Serveur d'exploration sur le patient édenté

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Occlusal overload and bone/implant loss

Identifieur interne : 006833 ( Istex/Corpus ); précédent : 006832; suivant : 006834

Occlusal overload and bone/implant loss

Auteurs : Ignace Naert ; Joke Duyck ; Katleen Vandamme

Source :

RBID : ISTEX:D1D446EED97BB30C744F0DABD0F9D9D3D66B022D

English descriptors

Abstract

The aim of this search was to assess the biological consequences that overload might have on already osseointegrated oral implants through a systematic screening of the scientific literature.

Url:
DOI: 10.1111/j.1600-0501.2012.02550.x

Links to Exploration step

ISTEX:D1D446EED97BB30C744F0DABD0F9D9D3D66B022D

Le document en format XML

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Method
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<hi rend="fc"> OVID</hi>
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<hi rend="fc"> EMBASE</hi>
and
<hi rend="fc">LILACS</hi>
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<hi rend="fc">PICO</hi>
questions formulated was:“what is the effect of overload vs. no overload on bone/implant loss in clinically stable implants?”</p>
Results
<p>The database searches as well as additional hand searching, resulted in 726 potentially relevant titles. Eventually, 16 clinical and 25 animal studies were considered relevant to the topic. After inclusion/exclusion criteria assessment, all clinical studies and all but three animal studies and one systematic review were considered at high risk of bias and excluded. The included animal studies did not reveal an association between overload and peri‐implant bone loss in the absence of peri‐implant inflammation, whereas in its presence, overload seemed to aggravate the peri‐implant tissue breakdown.</p>
Conclusions
<p>The effect of implant overload on bone/implant loss in clinically well‐integrated implants is poorly reported and provides little unbiased evidence to support a cause‐and‐effect relationship. The
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<p>The aim of this search was to assess the
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<p>The effect of implant overload on bone/implant loss in clinically well‐integrated implants is poorly reported and provides little unbiased evidence to support a cause‐and‐effect relationship. The
<fc>PICO</fc>
question remained unanswered. At the animal level, “overload”, mimicked by supra‐occlusal contacts acting in an uninflamed peri‐implant environment, did not negatively affect osseointegration and even was anabolic. In contrast, supra‐occlusal contacts in the presence of inflammation significantly increased the plaque‐induced bone resorption.</p>
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<affiliation>KU Leuven (Catholic University of Leuven)Kapucijnenvoer 7 blok a bus 7001BE‐3000 LeuvenBelgiumTel.: 0032 16 33 24 58/38Fax: 0032 16 33 23 09e‐mail:</affiliation>
<affiliation>E-mail: Ignace.Naert@med.kuleuven.be</affiliation>
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<name type="personal">
<namePart type="given">Joke</namePart>
<namePart type="family">Duyck</namePart>
<affiliation>Department of Oral Health Sciences & Dental Clinics University Hospitals, KU Leuven, Clinical Unit for Prosthetic Dentistry, BIOMAT KU Leuven, KU Leuven (Catholic University of Leuven), Kapucijnenvoer 7 blok a bus 7001, BE, 3000, Leuven, Belgium</affiliation>
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<name type="personal">
<namePart type="given">Katleen</namePart>
<namePart type="family">Vandamme</namePart>
<affiliation>Department of Oral Health Sciences & Dental Clinics University Hospitals, KU Leuven, Clinical Unit for Prosthetic Dentistry, BIOMAT KU Leuven, KU Leuven (Catholic University of Leuven), Kapucijnenvoer 7 blok a bus 7001, BE, 3000, Leuven, Belgium</affiliation>
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<publisher>Blackwell Publishing Ltd</publisher>
<dateIssued encoding="w3cdtf">2012-10</dateIssued>
<dateCreated encoding="w3cdtf">2012-06-22</dateCreated>
<dateValid encoding="w3cdtf">2012-06-09</dateValid>
<edition>Naert I, Duyck J, Vandamme K. Occlusal overload and bone/implant loss. Clin. Oral Implants Res.23 (Suppl. 6):2012, 95–107 10.1111/j.1600‐0501.2012.02550.x</edition>
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<languageTerm type="code" authority="iso639-2b">eng</languageTerm>
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<abstract>The aim of this search was to assess the biological consequences that overload might have on already osseointegrated oral implants through a systematic screening of the scientific literature.</abstract>
<abstract>Detailed searches through PUBMED, OVID, EMBASE and LILACS databases were made. Articles published up to December 2011 and those reported on the clinical, radiographic and/or histological outcome of oral implants subjected to so‐called overload were considered eligible for inclusion. Identified studies were assessed by one non‐blinded reviewer according to well‐defined inclusion and exclusion criteria. When doubt arose, the co‐authors were counselled until final agreement was obtained. The PICO questions formulated was:“what is the effect of overload vs. no overload on bone/implant loss in clinically stable implants?”</abstract>
<abstract>The database searches as well as additional hand searching, resulted in 726 potentially relevant titles. Eventually, 16 clinical and 25 animal studies were considered relevant to the topic. After inclusion/exclusion criteria assessment, all clinical studies and all but three animal studies and one systematic review were considered at high risk of bias and excluded. The included animal studies did not reveal an association between overload and peri‐implant bone loss in the absence of peri‐implant inflammation, whereas in its presence, overload seemed to aggravate the peri‐implant tissue breakdown.</abstract>
<abstract>The effect of implant overload on bone/implant loss in clinically well‐integrated implants is poorly reported and provides little unbiased evidence to support a cause‐and‐effect relationship. The PICO question remained unanswered. At the animal level, “overload”, mimicked by supra‐occlusal contacts acting in an uninflamed peri‐implant environment, did not negatively affect osseointegration and even was anabolic. In contrast, supra‐occlusal contacts in the presence of inflammation significantly increased the plaque‐induced bone resorption.</abstract>
<subject>
<genre>keywords</genre>
<topic>animal</topic>
<topic>bone loss</topic>
<topic>bruxism</topic>
<topic>clinical</topic>
<topic>dental</topic>
<topic>failures</topic>
<topic>forces</topic>
<topic>implant</topic>
<topic>oral</topic>
<topic>osseointegration</topic>
<topic>overload</topic>
<topic>review</topic>
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<title>Clinical Oral Implants Research</title>
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<title>Clin. Oral Implants Res.</title>
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<genre>article-category</genre>
<topic>Working Group 2: Peri‐implant tissue destruction</topic>
</subject>
<identifier type="ISSN">0905-7161</identifier>
<identifier type="eISSN">1600-0501</identifier>
<identifier type="DOI">10.1111/(ISSN)1600-0501</identifier>
<identifier type="PublisherID">CLR</identifier>
<part>
<date>2012</date>
<detail type="title">
<title>Proceedings of the 3rd EAO Consensus Conference, 15–18 February 2012, Pfäffikon, Schwyz, Switzerland</title>
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<detail type="volume">
<caption>vol.</caption>
<number>23</number>
</detail>
<detail type="supplement">
<caption>Suppl. no.</caption>
<number>s6</number>
</detail>
<extent unit="pages">
<start>95</start>
<end>107</end>
<total>13</total>
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<accessCondition type="use and reproduction" contentType="copyright">Copyright © 2012 John Wiley & Sons A/S© 2012 John Wiley & Sons A/S</accessCondition>
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