3‐Year Prospective Multicenter Study on One‐Stage Implant Surgery and Early Loading in the Edentulous Mandible
Identifieur interne : 005770 ( Istex/Corpus ); précédent : 005769; suivant : 0057713‐Year Prospective Multicenter Study on One‐Stage Implant Surgery and Early Loading in the Edentulous Mandible
Auteurs : Gerry M. Raghoebar ; Bertil Friberg ; Ingrid Grunert ; John A. Hobkirk ; Gabor Tepper ; Inger WendelhagSource :
- Clinical Implant Dentistry and Related Research [ 1523-0899 ] ; 2003-05.
English descriptors
- KwdEn :
- Abutment, Acta odontol scand, Appl osseointegration, Bone height, Bone quality, Briinemark system, Brinemark, Brinemark system, Brinemark zarb, Clin, Clin implant dent relat, Clinical dentistry, Clinical implant dentistry, Clinical study, Corresponding figures, Critical analysis, Cumulative survival rates, Dent, Dental implantology, Dental implants, Dentistry, Early loading, Edentulous, Edentulous mandible, Edentulous mandibles, Endosseous, Endosseous implants, First year, Good implant survival, Healing period, Immediate loading, Implant, Implant insertion, Implant losses, Implant placement, Implant stability, Implant survival, Insertion, Lower denture, Machined brinemark system implants, Mandible, Mandibular edentulism, Mandibular overdentures, Marginal bone levels, Marginal bone loss, Marginal bone resorption, Maxillofacial surgery, Multicenter, Nobel biocare, Normal periimplant mucosa, Oral maxillofac implants, Osseointegrated implants, Osseointegration, Overdenture, Overdentures, Oxidized implants, Periimplant, Periimplant conditions, Periodontal disease, Plaque, Present study, Primary stability, Proper periimplant health, Prospective multicenter study, Prosthesis, Prosthesis insertion, Prosthetic, Prosthetic construction, Prosthetic constructions, Prosthetic dentistry, Quintessence publishing company, Relative change, Resonance frequency analysis, Secondary stability, Soft tissue, Soft tissue barrier, Stability measurements, Standard abutments, Success rates, Surgical, Survival rates, Temporary denture, University hospital groningen.
- Teeft :
- Abutment, Acta odontol scand, Appl osseointegration, Bone height, Bone quality, Briinemark system, Brinemark, Brinemark system, Brinemark zarb, Clin, Clin implant dent relat, Clinical dentistry, Clinical implant dentistry, Clinical study, Corresponding figures, Critical analysis, Cumulative survival rates, Dent, Dental implantology, Dental implants, Dentistry, Early loading, Edentulous, Edentulous mandible, Edentulous mandibles, Endosseous, Endosseous implants, First year, Good implant survival, Healing period, Immediate loading, Implant, Implant insertion, Implant losses, Implant placement, Implant stability, Implant survival, Insertion, Lower denture, Machined brinemark system implants, Mandible, Mandibular edentulism, Mandibular overdentures, Marginal bone levels, Marginal bone loss, Marginal bone resorption, Maxillofacial surgery, Multicenter, Nobel biocare, Normal periimplant mucosa, Oral maxillofac implants, Osseointegrated implants, Osseointegration, Overdenture, Overdentures, Oxidized implants, Periimplant, Periimplant conditions, Periodontal disease, Plaque, Present study, Primary stability, Proper periimplant health, Prospective multicenter study, Prosthesis, Prosthesis insertion, Prosthetic, Prosthetic construction, Prosthetic constructions, Prosthetic dentistry, Quintessence publishing company, Relative change, Resonance frequency analysis, Secondary stability, Soft tissue, Soft tissue barrier, Stability measurements, Standard abutments, Success rates, Surgical, Survival rates, Temporary denture, University hospital groningen.
Abstract
Background: The long‐term success rates achieved in dental implantology suggest that flexibility might well exist within the various implant systems to a degree that an altered protocol (ie, one‐stage surgery and immediate or early loading) can be performed under controlled conditions. However, before variations of the protocol can be considered for general use, they must be subjected to critical analysis, particularly with respect to the predictability of osseointegration, alteration of soft tissue barrier, and relative change in bone height around the implants. Purpose: The aim of this prospective multicenter study was to evaluate implant survival and periimplant conditions around endosseous implants placed in a one‐stage surgical procedure and early loading. Materials and Methods: A total of 170 implants were placed in 40 patients with mandibular edentulism and were functionally loaded within 6 weeks with overdentures (n = 30) or fixed prostheses (n = 10). All patients and prosthetic constructions were evaluated according to a standardized protocol during 3 years of follow‐up. Cumulative implant survival rates were calculated, and implant loss in relation to implant size and bone quality and quantity were evaluated. Furthermore, the protocol included assessment of clinical (plaque and bleeding scores, prosthesis stability) and radiographic parameters. Results: Over a period of 3 years, the implant survival rate was 93% for both implants and prostheses (fixed or removable). No implants were lost after the first year of loading. The periimplant tissues were in a healthy condition. Mean marginal bone resorption from the time of loading to the 3‐year follow‐up was 0.41 mm (SD 0.52). Conclusions: From this study it may be concluded that early loading results in good implant survival and proper periimplant health in edentulous mandibles.
Url:
DOI: 10.1111/j.1708-8208.2003.tb00180.x
Links to Exploration step
ISTEX:AFB3E6031239D70B07A830F25D8F1AFB3FEF6345Le document en format XML
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Raghoebar</name><affiliation><mods:affiliation>Department of Oral and Maxillofacial Surgery and Maxillofacial Prosthetics, University Hospital Groningen, The Netherlands</mods:affiliation></affiliation><affiliation><mods:affiliation>E-mail: g.m.raghoebar@kchir.azg.nl</mods:affiliation></affiliation></author><author><name sortKey="Friberg, Bertil" sort="Friberg, Bertil" uniqKey="Friberg B" first="Bertil" last="Friberg">Bertil Friberg</name><affiliation><mods:affiliation>The Brånemark Clinic, Public Dental Health, Gothenburg, Sweden</mods:affiliation></affiliation></author><author><name sortKey="Grunert, Ingrid" sort="Grunert, Ingrid" uniqKey="Grunert I" first="Ingrid" last="Grunert">Ingrid Grunert</name><affiliation><mods:affiliation>Department of Prosthetic Dentistry, University of Innsbruck, Innsbruck, Austria</mods:affiliation></affiliation></author><author><name sortKey="Hobkirk, John A" sort="Hobkirk, John A" uniqKey="Hobkirk J" first="John A." last="Hobkirk">John A. 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Raghoebar</name><affiliation><mods:affiliation>Department of Oral and Maxillofacial Surgery and Maxillofacial Prosthetics, University Hospital Groningen, The Netherlands</mods:affiliation></affiliation><affiliation><mods:affiliation>E-mail: g.m.raghoebar@kchir.azg.nl</mods:affiliation></affiliation></author><author><name sortKey="Friberg, Bertil" sort="Friberg, Bertil" uniqKey="Friberg B" first="Bertil" last="Friberg">Bertil Friberg</name><affiliation><mods:affiliation>The Brånemark Clinic, Public Dental Health, Gothenburg, Sweden</mods:affiliation></affiliation></author><author><name sortKey="Grunert, Ingrid" sort="Grunert, Ingrid" uniqKey="Grunert I" first="Ingrid" last="Grunert">Ingrid Grunert</name><affiliation><mods:affiliation>Department of Prosthetic Dentistry, University of Innsbruck, Innsbruck, Austria</mods:affiliation></affiliation></author><author><name sortKey="Hobkirk, John A" sort="Hobkirk, John A" uniqKey="Hobkirk J" first="John A." last="Hobkirk">John A. Hobkirk</name><affiliation><mods:affiliation>Department of Prosthetic Dentistry, Eastman Dental Institute, University College, London, UK</mods:affiliation></affiliation></author><author><name sortKey="Tepper, Gabor" sort="Tepper, Gabor" uniqKey="Tepper G" first="Gabor" last="Tepper">Gabor Tepper</name><affiliation><mods:affiliation>Department of Oral Surgery, School of Dentistry, Vienna, Austria</mods:affiliation></affiliation></author><author><name sortKey="Wendelhag, Inger" sort="Wendelhag, Inger" uniqKey="Wendelhag I" first="Inger" last="Wendelhag">Inger Wendelhag</name><affiliation><mods:affiliation>Nobel Biocare AB, Gothenburg, Sweden</mods:affiliation></affiliation></author></analytic><monogr></monogr><series><title level="j" type="main">Clinical Implant Dentistry and Related Research</title><title level="j" type="alt">CLINICAL IMPLANT DENTISTRY RELATED RESEARCH</title><idno type="ISSN">1523-0899</idno><idno type="eISSN">1708-8208</idno><imprint><biblScope unit="vol">5</biblScope><biblScope unit="issue">1</biblScope><biblScope unit="page" from="39">39</biblScope><biblScope unit="page" to="46">46</biblScope><biblScope unit="page-count">8</biblScope><publisher>Blackwell Publishing Ltd</publisher><pubPlace>Oxford, UK</pubPlace><date type="published" when="2003-05">2003-05</date></imprint><idno type="ISSN">1523-0899</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">1523-0899</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Abutment</term><term>Acta odontol scand</term><term>Appl osseointegration</term><term>Bone height</term><term>Bone quality</term><term>Briinemark system</term><term>Brinemark</term><term>Brinemark system</term><term>Brinemark zarb</term><term>Clin</term><term>Clin implant dent relat</term><term>Clinical dentistry</term><term>Clinical implant dentistry</term><term>Clinical study</term><term>Corresponding figures</term><term>Critical analysis</term><term>Cumulative survival rates</term><term>Dent</term><term>Dental implantology</term><term>Dental implants</term><term>Dentistry</term><term>Early loading</term><term>Edentulous</term><term>Edentulous mandible</term><term>Edentulous mandibles</term><term>Endosseous</term><term>Endosseous implants</term><term>First year</term><term>Good implant survival</term><term>Healing period</term><term>Immediate loading</term><term>Implant</term><term>Implant insertion</term><term>Implant losses</term><term>Implant placement</term><term>Implant stability</term><term>Implant survival</term><term>Insertion</term><term>Lower denture</term><term>Machined brinemark system implants</term><term>Mandible</term><term>Mandibular edentulism</term><term>Mandibular overdentures</term><term>Marginal bone levels</term><term>Marginal bone loss</term><term>Marginal bone resorption</term><term>Maxillofacial surgery</term><term>Multicenter</term><term>Nobel biocare</term><term>Normal periimplant mucosa</term><term>Oral maxillofac implants</term><term>Osseointegrated implants</term><term>Osseointegration</term><term>Overdenture</term><term>Overdentures</term><term>Oxidized implants</term><term>Periimplant</term><term>Periimplant conditions</term><term>Periodontal disease</term><term>Plaque</term><term>Present study</term><term>Primary stability</term><term>Proper periimplant health</term><term>Prospective multicenter study</term><term>Prosthesis</term><term>Prosthesis insertion</term><term>Prosthetic</term><term>Prosthetic construction</term><term>Prosthetic constructions</term><term>Prosthetic dentistry</term><term>Quintessence publishing company</term><term>Relative change</term><term>Resonance frequency analysis</term><term>Secondary stability</term><term>Soft tissue</term><term>Soft tissue barrier</term><term>Stability measurements</term><term>Standard abutments</term><term>Success rates</term><term>Surgical</term><term>Survival rates</term><term>Temporary denture</term><term>University hospital groningen</term></keywords><keywords scheme="Teeft" xml:lang="en"><term>Abutment</term><term>Acta odontol scand</term><term>Appl osseointegration</term><term>Bone height</term><term>Bone quality</term><term>Briinemark system</term><term>Brinemark</term><term>Brinemark system</term><term>Brinemark zarb</term><term>Clin</term><term>Clin implant dent relat</term><term>Clinical dentistry</term><term>Clinical implant dentistry</term><term>Clinical study</term><term>Corresponding figures</term><term>Critical analysis</term><term>Cumulative survival rates</term><term>Dent</term><term>Dental implantology</term><term>Dental implants</term><term>Dentistry</term><term>Early loading</term><term>Edentulous</term><term>Edentulous mandible</term><term>Edentulous mandibles</term><term>Endosseous</term><term>Endosseous implants</term><term>First year</term><term>Good implant survival</term><term>Healing period</term><term>Immediate loading</term><term>Implant</term><term>Implant insertion</term><term>Implant losses</term><term>Implant placement</term><term>Implant stability</term><term>Implant survival</term><term>Insertion</term><term>Lower denture</term><term>Machined brinemark system implants</term><term>Mandible</term><term>Mandibular edentulism</term><term>Mandibular overdentures</term><term>Marginal bone levels</term><term>Marginal bone loss</term><term>Marginal bone resorption</term><term>Maxillofacial surgery</term><term>Multicenter</term><term>Nobel biocare</term><term>Normal periimplant mucosa</term><term>Oral maxillofac implants</term><term>Osseointegrated implants</term><term>Osseointegration</term><term>Overdenture</term><term>Overdentures</term><term>Oxidized implants</term><term>Periimplant</term><term>Periimplant conditions</term><term>Periodontal disease</term><term>Plaque</term><term>Present study</term><term>Primary stability</term><term>Proper periimplant health</term><term>Prospective multicenter study</term><term>Prosthesis</term><term>Prosthesis insertion</term><term>Prosthetic</term><term>Prosthetic construction</term><term>Prosthetic constructions</term><term>Prosthetic dentistry</term><term>Quintessence publishing company</term><term>Relative change</term><term>Resonance frequency analysis</term><term>Secondary stability</term><term>Soft tissue</term><term>Soft tissue barrier</term><term>Stability measurements</term><term>Standard abutments</term><term>Success rates</term><term>Surgical</term><term>Survival rates</term><term>Temporary denture</term><term>University hospital groningen</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Background: The long‐term success rates achieved in dental implantology suggest that flexibility might well exist within the various implant systems to a degree that an altered protocol (ie, one‐stage surgery and immediate or early loading) can be performed under controlled conditions. However, before variations of the protocol can be considered for general use, they must be subjected to critical analysis, particularly with respect to the predictability of osseointegration, alteration of soft tissue barrier, and relative change in bone height around the implants. Purpose: The aim of this prospective multicenter study was to evaluate implant survival and periimplant conditions around endosseous implants placed in a one‐stage surgical procedure and early loading. Materials and Methods: A total of 170 implants were placed in 40 patients with mandibular edentulism and were functionally loaded within 6 weeks with overdentures (n = 30) or fixed prostheses (n = 10). All patients and prosthetic constructions were evaluated according to a standardized protocol during 3 years of follow‐up. Cumulative implant survival rates were calculated, and implant loss in relation to implant size and bone quality and quantity were evaluated. Furthermore, the protocol included assessment of clinical (plaque and bleeding scores, prosthesis stability) and radiographic parameters. Results: Over a period of 3 years, the implant survival rate was 93% for both implants and prostheses (fixed or removable). No implants were lost after the first year of loading. The periimplant tissues were in a healthy condition. Mean marginal bone resorption from the time of loading to the 3‐year follow‐up was 0.41 mm (SD 0.52). Conclusions: From this study it may be concluded that early loading results in good implant survival and proper periimplant health in edentulous mandibles.</div></front></TEI><istex><corpusName>wiley</corpusName><keywords><teeft><json:string>implant</json:string><json:string>prosthesis</json:string><json:string>brinemark</json:string><json:string>mandible</json:string><json:string>osseointegration</json:string><json:string>early loading</json:string><json:string>prosthetic</json:string><json:string>overdentures</json:string><json:string>clin</json:string><json:string>periimplant</json:string><json:string>overdenture</json:string><json:string>endosseous</json:string><json:string>abutment</json:string><json:string>multicenter</json:string><json:string>edentulous</json:string><json:string>bone quality</json:string><json:string>implant placement</json:string><json:string>dentistry</json:string><json:string>insertion</json:string><json:string>edentulous mandibles</json:string><json:string>endosseous implants</json:string><json:string>appl osseointegration</json:string><json:string>edentulous mandible</json:string><json:string>mandibular overdentures</json:string><json:string>oral maxillofac implants</json:string><json:string>surgical</json:string><json:string>prosthesis insertion</json:string><json:string>primary stability</json:string><json:string>secondary stability</json:string><json:string>clinical dentistry</json:string><json:string>quintessence publishing company</json:string><json:string>stability measurements</json:string><json:string>prosthetic construction</json:string><json:string>implant survival</json:string><json:string>immediate loading</json:string><json:string>temporary denture</json:string><json:string>plaque</json:string><json:string>maxillofacial surgery</json:string><json:string>university hospital groningen</json:string><json:string>bone height</json:string><json:string>prosthetic dentistry</json:string><json:string>prospective multicenter study</json:string><json:string>brinemark system</json:string><json:string>success rates</json:string><json:string>implant insertion</json:string><json:string>machined brinemark system implants</json:string><json:string>briinemark system</json:string><json:string>prosthetic constructions</json:string><json:string>dental implantology</json:string><json:string>standard abutments</json:string><json:string>periimplant conditions</json:string><json:string>first year</json:string><json:string>normal periimplant mucosa</json:string><json:string>clinical implant dentistry</json:string><json:string>marginal bone levels</json:string><json:string>survival rates</json:string><json:string>present study</json:string><json:string>implant losses</json:string><json:string>cumulative survival rates</json:string><json:string>corresponding figures</json:string><json:string>marginal bone loss</json:string><json:string>marginal bone resorption</json:string><json:string>soft tissue</json:string><json:string>implant stability</json:string><json:string>resonance frequency analysis</json:string><json:string>clinical study</json:string><json:string>good implant survival</json:string><json:string>osseointegrated implants</json:string><json:string>brinemark zarb</json:string><json:string>proper periimplant health</json:string><json:string>critical analysis</json:string><json:string>oxidized implants</json:string><json:string>soft tissue barrier</json:string><json:string>healing period</json:string><json:string>dental implants</json:string><json:string>mandibular edentulism</json:string><json:string>relative change</json:string><json:string>periodontal disease</json:string><json:string>acta odontol scand</json:string><json:string>clin implant dent relat</json:string><json:string>lower denture</json:string><json:string>nobel biocare</json:string><json:string>dent</json:string></teeft></keywords><author><json:item><name>Gerry M. Raghoebar DOS, MD, PhD</name><affiliations><json:string>Department of Oral and Maxillofacial Surgery and Maxillofacial Prosthetics, University Hospital Groningen, The Netherlands</json:string><json:string>E-mail: g.m.raghoebar@kchir.azg.nl</json:string></affiliations></json:item><json:item><name>Bertil Friberg DDS, PhD</name><affiliations><json:string>The Brånemark Clinic, Public Dental Health, Gothenburg, Sweden</json:string></affiliations></json:item><json:item><name>Ingrid Grunert Dr Med</name><affiliations><json:string>Department of Prosthetic Dentistry, University of Innsbruck, Innsbruck, Austria</json:string></affiliations></json:item><json:item><name>John A. Hobkirk Dr, Med HC, PhD, BDS, FDS RCS(Eng), FDS RCS(Edin)</name><affiliations><json:string>Department of Prosthetic Dentistry, Eastman Dental Institute, University College, London, UK</json:string></affiliations></json:item><json:item><name>Gabor Tepper MD</name><affiliations><json:string>Department of Oral Surgery, School of Dentistry, Vienna, Austria</json:string></affiliations></json:item><json:item><name>Inger Wendelhag PhD</name><affiliations><json:string>Nobel Biocare AB, Gothenburg, Sweden</json:string></affiliations></json:item></author><subject><json:item><lang><json:string>eng</json:string></lang><value>early loading</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>edentulous mandible</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>endosseous implants</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>osseointegration</value></json:item></subject><articleId><json:string>CID39</json:string></articleId><arkIstex>ark:/67375/WNG-ZCSHVS86-C</arkIstex><language><json:string>eng</json:string></language><originalGenre><json:string>article</json:string></originalGenre><abstract>Background: The long‐term success rates achieved in dental implantology suggest that flexibility might well exist within the various implant systems to a degree that an altered protocol (ie, one‐stage surgery and immediate or early loading) can be performed under controlled conditions. However, before variations of the protocol can be considered for general use, they must be subjected to critical analysis, particularly with respect to the predictability of osseointegration, alteration of soft tissue barrier, and relative change in bone height around the implants. Purpose: The aim of this prospective multicenter study was to evaluate implant survival and periimplant conditions around endosseous implants placed in a one‐stage surgical procedure and early loading. Materials and Methods: A total of 170 implants were placed in 40 patients with mandibular edentulism and were functionally loaded within 6 weeks with overdentures (n = 30) or fixed prostheses (n = 10). All patients and prosthetic constructions were evaluated according to a standardized protocol during 3 years of follow‐up. Cumulative implant survival rates were calculated, and implant loss in relation to implant size and bone quality and quantity were evaluated. Furthermore, the protocol included assessment of clinical (plaque and bleeding scores, prosthesis stability) and radiographic parameters. Results: Over a period of 3 years, the implant survival rate was 93% for both implants and prostheses (fixed or removable). No implants were lost after the first year of loading. The periimplant tissues were in a healthy condition. Mean marginal bone resorption from the time of loading to the 3‐year follow‐up was 0.41 mm (SD 0.52). Conclusions: From this study it may be concluded that early loading results in good implant survival and proper periimplant health in edentulous mandibles.</abstract><qualityIndicators><score>8.907</score><pdfWordCount>3907</pdfWordCount><pdfCharCount>24626</pdfCharCount><pdfVersion>1.4</pdfVersion><pdfPageCount>8</pdfPageCount><pdfPageSize>576 x 792 pts</pdfPageSize><refBibsNative>true</refBibsNative><abstractWordCount>278</abstractWordCount><abstractCharCount>1866</abstractCharCount><keywordCount>4</keywordCount></qualityIndicators><title>3‐Year Prospective Multicenter Study on One‐Stage Implant Surgery and Early Loading in the Edentulous Mandible</title><pmid><json:string>12831727</json:string></pmid><genre><json:string>article</json:string></genre><host><title>Clinical Implant Dentistry and Related Research</title><language><json:string>unknown</json:string></language><doi><json:string>10.1111/(ISSN)1708-8208</json:string></doi><issn><json:string>1523-0899</json:string></issn><eissn><json:string>1708-8208</json:string></eissn><publisherId><json:string>CID</json:string></publisherId><volume>5</volume><issue>1</issue><pages><first>39</first><last>46</last><total>8</total></pages><genre><json:string>journal</json:string></genre></host><namedEntities><unitex><date><json:string>2003</json:string></date><geogName></geogName><orgName><json:string>Integration Diagnostics, Gothenburg, Sweden</json:string></orgName><orgName_funder></orgName_funder><orgName_provider></orgName_provider><persName><json:string>Ingrid Grunert</json:string><json:string>John A. Hobkirk</json:string><json:string>Med</json:string><json:string>Brinemark</json:string><json:string>Ericsson</json:string><json:string>In</json:string><json:string>Time Period</json:string><json:string>Friberg</json:string><json:string>Inger Wendelhag</json:string><json:string>Gabor Tepper</json:string><json:string>Bertil Friberg</json:string></persName><placeName><json:string>Germany</json:string><json:string>Helsinki</json:string><json:string>Sweden</json:string></placeName><ref_url></ref_url><ref_bibl></ref_bibl><bibl></bibl></unitex></namedEntities><ark><json:string>ark:/67375/WNG-ZCSHVS86-C</json:string></ark><categories><wos><json:string>1 - science</json:string><json:string>2 - dentistry, oral surgery & medicine</json:string></wos><scienceMetrix><json:string>1 - health sciences</json:string><json:string>2 - clinical medicine</json:string><json:string>3 - dentistry</json:string></scienceMetrix><scopus><json:string>1 - Health Sciences</json:string><json:string>2 - Dentistry</json:string><json:string>3 - General Dentistry</json:string><json:string>1 - Health Sciences</json:string><json:string>2 - Dentistry</json:string><json:string>3 - Oral Surgery</json:string></scopus><inist><json:string>1 - sciences appliquees, technologies et medecines</json:string><json:string>2 - sciences biologiques et medicales</json:string><json:string>3 - sciences medicales</json:string><json:string>4 - otorhinolaryngologie. stomatologie</json:string></inist></categories><publicationDate>2003</publicationDate><copyrightDate>2003</copyrightDate><doi><json:string>10.1111/j.1708-8208.2003.tb00180.x</json:string></doi><id>AFB3E6031239D70B07A830F25D8F1AFB3FEF6345</id><score>1</score><fulltext><json:item><extension>pdf</extension><original>true</original><mimetype>application/pdf</mimetype><uri>https://api.istex.fr/document/AFB3E6031239D70B07A830F25D8F1AFB3FEF6345/fulltext/pdf</uri></json:item><json:item><extension>zip</extension><original>false</original><mimetype>application/zip</mimetype><uri>https://api.istex.fr/document/AFB3E6031239D70B07A830F25D8F1AFB3FEF6345/fulltext/zip</uri></json:item><istex:fulltextTEI uri="https://api.istex.fr/document/AFB3E6031239D70B07A830F25D8F1AFB3FEF6345/fulltext/tei"><teiHeader><fileDesc><titleStmt><title level="a" type="main">3‐Year Prospective Multicenter Study on One‐Stage Implant Surgery and Early Loading in the Edentulous Mandible</title></titleStmt><publicationStmt><authority>ISTEX</authority><publisher>Blackwell Publishing Ltd</publisher><pubPlace>Oxford, UK</pubPlace><date type="published" when="2003-05"></date></publicationStmt><notesStmt><note type="content-type" subtype="article" source="article" scheme="https://content-type.data.istex.fr/ark:/67375/XTP-6N5SZHKN-D">article</note><note type="publication-type" subtype="journal" scheme="https://publication-type.data.istex.fr/ark:/67375/JMC-0GLKJH51-B">journal</note></notesStmt><sourceDesc><biblStruct type="article"><analytic><title level="a" type="main">3‐Year Prospective Multicenter Study on One‐Stage Implant Surgery and Early Loading in the Edentulous Mandible</title><author xml:id="author-0000" role="corresp"><persName><forename type="first">Gerry M.</forename><surname>Raghoebar</surname><roleName type="degree">DOS, MD, PhD</roleName></persName><affiliation>Department of Oral and Maxillofacial Surgery and Maxillofacial Prosthetics, University Hospital Groningen, The Netherlands<address><country key="NL"></country></address></affiliation><affiliation>Reprint requests: Gerry M. Raghoebar, DDS, MD, PhD, Department of Oral and Maxillofacial Surgery, University Hospital Groningen, PO Box 30001, NL‐9700 RB Groningen, The Netherlands; e‐mail: g.m.raghoebar@kchir.azg.nl</affiliation></author><author xml:id="author-0001"><persName><forename type="first">Bertil</forename><surname>Friberg</surname><roleName type="degree">DDS, PhD</roleName></persName><affiliation>The Brånemark Clinic, Public Dental Health, Gothenburg, Sweden<address><country key="SE"></country></address></affiliation></author><author xml:id="author-0002"><persName><forename type="first">Ingrid</forename><surname>Grunert</surname><roleName type="degree">Dr Med</roleName></persName><affiliation>Department of Prosthetic Dentistry, University of Innsbruck, Innsbruck, Austria<address><country key="AT"></country></address></affiliation></author><author xml:id="author-0003"><persName><forename type="first">John A.</forename><surname>Hobkirk</surname><roleName type="degree">Dr, Med HC, PhD, BDS, FDS RCS(Eng), FDS RCS(Edin)</roleName></persName><affiliation>Department of Prosthetic Dentistry, Eastman Dental Institute, University College, London, UK<address><country key="GB"></country></address></affiliation></author><author xml:id="author-0004"><persName><forename type="first">Gabor</forename><surname>Tepper</surname><roleName type="degree">MD</roleName></persName><affiliation>Department of Oral Surgery, School of Dentistry, Vienna, Austria<address><country key="AT"></country></address></affiliation></author><author xml:id="author-0005"><persName><forename type="first">Inger</forename><surname>Wendelhag</surname><roleName type="degree">PhD</roleName></persName><affiliation>Nobel Biocare AB, Gothenburg, Sweden<address><country key="SE"></country></address></affiliation></author><idno type="istex">AFB3E6031239D70B07A830F25D8F1AFB3FEF6345</idno><idno type="ark">ark:/67375/WNG-ZCSHVS86-C</idno><idno type="DOI">10.1111/j.1708-8208.2003.tb00180.x</idno><idno type="unit">CID39</idno><idno type="toTypesetVersion">file:CID.CID39.pdf</idno></analytic><monogr><title level="j" type="main">Clinical Implant Dentistry and Related Research</title><title level="j" type="alt">CLINICAL IMPLANT DENTISTRY RELATED RESEARCH</title><idno type="pISSN">1523-0899</idno><idno type="eISSN">1708-8208</idno><idno type="book-DOI">10.1111/(ISSN)1708-8208</idno><idno type="book-part-DOI">10.1111/cid.2003.5.issue-1</idno><idno type="product">CID</idno><idno type="publisherDivision">ST</idno><imprint><biblScope unit="vol">5</biblScope><biblScope unit="issue">1</biblScope><biblScope unit="page" from="39">39</biblScope><biblScope unit="page" to="46">46</biblScope><biblScope unit="page-count">8</biblScope><publisher>Blackwell Publishing Ltd</publisher><pubPlace>Oxford, UK</pubPlace><date type="published" when="2003-05"></date></imprint></monogr></biblStruct></sourceDesc></fileDesc><profileDesc><abstract xml:lang="en" style="main"><head>ABSTRACT</head><p>
<hi rend="italic">Background</hi>: The long‐term success rates achieved in dental implantology suggest that flexibility might well exist within the various implant systems to a degree that an altered protocol (ie, one‐stage surgery and immediate or early loading) can be performed under controlled conditions. However, before variations of the protocol can be considered for general use, they must be subjected to critical analysis, particularly with respect to the predictability of osseointegration, alteration of soft tissue barrier, and relative change in bone height around the implants.</p><p>
<hi rend="italic">Purpose</hi>: The aim of this prospective multicenter study was to evaluate implant survival and periimplant conditions around endosseous implants placed in a one‐stage surgical procedure and early loading.</p><p>
<hi rend="italic">Materials and Methods</hi>: A total of 170 implants were placed in 40 patients with mandibular edentulism and were functionally loaded within 6 weeks with overdentures (n = 30) or fixed prostheses (n = 10). All patients and prosthetic constructions were evaluated according to a standardized protocol during 3 years of follow‐up. Cumulative implant survival rates were calculated, and implant loss in relation to implant size and bone quality and quantity were evaluated. Furthermore, the protocol included assessment of clinical (plaque and bleeding scores, prosthesis stability) and radiographic parameters.</p><p>
<hi rend="italic">Results</hi>: Over a period of 3 years, the implant survival rate was 93% for both implants and prostheses (fixed or removable). No implants were lost after the first year of loading. The periimplant tissues were in a healthy condition. Mean marginal bone resorption from the time of loading to the 3‐year follow‐up was 0.41 mm (SD 0.52).</p><p>
<hi rend="italic">Conclusions</hi>: From this study it may be concluded that early loading results in good implant survival and proper periimplant health in edentulous mandibles.</p></abstract><textClass><keywords xml:lang="en"><term xml:id="k1">early loading</term><term xml:id="k2">edentulous mandible</term><term xml:id="k3">endosseous implants</term><term xml:id="k4">osseointegration</term></keywords></textClass><langUsage><language ident="en"></language></langUsage></profileDesc></teiHeader></istex:fulltextTEI><json:item><extension>txt</extension><original>false</original><mimetype>text/plain</mimetype><uri>https://api.istex.fr/document/AFB3E6031239D70B07A830F25D8F1AFB3FEF6345/fulltext/txt</uri></json:item></fulltext><metadata><istex:metadataXml wicri:clean="Wiley, elements deleted: body"><istex:xmlDeclaration>version="1.0" encoding="UTF-8" standalone="yes"</istex:xmlDeclaration><istex:document><component version="2.0" type="serialArticle" xml:lang="en"><header><publicationMeta level="product"><publisherInfo><publisherName>Blackwell Publishing Ltd</publisherName><publisherLoc>Oxford, UK</publisherLoc></publisherInfo><doi origin="wiley" registered="yes">10.1111/(ISSN)1708-8208</doi><issn type="print">1523-0899</issn><issn type="electronic">1708-8208</issn><idGroup><id type="product" value="CID"></id><id type="publisherDivision" value="ST"></id></idGroup><titleGroup><title type="main" sort="CLINICAL IMPLANT DENTISTRY RELATED RESEARCH">Clinical Implant Dentistry and Related Research</title></titleGroup></publicationMeta><publicationMeta level="part" position="05001"><doi origin="wiley">10.1111/cid.2003.5.issue-1</doi><numberingGroup><numbering type="journalVolume" number="5">5</numbering><numbering type="journalIssue" number="1">1</numbering></numberingGroup><coverDate startDate="2003-05">May 2003</coverDate></publicationMeta><publicationMeta level="unit" type="article" position="0003900" status="forIssue"><doi origin="wiley">10.1111/j.1708-8208.2003.tb00180.x</doi><idGroup><id type="unit" value="CID39"></id></idGroup><countGroup><count type="pageTotal" number="8"></count></countGroup><eventGroup><event type="firstOnline" date="2006-10-30"></event><event type="publishedOnlineFinalForm" date="2006-10-30"></event><event type="xmlConverted" agent="Converter:BPG_TO_WML3G version:2.3.2 mode:FullText source:HeaderRef result:HeaderRef" date="2010-03-13"></event><event type="xmlConverted" agent="Converter:WILEY_ML3G_TO_WILEY_ML3GV2 version:3.8.8" date="2014-01-15"></event><event type="xmlConverted" agent="Converter:WML3G_To_WML3G version:4.1.7 mode:FullText,remove_FC" date="2014-10-16"></event></eventGroup><numberingGroup><numbering type="pageFirst" number="39">39</numbering><numbering type="pageLast" number="46">46</numbering></numberingGroup><correspondenceTo>Reprint requests: Gerry M. Raghoebar, DDS, MD, PhD, Department of Oral and Maxillofacial Surgery, University Hospital Groningen, PO Box 30001, NL‐9700 RB Groningen, The Netherlands; e‐mail: <email>g.m.raghoebar@kchir.azg.nl</email></correspondenceTo><linkGroup><link type="toTypesetVersion" href="file:CID.CID39.pdf"></link></linkGroup></publicationMeta><contentMeta><countGroup><count type="referenceTotal" number="40"></count><count type="linksCrossRef" number="7"></count></countGroup><titleGroup><title type="main">3‐Year Prospective Multicenter Study on One‐Stage Implant Surgery and Early Loading in the Edentulous Mandible</title></titleGroup><creators><creator creatorRole="author" xml:id="cr1" affiliationRef="#a1" corresponding="yes"><personName><givenNames>Gerry M.</givenNames><familyName>Raghoebar</familyName><degrees>DOS, MD, PhD</degrees></personName></creator><creator creatorRole="author" xml:id="cr2" affiliationRef="#a2"><personName><givenNames>Bertil</givenNames><familyName>Friberg</familyName><degrees>DDS, PhD</degrees></personName></creator><creator creatorRole="author" xml:id="cr3" affiliationRef="#a3"><personName><givenNames>Ingrid</givenNames><familyName>Grunert</familyName><degrees>Dr Med</degrees></personName></creator><creator creatorRole="author" xml:id="cr4" affiliationRef="#a4"><personName><givenNames>John A.</givenNames><familyName>Hobkirk</familyName><degrees>Dr, Med HC, PhD, BDS, FDS RCS(Eng), FDS RCS(Edin)</degrees></personName></creator><creator creatorRole="author" xml:id="cr5" affiliationRef="#a5"><personName><givenNames>Gabor</givenNames><familyName>Tepper</familyName><degrees>MD</degrees></personName></creator><creator creatorRole="author" xml:id="cr6" affiliationRef="#a6"><personName><givenNames>Inger</givenNames><familyName>Wendelhag</familyName><degrees>PhD</degrees></personName></creator></creators><affiliationGroup><affiliation xml:id="a1" countryCode="NL"><unparsedAffiliation>Department of Oral and Maxillofacial Surgery and Maxillofacial Prosthetics, University Hospital Groningen, The Netherlands</unparsedAffiliation></affiliation><affiliation xml:id="a2" countryCode="SE"><unparsedAffiliation>The Brånemark Clinic, Public Dental Health, Gothenburg, Sweden</unparsedAffiliation></affiliation><affiliation xml:id="a3" countryCode="AT"><unparsedAffiliation>Department of Prosthetic Dentistry, University of Innsbruck, Innsbruck, Austria</unparsedAffiliation></affiliation><affiliation xml:id="a4" countryCode="GB"><unparsedAffiliation>Department of Prosthetic Dentistry, Eastman Dental Institute, University College, London, UK</unparsedAffiliation></affiliation><affiliation xml:id="a5" countryCode="AT"><unparsedAffiliation>Department of Oral Surgery, School of Dentistry, Vienna, Austria</unparsedAffiliation></affiliation><affiliation xml:id="a6" countryCode="SE"><unparsedAffiliation>Nobel Biocare AB, Gothenburg, Sweden</unparsedAffiliation></affiliation></affiliationGroup><keywordGroup xml:lang="en"><keyword xml:id="k1">early loading</keyword><keyword xml:id="k2">edentulous mandible</keyword><keyword xml:id="k3">endosseous implants</keyword><keyword xml:id="k4">osseointegration</keyword></keywordGroup><abstractGroup><abstract type="main" xml:lang="en"><title type="main">ABSTRACT</title><p> <i>Background</i>: The long‐term success rates achieved in dental implantology suggest that flexibility might well exist within the various implant systems to a degree that an altered protocol (ie, one‐stage surgery and immediate or early loading) can be performed under controlled conditions. However, before variations of the protocol can be considered for general use, they must be subjected to critical analysis, particularly with respect to the predictability of osseointegration, alteration of soft tissue barrier, and relative change in bone height around the implants.</p><p> <i>Purpose</i>: The aim of this prospective multicenter study was to evaluate implant survival and periimplant conditions around endosseous implants placed in a one‐stage surgical procedure and early loading.</p><p> <i>Materials and Methods</i>: A total of 170 implants were placed in 40 patients with mandibular edentulism and were functionally loaded within 6 weeks with overdentures (n = 30) or fixed prostheses (n = 10). All patients and prosthetic constructions were evaluated according to a standardized protocol during 3 years of follow‐up. Cumulative implant survival rates were calculated, and implant loss in relation to implant size and bone quality and quantity were evaluated. Furthermore, the protocol included assessment of clinical (plaque and bleeding scores, prosthesis stability) and radiographic parameters.</p><p> <i>Results</i>: Over a period of 3 years, the implant survival rate was 93% for both implants and prostheses (fixed or removable). No implants were lost after the first year of loading. The periimplant tissues were in a healthy condition. Mean marginal bone resorption from the time of loading to the 3‐year follow‐up was 0.41 mm (SD 0.52).</p><p> <i>Conclusions</i>: From this study it may be concluded that early loading results in good implant survival and proper periimplant health in edentulous mandibles.</p></abstract></abstractGroup></contentMeta></header></component></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>3‐Year Prospective Multicenter Study on One‐Stage Implant Surgery and Early Loading in the Edentulous Mandible</title></titleInfo><titleInfo type="alternative" contentType="CDATA" lang="en"><title>3‐Year Prospective Multicenter Study on One‐Stage Implant Surgery and Early Loading in the Edentulous Mandible</title></titleInfo><name type="personal"><namePart type="given">Gerry M.</namePart><namePart type="family">Raghoebar</namePart><namePart type="termsOfAddress">DOS, MD, PhD</namePart><affiliation>Department of Oral and Maxillofacial Surgery and Maxillofacial Prosthetics, University Hospital Groningen, The Netherlands</affiliation><affiliation>E-mail: g.m.raghoebar@kchir.azg.nl</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Bertil</namePart><namePart type="family">Friberg</namePart><namePart type="termsOfAddress">DDS, PhD</namePart><affiliation>The Brånemark Clinic, Public Dental Health, Gothenburg, Sweden</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Ingrid</namePart><namePart type="family">Grunert</namePart><namePart type="termsOfAddress">Dr Med</namePart><affiliation>Department of Prosthetic Dentistry, University of Innsbruck, Innsbruck, Austria</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">John A.</namePart><namePart type="family">Hobkirk</namePart><namePart type="termsOfAddress">Dr, Med HC, PhD, BDS, FDS RCS(Eng), FDS RCS(Edin)</namePart><affiliation>Department of Prosthetic Dentistry, Eastman Dental Institute, University College, London, UK</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Gabor</namePart><namePart type="family">Tepper</namePart><namePart type="termsOfAddress">MD</namePart><affiliation>Department of Oral Surgery, School of Dentistry, Vienna, Austria</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Inger</namePart><namePart type="family">Wendelhag</namePart><namePart type="termsOfAddress">PhD</namePart><affiliation>Nobel Biocare AB, Gothenburg, Sweden</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="article" displayLabel="article" authority="ISTEX" authorityURI="https://content-type.data.istex.fr" valueURI="https://content-type.data.istex.fr/ark:/67375/XTP-6N5SZHKN-D">article</genre><originInfo><publisher>Blackwell Publishing Ltd</publisher><place><placeTerm type="text">Oxford, UK</placeTerm></place><dateIssued encoding="w3cdtf">2003-05</dateIssued><copyrightDate encoding="w3cdtf">2003</copyrightDate></originInfo><language><languageTerm type="code" authority="rfc3066">en</languageTerm><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><physicalDescription><extent unit="references">40</extent><extent unit="linksCrossRef">7</extent></physicalDescription><abstract lang="en">Background: The long‐term success rates achieved in dental implantology suggest that flexibility might well exist within the various implant systems to a degree that an altered protocol (ie, one‐stage surgery and immediate or early loading) can be performed under controlled conditions. However, before variations of the protocol can be considered for general use, they must be subjected to critical analysis, particularly with respect to the predictability of osseointegration, alteration of soft tissue barrier, and relative change in bone height around the implants. Purpose: The aim of this prospective multicenter study was to evaluate implant survival and periimplant conditions around endosseous implants placed in a one‐stage surgical procedure and early loading. Materials and Methods: A total of 170 implants were placed in 40 patients with mandibular edentulism and were functionally loaded within 6 weeks with overdentures (n = 30) or fixed prostheses (n = 10). All patients and prosthetic constructions were evaluated according to a standardized protocol during 3 years of follow‐up. Cumulative implant survival rates were calculated, and implant loss in relation to implant size and bone quality and quantity were evaluated. Furthermore, the protocol included assessment of clinical (plaque and bleeding scores, prosthesis stability) and radiographic parameters. Results: Over a period of 3 years, the implant survival rate was 93% for both implants and prostheses (fixed or removable). No implants were lost after the first year of loading. The periimplant tissues were in a healthy condition. Mean marginal bone resorption from the time of loading to the 3‐year follow‐up was 0.41 mm (SD 0.52). Conclusions: From this study it may be concluded that early loading results in good implant survival and proper periimplant health in edentulous mandibles.</abstract><subject lang="en"><genre>keywords</genre><topic>early loading</topic><topic>edentulous mandible</topic><topic>endosseous implants</topic><topic>osseointegration</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><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>2003</date><detail type="volume"><caption>vol.</caption><number>5</number></detail><detail type="issue"><caption>no.</caption><number>1</number></detail><extent unit="pages"><start>39</start><end>46</end><total>8</total></extent></part></relatedItem><identifier type="istex">AFB3E6031239D70B07A830F25D8F1AFB3FEF6345</identifier><identifier type="ark">ark:/67375/WNG-ZCSHVS86-C</identifier><identifier type="DOI">10.1111/j.1708-8208.2003.tb00180.x</identifier><identifier type="ArticleID">CID39</identifier><recordInfo><recordContentSource authority="ISTEX" authorityURI="https://loaded-corpus.data.istex.fr" valueURI="https://loaded-corpus.data.istex.fr/ark:/67375/XBH-L0C46X92-X">wiley</recordContentSource><recordOrigin>Blackwell Publishing Ltd</recordOrigin></recordInfo></mods><json:item><extension>json</extension><original>false</original><mimetype>application/json</mimetype><uri>https://api.istex.fr/document/AFB3E6031239D70B07A830F25D8F1AFB3FEF6345/metadata/json</uri></json:item></metadata><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
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