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Immediate Loading of Two Implants with a Mandibular Implant‐Retained Overdenture: A New Treatment Protocol

Identifieur interne : 005455 ( Istex/Corpus ); précédent : 005454; suivant : 005456

Immediate Loading of Two Implants with a Mandibular Implant‐Retained Overdenture: A New Treatment Protocol

Auteurs : Geert T. Stoker ; Daniel Wismeijer

Source :

RBID : ISTEX:A92E045A71BAD745DD82716E4474A56F40826279

English descriptors

Abstract

Purpose: The aim of this study was to present the clinical outcomes of the immediate loading of two bar‐splinted implants retaining a mandibular overdenture.

Url:
DOI: 10.1111/j.1708-8208.2009.00210.x

Links to Exploration step

ISTEX:A92E045A71BAD745DD82716E4474A56F40826279

Le document en format XML

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<hi rend="bold">Purpose:</hi>
The aim of this study was to present the clinical outcomes of the immediate loading of two bar‐splinted implants retaining a mandibular overdenture.</p>
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<hi rend="bold">Materials and Methods:</hi>
In a clinical trial, 124 edentulous patients were treated according to a new treatment concept, which involves the immediate loading of two bar‐splinted SLActive implants with an implant‐retained mandibular overdenture. The new conventional mandibular denture is used as a template for implant positioning and as an impression tray, and for mounting the retention clip by the dental laboratory. At the same day the implants are placed, the conventional denture is converted into an implant‐retained overdenture. During the healing and evaluation period, resonance frequency analysis (RFA) was undertaken to assess the effect of loading on implant stability and survival.</p>
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<hi rend="bold">Results:</hi>
The survival rate of the implants was 98.8% during the evaluation period (12–40 months). Only 3 of the 248 implants were lost. During the healing (osseointegration) phase, the implant‐stability quotient increased significantly (
<hi rend="italic">p</hi>
 = .0001). During the evaluation period, four patients (3%) needed a relining of their mandibular overdenture, whereas 13 patients (11%) needed relining of the maxillary denture.</p>
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<hi rend="bold">Conclusions:</hi>
Two interconnected implants can be successfully loaded by a mandibular overdenture at the same day of implant placement with a high survival rate of the implants. Only a few patients needed additional relining of the overdenture. Repeated RFA measurements can be useful in gauging implant stability and survival.</p>
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<correspondenceTo>Dr. Geert T. Stoker, Hogeweg 5, NL‐3212 LG Simonshaven, The Netherlands; e‐mail:
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<title type="main">Immediate Loading of Two Implants with a Mandibular Implant‐Retained Overdenture: A New Treatment Protocol</title>
<title type="shortAuthors">Clinical Implant Dentistry and Related Research, Volume *, Number *, 2009</title>
<title type="short">Immediate Loading – A New Mandibular Two‐Implant Overdenture Concept</title>
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<unparsedAffiliation>Academic Centre for Dentistry Amsterdam (ACTA), Research Institute MOVE, University of Amsterdam and VU University Amsterdam, Department of Oral Implantology and Prostodontics, Amsterdam, The Netherlands, and private practice, implantology and prosthodontic dentistry, Rotterdam (Spijkenisse), The Netherlands;</unparsedAffiliation>
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<keyword xml:id="k1">clinical trial</keyword>
<keyword xml:id="k2">immediate loading</keyword>
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<b>Purpose:</b>
The aim of this study was to present the clinical outcomes of the immediate loading of two bar‐splinted implants retaining a mandibular overdenture.</p>
<p>
<b>Materials and Methods:</b>
In a clinical trial, 124 edentulous patients were treated according to a new treatment concept, which involves the immediate loading of two bar‐splinted SLActive implants with an implant‐retained mandibular overdenture. The new conventional mandibular denture is used as a template for implant positioning and as an impression tray, and for mounting the retention clip by the dental laboratory. At the same day the implants are placed, the conventional denture is converted into an implant‐retained overdenture. During the healing and evaluation period, resonance frequency analysis (RFA) was undertaken to assess the effect of loading on implant stability and survival.</p>
<p>
<b>Results:</b>
The survival rate of the implants was 98.8% during the evaluation period (12–40 months). Only 3 of the 248 implants were lost. During the healing (osseointegration) phase, the implant‐stability quotient increased significantly (
<i>p</i>
 = .0001). During the evaluation period, four patients (3%) needed a relining of their mandibular overdenture, whereas 13 patients (11%) needed relining of the maxillary denture.</p>
<p>
<b>Conclusions:</b>
Two interconnected implants can be successfully loaded by a mandibular overdenture at the same day of implant placement with a high survival rate of the implants. Only a few patients needed additional relining of the overdenture. Repeated RFA measurements can be useful in gauging implant stability and survival.</p>
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<abstract>Purpose: The aim of this study was to present the clinical outcomes of the immediate loading of two bar‐splinted implants retaining a mandibular overdenture.</abstract>
<abstract>Materials and Methods: In a clinical trial, 124 edentulous patients were treated according to a new treatment concept, which involves the immediate loading of two bar‐splinted SLActive implants with an implant‐retained mandibular overdenture. The new conventional mandibular denture is used as a template for implant positioning and as an impression tray, and for mounting the retention clip by the dental laboratory. At the same day the implants are placed, the conventional denture is converted into an implant‐retained overdenture. During the healing and evaluation period, resonance frequency analysis (RFA) was undertaken to assess the effect of loading on implant stability and survival.</abstract>
<abstract>Results: The survival rate of the implants was 98.8% during the evaluation period (12–40 months). Only 3 of the 248 implants were lost. During the healing (osseointegration) phase, the implant‐stability quotient increased significantly (p = .0001). During the evaluation period, four patients (3%) needed a relining of their mandibular overdenture, whereas 13 patients (11%) needed relining of the maxillary denture.</abstract>
<abstract>Conclusions: Two interconnected implants can be successfully loaded by a mandibular overdenture at the same day of implant placement with a high survival rate of the implants. Only a few patients needed additional relining of the overdenture. Repeated RFA measurements can be useful in gauging implant stability and survival.</abstract>
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