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Immediately Loaded Implants with or without Abutments Supporting Fixed Partial Dentures: 1‐Year Results from a Prospective, Randomized, Clinical Trial

Identifieur interne : 004680 ( Istex/Corpus ); précédent : 004679; suivant : 004681

Immediately Loaded Implants with or without Abutments Supporting Fixed Partial Dentures: 1‐Year Results from a Prospective, Randomized, Clinical Trial

Auteurs : Catharina Göthberg ; Ulrika André ; Kerstin Gröndahl ; Birgit Ljungquist ; Peter Thomsen ; Christer Slotte

Source :

RBID : ISTEX:8DCD4E4F3C37B6502B55E9D6F5AC2E064ABB0051

Abstract

To evaluate 1‐year implant survival and marginal bone loss around implants that support fixed partial dentures loaded immediately or after 3 months, and effects from abutment usage.

Url:
DOI: 10.1111/cid.12025

Links to Exploration step

ISTEX:8DCD4E4F3C37B6502B55E9D6F5AC2E064ABB0051

Le document en format XML

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<title level="a" type="main">Immediately Loaded Implants with or without Abutments Supporting Fixed Partial Dentures: 1‐Year Results from a Prospective, Randomized, Clinical Trial</title>
<title level="a" type="short">Abutment Use at Immediately Loaded Implants</title>
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<affiliation>Reprint requests: Dr. Catharina Göthberg, P.O. Box 1030, SE‐551 11 Jönköping, Sweden; e‐mail: catharina.gothberg@lj.se</affiliation>
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<head>Abstract</head>
Purpose
<p>To evaluate 1‐year implant survival and marginal bone loss around implants that support fixed partial dentures loaded immediately or after 3 months, and effects from abutment usage.</p>
Materials and Methods
<p>In this 2005 to 2009 randomized, parallel‐group, clinical trial, 50 partially edentulous patients each received three
<hi rend="fc">B</hi>
rånemark
<hi rend="fc">TiUnite</hi>
™ implants (
<hi rend="fc">N</hi>
obel
<hi rend="fc">B</hi>
iocare®,
<hi rend="fc">G</hi>
öteborg,
<hi rend="fc">S</hi>
weden), mostly in the posterior maxilla. Two implants were fitted with abutments: a
<hi rend="fc">TiUnite</hi>
™ surface and a machine‐milled surface; the suprastructure was attached directly at implant level for the third implant. After randomized allocation, implants were immediately loaded with a fixed temporary bridge (test group) or left unloaded for 3 months (control group). A permanent fixed suprastructure replaced the temporary bridge after 6 months (test). Hard and soft tissues were examined during pretreatment and surgery plus 2 days, 14 days, 4 weeks, 3 months, and 1 year after surgery.</p>
Results
<p>After 1 year, four implants were lost in the test and two in the control groups (1‐year survival rates of 94.9% [test] and 97.2% [control], with no significant intergroup difference). Resonance frequency analysis values indicated a similar pattern in both groups, with implant stability quotient (
<hi rend="fc">ISQ</hi>
) reduction between 2 and 4 weeks. The test group had a significantly lower
<hi rend="fc">ISQ</hi>
than the control group at these appointments. After 1 year, marginal bone losses around the implants were, on average, 1.32 mm (test, standard error of the mean [
<hi rend="fc">SEM</hi>
] 0.08) and 1.24 mm (control,
<hi rend="fc">SEM</hi>
0.08), with no significant intergroup difference. Significantly larger marginal bone loss was observed at implants without abutment compared with implants with abutment.</p>
Conclusions
<p>For both groups, this study showed similar implant survival rates and marginal bone loss. Larger bone loss was found at implants loaded without attached abutments.</p>
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<title type="tocHeading1">ARTICLES</title>
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<copyright ownership="publisher">© 2013 Wiley Periodicals, Inc.</copyright>
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<correspondenceTo>Reprint requests: Dr. Catharina Göthberg, P.O. Box 1030, SE‐551 11 Jönköping, Sweden; e‐mail:
<email>catharina.gothberg@lj.se</email>
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<title type="short">Abutment Use at Immediately Loaded Implants</title>
<title type="main">Immediately Loaded Implants with or without Abutments Supporting Fixed Partial Dentures: 1‐Year Results from a Prospective, Randomized, Clinical Trial</title>
</titleGroup>
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<familyName>Göthberg</familyName>
<degrees>DDS</degrees>
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<jobTitle>Consultant, graduate student</jobTitle>
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<creator affiliationRef="#cid12025-aff-0001" creatorRole="author" xml:id="cid12025-cr-0002">
<personName>
<givenNames>Ulrika</givenNames>
<familyName>André</familyName>
<degrees>BSc</degrees>
</personName>
<jobTitle>dental hygienist</jobTitle>
</creator>
<creator affiliationRef="#cid12025-aff-0004" creatorRole="author" xml:id="cid12025-cr-0003">
<personName>
<givenNames>Kerstin</givenNames>
<familyName>Gröndahl</familyName>
<degrees>DDS, PhD</degrees>
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<jobTitle>consultant, professor</jobTitle>
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<personName>
<givenNames>Birgit</givenNames>
<familyName>Ljungquist</familyName>
<degrees>PhD</degrees>
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<jobTitle>statistician</jobTitle>
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<familyName>Thomsen</familyName>
<degrees>MD, PhD</degrees>
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<jobTitle>professor</jobTitle>
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<affiliation countryCode="SE" xml:id="cid12025-aff-0001">
<orgDiv>Department of Prosthetic Dentistry</orgDiv>
<orgName>The Institute for Postgraduate Dental Education</orgName>
<address>
<city>Jönköping</city>
<country>Sweden</country>
</address>
</affiliation>
<affiliation countryCode="SE" xml:id="cid12025-aff-0002">
<orgDiv>Department of Biomaterials</orgDiv>
<orgDiv>VINN Excellence Center of Biomaterials and Cell Therapy</orgDiv>
<orgDiv>Institute for Clinical Sciences</orgDiv>
<orgDiv>Sahlgrenska Academy</orgDiv>
<orgName>University of Gothenburg</orgName>
<address>
<city>Göteborg</city>
<country>Sweden</country>
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<affiliation countryCode="SE" xml:id="cid12025-aff-0004">
<orgDiv>Department of Oral & Maxillofacial Radiology</orgDiv>
<orgName>The Institute for Postgraduate Dental Education</orgName>
<address>
<city>Jönköping</city>
<country>Sweden</country>
</address>
</affiliation>
<affiliation countryCode="SE" xml:id="cid12025-aff-0005">
<orgName>Calluna Konsult</orgName>
<address>
<city>Habo</city>
<country>Sweden</country>
</address>
</affiliation>
<affiliation countryCode="SE" xml:id="cid12025-aff-0007">
<orgDiv>Department of Periodontology</orgDiv>
<orgName>The Institute for Postgraduate Dental Education</orgName>
<address>
<city>Jönköping</city>
<country>Sweden</country>
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<keyword xml:id="cid12025-kwd-0001">bone</keyword>
<keyword xml:id="cid12025-kwd-0002">dental implants</keyword>
<keyword xml:id="cid12025-kwd-0003">dental prosthesis</keyword>
<keyword xml:id="cid12025-kwd-0004">jaw disease</keyword>
<keyword xml:id="cid12025-kwd-0005">osseointegration</keyword>
<keyword xml:id="cid12025-kwd-0006">rehabilitation</keyword>
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<fundingAgency>Jönköping County Council and the Swedish Research Council</fundingAgency>
<fundingNumber>K2012‐52X‐09495‐25‐3</fundingNumber>
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<title type="main">Purpose</title>
<p>To evaluate 1‐year implant survival and marginal bone loss around implants that support fixed partial dentures loaded immediately or after 3 months, and effects from abutment usage.</p>
</section>
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<title type="main">Materials and Methods</title>
<p>In this 2005 to 2009 randomized, parallel‐group, clinical trial, 50 partially edentulous patients each received three
<fc>B</fc>
rånemark
<fc>TiUnite</fc>
™ implants (
<fc>N</fc>
obel
<fc>B</fc>
iocare®,
<fc>G</fc>
öteborg,
<fc>S</fc>
weden), mostly in the posterior maxilla. Two implants were fitted with abutments: a
<fc>TiUnite</fc>
™ surface and a machine‐milled surface; the suprastructure was attached directly at implant level for the third implant. After randomized allocation, implants were immediately loaded with a fixed temporary bridge (test group) or left unloaded for 3 months (control group). A permanent fixed suprastructure replaced the temporary bridge after 6 months (test). Hard and soft tissues were examined during pretreatment and surgery plus 2 days, 14 days, 4 weeks, 3 months, and 1 year after surgery.</p>
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<title type="main">Results</title>
<p>After 1 year, four implants were lost in the test and two in the control groups (1‐year survival rates of 94.9% [test] and 97.2% [control], with no significant intergroup difference). Resonance frequency analysis values indicated a similar pattern in both groups, with implant stability quotient (
<fc>ISQ</fc>
) reduction between 2 and 4 weeks. The test group had a significantly lower
<fc>ISQ</fc>
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<fc>SEM</fc>
] 0.08) and 1.24 mm (control,
<fc>SEM</fc>
0.08), with no significant intergroup difference. Significantly larger marginal bone loss was observed at implants without abutment compared with implants with abutment.</p>
</section>
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<title type="main">Conclusions</title>
<p>For both groups, this study showed similar implant survival rates and marginal bone loss. Larger bone loss was found at implants loaded without attached abutments.</p>
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