space</term>
<term>Journal compilation</term>
<term>Lang</term>
<term>Lars laurell</term>
<term>Light smokers</term>
<term>Lingual</term>
<term>Lingual keratinized gingiva</term>
<term>Medecine dentaire</term>
<term>Mesial aspect buccal aspect</term>
<term>Mmerle</term>
<term>Munksgaard</term>
<term>Native bone</term>
<term>Nearest millimetre</term>
<term>Numerical data</term>
<term>Observation period</term>
<term>Oral impl</term>
<term>Oral maxillofacial implants</term>
<term>Papilla</term>
<term>Papilla preservation</term>
<term>Papillary region</term>
<term>Patient complaints</term>
<term>Patient entry</term>
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<term>Periodontal probe</term>
<term>Periodontology</term>
<term>Present study</term>
<term>Primary closure</term>
<term>Primary implant stability</term>
<term>Primary stability</term>
<term>Professional tooth cleaning</term>
<term>Regeneration</term>
<term>Residual defects</term>
<term>Resonance frequency analysis</term>
<term>Restorative dentistry</term>
<term>Side effects</term>
<term>Simultaneous bone augmentation</term>
<term>Socket</term>
<term>Standard implant placement</term>
<term>Surgical</term>
<term>Surgical outcomes</term>
<term>Surgical procedure</term>
<term>Suture</term>
<term>Suture removal</term>
<term>Tapered</term>
<term>Tapered devices</term>
<term>Tapered implant</term>
<term>Tapered implants</term>
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<term>Universita</term>
<term>Universita bern</term>
<term>Universita zurich zentrum</term>
<term>University college london</term>
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<front><div type="abstract">Objectives: To compare the clinical outcomes of standard, cylindrical, screw‐shaped to novel tapered, transmucosal (Straumann Dental®) implants immediately placed into extraction sockets.</div>
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<p><hi rend="bold">Objectives: </hi>
 To compare the clinical outcomes of standard, cylindrical, screw‐shaped to novel tapered, transmucosal (Straumann Dental<hi rend="superscript">®</hi>
) implants immediately placed into extraction sockets.</p>
<p><hi rend="bold">Material and methods: </hi>
 In this randomized‐controlled clinical trial, outcomes were evaluated over a 3‐year observation period. This report deals with the need for bone augmentation, healing events, implant stability and patient‐centred outcomes up to 3 months only. Nine centres contributed a total of 208 immediate implant placements. All surgical and post‐surgical procedures and the evaluation parameters were discussed with representatives of all centres during a calibration meeting. Following careful luxation of the designated tooth, allocation of the devices was randomly performed by a central study registrar. The allocated SLA titanium implant was installed at the bottom or in the palatal wall of the extraction socket until primary stability was reached. If the extraction socket was ≥1 mm larger than the implant, guided bone regeneration was performed simultaneously (Bio Oss<hi rend="superscript">®</hi>
 and BioGide<hi rend="superscript">®</hi>
). The flaps were then sutured. During non‐submerged transmucosal healing, everything was done to prevent infection. At surgery, the need for augmentation and the degree of wound closure was verified. Implant stability was assessed clinically and by means of resonance frequency analysis (RFA) at surgery and after 3 months. Wound healing was evaluated after 1, 2, 6 and 12 weeks post‐operatively.</p>
<p><hi rend="bold">Results: </hi>
 The demographic data did not show any differences between the patients receiving either standard cylindrical or tapered implants. All implants yielded uneventful healing with 15% wound dehiscences after 1 week. After 2 weeks, 93%, after 6 weeks 96%, and after 12 weeks 100% of the flaps were closed. Ninety percent of both implant designs required bone augmentation. Immediately after implantation, RFA values were 55.8 and 56.7 and at 3 months 59.4 and 61.1 for cylindrical and tapered implants, respectively. Patient‐centred outcomes did not differ between the two implant designs. However, a clear preference of the surgeon's perception for the appropriateness of the novel‐tapered implant was evident.</p>
<p><hi rend="bold">Conclusions: </hi>
 This RCT has demonstrated that tapered or standard cylindrical implants yielded clinically equivalent short‐term outcomes after immediate implant placement into the extraction socket.</p>
</abstract>
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<correspondenceTo><b>Correspondence to:</b>
 
<i>Niklaus P. Lang</i>
 Universität Bern, Zahnmedizinische Kliniken Tel.: +41 316 32 2577 Fax: +41 316 32 4915 e‐mail: <email normalForm="perio@zmk.unibe.ch">perio@zmk.unibe.ch</email>
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<creator creatorRole="author" xml:id="cr4" affiliationRef="#a7"><personName><givenNames>Jean</givenNames>
<familyName>Pierre Bernard</familyName>
</personName>
</creator>
<creator creatorRole="author" xml:id="cr5" affiliationRef="#a2"><personName><givenNames>Daniele</givenNames>
<familyName>Botticelli</familyName>
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<creator creatorRole="author" xml:id="cr6" affiliationRef="#a9"><personName><givenNames>Ioannis</givenNames>
<familyName>Fourmousis</familyName>
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<familyName>Hallund</familyName>
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<familyName>Jung</familyName>
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<creator creatorRole="author" xml:id="cr9" affiliationRef="#a1"><personName><givenNames>Lars</givenNames>
<familyName>Laurell</familyName>
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<creator creatorRole="author" xml:id="cr10" affiliationRef="#a4"><personName><givenNames>Giovanni E.</givenNames>
<familyName>Salvi</familyName>
</personName>
</creator>
<creator creatorRole="author" xml:id="cr11" affiliationRef="#a5"><personName><givenNames>David</givenNames>
<familyName>Shafer</familyName>
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<creator creatorRole="author" xml:id="cr12" affiliationRef="#a3"><personName><givenNames>Hans‐Peter</givenNames>
<familyName>Weber</familyName>
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<affiliationGroup><affiliation xml:id="a1" countryCode="GB"><unparsedAffiliation>Eastman Dental Institute, University College London, London, UK</unparsedAffiliation>
</affiliation>
<affiliation xml:id="a2" countryCode="SE"><unparsedAffiliation>Götegorgs Universitet Salgrenska Akademien, Götegorg, Sweden</unparsedAffiliation>
</affiliation>
<affiliation xml:id="a3" countryCode="US"><unparsedAffiliation>Harvard School of Dental Medicine, Boston, USA</unparsedAffiliation>
</affiliation>
<affiliation xml:id="a4" countryCode="CH"><unparsedAffiliation>Zahnmedizinische Kliniken, Universität Bern, Bern, Switzerland</unparsedAffiliation>
</affiliation>
<affiliation xml:id="a5" countryCode="US"><unparsedAffiliation>University of Connecticut Health Centre, Connecticut, USA</unparsedAffiliation>
</affiliation>
<affiliation xml:id="a6" countryCode="DK"><unparsedAffiliation>Faculty of Health Sciences, University of Copenhagen, Copenhagen, Denmark</unparsedAffiliation>
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<affiliation xml:id="a7" countryCode="CH"><unparsedAffiliation>Section de Medecine Dentaire, Université de Genève, Geneva, Switzerland</unparsedAffiliation>
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<affiliation xml:id="a8" countryCode="CH"><unparsedAffiliation>Universität Zürich Zentrum für Zahn‐, Mund und Kieferheilkunde, Bern, Switzerland</unparsedAffiliation>
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<affiliation xml:id="a9" countryCode="GR"><unparsedAffiliation>University of Athens, Athens, Greece</unparsedAffiliation>
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<keywordGroup xml:lang="en"><keyword xml:id="k1">aesthetics</keyword>
<keyword xml:id="k2">extraction socket</keyword>
<keyword xml:id="k3">immediate implants</keyword>
<keyword xml:id="k4">patient outcomes</keyword>
<keyword xml:id="k5">RCT</keyword>
<keyword xml:id="k6">RFA</keyword>
<keyword xml:id="k7">soft tissue</keyword>
<keyword xml:id="k8">tapered implants</keyword>
<keyword xml:id="k9">transmucosal healing</keyword>
<keyword xml:id="k10">wound healing</keyword>
</keywordGroup>
<abstractGroup><abstract type="main" xml:lang="en"><title type="main">Abstract</title>
<p><b>Objectives: </b>
 To compare the clinical outcomes of standard, cylindrical, screw‐shaped to novel tapered, transmucosal (Straumann Dental<sup>®</sup>
) implants immediately placed into extraction sockets.</p>
<p><b>Material and methods: </b>
 In this randomized‐controlled clinical trial, outcomes were evaluated over a 3‐year observation period. This report deals with the need for bone augmentation, healing events, implant stability and patient‐centred outcomes up to 3 months only. Nine centres contributed a total of 208 immediate implant placements. All surgical and post‐surgical procedures and the evaluation parameters were discussed with representatives of all centres during a calibration meeting. Following careful luxation of the designated tooth, allocation of the devices was randomly performed by a central study registrar. The allocated SLA titanium implant was installed at the bottom or in the palatal wall of the extraction socket until primary stability was reached. If the extraction socket was ≥1 mm larger than the implant, guided bone regeneration was performed simultaneously (Bio Oss<sup>®</sup>
 and BioGide<sup>®</sup>
). The flaps were then sutured. During non‐submerged transmucosal healing, everything was done to prevent infection. At surgery, the need for augmentation and the degree of wound closure was verified. Implant stability was assessed clinically and by means of resonance frequency analysis (RFA) at surgery and after 3 months. Wound healing was evaluated after 1, 2, 6 and 12 weeks post‐operatively.</p>
<p><b>Results: </b>
 The demographic data did not show any differences between the patients receiving either standard cylindrical or tapered implants. All implants yielded uneventful healing with 15% wound dehiscences after 1 week. After 2 weeks, 93%, after 6 weeks 96%, and after 12 weeks 100% of the flaps were closed. Ninety percent of both implant designs required bone augmentation. Immediately after implantation, RFA values were 55.8 and 56.7 and at 3 months 59.4 and 61.1 for cylindrical and tapered implants, respectively. Patient‐centred outcomes did not differ between the two implant designs. However, a clear preference of the surgeon's perception for the appropriateness of the novel‐tapered implant was evident.</p>
<p><b>Conclusions: </b>
 This RCT has demonstrated that tapered or standard cylindrical implants yielded clinically equivalent short‐term outcomes after immediate implant placement into the extraction socket.</p><!--

          
            To cite this article:
            

Lang NP, Tonetti MS, Suvan JE, Bernard JP, Botticelli D, Fourmousis I, Hallund M, Jung R, Laurell L, Salvi GE, Shafer D, Weber H-P. Immediate implant placement with transmucosal healing in areas of aesthetic priority: a multicentre randomized-controlled clinical trial I. Surgical outcomes.

Clin. Oral Impl. Res.18, 2007; 188–196

doi: 10.1111/j.1600-0501.2006.01371.x
        
--></abstract>
</abstractGroup>
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<noteGroup><note xml:id="fn1" numbered="no"><p><sup>*</sup>
ERGOPerio: <i>Urs Belser</i>
, Section de Medecine Dentaire, Université de Genève, Geneva, Switzerland; <i>Jean‐Pierre Bernard</i>
, Section de Medecine Dentaire, Université de Genève, Geneva, Switzerland; <i>Daniele Botticelli</i>
, Götegorgs Universitet Salgrenska Akademien, Götegorg, Sweden; University of Athens, Athens, Greece; <i>Ioannis Fourmousis</i>
, University of Athens, Athens, Greece; <i>German Galucci</i>
, Section de Medecine Dentaire, Université de Genève, Geneva, Switzerland; <i>Marlene Hallund</i>
, Faculty of Health Sciences, University of Copenhagen, Copenhagen, Sweden; <i>Christoph H.F. Hämmerle</i>
, Universität Zürich Zentrum für Zahn‐, Mund und Kieferheilkunde, Zurich, Switzerland; <i>Erik Hjörting‐Hansen</i>
, Faculty of Health Sciences, University of Copenhagen, Copenhagen, Sweden; <i>Ronald Jung</i>
, Universität Zürich Zentrum für Zahn‐, Mund und Kieferheilkunde, Zurich, Switzerland; <i>Niklaus P. Lang</i>
, Zahnmedizinische Kliniken, Universität Bern, Bern, Switzerland; <i>Lars Laurell</i>
, Eastman Dental Institute, University College London, London UK; <i>Jan Lindhe</i>
, Götegorgs Universitet Salgrenska Akademien, Götegorg, Sweden; <i>Søren Schou</i>
, Faculty of Health Sciences, University of Copenhagen, Copenhagen, Sweden; <i>David Shafer</i>
, University of Connecticut Health Centre, Connecticut, USA; <i>Giovanni E. Salvi</i>
, Zahnmedizinische Kliniken, Universität Bern, Bern, Switzerland; <i>Jean E. Suvan</i>
, Eastman Dental Institute, University College London, London UK; <i>Maurizio S. Tonetti</i>
, Eastman Dental Institute, University College London, London UK; University of Connecticut Health Centre, Connecticut, USA; <i>Theodora Vogiatzi</i>
, University of Connecticut Health Centre, Connecticut, USA; <i>Hans‐Peter Weber</i>
, Harvard School of Dental Medicine, Boston, USA.</p>
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<titleInfo type="abbreviated" lang="en"><title>RCT of immediate transmucosal implants</title>
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<abstract>Objectives: To compare the clinical outcomes of standard, cylindrical, screw‐shaped to novel tapered, transmucosal (Straumann Dental®) implants immediately placed into extraction sockets.</abstract>
<abstract>Material and methods: In this randomized‐controlled clinical trial, outcomes were evaluated over a 3‐year observation period. This report deals with the need for bone augmentation, healing events, implant stability and patient‐centred outcomes up to 3 months only. Nine centres contributed a total of 208 immediate implant placements. All surgical and post‐surgical procedures and the evaluation parameters were discussed with representatives of all centres during a calibration meeting. Following careful luxation of the designated tooth, allocation of the devices was randomly performed by a central study registrar. The allocated SLA titanium implant was installed at the bottom or in the palatal wall of the extraction socket until primary stability was reached. If the extraction socket was ≥1 mm larger than the implant, guided bone regeneration was performed simultaneously (Bio Oss® and BioGide®). The flaps were then sutured. During non‐submerged transmucosal healing, everything was done to prevent infection. At surgery, the need for augmentation and the degree of wound closure was verified. Implant stability was assessed clinically and by means of resonance frequency analysis (RFA) at surgery and after 3 months. Wound healing was evaluated after 1, 2, 6 and 12 weeks post‐operatively.</abstract>
<abstract>Results: The demographic data did not show any differences between the patients receiving either standard cylindrical or tapered implants. All implants yielded uneventful healing with 15% wound dehiscences after 1 week. After 2 weeks, 93%, after 6 weeks 96%, and after 12 weeks 100% of the flaps were closed. Ninety percent of both implant designs required bone augmentation. Immediately after implantation, RFA values were 55.8 and 56.7 and at 3 months 59.4 and 61.1 for cylindrical and tapered implants, respectively. Patient‐centred outcomes did not differ between the two implant designs. However, a clear preference of the surgeon's perception for the appropriateness of the novel‐tapered implant was evident.</abstract>
<abstract>Conclusions: This RCT has demonstrated that tapered or standard cylindrical implants yielded clinically equivalent short‐term outcomes after immediate implant placement into the extraction socket.</abstract>
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<topic>soft tissue</topic>
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Immediate implant placement with transmucosal healing in areas of aesthetic priority: A multicentre randomized‐controlled clinical trial I. Surgical outcomes

Immediate implant placement with transmucosal healing in areas of aesthetic priority: A multicentre randomized‐controlled clinical trial I. Surgical outcomes

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