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Three‐years clinical outcome of immediate provisionalization of single Osseospeed™ implants in extraction sockets and healed ridges

Identifieur interne : 004E31 ( Istex/Corpus ); précédent : 004E30; suivant : 004E32

Three‐years clinical outcome of immediate provisionalization of single Osseospeed™ implants in extraction sockets and healed ridges

Auteurs : Hugo De Bruyn ; Filiep Raes ; Lyndon F. Cooper ; Glenn Reside ; Joan S. Garriga ; Luís G. Tarrida ; Jörg Wiltfang ; Matthias Kern

Source :

RBID : ISTEX:9C56CC18F979FEC2274BBD7CC5B2F3E52E8EA46B

English descriptors

Abstract

The purpose of this prospective multicenter clinical study was to compare 3 years implant survival, bone and soft tissue changes following immediate loading using single Osseospeed™ implants (Astra Tech AB, Mölndal, Sweden) installed in healed ridges or extraction sockets.

Url:
DOI: 10.1111/j.1600-0501.2012.02449.x

Links to Exploration step

ISTEX:9C56CC18F979FEC2274BBD7CC5B2F3E52E8EA46B

Le document en format XML

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<div type="abstract">The purpose of this prospective multicenter clinical study was to compare 3 years implant survival, bone and soft tissue changes following immediate loading using single Osseospeed™ implants (Astra Tech AB, Mölndal, Sweden) installed in healed ridges or extraction sockets.</div>
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Aim
<p>The purpose of this prospective multicenter clinical study was to compare 3 years implant survival, bone and soft tissue changes following immediate loading using single Osseospeed
<hi rend="superscript"></hi>
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Material and methods
<p>Implants were provisionally restored the day of surgery using cemented acrylic crowns out of full occlusion. The provisional crowns were replaced after 12 weeks by full‐ceramic crowns. Implant survival, bone levels, soft tissue levels and peri‐implant health were monitored up to 3 years.</p>
Results
<p>55 patients (22 men, 33 women; mean age 45) had the implant installed in extraction sockets and 58 patients (25 men, 33 women; mean age 42) received conventional implant treatment in healed ridges. Three implants failed in the extraction group and one implant failed in the healed group, all failures occurred before the final crown placement. No further losses occurred during 3 years, giving a statistically comparable survival rate of 94.6% and 98.3%, respectively. The total bone loss after 3 years, compared to implant placement was 0.4 mm (
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1.5) in healed sites, whilst the immediate sites showed a bone gain of 1.6 mm (
<hi rend="fc">SD</hi>
2.4) due to bone fill in the alveolus. Papillae retracted with 0.3 and 0.0 mm in the period of provisionalization, but grew back after final crown was placed with 0.3 and 0.5 mm in extraction and healed sites respectively after 3 years. Plaque and inflammation scores were very low throughout the study time, irrespective of treatment modality.</p>
Conclusions
<p>Immediate implants restored at the day of surgery show comparable risk for implant failure, bone loss and midfacial soft tissue recession compared to conventionally installed implants. The 3‐years results suggest both hard and soft tissue stability.</p>
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<city>Chapel Hill</city>
<countryPart>NC</countryPart>
<country>USA</country>
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<orgDiv>Department of Oral and Maxillofacial Surgery</orgDiv>
<orgName>University of North Carolina</orgName>
<address>
<city>Chapel Hill</city>
<countryPart>NC</countryPart>
<country>USA</country>
</address>
</affiliation>
<affiliation countryCode="ES" type="organization" xml:id="clr2449-aff-0005">
<orgDiv>Department of Prosthodontics, Dentistry School</orgDiv>
<orgName>Universitat Internacional de Catalunya</orgName>
<address>
<city>Catalunya</city>
<country>Spain</country>
</address>
</affiliation>
<affiliation countryCode="ES" type="organization" xml:id="clr2449-aff-0006">
<orgDiv>Research Department, Dentistry School</orgDiv>
<orgName>Universitat Internacional de Catalunya</orgName>
<address>
<city>Catalunya</city>
<country>Spain</country>
</address>
</affiliation>
<affiliation countryCode="DE" type="organization" xml:id="clr2449-aff-0007">
<orgDiv>Department of Oral and Maxillofacial Surgery</orgDiv>
<orgName>University of Schleswig‐Holstein</orgName>
<address>
<city>Campus Kiel</city>
<country>Germany</country>
</address>
</affiliation>
<affiliation countryCode="DE" type="organization" xml:id="clr2449-aff-0008">
<orgDiv>Department of Prosthodontics, Propaedeutics and Dental Materials, School of Dentistry</orgDiv>
<orgName>Christian‐Albrechts University at Kiel</orgName>
<address>
<city>Kiel</city>
<country>Germany</country>
</address>
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<keyword xml:id="clr2449-kwd-0001">immediate loading</keyword>
<keyword xml:id="clr2449-kwd-0002">immediate placement</keyword>
<keyword xml:id="clr2449-kwd-0003">single tooth</keyword>
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<fundingAgency>Astra Tech</fundingAgency>
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<title type="main">Abstract</title>
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<title type="main">Aim</title>
<p>The purpose of this prospective multicenter clinical study was to compare 3 years implant survival, bone and soft tissue changes following immediate loading using single Osseospeed
<sup></sup>
implants (Astra Tech
<fc>AB</fc>
, Mölndal, Sweden) installed in healed ridges or extraction sockets.</p>
</section>
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<title type="main">Material and methods</title>
<p>Implants were provisionally restored the day of surgery using cemented acrylic crowns out of full occlusion. The provisional crowns were replaced after 12 weeks by full‐ceramic crowns. Implant survival, bone levels, soft tissue levels and peri‐implant health were monitored up to 3 years.</p>
</section>
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<title type="main">Results</title>
<p>55 patients (22 men, 33 women; mean age 45) had the implant installed in extraction sockets and 58 patients (25 men, 33 women; mean age 42) received conventional implant treatment in healed ridges. Three implants failed in the extraction group and one implant failed in the healed group, all failures occurred before the final crown placement. No further losses occurred during 3 years, giving a statistically comparable survival rate of 94.6% and 98.3%, respectively. The total bone loss after 3 years, compared to implant placement was 0.4 mm (
<fc>SD</fc>
1.5) in healed sites, whilst the immediate sites showed a bone gain of 1.6 mm (
<fc>SD</fc>
2.4) due to bone fill in the alveolus. Papillae retracted with 0.3 and 0.0 mm in the period of provisionalization, but grew back after final crown was placed with 0.3 and 0.5 mm in extraction and healed sites respectively after 3 years. Plaque and inflammation scores were very low throughout the study time, irrespective of treatment modality.</p>
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<title type="main">Conclusions</title>
<p>Immediate implants restored at the day of surgery show comparable risk for implant failure, bone loss and midfacial soft tissue recession compared to conventionally installed implants. The 3‐years results suggest both hard and soft tissue stability.</p>
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<namePart type="given">Hugo</namePart>
<namePart type="family">De Bruyn</namePart>
<affiliation>Department of Periodontology and Oral Implantology, Faculty of Medicine and Health Sciences, Dental School, University of Ghent Belgium, Department of Prosthodontics, University of Malmo, Malmo, Sweden</affiliation>
<affiliation>:University of GhentFaculty of Medicine and Health SciencesDental SchoolDepartment of Periodontology and Oral ImplantologyDe Pintelaan 185B‐9000 GhentBelgiumTel.: +32 93 324 017Fax: +32 93 323 851e‐mail:</affiliation>
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<abstract>The purpose of this prospective multicenter clinical study was to compare 3 years implant survival, bone and soft tissue changes following immediate loading using single Osseospeed™ implants (Astra Tech AB, Mölndal, Sweden) installed in healed ridges or extraction sockets.</abstract>
<abstract>Implants were provisionally restored the day of surgery using cemented acrylic crowns out of full occlusion. The provisional crowns were replaced after 12 weeks by full‐ceramic crowns. Implant survival, bone levels, soft tissue levels and peri‐implant health were monitored up to 3 years.</abstract>
<abstract>55 patients (22 men, 33 women; mean age 45) had the implant installed in extraction sockets and 58 patients (25 men, 33 women; mean age 42) received conventional implant treatment in healed ridges. Three implants failed in the extraction group and one implant failed in the healed group, all failures occurred before the final crown placement. No further losses occurred during 3 years, giving a statistically comparable survival rate of 94.6% and 98.3%, respectively. The total bone loss after 3 years, compared to implant placement was 0.4 mm (SD 1.5) in healed sites, whilst the immediate sites showed a bone gain of 1.6 mm (SD 2.4) due to bone fill in the alveolus. Papillae retracted with 0.3 and 0.0 mm in the period of provisionalization, but grew back after final crown was placed with 0.3 and 0.5 mm in extraction and healed sites respectively after 3 years. Plaque and inflammation scores were very low throughout the study time, irrespective of treatment modality.</abstract>
<abstract>Immediate implants restored at the day of surgery show comparable risk for implant failure, bone loss and midfacial soft tissue recession compared to conventionally installed implants. The 3‐years results suggest both hard and soft tissue stability.</abstract>
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