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The clinical and radiographic outcome of implants placed in the posterior maxilla with a guided flapless approach and immediately restored with a provisional rehabilitation: a randomized clinical trial

Identifieur interne : 005507 ( Istex/Corpus ); précédent : 005506; suivant : 005508

The clinical and radiographic outcome of implants placed in the posterior maxilla with a guided flapless approach and immediately restored with a provisional rehabilitation: a randomized clinical trial

Auteurs : T. Van De Velde ; L. Sennerby ; H. De Bruyn

Source :

RBID : ISTEX:AA721A7B63AFC29E2C15EA73B22F43037DCCC079

English descriptors

Abstract

Objectives: To evaluate and compare the outcome of dental implants placed using a flapless protocol and immediate loading with a conventional protocol and loading after 6 weeks.

Url:
DOI: 10.1111/j.1600-0501.2010.01924.x

Links to Exploration step

ISTEX:AA721A7B63AFC29E2C15EA73B22F43037DCCC079

Le document en format XML

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To evaluate and compare the outcome of dental implants placed using a flapless protocol and immediate loading with a conventional protocol and loading after 6 weeks.</p>
<p>
<hi rend="bold">Materials and methods: </hi>
Fourteen patients with bilateral maxillary edentulous areas were treated using Straumann SLA‐implants. Using a randomized split‐mouth design, implants were placed in one side of the maxilla using a stereolithographic surgical guide for flapless surgery and immediately loaded on temporary abutments with a bridge (test). Implants in the other side were placed using the conventional protocol and loaded after 6 weeks of healing (control). Clinical and radiographic evaluation of peri‐implant tissues was performed at time of implant surgery, and after 1 week, 6 weeks, 3, 6, 12 and 18 months.</p>
<p>
<hi rend="bold">Results: </hi>
A total of 70 implants were placed (36 test and 34 control). One implant (test) was lost after 3 months, resulting in a survival rate of 97.3% for the test implants and 100% for the control implants. Marginal bone levels were not statistically significantly different between the test and control implants but at baseline the marginal bone level was significantly lower compared to the other evaluation periods (
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<hi rend="bold">Conclusion: </hi>
Implants can successfully integrate in the posterior maxilla using a flapless approach with immediate loading similar to a conventional protocol. The mucosal tissues around implants placed with a conventional flap changed significantly compared with flapless placed implants.</p>
<p>
<hi rend="bold">To cite this article:</hi>

Van de Velde T, Sennerby L, De Bruyn H. The clinical and radiographic outcome of implants placed in the posterior maxilla with a guided flapless approach and immediately restored with a provisional rehabilitation: a randomized clinical trial.

<hi rend="italic">Clin. Oral Impl. Res</hi>
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<hi rend="bold">21</hi>
, 2010; 1223–1233.
doi: 10.1111/j.1600‐0501.2009.01924.x</p>
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<i>Dr Tommie L. A. Van de Velde</i>

Department of Periodontology and Oral Implantology
University of Ghent
De Pintelaan 185
Ghent 9000
Belgium
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Supporting information in accordance with the CONSORT Statement 2001 checklist used in reporting randomized trials.</p>
<p>Please note: Wiley‐Blackwell is not responsible for the content or functionality of any supporting materials supplied by the authors. Any queries (other than missing material) should be directed to the corresponding author for the article.</p>
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<b>Objectives: </b>
To evaluate and compare the outcome of dental implants placed using a flapless protocol and immediate loading with a conventional protocol and loading after 6 weeks.</p>
<p>
<b>Materials and methods: </b>
Fourteen patients with bilateral maxillary edentulous areas were treated using Straumann SLA‐implants. Using a randomized split‐mouth design, implants were placed in one side of the maxilla using a stereolithographic surgical guide for flapless surgery and immediately loaded on temporary abutments with a bridge (test). Implants in the other side were placed using the conventional protocol and loaded after 6 weeks of healing (control). Clinical and radiographic evaluation of peri‐implant tissues was performed at time of implant surgery, and after 1 week, 6 weeks, 3, 6, 12 and 18 months.</p>
<p>
<b>Results: </b>
A total of 70 implants were placed (36 test and 34 control). One implant (test) was lost after 3 months, resulting in a survival rate of 97.3% for the test implants and 100% for the control implants. Marginal bone levels were not statistically significantly different between the test and control implants but at baseline the marginal bone level was significantly lower compared to the other evaluation periods (
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<p>
<b>Conclusion: </b>
Implants can successfully integrate in the posterior maxilla using a flapless approach with immediate loading similar to a conventional protocol. The mucosal tissues around implants placed with a conventional flap changed significantly compared with flapless placed implants.</p>
<p>
<b>To cite this article:</b>

Van de Velde T, Sennerby L, De Bruyn H. The clinical and radiographic outcome of implants placed in the posterior maxilla with a guided flapless approach and immediately restored with a provisional rehabilitation: a randomized clinical trial.

<i>Clin. Oral Impl. Res</i>
.
<b>21</b>
, 2010; 1223–1233.
doi: 10.1111/j.1600‐0501.2009.01924.x</p>
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<abstract>Objectives: To evaluate and compare the outcome of dental implants placed using a flapless protocol and immediate loading with a conventional protocol and loading after 6 weeks.</abstract>
<abstract>Materials and methods: Fourteen patients with bilateral maxillary edentulous areas were treated using Straumann SLA‐implants. Using a randomized split‐mouth design, implants were placed in one side of the maxilla using a stereolithographic surgical guide for flapless surgery and immediately loaded on temporary abutments with a bridge (test). Implants in the other side were placed using the conventional protocol and loaded after 6 weeks of healing (control). Clinical and radiographic evaluation of peri‐implant tissues was performed at time of implant surgery, and after 1 week, 6 weeks, 3, 6, 12 and 18 months.</abstract>
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<abstract>Conclusion: Implants can successfully integrate in the posterior maxilla using a flapless approach with immediate loading similar to a conventional protocol. The mucosal tissues around implants placed with a conventional flap changed significantly compared with flapless placed implants.</abstract>
<abstract>To cite this article: 
Van de Velde T, Sennerby L, De Bruyn H. The clinical and radiographic outcome of implants placed in the posterior maxilla with a guided flapless approach and immediately restored with a provisional rehabilitation: a randomized clinical trial.
Clin. Oral Impl. Res. 21, 2010; 1223–1233.
doi: 10.1111/j.1600‐0501.2009.01924.x</abstract>
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