Clinical Outcome and Bone Preservation of Single TiUnite™ Implants Installed with Flapless or Flap Surgery
Identifieur interne : 003D08 ( Istex/Corpus ); précédent : 003D07; suivant : 003D09Clinical Outcome and Bone Preservation of Single TiUnite™ Implants Installed with Flapless or Flap Surgery
Auteurs : Hugo De Bruyn ; Mandana Atashkadeh ; Jan Cosyn ; Tommie Van De VeldeSource :
- Clinical Implant Dentistry and Related Research [ 1523-0899 ] ; 2011-09.
English descriptors
- KwdEn :
- Abutment, Apless, Apless approach, Apless group, Apless implant surgery, Apless procedure, Apless sites, Apless surgery, Apped sites, Apped surgery, Assistant professor, Bone level, Bone loss, Bone value, Clin, Clin implant dent relat, Clinical implant dentistry, Countersinking procedure, Crestal bone, Cumulative percent, Dental school, Extraction sockets, Flap, Flap surgery, Flapless, Further bone loss, Ghent, Healing abutment, Health sciences, Higher bone loss, Ideal cases, Immediate loading, Implant, Implant length, Implant placement, Implant success, Implant surgery, Implant survival, Initial year, Interval months, Loading time, Lower bone level, Maxilla, Maximal bone loss, Months interval, Mucosal tissues, Nobel biocare, Oral implantology, Oral maxillofac implants, Other hand, Patient comfort, Proper seating, Radiograph, Ranks test, Reference point, Single implants, Single tiunite, Soft tissue, Statistical analysis, Surgery, Surgical, Surgical technique, Surgical techniques, Tiunite, Tooth extraction, Total flap flapless, Treatment modalities, University ghent belgium, Xture level.
- Teeft :
- Abutment, Apless, Apless approach, Apless group, Apless implant surgery, Apless procedure, Apless sites, Apless surgery, Apped sites, Apped surgery, Assistant professor, Bone level, Bone loss, Bone value, Clin, Clin implant dent relat, Clinical implant dentistry, Countersinking procedure, Crestal bone, Cumulative percent, Dental school, Extraction sockets, Flap, Flap surgery, Flapless, Further bone loss, Ghent, Healing abutment, Health sciences, Higher bone loss, Ideal cases, Immediate loading, Implant, Implant length, Implant placement, Implant success, Implant surgery, Implant survival, Initial year, Interval months, Loading time, Lower bone level, Maxilla, Maximal bone loss, Months interval, Mucosal tissues, Nobel biocare, Oral implantology, Oral maxillofac implants, Other hand, Patient comfort, Proper seating, Radiograph, Ranks test, Reference point, Single implants, Single tiunite, Soft tissue, Statistical analysis, Surgery, Surgical, Surgical technique, Surgical techniques, Tiunite, Tooth extraction, Total flap flapless, Treatment modalities, University ghent belgium, Xture level.
Abstract
Background: Flapless, free‐handed implant surgery offers advantages for patient comfort, but studies on long‐term clinical success based on marginal bone loss are scarce.
Url:
DOI: 10.1111/j.1708-8208.2009.00200.x
Links to Exploration step
ISTEX:7B8317CE8BAE9C13945158D255D927ED72B520D0Le document en format XML
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sortKey="Cosyn, Jan" sort="Cosyn, Jan" uniqKey="Cosyn J" first="Jan" last="Cosyn">Jan Cosyn</name><affiliation><mods:affiliation>assistant professor, Department of Periodontology and Oral Implantology, Dental School, Faculty of Medicine and Health Sciences, University Ghent Belgium, and Center for Periodontology and Oral Implantology, Zottegem, Belgium;</mods:affiliation></affiliation></author><author><name sortKey="Van De Velde, Tommie" sort="Van De Velde, Tommie" uniqKey="Van De Velde T" first="Tommie" last="Van De Velde">Tommie Van De Velde</name><affiliation><mods:affiliation>assistant professor, Department of Periodontology and Oral Implantology, Dental School, Faculty of Medicine and Health Sciences, University Ghent Belgium, Ghent, Belgium</mods:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">ISTEX</idno><idno type="RBID">ISTEX:7B8317CE8BAE9C13945158D255D927ED72B520D0</idno><date when="2011" year="2011">2011</date><idno 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sortKey="Atashkadeh, Mandana" sort="Atashkadeh, Mandana" uniqKey="Atashkadeh M" first="Mandana" last="Atashkadeh">Mandana Atashkadeh</name><affiliation><mods:affiliation>private practice, All Saints Green Dental Practice, Norwich, UK;</mods:affiliation></affiliation></author><author><name sortKey="Cosyn, Jan" sort="Cosyn, Jan" uniqKey="Cosyn J" first="Jan" last="Cosyn">Jan Cosyn</name><affiliation><mods:affiliation>assistant professor, Department of Periodontology and Oral Implantology, Dental School, Faculty of Medicine and Health Sciences, University Ghent Belgium, and Center for Periodontology and Oral Implantology, Zottegem, Belgium;</mods:affiliation></affiliation></author><author><name sortKey="Van De Velde, Tommie" sort="Van De Velde, Tommie" uniqKey="Van De Velde T" first="Tommie" last="Van De Velde">Tommie Van De Velde</name><affiliation><mods:affiliation>assistant professor, Department of Periodontology and Oral Implantology, Dental School, Faculty of Medicine and Health 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months</term><term>Loading time</term><term>Lower bone level</term><term>Maxilla</term><term>Maximal bone loss</term><term>Months interval</term><term>Mucosal tissues</term><term>Nobel biocare</term><term>Oral implantology</term><term>Oral maxillofac implants</term><term>Other hand</term><term>Patient comfort</term><term>Proper seating</term><term>Radiograph</term><term>Ranks test</term><term>Reference point</term><term>Single implants</term><term>Single tiunite</term><term>Soft tissue</term><term>Statistical analysis</term><term>Surgery</term><term>Surgical</term><term>Surgical technique</term><term>Surgical techniques</term><term>Tiunite</term><term>Tooth extraction</term><term>Total flap flapless</term><term>Treatment modalities</term><term>University ghent belgium</term><term>Xture level</term></keywords><keywords scheme="Teeft" xml:lang="en"><term>Abutment</term><term>Apless</term><term>Apless approach</term><term>Apless group</term><term>Apless implant surgery</term><term>Apless 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level</json:string></teeft></keywords><author><json:item><name>Hugo De Bruyn DDS, MSc, PhD</name><affiliations><json:string>Professor and chairman, Department of Periodontology and Oral Implantology, Dental School, Faculty of Medicine and Health Sciences, University Ghent Belgium, Ghent, Belgium;</json:string><json:string>E-mail: hugo.debruyn@ugent.be</json:string></affiliations></json:item><json:item><name>Mandana Atashkadeh DDS</name><affiliations><json:string>private practice, All Saints Green Dental Practice, Norwich, UK;</json:string></affiliations></json:item><json:item><name>Jan Cosyn DDS, MSc, PhD</name><affiliations><json:string>assistant professor, Department of Periodontology and Oral Implantology, Dental School, Faculty of Medicine and Health Sciences, University Ghent Belgium, and Center for Periodontology and Oral Implantology, Zottegem, Belgium;</json:string></affiliations></json:item><json:item><name>Tommie van de Velde DDS, MSc, 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Flapless, free‐handed implant surgery offers advantages for patient comfort, but studies on long‐term clinical success based on marginal bone loss are scarce.</abstract><qualityIndicators><score>6.129</score><pdfWordCount>3853</pdfWordCount><pdfCharCount>23468</pdfCharCount><pdfVersion>1.3</pdfVersion><pdfPageCount>9</pdfPageCount><pdfPageSize>585 x 783 pts</pdfPageSize><refBibsNative>true</refBibsNative><abstractWordCount>23</abstractWordCount><abstractCharCount>170</abstractCharCount><keywordCount>5</keywordCount></qualityIndicators><title>Clinical Outcome and Bone Preservation of Single TiUnite™ Implants Installed with Flapless or Flap Surgery</title><pmid><json:string>19744199</json:string></pmid><genre><json:string>article</json:string></genre><host><title>Clinical Implant Dentistry and Related 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Surgery</title></titleStmt><publicationStmt><authority>ISTEX</authority><publisher>Blackwell Publishing Ltd</publisher><pubPlace>Oxford, UK</pubPlace><availability><licence>© 2009 Wiley Periodicals, Inc.</licence></availability><date type="published" when="2011-09"></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">Clinical Outcome and Bone Preservation of Single TiUnite™ Implants Installed with Flapless or Flap Surgery</title><title level="a" type="short">TiUnite™ Implants with Flapless or Flap Surgery</title><author xml:id="author-0000" role="corresp"><persName><forename type="first">Hugo</forename><surname>De Bruyn</surname><roleName type="degree">DDS, MSc, PhD</roleName></persName><affiliation>Professor and chairman, Department of Periodontology and Oral Implantology, Dental School, Faculty of Medicine and Health Sciences, University Ghent Belgium, Ghent, Belgium;<address><country key="BE"></country></address></affiliation><affiliation>Dr. Hugo De Bruyn, Department of Periodontology and Oral Implantology, University Hospital Ghent, De Pintelaan 185 P‐8, B‐9000 Ghent, Belgium; e‐mail: hugo.debruyn@ugent.be</affiliation></author><author xml:id="author-0001"><persName><forename type="first">Mandana</forename><surname>Atashkadeh</surname><roleName type="degree">DDS</roleName></persName><affiliation>private practice, All Saints Green Dental Practice, Norwich, UK;</affiliation></author><author xml:id="author-0002"><persName><forename type="first">Jan</forename><surname>Cosyn</surname><roleName type="degree">DDS, MSc, PhD</roleName></persName><affiliation>assistant professor, Department of Periodontology and Oral Implantology, Dental School, Faculty of Medicine and Health Sciences, University Ghent Belgium, and Center for Periodontology and Oral Implantology, Zottegem, Belgium;<address><country key="BE"></country></address></affiliation></author><author xml:id="author-0003"><persName><forename type="first">Tommie</forename><surname>van de Velde</surname><roleName type="degree">DDS, MSc, PhD</roleName></persName><affiliation>assistant professor, Department of Periodontology and Oral Implantology, Dental School, Faculty of Medicine and Health Sciences, University Ghent Belgium, Ghent, Belgium<address><country key="BE"></country></address></affiliation></author><idno type="istex">7B8317CE8BAE9C13945158D255D927ED72B520D0</idno><idno type="ark">ark:/67375/WNG-27LM3LQQ-3</idno><idno type="DOI">10.1111/j.1708-8208.2009.00200.x</idno><idno type="unit">CID200</idno><idno type="toTypesetVersion">file:CID.CID200.pdf</idno></analytic><monogr><title level="j" type="main">Clinical Implant Dentistry and Related Research</title><title level="j" type="alt">CLINICAL IMPLANT DENTISTRY RELATED RESEARCH</title><idno type="pISSN">1523-0899</idno><idno type="eISSN">1708-8208</idno><idno type="book-DOI">10.1111/(ISSN)1708-8208</idno><idno type="book-part-DOI">10.1111/cid.2011.13.issue-3</idno><idno type="product">CID</idno><idno type="publisherDivision">ST</idno><imprint><biblScope unit="vol">13</biblScope><biblScope unit="issue">3</biblScope><biblScope unit="page" from="175">175</biblScope><biblScope unit="page" to="183">183</biblScope><biblScope unit="page-count">9</biblScope><publisher>Blackwell Publishing Ltd</publisher><pubPlace>Oxford, UK</pubPlace><date type="published" when="2011-09"></date></imprint></monogr></biblStruct></sourceDesc></fileDesc><profileDesc><abstract xml:lang="en" style="main"><head>ABSTRACT</head><p><hi rend="bold">Background:</hi> Flapless, free‐handed implant surgery offers advantages for patient comfort, but studies on long‐term clinical success based on marginal bone loss are scarce.</p><p><hi rend="bold">Aim:</hi> The aim of this study was to compare single implants installed with a flap (F) or flapless (FL) surgery with respect to survival and marginal bone preservation after at least 3 years.</p><p><hi rend="bold">Materials and Methods:</hi> Fifty‐three TiUnite™ Brånemark implants, installed in 49 patients (27 females; 22 males; mean age 53 years) were examined. Then, 25 F and 28 FL were delayed loaded; bone level from the abutment‐implant level was measured on intraoral radiographs. From 44 (21 F, 23 FL), 31 (18F, 13FL), and 36 (18 F, 18 FL) implants, radiographs were available at baseline and after 1 and 3 years of function.</p><p><hi rend="bold">Results:</hi> The overall survival rate was 100% and the overall mean bone loss after an average of 38 months was 1.35 mm (SD 0.91; range 0–3.7). Both F and FL showed increasing bone loss during the first year with a higher bone loss for FL than for F sites (<hi rend="italic">p</hi> < .01). Afterward, no further bone loss occurred and both groups were statistically equal (<hi rend="italic">p</hi> > .7). On individual implant level, nearly 80% in both F and FL were considered a success showing bone loss between 1.5 and 1.9 mm.</p><p><hi rend="bold">Conclusions:</hi> Single implants yield an excellent prognosis with stable bone levels irrespective of the surgical technique, and free‐handed flapless surgery is a viable alternative to more extensively planned guided surgery. Proper case selection and clinical experience are considered prerequisites for a predictable treatment outcome.</p></abstract><textClass><keywords xml:lang="en"><term xml:id="k1">bone remodeling</term><term xml:id="k2">flapless surgery</term><term xml:id="k3">one‐stage surgery</term><term xml:id="k4">single implant</term><term xml:id="k5">TiUnite surface</term></keywords><keywords rend="tocHeading1"><term>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/7B8317CE8BAE9C13945158D255D927ED72B520D0/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)1708-8208</doi><issn type="print">1523-0899</issn><issn type="electronic">1708-8208</issn><idGroup><id type="product" value="CID"></id><id type="publisherDivision" value="ST"></id></idGroup><titleGroup><title type="main" sort="CLINICAL IMPLANT DENTISTRY RELATED RESEARCH">Clinical Implant Dentistry and Related Research</title></titleGroup></publicationMeta><publicationMeta level="part" position="09103"><doi origin="wiley">10.1111/cid.2011.13.issue-3</doi><numberingGroup><numbering type="journalVolume" number="13">13</numbering><numbering type="journalIssue" number="3">3</numbering></numberingGroup><coverDate startDate="2011-09">September 2011</coverDate></publicationMeta><publicationMeta level="unit" type="article" position="1" status="forIssue"><doi origin="wiley">10.1111/j.1708-8208.2009.00200.x</doi><idGroup><id type="unit" value="CID200"></id></idGroup><countGroup><count type="pageTotal" number="9"></count></countGroup><titleGroup><title type="tocHeading1">ARTICLES</title></titleGroup><copyright>© 2009 Wiley Periodicals, Inc.</copyright><eventGroup><event type="firstOnline" date="2009-09-09"></event><event type="publishedOnlineAcceptedOrEarlyUnpaginated" date="2009-09-09"></event><event type="xmlConverted" agent="Converter:BPG_TO_WML3G version:2.5.2 mode:FullText" date="2011-08-01"></event><event type="publishedOnlineFinalForm" date="2011-08-01"></event><event type="xmlConverted" agent="Converter:WILEY_ML3G_TO_WILEY_ML3GV2 version:3.8.8" date="2014-01-15"></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="175">175</numbering><numbering type="pageLast" number="183">183</numbering></numberingGroup><correspondenceTo>Dr. Hugo De Bruyn, Department of Periodontology and Oral Implantology, University Hospital Ghent, De Pintelaan 185 P‐8, B‐9000 Ghent, Belgium; e‐mail: <email>hugo.debruyn@ugent.be</email></correspondenceTo><linkGroup><link type="toTypesetVersion" href="file:CID.CID200.pdf"></link></linkGroup></publicationMeta><contentMeta><countGroup><count type="figureTotal" number="7"></count><count type="tableTotal" number="3"></count><count type="formulaTotal" number="0"></count><count type="referenceTotal" number="16"></count><count type="wordTotal" number="3867"></count><count type="linksPubMed" number="0"></count><count type="linksCrossRef" number="0"></count></countGroup><titleGroup><title type="main">Clinical Outcome and Bone Preservation of Single TiUnite™ Implants Installed with Flapless or Flap Surgery</title><title type="shortAuthors">Clinical Implant Dentistry and Related Research, Volume 13, Number 3, 2011</title><title type="short">TiUnite™ Implants with Flapless or Flap Surgery</title></titleGroup><creators><creator creatorRole="author" xml:id="cr1" affiliationRef="#a1" corresponding="yes"><personName><givenNames>Hugo</givenNames><familyName>De Bruyn</familyName><degrees>DDS, MSc, PhD</degrees></personName></creator><creator creatorRole="author" xml:id="cr2" affiliationRef="#a2"><personName><givenNames>Mandana</givenNames><familyName>Atashkadeh</familyName><degrees>DDS</degrees></personName></creator><creator creatorRole="author" xml:id="cr3" affiliationRef="#a3"><personName><givenNames>Jan</givenNames><familyName>Cosyn</familyName><degrees>DDS, MSc, PhD</degrees></personName></creator><creator creatorRole="author" xml:id="cr4" affiliationRef="#a4"><personName><givenNames>Tommie</givenNames><familyName>van de Velde</familyName><degrees>DDS, MSc, PhD</degrees></personName></creator></creators><affiliationGroup><affiliation xml:id="a1" countryCode="BE"><unparsedAffiliation>Professor and chairman, Department of Periodontology and Oral Implantology, Dental School, Faculty of Medicine and Health Sciences, University Ghent Belgium, Ghent, Belgium;</unparsedAffiliation></affiliation><affiliation xml:id="a2"><unparsedAffiliation>private practice, All Saints Green Dental Practice, Norwich, UK;</unparsedAffiliation></affiliation><affiliation xml:id="a3" countryCode="BE"><unparsedAffiliation>assistant professor, Department of Periodontology and Oral Implantology, Dental School, Faculty of Medicine and Health Sciences, University Ghent Belgium, and Center for Periodontology and Oral Implantology, Zottegem, Belgium;</unparsedAffiliation></affiliation><affiliation xml:id="a4" countryCode="BE"><unparsedAffiliation>assistant professor, Department of Periodontology and Oral Implantology, Dental School, Faculty of Medicine and Health Sciences, University Ghent Belgium, Ghent, Belgium</unparsedAffiliation></affiliation></affiliationGroup><keywordGroup xml:lang="en"><keyword xml:id="k1">bone remodeling</keyword><keyword xml:id="k2">flapless surgery</keyword><keyword xml:id="k3">one‐stage surgery</keyword><keyword xml:id="k4">single implant</keyword><keyword xml:id="k5">TiUnite surface</keyword></keywordGroup><abstractGroup><abstract type="main" xml:lang="en"><title type="main">ABSTRACT</title><p><b>Background:</b> Flapless, free‐handed implant surgery offers advantages for patient comfort, but studies on long‐term clinical success based on marginal bone loss are scarce.</p><p><b>Aim:</b> The aim of this study was to compare single implants installed with a flap (F) or flapless (FL) surgery with respect to survival and marginal bone preservation after at least 3 years.</p><p><b>Materials and Methods:</b> Fifty‐three TiUnite™ Brånemark implants, installed in 49 patients (27 females; 22 males; mean age 53 years) were examined. Then, 25 F and 28 FL were delayed loaded; bone level from the abutment‐implant level was measured on intraoral radiographs. From 44 (21 F, 23 FL), 31 (18F, 13FL), and 36 (18 F, 18 FL) implants, radiographs were available at baseline and after 1 and 3 years of function.</p><p><b>Results:</b> The overall survival rate was 100% and the overall mean bone loss after an average of 38 months was 1.35 mm (SD 0.91; range 0–3.7). Both F and FL showed increasing bone loss during the first year with a higher bone loss for FL than for F sites (<i>p</i> < .01). Afterward, no further bone loss occurred and both groups were statistically equal (<i>p</i> > .7). On individual implant level, nearly 80% in both F and FL were considered a success showing bone loss between 1.5 and 1.9 mm.</p><p><b>Conclusions:</b> Single implants yield an excellent prognosis with stable bone levels irrespective of the surgical technique, and free‐handed flapless surgery is a viable alternative to more extensively planned guided surgery. Proper case selection and clinical experience are considered prerequisites for a predictable treatment outcome.</p></abstract></abstractGroup></contentMeta></header></component></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>Clinical Outcome and Bone Preservation of Single TiUnite™ Implants Installed with Flapless or Flap Surgery</title></titleInfo><titleInfo type="abbreviated" lang="en"><title>TiUnite™ Implants with Flapless or Flap Surgery</title></titleInfo><titleInfo type="alternative" contentType="CDATA" lang="en"><title>Clinical Outcome and Bone Preservation of Single TiUnite™ Implants Installed with Flapless or Flap Surgery</title></titleInfo><name type="personal"><namePart type="given">Hugo</namePart><namePart type="family">De Bruyn</namePart><namePart type="termsOfAddress">DDS, MSc, PhD</namePart><affiliation>Professor and chairman, Department of Periodontology and Oral Implantology, Dental School, Faculty of Medicine and Health Sciences, University Ghent Belgium, Ghent, Belgium;</affiliation><affiliation>E-mail: hugo.debruyn@ugent.be</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Mandana</namePart><namePart type="family">Atashkadeh</namePart><namePart type="termsOfAddress">DDS</namePart><affiliation>private practice, All Saints Green Dental Practice, Norwich, UK;</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Jan</namePart><namePart type="family">Cosyn</namePart><namePart type="termsOfAddress">DDS, MSc, PhD</namePart><affiliation>assistant professor, Department of Periodontology and Oral Implantology, Dental School, Faculty of Medicine and Health Sciences, University Ghent Belgium, and Center for Periodontology and Oral Implantology, Zottegem, Belgium;</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Tommie</namePart><namePart type="family">van de Velde</namePart><namePart type="termsOfAddress">DDS, MSc, PhD</namePart><affiliation>assistant professor, Department of Periodontology and Oral Implantology, Dental School, Faculty of Medicine and Health Sciences, University Ghent Belgium, Ghent, Belgium</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="article" displayLabel="article" authority="ISTEX" authorityURI="https://content-type.data.istex.fr" valueURI="https://content-type.data.istex.fr/ark:/67375/XTP-6N5SZHKN-D">article</genre><originInfo><publisher>Blackwell Publishing Ltd</publisher><place><placeTerm type="text">Oxford, UK</placeTerm></place><dateIssued encoding="w3cdtf">2011-09</dateIssued><copyrightDate encoding="w3cdtf">2011</copyrightDate></originInfo><language><languageTerm type="code" authority="rfc3066">en</languageTerm><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><physicalDescription><extent unit="figures">7</extent><extent unit="tables">3</extent><extent unit="formulas">0</extent><extent unit="references">16</extent><extent unit="linksCrossRef">0</extent><extent unit="words">3867</extent></physicalDescription><abstract>Background: Flapless, free‐handed implant surgery offers advantages for patient comfort, but studies on long‐term clinical success based on marginal bone loss are scarce.</abstract><abstract>Aim: The aim of this study was to compare single implants installed with a flap (F) or flapless (FL) surgery with respect to survival and marginal bone preservation after at least 3 years.</abstract><abstract>Materials and Methods: Fifty‐three TiUnite™ Brånemark implants, installed in 49 patients (27 females; 22 males; mean age 53 years) were examined. Then, 25 F and 28 FL were delayed loaded; bone level from the abutment‐implant level was measured on intraoral radiographs. From 44 (21 F, 23 FL), 31 (18F, 13FL), and 36 (18 F, 18 FL) implants, radiographs were available at baseline and after 1 and 3 years of function.</abstract><abstract>Results: The overall survival rate was 100% and the overall mean bone loss after an average of 38 months was 1.35 mm (SD 0.91; range 0–3.7). Both F and FL showed increasing bone loss during the first year with a higher bone loss for FL than for F sites (p < .01). Afterward, no further bone loss occurred and both groups were statistically equal (p > .7). On individual implant level, nearly 80% in both F and FL were considered a success showing bone loss between 1.5 and 1.9 mm.</abstract><abstract>Conclusions: Single implants yield an excellent prognosis with stable bone levels irrespective of the surgical technique, and free‐handed flapless surgery is a viable alternative to more extensively planned guided surgery. Proper case selection and clinical experience are considered prerequisites for a predictable treatment outcome.</abstract><subject lang="en"><genre>keywords</genre><topic>bone remodeling</topic><topic>flapless surgery</topic><topic>one‐stage surgery</topic><topic>single implant</topic><topic>TiUnite surface</topic></subject><relatedItem type="host"><titleInfo><title>Clinical Implant Dentistry and Related Research</title></titleInfo><genre type="journal" authority="ISTEX" authorityURI="https://publication-type.data.istex.fr" valueURI="https://publication-type.data.istex.fr/ark:/67375/JMC-0GLKJH51-B">journal</genre><identifier type="ISSN">1523-0899</identifier><identifier type="eISSN">1708-8208</identifier><identifier type="DOI">10.1111/(ISSN)1708-8208</identifier><identifier type="PublisherID">CID</identifier><part><date>2011</date><detail type="volume"><caption>vol.</caption><number>13</number></detail><detail type="issue"><caption>no.</caption><number>3</number></detail><extent unit="pages"><start>175</start><end>183</end><total>9</total></extent></part></relatedItem><identifier type="istex">7B8317CE8BAE9C13945158D255D927ED72B520D0</identifier><identifier type="ark">ark:/67375/WNG-27LM3LQQ-3</identifier><identifier type="DOI">10.1111/j.1708-8208.2009.00200.x</identifier><identifier type="ArticleID">CID200</identifier><accessCondition type="use and reproduction" contentType="copyright">© 2009 Wiley Periodicals, Inc.</accessCondition><recordInfo><recordContentSource authority="ISTEX" authorityURI="https://loaded-corpus.data.istex.fr" valueURI="https://loaded-corpus.data.istex.fr/ark:/67375/XBH-L0C46X92-X">wiley</recordContentSource><recordOrigin>Blackwell Publishing Ltd</recordOrigin></recordInfo></mods><json:item><extension>json</extension><original>false</original><mimetype>application/json</mimetype><uri>https://api.istex.fr/document/7B8317CE8BAE9C13945158D255D927ED72B520D0/metadata/json</uri></json:item></metadata><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
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