Long‐Term Clinical, Microbiological, and Radiographic Outcomes of Brånemark™ Implants Installed in Augmented Maxillary Bone for Fixed Full‐Arch Rehabilitation
Identifieur interne : 005631 ( Istex/Corpus ); précédent : 005630; suivant : 005632Long‐Term Clinical, Microbiological, and Radiographic Outcomes of Brånemark™ Implants Installed in Augmented Maxillary Bone for Fixed Full‐Arch Rehabilitation
Auteurs : Hugo De Bruyn ; Peter Bouvry ; Bruno Collaert ; Calix De Clercq ; G. Rutger Persson ; Jan CosynSource :
- Clinical Implant Dentistry and Related Research [ 1523-0899 ] ; 2013-02.
English descriptors
- KwdEn :
- Alveolar ridge augmentation, Anterior maxilla, Atcc, Atrophic maxilla, Augmentation, Bacterial levels, Bone augmentation, Bone blocks, Bone level, Bone levels, Bone loss, Calvarium bone grafts, Cancellous bone, Checkerboard hybridization, Clin, Clin implant dent relat, Clinical conditions, Clinical implant dentistry, Clinical outcome, Clinical parameters, Crestal incision, Deep pockets, Dental implants, Dental school, Dentistry, Detection frequencies, Detection frequency, Edentulous maxillae, Frequency distribution, Frequency distributions, Ghent, Graft, Graft resorption, Health sciences, High numbers, High variation, Iliac, Iliac crest, Iliac crest bone, Iliac maxilla, Iliac maxillary bone, Implant, Implant bridge, Implant failure, Implant level, Implant mobility, Implant placement, Implant surgery, Inclusion criteria, Interexaminer reliability, Leptotrichia buccalis, Maxilla, Maxillary, Maxillary bone, Maxillofac, Maxillofacial surgeon, Microbiological, Microbiological analysis, Microbiological conditions, Model quality, Nobel biocare, Onlay, Oral hygiene, Oral implantology, Oral maxillofac implants, Oral maxillofac surg, Oral microbiol immunol, Oral surg, Patient factor, Patient level, Periodontal, Periodontal disease, Periodontal practice, Periodontology, Plaque, Plaque index, Primary outcome, Radiographic evaluation, Regression analysis, Regression model, Resorption, Shallow pockets, Sinus, Sinus augmentation, Standard deviation, Streptococcus, Surg, Tannerella forsythia, Third implant thread, Titanium, Titanium implants, Visible contact.
- Teeft :
- Alveolar ridge augmentation, Anterior maxilla, Atcc, Atrophic maxilla, Augmentation, Bacterial levels, Bone augmentation, Bone blocks, Bone level, Bone levels, Bone loss, Calvarium bone grafts, Cancellous bone, Checkerboard hybridization, Clin, Clin implant dent relat, Clinical conditions, Clinical implant dentistry, Clinical outcome, Clinical parameters, Crestal incision, Deep pockets, Dental implants, Dental school, Dentistry, Detection frequencies, Detection frequency, Edentulous maxillae, Frequency distribution, Frequency distributions, Ghent, Graft, Graft resorption, Health sciences, High numbers, High variation, Iliac, Iliac crest, Iliac crest bone, Iliac maxilla, Iliac maxillary bone, Implant, Implant bridge, Implant failure, Implant level, Implant mobility, Implant placement, Implant surgery, Inclusion criteria, Interexaminer reliability, Leptotrichia buccalis, Maxilla, Maxillary, Maxillary bone, Maxillofac, Maxillofacial surgeon, Microbiological, Microbiological analysis, Microbiological conditions, Model quality, Nobel biocare, Onlay, Oral hygiene, Oral implantology, Oral maxillofac implants, Oral maxillofac surg, Oral microbiol immunol, Oral surg, Patient factor, Patient level, Periodontal, Periodontal disease, Periodontal practice, Periodontology, Plaque, Plaque index, Primary outcome, Radiographic evaluation, Regression analysis, Regression model, Resorption, Shallow pockets, Sinus, Sinus augmentation, Standard deviation, Streptococcus, Surg, Tannerella forsythia, Third implant thread, Titanium, Titanium implants, Visible contact.
Abstract
Purpose: The purpose of this study was to document the long‐term outcome of Brånemark implants installed in augmented maxillary bone and to identify parameters that are associated with peri‐implant bone level.
Url:
DOI: 10.1111/j.1708-8208.2011.00359.x
Links to Exploration step
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<front><div type="abstract">Purpose: The purpose of this study was to document the long‐term outcome of Brånemark implants installed in augmented maxillary bone and to identify parameters that are associated with peri‐implant bone level.</div>
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<profileDesc><abstract xml:lang="en" style="main"><head>ABSTRACT</head>
<p><hi rend="bold">Purpose:</hi>
The purpose of this study was to document the long‐term outcome of Brånemark implants installed in augmented maxillary bone and to identify parameters that are associated with peri‐implant bone level.</p>
<p><hi rend="bold">Material and Methods:</hi>
Patients of a periodontal practice who had been referred to a maxillofacial surgeon for iliac crest bone grafting in the atrophic maxilla were retrospectively recruited. Five months following grafting, they received 7–8 turned Brånemark implants. Following submerged healing of another 5 months, implants were uncovered and restorative procedures for fixed rehabilitation were initiated 2–3 months thereafter. The primary outcome variable was bone level defined as the distance from the implant‐abutment interface to the first visible bone‐to‐implant contact. Secondary outcome variables included plaque index, bleeding index, probing depth, and levels of 40 species in subgingival plaque samples as identified by means of checkerboard DNA–DNA hybridization.</p>
<p><hi rend="bold">Results:</hi>
Nine out of 16 patients (eight females, one male; mean age 59) with 71 implants agreed to come in for evaluation after on average 9 years (SD 4; range 3–13) of function. One implant was deemed mobile at the time of inspection. Clinical conditions were acceptable with 11% of the implants showing pockets ≥ 5 mm. Periodontopathogens were encountered frequently and in high numbers. Clinical parameters and bacterial levels were highly patient dependent. The mean bone level was 2.30 mm (SD 1.53; range 0.00–6.95), with 23% of the implants demonstrating advanced resorption (bone level > 3 mm). Regression analysis showed a significant association of the patient (<hi rend="italic">p</hi>
< .001) and plaque index (<hi rend="italic">p</hi>
= .007) with bone level.</p>
<p><hi rend="bold">Conclusions:</hi>
The long‐term outcome of Brånemark implants installed in iliac crest‐augmented maxillary bone is acceptable; however, advanced peri‐implant bone loss is rather common and indicative of graft resorption. This phenomenon is patient dependent and seems also associated with oral hygiene.</p>
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<p><b>Purpose:</b>
The purpose of this study was to document the long‐term outcome of Brånemark implants installed in augmented maxillary bone and to identify parameters that are associated with peri‐implant bone level.</p>
<p><b>Material and Methods:</b>
Patients of a periodontal practice who had been referred to a maxillofacial surgeon for iliac crest bone grafting in the atrophic maxilla were retrospectively recruited. Five months following grafting, they received 7–8 turned Brånemark implants. Following submerged healing of another 5 months, implants were uncovered and restorative procedures for fixed rehabilitation were initiated 2–3 months thereafter. The primary outcome variable was bone level defined as the distance from the implant‐abutment interface to the first visible bone‐to‐implant contact. Secondary outcome variables included plaque index, bleeding index, probing depth, and levels of 40 species in subgingival plaque samples as identified by means of checkerboard DNA–DNA hybridization.</p>
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Nine out of 16 patients (eight females, one male; mean age 59) with 71 implants agreed to come in for evaluation after on average 9 years (SD 4; range 3–13) of function. One implant was deemed mobile at the time of inspection. Clinical conditions were acceptable with 11% of the implants showing pockets ≥ 5 mm. Periodontopathogens were encountered frequently and in high numbers. Clinical parameters and bacterial levels were highly patient dependent. The mean bone level was 2.30 mm (SD 1.53; range 0.00–6.95), with 23% of the implants demonstrating advanced resorption (bone level > 3 mm). Regression analysis showed a significant association of the patient (<i>p</i>
< .001) and plaque index (<i>p</i>
= .007) with bone level.</p>
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The long‐term outcome of Brånemark implants installed in iliac crest‐augmented maxillary bone is acceptable; however, advanced peri‐implant bone loss is rather common and indicative of graft resorption. This phenomenon is patient dependent and seems also associated with oral hygiene.</p>
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<originInfo><publisher>Blackwell Publishing Ltd</publisher>
<place><placeTerm type="text">Oxford, UK</placeTerm>
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<dateIssued encoding="w3cdtf">2013-02</dateIssued>
<copyrightDate encoding="w3cdtf">2013</copyrightDate>
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<language><languageTerm type="code" authority="rfc3066">en</languageTerm>
<languageTerm type="code" authority="iso639-2b">eng</languageTerm>
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<abstract>Purpose: The purpose of this study was to document the long‐term outcome of Brånemark implants installed in augmented maxillary bone and to identify parameters that are associated with peri‐implant bone level.</abstract>
<abstract>Material and Methods: Patients of a periodontal practice who had been referred to a maxillofacial surgeon for iliac crest bone grafting in the atrophic maxilla were retrospectively recruited. Five months following grafting, they received 7–8 turned Brånemark implants. Following submerged healing of another 5 months, implants were uncovered and restorative procedures for fixed rehabilitation were initiated 2–3 months thereafter. The primary outcome variable was bone level defined as the distance from the implant‐abutment interface to the first visible bone‐to‐implant contact. Secondary outcome variables included plaque index, bleeding index, probing depth, and levels of 40 species in subgingival plaque samples as identified by means of checkerboard DNA–DNA hybridization.</abstract>
<abstract>Results: Nine out of 16 patients (eight females, one male; mean age 59) with 71 implants agreed to come in for evaluation after on average 9 years (SD 4; range 3–13) of function. One implant was deemed mobile at the time of inspection. Clinical conditions were acceptable with 11% of the implants showing pockets ≥ 5 mm. Periodontopathogens were encountered frequently and in high numbers. Clinical parameters and bacterial levels were highly patient dependent. The mean bone level was 2.30 mm (SD 1.53; range 0.00–6.95), with 23% of the implants demonstrating advanced resorption (bone level > 3 mm). Regression analysis showed a significant association of the patient (p < .001) and plaque index (p = .007) with bone level.</abstract>
<abstract>Conclusions: The long‐term outcome of Brånemark implants installed in iliac crest‐augmented maxillary bone is acceptable; however, advanced peri‐implant bone loss is rather common and indicative of graft resorption. This phenomenon is patient dependent and seems also associated with oral hygiene.</abstract>
<subject lang="en"><genre>keywords</genre>
<topic>bone augmentation</topic>
<topic>bone level</topic>
<topic>dental implant</topic>
<topic>maxilla</topic>
<topic>microbiology</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>
<subject><genre>article-category</genre>
<topic>ARTICLE</topic>
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<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>2013</date>
<detail type="volume"><caption>vol.</caption>
<number>15</number>
</detail>
<detail type="issue"><caption>no.</caption>
<number>1</number>
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<extent unit="pages"><start>73</start>
<end>82</end>
<total>10</total>
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<identifier type="istex">AD2DDBA6FDDB281E4EB7D7D2E407F1585BCB4D25</identifier>
<identifier type="ark">ark:/67375/WNG-C1K3MK9K-B</identifier>
<identifier type="DOI">10.1111/j.1708-8208.2011.00359.x</identifier>
<identifier type="ArticleID">CID359</identifier>
<accessCondition type="use and reproduction" contentType="copyright">Copyright © 2013 Wiley Periodicals, Inc.© 2011 Wiley Periodicals, Inc.</accessCondition>
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